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NOTES and Data — (For department use)
' r
m r `6 J
13
33
a �-
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IV. IDENTIFICATION — To be completed by all applicants
Name //-- Mailing address — Number, street, city, anr/ State ZIP code Tel. No.
Owner or
/� 11
t!
Lessee TA l [,s l"rouS 1' LO, ,AA (3, D IE)C.
Builder's
License No.
Contract r
3.
Architect o
Engineer
I hereby ertify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this pplication as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signa ure of app icant ��[ Address Application date
6;�
b 4A5 77 31t)_PA?�I r►
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number y�
B uiIding. Use Group
Permit issued 19_�
Building Fire Grading
Permit Fee $ �zl_Z114, Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
,Zo CITY OF NORTHAMPTON
9* �� MASSACHUSETTS
s �
OFFICE of the INSPECTOR of BUILDINGS
Page Plot '�:T APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
+ ZONING
^�( i 1 1
1• AT (LOC ATI )-- 4 `•..•' �, ( ' 'iP n�.> � 1. DISTRIC���
LOCATION A(NO•) (STREET)
OF BETWEEN ) iN�. �-.L.. AND t! � , l LL
BUILDING (CROSS STREET) (CROSS STREET) l
LOT ilk
SUBDIVISION LOT BLOCK SIZE tl
Vr
IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
Part D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — --31. 20 ❑ Industrial
3 <11teration (.See 2 above) 14 Transient hotel, motel,❑ 21 ❑ Parking garage
4 pair, replacement or dormitory — Enter number
5 ❑ Wrecking (I/multifamily residential, of units ——————— — —3� 22 ❑ Service station, repair garage
enterTiumber of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) ���/
❑ 17 �� Other — Specify 25 n Public utility
7 Foundation only /—`" 26 ❑ School, library, other educational
B. OWNERSHIP " 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
p 29 ❑ Other — Specify
nonprofit institution, etc.)
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•••••••••••••••, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.......................
b. Plumbing .......................
c. Heating, air conditioning.......
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT I$ I
111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 f _Masonry (wall bearing) 40�ublic or private company Number of stories..............
31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE 9F WATER SUPPLY
34 Other — 42 Lr/�J�Public or private company 50. Total land area, sq. ft. ..
I❑ Specify _ P ••••••••
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 L J Gas Will ther central air 52. Outdoors.......................
36Oi1 conditioning.
_ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 r__i No 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there b an elev tort Full.........
_ 54. Number of
46 ❑ es 47 'J No bathrooms partial.......
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
L,3
DEPARTMOT OF 11tlILDTiiG INSPECTIONS
FIELD COPY
212 MAIN STIIM
Is MTHMIPM, NA. 01060 BUILDING
37� ' 2s1 PERMIT
DATE October 289 19 80 PERMIT NO. 648
APPLICANT J0190 C Vit*12 ADDRESS 43 No. Main St., Flore'n'1„e
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wned StDY! (3) STORY For WQsd_bczrnin¢ BtQV(C DWELLING UNITS 6
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) _ n .s h arence DISTRICT URB
(NO.) ( T EET)
rn BETWEEN D
(CROSS STREET k (CROSS STREET)
a
LOT
SUBDIVISION m SUBDIVISION_ LOT r OCK SIZE
a QGOUP O BUILDING IS TO BE FT D Y FT LONG FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
S
Z TO TYPE USE BASEMENT WALLS OR FOUNDATION
f (TYPE)
It J
u- REMARKS: Install wood-burning Store in lat. floor living rooms. Existing chinngy,
Installed in fireplace, sole source of heat in chinney.
AREA OR
VOLUME ESTIMATED COST . FEEMIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER Janis vitals
BUI ING PT
ADDRESS 2 BY