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P41- 11110ME "Mumme�41 NOTES and Data — (For department use) CITY OF NORTHAMPTON ' MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS t Page l� � ' Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING AT I• AT (LOCATION) ` ` K'� DISTRICTh LOCATION (NO.) STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vf II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 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 bousing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious number of units— — — — --> 20 ❑ Industrial 3 Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 C� Parking garage 4 F-] Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (It multifamily residential, of units ——————— — -�. 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17 ❑ Other — SpeciJy 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food IO<es - 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 Y a. Electrical..................... A a Anr LvenkC_ We b. Plumbing ..................... '~ c. Heating, air conditioning.......... d. Other (elevator, etc.)............. of ON ft 11. TOTAL COST OF IMPROVEMENT $ III. 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❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories................ Total square feet of floor area, 31 Wood Frame 41 ❑ Private (septic tank, etc.) 49. all floors, based on exterior 32 ffStructurol steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 C7 Electricity 44 ❑ Yes 45 No 53. Number of bedrooms............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? 54. Number of Full.......... _ 46 1 Yes 47 D No bathrooms Partial........ s IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — .Number, stmt, city, and State ZIP code Tel. No. 1.Owner or M" o Lessee Builder's 2. License No. Contractor 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to ma a this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Sign to a of a�t Address ----::F- Application date rP4 P, U*vtx-- FT DO NOT WRITE BELOW THIS LINE �to6o V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes 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 VII. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number ` Building Use Group Permit issued ��'� Z' 19 87 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approv by: Drain Tile $ Plan Review Fee $ TITLE �z of Wort4ampton ♦ s _ g � �assachnsetts -=- Offire of tht )n9ptrtor of Puilbings X 212 Main Street•Municipal Building _ Northampton, Mass. 01060 CERTIFICATE OF OCCUPANCY Page No. 1 :7e- Plot 3 Ce Building (Name) Address Owner Address Applicant, Address Use: 1st Occupancy 2nd Occupancy 3rd Occupancy 4th Occupancy Zone District Required Inspections: New Building Existing Building Elevator Electrical Plumbing Fire Building Other Inspector of Buildings a DEPT. BUILDING INSPECTION 61LDING Z°- 212 Main Street � PERMIT �a Northampton, MA 0106 17C - 308 VALIDATION DATE iber 2. 19 87 PERMIT NO. 797 APPLICANT Hal an Farri ngf nn ADDRESS 172 Nn_ Manl P StrPPt. IN0.1 (STREET) (CONTR'S LICENSE) Alteration Workshop NUMBER OF PERMIT TO ( ) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) No ape ree orence ZONING ST AT (LOCATION) DISTRICT (N0.) (STREET) BETWEEN AN - (CR S STRE T) (CRO STREET) X-1.1 A LOT SUBDIVISION LOT PEN SIZE BUILDING IS T BE FT. WIDE Y FT. LONG BF GHT AND SH L CONFO M IN CONS UCTION TO TYPE USE GROUP BASOR FOUNDATION—I / (TYPE) REMARKS. per it f r interior alteratio for shop - No Rea 1 Tra e- ` - painting wood- en c a o ,sec s AREA OR ESTI D COST $ 1 0.00 FEE 10.00 VOLUME (CUBIC/SQUARE FEET) OWNER Bill Corbett '� 4'n • 172 North Maple Street BOIL ADDRESS BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY plRf' ' P