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18D-026 (17) ., I�PARTM6'NT OF BLDG. INSPOOTIONS A DEPT FRF 00Y 2i2' NDRRNAMPi'ON 01060 BUILDING SA enJEn.tig 3MP[. ' 188 { 26 CODE M79 -PERMIT VALIDATIONf DATE Seot:= 26.' is 79 PERMIT N0. err E APPLICANT i$dyard 1 Ann ADDRESS 55 Damon Bd Addition (NO.) IFTR EE TI IC ONTR•S LIFER'S') Adda PERMIT TO tion (1) STORY truck & oar port NUMBER OF UNITS STYPE Or IMPROVEMENT) MO. (PROPOSER VSE} AT (LOCATION) 55 Damon R&B "Bak Tire",,,,, DISTRICTZONGI 110.1 )STREET( • BETWEEN_ AND • (CROSS STREET) [CROdd STREET) A. T SUBDIVISION LOT BLOCK SLDE ._ y �dd „ Addition p sEy22221' TO BE 11 FT. WIDE BY 32 FT. LONG BY 18 FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION • a S TO TYPE _. USE GROUP _ BASEMENT WALLS OR FOUNDATION S RTPEI C •• REMARKS) Addition of existing garage (3 sided yo ) 4_ BO5K I'.. C••.. - +C.^ 4F R -` A.enC Il•• 13-05 /?M8AREA $ VOLUME ESTIMATED COST 1.000 j FEEMIT y. iO$ O ICVBIU'pUAflE FEET) BY Ea 'VP '_'`P.r``E `-j'rP`E OWNER Edward &: Morennnn _ BOIL Ili ADDRESS_... 5 Damon Rd . y Btozffi (Affidavit on reverse side of application to be completed by authorized agent of owner) I hereby certify that the proposed work is authorized bythe ownerof recall and I 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_. i • CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 8U — ; G PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, II, III, IV, and IX. O ((/ �. / 11 //A & . t r ZONING T AT (LOCATION) ‘cc1 0 .�?Yt/ /(A'/VA/ a . :/t 4 OisTFICTs- LOCATION INO.) ISTREETI OF BETWEEN AND BUILDING (CROSS STREET) (rimer STREET) LOT SUBDIVISION LOT BLOCK SIZE (A II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -I A A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m -I 1 I I New building Residential Nonresidential 2 X Addition(If, smential. enter number 12I I One family 181 I Amusement, recreational mf nem housing units added, if any, 131 I Two or more family - Enter 19 P 1 Church, other religious �/ in Part D, 13) amber of units----y 201 1 Industrial 3 �I Alrerati on (See 2 above) 141 I Transient hotel, motel, 21 El Parking garage 41 I Repair, replacement or dormitory - Enter number 5 I I multiin number of units building in 15n Garage 23 I I Hospital, institutional Part D. 13) 16 241 Office, bank, professional 6 L 1 Moving (relocation) T Foundation only 171_1 1_1I Other r -Specify 25 El Public utility 261 J School, library, other educational B. OWNERSHIP 27I L Stores, mercantile 8 Private (individual, corporation, 28 1 I Tanks, towers 1_,, nonprofit institution, etc.) 29 rg..[Other - SpecifyCLN ViI' T' 9 1 1 Public (Federal, State, or vt local 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 ondary school, college, parochial school, parking garage for departmentstore, 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 r-y y X 2 ;5(-1' • b. Plumbing / i�` c.Heating, air conditioning ,�//�..� d. Other (elevator, etc.) r d "-"'� 2t'_ . .U-....§--1./ 11. TOTAL COST OF IMPROVEMENT b /1 CCV — 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 48. Number of stories / 30 C141-Mosonry (w011 bearing) 40 I Public or private company 49. Total square feet of floor area, 31 Wood frame 41 Private (septic tank, emJ all floors, based on exterior 32 1 1 Structural steel dimensions 331 I Reinforced concrete H. TYPE OF WATER SUPPLY 341 I Other - Specify 42 n Public or private company 50. Total land area, sq. ft 43 I Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SL Enclosed 35 1 1 Gos Will there be central air 52. Outdoors 36 7 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 n Electricity 44 I Yes 451L No 53. Number of bedrooms 381 I Coal 39 7 Other- Specify Will there be on elevator? 1 Full 54. Number of (1l 46 I Yes 47 1 No bathrooms Partial NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name _ Mai ling address — Number, .street, city, and State ZIP code Tel. No. Owner or , /6 O, ��C_ sSRc! — Lessee te•A ..,i beZif `77667) - 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 make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. SiSixThiature of applicant>i, Address ApplicationClidote /' f 4 0,9'6 un ser; `r'r"� - �9 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Dote Plans By Date Plans By Notes Fee Started Approved BUILDING -$ -.-■ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dote 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 _ "� 79 1 I Building ////��// Fire Grading Permit Fee $ I`�' L Live Loading Certificate of Occupancy S Occupancy Load prove by: Drain Tile Lin Plan Review Fee $ TITLE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT _. USE 4 FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN.,*, — For Applicant Use +-�i}t, ..e �" " t e i j t t -f, ;=-4,247-rt...-7"1:-',41.. ^I F{ + `9 { ^t •1 �, =14 t -r f Ir ' i-i tt -r } t 1 r - r 1 z L" f .{ {^' +r , x �. t ' f t t Y } z # xE LI— 'rn t -- 5 { ~ �- - _2F" g4.fi" 1 +:4-.1 , ,� a i i i Y a°T e r 'a_-- fnL mom 4,....,—•s H. 4F444"441-111MligM sonalls .. 44 . . mL t !E!!! ' !2ai r +. -} x ;'{ r t� i .�.'1.--'1“4-1 '' .I -9F; { 1 I4•44..;,..4,-44...714;. Sr` ? Y { f t{ 4 ri t c '7 ,t- ii 1 t "„444,4,...4,-.÷._4_s 1,. .rip . £ :2 ItP -' I ' 1 I i .4- — I k —T1 r 4 +. { I: � J .na > tt t " l 1 i 4 tri : .,r r tr rr t t I Y t l+ t - S INFEPNatIDNAL, INC. SOCA FOAM APEBP - 669 CI969 BUILDING OFFICIALS 6 CODE ADMINISTRATOR