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Signature of applicant Address Application date L1/l9 E`I D0 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans g 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 Obta ned 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 Cx Building- rye, Use Group Permit issued J'/(�l�d �y 19 Building �— Fire Grading Permit Fee $ l� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ LE CITY OF NORTHAMPTON MASSACHUSETTS � e OFFICE of the INSPECTOR of BUILDINGS Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O f ZONING I• --) ' /i.,. DISTRICT AT (LOCATION) y LOCATION (N 0.) (STREET) OF BETWEEN /T:' AND Rr BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H 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 E New building Residential Nonresidential 2 El Addition(If residential, enter number 12 One family 18 Amusement, recreational of neu, housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19 Church, other religious 3 Alteration (-See 2 above) number of units— — — — 20 Industrial � 14 L] Transient hotel, motel, 21 Parkin 4 n Repair, replacement or dormitory — Enter number 9 garage 5 E-1 Wrecking (If multifamily residential, of units , �] — — --� 22 C� Service station, repair garage enter number of units in building in 15 Garage �yn�4 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 C] Moving (relocation) 25 Public utility 17 � Other — Specify 25 Y 7 M Foundation only 26 L� School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 C� Tanks, towers nonprofit institution, etc.) 29 n Other — Specify 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 Is 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 r l Public or private company 48. Number of stories.............. 31 Wood frame 41 [_�] Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on ex ri 32 n Structural steel dimensions .. 7. ... �-- 33 Reinforced concrete H. TYPE OF WATER SUPPLY 1 r S fci 42 Public or private company 50. Total land area, sq. ft. ..:.. ..... 34 I� Other — p� fy P P Y 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 F7 Electricity 44 �. Yes 45 LX No 53. Number of bedrooms.............. 38 Ll Coal 39 n Other — Specify Will there be an elevofoO Full.......... 54. Number of 46 l—] Yes 47 �:X] No bathrooms ..........F _j Department of Building Inspections 212 Main Street BUILDING 04 No)k hampton, Ma. 01060 PERMIT Qa `# - s y 10 17D -t49 VALIDATION DATE May 14. 198_ PERMIT NO. 220 APPLICANT T eon rravlp q ADDRESS RR Straw Ave.,, Florence (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO NAQw R�da� � re c1i r (�_) STORY 1et?ChP11 garage � rpp DWELLING UNITS 1 _ (TYPE [7f IM66. PROVEMENT) N0. ( OPOS USE) ZONING iiRB AT (LOCATION) RR Strayg AVP»I1P DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Garage M(NM IS TO BE 2 FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: , fmindqtfan under porch area AREA OR ESTIMATED COST $ 15D(L.OQ FEEMIT $ 10-00 VOLUME (CUBIC/SQUARE FEET) OWNER Leon Graves BUILDIN rOE ADDRESS 88 Straw Avenue, Florence, Ma. 01060 er 717 9 .9".z WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY NOW ..,� . ,. . ,.�,.�.,.r_ . .,�r .� Q �' Department of Buildlug Inspection* f 4 , Na. 01060 PERMIT 17D A49 VALIDATION k., DATE 140 19 81 PERMIT NO. 220 APPLICANT SID.^" k"'4Ott s _ ADDRESS AR s �V" ,B �`1.arenee A, (N0.) (STREET) (6-0NTH'S LICENSE) NUMBER OF PERMIT TO SIR (_L) 'STORY D9t'mrihIRd OAYSfle� *� i" DWELLING UNITS (TYPE 0 MPH OVET) N0. IPPOSE�U3 e1 r- ZON AT (LOCATION) a Sir.&M Lyoun° DIST71CT = (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 3 IS TO BE 2 FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION ,I TO.TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) S REMARKS: vft4ar poveh area 4 AREA OR ' PERMIT VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER eon C#7i`IB4y*o d,` BUILDIN DE � ADDRESS tit 11• Fl�►r >Itias• • 016E BV WHITE - FILE COPY GREEN - FIELD" COPY CANARY - APPLICANT COPY INK - ASSESSORS COPY