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17C-227 (22) Location.............. ....................................................... Permit No. ................................................................. Application for other than a Dwelling Permit Granted........................................... 19......... To .............................................................................. NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDITIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plans,in duplicate,mustbe filed with this application before a permit will be granted,one of which,upon issuance of the permit shall be kept at the site during the progress of the work. New...............❑ Addition........❑ No—P,92...—D, Zone.G.Q......., Type.................... Map.j..X......, Parcel..,y)Q. Alterations ....K 'C91 j-CIO Repair............❑ CITY OF NORTHAMPTON Demolition....El MASSACHUSETTS �d Application for other than a Dwelling Permit tie # OVs (To be filled out in ink OR on a typewriter) To the Building Inspector: Date........ .........j.6......... Application for a permit is hereby made according to the following:— iv t 1. Location, Street and No....l(....Ol/ 71" G.J .................... . �'.4`r' :�iC. .... ,li4 2. Nearest cross street.........1�1t11 H1....,5.. ......................................................................... Lot No.................... 3. Owner's name.. ........................... Address 4. Architect's name.............c •�t? 4............. Address ............................................................. 5. Builder's name /...:....�li/J �.l�r'✓�' �'.:T!�/..... Address!z/? .�..... . .......... b. Use of building, Present..... �'!i-�............ Proposed ........5...:. eTrr............................................... Ohl 7. Building fronts on how many Streets?........... .......... ................................................ ................... ....................... 8. Is building in fire district. ................. G X119. Size of building, to ft. . .............. Length in ft. Y. ............ Height in ft......�s,?.............. n I .. 10. Distance of building from Street Line................ left lot line..........., right lot line..........., rear lot line........... 11. Type of construction(check one): 1—A.......... 1—B .. Y ........ 1•-•C .......... II.......... III.......... IV.......... V .......... p r Stories B 1 2 3 4 5 6 7 Roof Story heights in ft. Thickn's of walls in ins. Material of walls -5— Material of floor/roof C 4'r7 dy 7r Design live load Design dead load Occupancy or Use S To L No.of persons/families G No.of stairs / /G•�r r. 12. Soil under footing is............. :!a:` � . ............................................................................................................................... 13. Depth of footing below grade... '-..Lf................. ft. Will piles be used?............/vj. .............. 14. Area of entire building(Present plus new) .......... .. ................................................................................ sq.ft. 15. Type of roof—flat.....%r. ........, pitched....X.fF. .... Material of roof covering....... ................... 16. No.of elevators.....9?...... Method of heatingiz�i r6ystem ................................. Fuel ................................. 17. Are live loads noted on drawings? ............... Are all other structural conditions noted on drawings?................... 18. Building(will be)(is)equipped with sprinklers?...........M.0............. With sprinkler alarm?......../jl.°............... 19. Is building to be used as a factory,workshop or mercantile or other establishment employing 10 or more persons? ....................... .................................................................................................................................................. 20. Is building to be used as an office building,dormitory,hotel,family hotel,apartment or boarding house,lodging house or tenement house having 8 or more rooms above the second story? .........1.11 ...:....................................... 21. How many exits(per floor)to street? ........ ,. !s.:T.....Ap. 1.,........4!ct�...�..�!��i!?......A'.�?�.'r.'=... vc-7— ...... 22. Is building a"Place of assembly"as defined by the General Laws? " 23. Will building conform to the General Laws? ......................... Building and Zoning Ordinances? ......................... 24. If a garage,distance from nearest building? ............................................................................................................ 25. If an addition,alteration or demolition,when was building erected?...................................................................... 26. Estimated costs: The undersigned certifies that the abovp state ents are true to the General$ ...... of 72. kn edge d b f. Z Plumbing......................................... . ... GasPiping....................................... signature of ow er,architect or engineer Sprinklers........................................ WRITTEN DISCRIPTION OF WORK TO BE DONE Heating............................................ (Use blank half of reverse side,if necessary) Electric G tP I C!z....f" !Y!�:L�rV .....k4� �.�fal....:5�.... !f'7 ............................................ Other............................................... Total$........ -A- v................ 4....... .'.$...,................................................... �/ ".s• •� T� �, �/c .3 4-4-y 6, 73 /O)L, 3 L) j C 011-2 P City of Northampton REQUIRED INSPECTIONS 1 . Footings and Walls BUILDING DEPARTMENT 2 Placetural Components in 3 . Complete Building No. -297- Office of the Building Inspector Date M' 24, 19 90 BUI DING P RMI THIS MAY CERTIFY THATW. H. IHcA4lin Insp. on Site — Foundations has permission to =p1 ne pau-Ji o with 5/£ rock, hAld exjD mx for Insp. of Plumbing — Rough balm ns. situated on 16 pkrth Mao,- ElcrarP. Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOU PLACE O E PREMISES Certificate of Occupancy Building Inspector wuh P INT P