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31B-185 (5) Department of Building Inspections 212 Main Street Northampton, Mass!. -2'31060 BUILDING ,e glo•oo 31B - 185 04 PERMIT VAL OAT ON DATE July 10, 19 84 PERMIT NO. 294 APPLICANT Louis Rolling ADDRESS 101 StSfP SYYPP} (NO.) (STREET) ICONTR S LICENSE( AlterationNUMBER OF PERMIT TO 1_) STORY Three Family Fri CH DWELLING UNITS Inn OF LRROVEMEXTI 0. (PROPOSED FO VSE1 AT I LOCAT ION 103 State Straar ZONING DISTRICT IRC IRO.) (STREET( BETWEEN AND_ (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIDE BUILDING 15 TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Permit to close in exp 'n p h $ AREA OR VOLUME ESTIMATED COST 2,000.00 PERMIT 10.00 (CUBIC/SQUARE FEET) OWNER Jeffrey Gollin• / .4112 103 State St. , Northampton, Mass. 01060 BUI %)' 'I - - ADDRESS BY WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY '`C y ie. _ CITY OF NORTHAMPTON MASSACHUSETTS r OFFICE of the INSPECTOR of BUILDINGS ate Page 13 Plot /SS APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: I, II, III,IIV, and IX. o AT (LOCATION) 10 7J STAT L SM: a E I ZONING IISTA C��� LOCATION ' (NO.) ISTREETI OF BETWEEN AND BUILDING (CROSS STREET, (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING - All applicants complete Parts A - 0 -i Al A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecidng•' most recent use In m -I 1 I I New building Residential Nonresidential 21 I Addition(I/ renter flambee 12 L] One family 10 [ 1 Amusement, recreational of new housng units added, i/any. Two or more family Part D, 13) 13 TJy - Luer p 19 1 I Church, other religious number of units- - - - -0.J— 20 Li Industrial 3 Alteration (See 2 above) 14 1 1 Transient hotel, motel, 4 Repair, replacement or dormitory - Enter number 21 Parking garage 5 I 11 Wrecking (II multifamily residential, 0/ units -y 22 L J Service station, repair garage enter number of units in building in 15 I 1 Garage 23 r i Hospital, institutional Part D, 13) 16 24I I Office, bank, professional 6 L] Moving (relocation) Carport Foundation only 17 I I Other - Specify 25 El Public utility 261 I School, library, other educational B. OWLL 27 J Stores, mercantile B 4 Private individual, corporation,r 201 Tanks, towers nonprofitins ion, etc() 29 Other - Specify 9 1 j Public(Federal,State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food y processing plant, machine shop, laundry building at hospital,elementary L 10. Cost of improvement g U d C. 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. Plumb) g c. Heating, air conditioning d. Other (elevator, etc ) rr�s _� � it. TOTAL COST OF IMPROVEMENT S leo — 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 C Masonry (wall bearing) 40 i I 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 exterior 32 7 Structural steel dimensi 331 I Reinforced concrete H. TYPE OF WATER SUPPLY 341 Other - Specify 42 I Public or private company 50. Total land area, sq. ft. 431 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed 151 Gas Will there be central air 52. Outdoors 36 0iI condition(regi L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 rJ Yes 45.>.< No 53. Number o1 bedrooms 38 Coal 39 , ', Other- tpurify Will there be o'i elevator' cauill rr. 54. Number of 46 � Yes 47 ±j No bathrooms IV. IDENTIFICATION — To be completed by all applicants Narne Mailing address — ,Number, sure , ray, and Stew. ZIP code Tel. No. o., t. ��(-- ne. o, .�e F/=liE% /p .STA it= 5 j O/066 Lessee ceL-L//v4 war< T/1A /o1ToH / `4 Ass 1636 Builder's Lmense No. Contractor 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I hove been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable lows of this jurisdiction. Signature of applicant/' Address Application dote �� . .., / o3 5 4i DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans ByDate Plans ByNotes guir` Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dae Dote Permit or Approval Check Obto 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 VII. VALIDATION Buildingq t4 FOR DEPARTMENT USE ONLY Permit number Building- //�l Use Group Permit issued LC/ 19at Fire Grading Building /U &O Permit Fee $ U Live Loading Certificate of Occupancy $ Occupancy Load Approved b Drain Tile $ Plan Review Fee $ � TITLE NOTES and Data — (For department use) • AAI atikr. VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. 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