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07-007 (2) DEPT. FILE COPY zo �DHPARa�7T OF BUILDING INSPECTIONS BUILDING vz STREET PERMIT N0f2TRdFLPTONs NA. 01060 vA LIBATION 7 - 7 DATE Anrii. 25, 505 No. PERMIT NO. 148 APPLICANT Phillip R Kelley ADDRESSNo. PATOIS! RA Salton_ (No.) (STREET) ICONTR's LICENSE) NUMBER OF PERMIT TO Addition to Saeid. 1 i I STORY Addition DWELLING UNITS i (TYIE OF IMPROVEMENT) KO. )PROPOSED OSE) AT (LOCATION) *70 North Farms Road DIS,TR CT ING RE (No.) (STREET) EE BETWEEN AND (CROSS STREET) (CROSS STREET) LOT ® SUBDIVISION LOT BLOCK SIZE a MEW O dMBMIET Is TO BE 9 FT. WIDE BY 29 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION z )TYPE) B li REMARKS: Addition pen anaingnd slostah `nee igplient.inn,AREAp/y� $ VOLUME ESTIMATED COST $ 1500.00 FEEMIT 10.00 I EYBIC/SOVARE FEET) y1 OWNER *70 North Plano Road q /q�?/ ( ADDRESS Northampton. Ma Ai(IFitf avILDIVE-rA - 'a (Affidavit on reverse side of application to be completed by authorized agent of owner) I hereby certify that the proposed work is authorized by the ownef of record and I have been authorized by the owner to make this application 'as kis authorized agent. SIGNATURE bE AGENT ADDRESS (NUMBER) (STREET) APPROVED BY TITLE DATE 19-. ( ,. ., • CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 7- PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections:)I, II, HI,/ IV, and IX. 77 AT (LOCATION) "T 7J NJPT� �/� l"✓)1 s I\/I f�r'L DISTRICT p/` LOCATION 'ST OF BETWEEN AND BUILDING )CRass STREET) {CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE in II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -4 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking” most recent use Tn -1 1 New building ~ Residential Nonresidential 2 N Addition(If residential, enter number 12 LXI One family 18 raI Amusement, recreational in new housing units added, if any, 13 Two or more family - Enter 19 Church, other religious Part 13) LJ number of units- - - --i 20 I Industrial 3 I I Alteration (See 2 above) 14 I Transient hotel, motel, 21 I Parking garage 4I Repair, replacement or dormitory - Enter number 5 Ti Wrecking (If multzfwnily residential. of units - y 22 Service station, repair garage enter number of units in building in 15 I I Garage 23 I Hospital, institutional Part D, 13) 16 71 Carport24 I Office, bank, professional 6 I I Moving (relocation) 7 Foundation only 17 I I other - Specify 25 I Public utility 26 _J School, library, other educational B. OWNERSHIPWN27 L Stores, mercantile B I � Private (individual, corporation, 28 ,L Tanks, towers nonprofit institution, etc.) _ 29 I Other - Spec ifY 9 I I 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 $ /� iT pr), ,np school, secondary school, college, parochial school, parking garage for, deportment store, rental office building, office building of 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 E ./ -T c — 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 L J Masonry (wall bearing) 40 I Public or private company 48. Number of stories 31 Wood frame Al Private (septicrank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..9.AC.9.,9 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Li Other - Specify 42[31 Public or private company 50. Total land area, sq. ft 431 I Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed 35 KI Gas Will there be central air 52. Outdoors 36 7 Oil conditioning? 37 Electricity 441 Yes 45 . J Na L. RESIDENTIAL BUILDINGS ONLY 53. Number of bedrooms 36 I Coal 39 I Other- Specify Will there be an elevator? l Full � 54. Number of 46 1 Yes 47 I3V1 No bathrooms Partial NOTES and Data — (For deportment use) • IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — ,Number, street, ray, and ,State ZIP code Tel. No. goner or th t.p 7(2 KtL14 SO 5' NOrTit fgrm l70/)d—N-i1nn�+Tot,I 8O96 /1 Lessee 0/C40 2. LU«nse No. Contractor ........ Architect m—.....„ ........ -._ Engineer certifyproposed work is authorized by the owner of record and that I hove been authorized herebythat the o by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this ju isdiction. Si notere a eppiicont Address Application dote 5. d o5 /�'or74 Arms fron . r/1/27 DO NOT WRITE BELOW THIS LINE V, PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plops quire Fee Started By Approved y Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ �. OTHER $ _ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Da Permit or Approval Check Obta ned Namber By Permit or Approval Cheek O'D,°'ined 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, VII. VALIDATION Building / . FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued � T1� ,L 19 Fire Grodmg Building 6; Permit Fee $ - — Live Loading Certificate of Occupancy $ Occupancy toad Approved by: Drain Tiie $_ i , f , Plan Review Fee /$ j j ti TI _LEet'� 4 _ -7 YIN. ZONING PLAN EXAMINERS NOTES ' ' -- DISTRIGT -'--- 7.,�---"'"-'- "" USE i-`.M.. - -.. --.- FRONT YARD ' _-.. SIDE --_.. SIDE YARD - I REAR YARD _.-.. NDTES _.-. _. -,-.-. - -__. IX. SITE OR PL07 PLAN — For Apphcaflt Use ►.c-� `cam! . . 1 } A- 1 t 1 +- t } s: _ »r r} r ,j ' . 1 } silf 4 y i t i [ - " 1 i" ' tIr t . , f s} ', t } YtT t om! a j4 Ia till IMO 1 mord . . la , ::„.. ,..,.„ ,45 ,,,,. ,, , .. ... . _ , tc.., -,,,,ii,„- ,..,ti si,,,, ,:,,:i-T,-....,,,., ---; :ti,„, I . r22 3 1 ' • .4 } .,, � 3} ar � � � —�� tri.tet{- 1;� ▪ . ,. t + I L --011:-T, ry .j. j? i „. `UL - j Ztl .t. r}I . rT ^:# ▪ 1 ,Th 3 tMT4yt:4 1v �} r - i 1 $ M'..}'.-1 1 '� li'1 .Tit' s( .,L-•t � "'} : �r-1 iv�}�. 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