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31B-167 DEPT. FILE COPY D1.EPARTM xN STREETUTLDTNG INSPECTIONS zo �1L DING O< NORTHAMPTON, MA. 01060 PERMIT VALIDATION 31B - 167 CODE #74 DATE May 2A 19 _80 PERMIT NO. 276 APPLICANT R4cb-rd _T- Sbea ADORES 137 Rim (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO {�_) STORY DWELLING UNITS 3 TYPE IMPROVEMENT) N0. PROPOSED SE ZONING AT (LOCATION) DISTRICURA (NO.) (STREET) rnBETWEEN AND +-re$Cent w {CRO S STREET) . (CROSS STREET) ca LOT 0 SUBDIVISION LOT BLOCK SIZE m 4 0 BUILDING IS TO BE 24 FT. WIDE BY 30 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASENT WALLS OR FOUNDATION "E (TYPE) K O LL REMARKS: RA .t. AREA OR $ VOLUME ESTIMA ED COST . FEEMIT 10. 0 (CUBIC/SQUARE FEET) I OWNER Bu ADDRESS BY , - e�-4�el (Affidavit on reverse side of application tobe ompleted by authorized agent of owner) hereby certify that the proposed work is authorized by the owner of record and 1 have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE 'DATE 19 t n,� ��, a Ya Y�� ��� `"� " .�;'a .� � \} �. _ ' x, �. °x � �� ..�� ., r� aet � �' �, � �". �ayrt .�� �; �� �� � � ��n ��,�; � R �. �' €�: ,�� $� ���. ,. jl.. f x "777fi��7w y v r a d # 'tr , a d � '� s-1 �4 OWNa 391-- 1-m ",�. r §" ag�§ r�d ,° sr R`e cn - ` lull Zh Ellr t �, �� baa ` � h�1�: a �� � # • '�' �}�' 4Ell CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND /3 BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• ZONING AT (LOCATION) It� % l < 1!� �L DISTRICT LOCATION IN 0.) (STREET) ��1c OF BETWEEN �L -g— _ � A N D L�-r.Y�_..r-rr i!G-L'L. .=�L'/.�• BUILDING (CROS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE CA 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 D<JAddition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Wwo or more farnily — Enter 19 ❑ Church, other religious number of units— — — — -- 20 ❑ Industrial 3 Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory —i Enter number 5 ❑ Wrecking (IJ multifamily residential, of units --+---- — — 22 Service station, repair garage enter number of units in building in 15 Garage Qet/x 34 23 ❑ Hospital, institutional Part D, 13) 16 Elp Carport 24 ❑ Office, bank, professional 6 ❑ Moving (relocation) 17 ❑ Other — Spec#fy 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 OZ �l processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,•,•••••••••• V school, secondary school, college, parochial school, parking garage for, departmerpt 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 — 7 a. Electrical..................... UL, b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ G1 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 Number of stories.... 30[_J�Masonry (wall bearing) 40� 49. Total square feet of floor area, Public or private company48. """""' 31 Wood frame 41 Private (septic tank„etc.) all floors, based on exterior 32 Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42fXLPublic 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 MECHANICAL51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? F 54. Number of ull......... 46 ❑ Yes 47 Fl,;4 No bathrooms partial........ I NOTES and Data — (For department use) i ZZ IV. IDENTIFICATION — To be completed by all applicants Name Mailing oddr s Number, street, city, and State ZIP code Tel. No. Owner or Lessee Builder's 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 make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved 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 19 Building Fire Grading Permit Fee '/0' tcJ Live Loading Certificate of Occupancy $ Occupancy Load A ved by: Drain Tile $ Plan Review Fee $ TITLE JI/ 3 VI11. ZONING PLAN EXAMINERS NOTES DISTRICT USE l r FRONT YARD SIDE YARD ; SIDE YARD REAR YARD NOTES IX. 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