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15B-012 (18) _ .... BUILDING (170v - aia� E. PERMIT ry (yawl j dto6 -1L vAuoAn �-// WTE 19 PERMITjli'�O. SS ADDRESS 1176.I1� f TR[[TI F— Itoxi`bf LICENSE) (TYPOF PERMIT TO I_) t MORYAp OWE!L IRXE'YNITS E IMPRW{Y[M ) XO. IPROFOf{D W[I 2011X0 AT (LOCATION) DISTRICT )x0.1 TR[[TI BETWEEN AND ILROtl [TR[[TI (CROS[ STREET) LOT `SU{DIVISION LT—BLOCK SIZE BUILDING 19 TO BE FT. WIDE BY_---- FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN OOXSTRUCTION TO TYPE - USE GROUP EASEMENT WALLS 01 FOUNDATION y IIEMARRS• 14k Q" VOEUME I•V q E'I F EST)MATEO COST .P O 3 7' J fEIR OREMIT C� •/- ICV[ /WVAR[I[[T) • i /' OHNE BuILOING AODR A ar WHITE — FILE COPY GR IEN - FIELD° C PY CANARY - APPLICANT COPY • PINK .ASSESSORS COPY i ��oo BUILDING .Tl; u�� . !�/��' PEERMIT =. 1F �L j��� *404 6 0 /&-s —/[r , l'- of L10 AT1 N `DAtE / c Lf 1 )9 923 IT t1PERM0. APPLICANT �7 ICOxiRy u[[xa[I NUMBER PERMIT TO C (_1 STONY ! DWELLING UNITS / — ITO[01 IbBOY WLN NO. I.....[D UB{I EONIXO AT (LOCATION) DISTRICT INO.1 .TR[[TI BETWEEN AND¢Rose uR¢TI ¢a[u eTN[en LOT SUBDIVISION LOT—BLOCK SIZE BUILDING IS TO BE IT. WIDE BV FT. LONG BY FT. IN XEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION REMAINS' Alt / VREA O f- y( ' [� ESTIMATED COST $ L O J 7/V i EMIT 'Y0 OW XE BR3A ua, _I/ \L!/fJl em Lo1HG 0 , /'�' ADO; Z BY WHITE - FILE COPY . GREEN - FIELD COPY [ CANARY - APP41CANT COPY . PINK - ASSESSORS COPY e CITY, 1�.""NORTHAMPTON ►' 'B MASSACHUSETTS * ! OFFICE of the INSPECTOR of BUILDINGS e Page /6,15Plot 14?— APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete oil items in sections: 1, 11, 111, IV, and IX. o I. oisrAl�T 4-4 T (�CCATION LOCATION A I"he. V tSTEEETi OF BETWEEN C - BUILDING (CROSS sTeEETi (CROSS STREET) LOT 1BIBI1IsmN LOT BLOCK SIZE EST IL TYPE AND COST OF BUILDING — All applicants complete Parrs A — D A A. TYPE OF IMPROVEMENT D. PROPOSED USE - Far"Wreding" matt rcEI use m m ti 1 New building Residential Nonresidential 2 Addnlon(1/residential, enter nwnber 12 ROE. family IB r� Amusement, recreplonal o{ Pear bo u.g4rzr; units added, i{any, 13 ❑ Two or more family - E.,- 19 LJ ChmcF, other coli glom in Pm,D, 13) number o/ tomes-- - - y 20 �� Ind-)-I 3 L Alrermron (See 2 above) 14 ❑ Trans ern Foie), -mel, 21 �� POking ga,age 4 ❑ Repair, replaceme"r or d-tri). y - Fnrer number 5 ❑ W,eckire (it NE-114 mi(v residerz,lal, a/ unit- -y 22❑ Service siphon, repair garage SET-number.{uniir - b-Iding in 15❑ Go,.9e 23 ❑ Nospn.l, npit.nonal Part 1)' 13) 24❑ Office, bank, professional 6 F-1 Moving (relocation) 16 ❑ Carport 7 ❑ Foundation only 17❑ .mer - SPac Qy 25❑ Schaal, utility zs❑ Schaal, Im.arr, anter edeparr.nai B. OWNERSHIP 27❑ 5mme, -er[onlile 8 Private (individual,Estirorporen an, 2E ❑ TINS, lower, on arra). ;nsn ninon, Sir.) 29� Other - SO epi/v 9 �� PebGc(Federal, State'or lapel gmemmenQ C. COST (Orme ren,..) Nonresidential - Describe in detail prop aged use o1 buildings, e.g., food pro ... lan apb;ne shoe, lau"dry buildi"g at hospiml, Eleme tory 10. Cop of mpro.emep................ - school, Secondary tore, entaoo college par heal eebool, aro king garage for department of score, rental .)fine in)ding, ed,office be;Ip-p p J-e. of plant. in be above —Idll,d but not int luded lime of Suis ting building ie being changed, enter proposed use. i 1.11 o. Elearl cal....................... b. Plumbing ....................... c. Heating, air pondlno... -! d. Other(elevamr, etc.)............. 11. TOTAL COST OF IMPROVEMENT bqo 3211 III. SELECTED CHARACTERISTICS OF BUILDING — For new baildings and additions, complete Parrs E — L; for wrecking, complete only Part 1, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYIPPEE OF SEWAGE DISPOSAL J. DIMENSIONSA43n 30❑ Masoy (wall bearing) 40 Pallid or pYva a company Numbm of sroneg.............Mason,, t 31 Woad Irene 41 P-oh. (Septic tank, .tar.) 49. Tpol square feet of floor area, y-0 all floors, based on uterior 32 Snucmral steel dint-,.ae ..................... 33❑ Reinforced coprpe H. TYPE OF WATER SUPPLY 34❑ Other - ti0eci/y 42 Public or private ca-perry 50. Total land d ore., sq. It. ........... 43 Pr;ape (well, c;grp n) K. NUMBER OF OFF.STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICA 51. Encl...it .... _................ 35�� G.N Wlll '. be cenv.l of 52. Oeo.. ..._........._....._. 36 '❑ oil _ L. RESIDENTIAL BUILDINGS ONLY 37 Ele cn;Nry 44 Yes 45 3B Coal ' Na 53. Ne-bet of bedrooms.. ❑J ............. 39 ❑ Other - Speei{vWI II rM1em on elewrmn 1.112. .... e 54. Nurn be, of 46 es 47 ❑ Na barVvaoms Par al. IV. IDENTIFICATION — To be completed by all applicants Name Maaing address .er, s arv, —d slur, ZIP code Tel. No. o t� ata Go Les:ee Bolds/: y, ❑an:r No. Coonecro � w 3. 1 ✓1 Archlrec — Er, .r 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. Slgnmare of appclicant Address Application data DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re d Check Plan Review Dare Plans B Date Plans g Notes quire Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Do Obra tied Number By Permit or Approval Chec 01hip oed 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 35�.Z FOR DEPARTMENT USE ONLY Permit number T Building. 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