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23d-162 (3) iiif DEPT. OF BUILDING INSPECTIONS BUILDING Z° = 4 ...... `t ,,<. ,I 212MainStreet o< -r+' -- ,y 's'�,::sa,. Northampton, MA 01060 PERMIT f a 23D - 162 VALIDATION Sundance Design DATE January 4. ,3�r"rigge RMIT NO. 22385 APPLICANT 9 ADDRESS (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Alteration (_) STORY One Family NDWEE OF LLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 135 Maplewood Terr. ZONING URB DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION permit for alterations to existing single family dwelling (TYPE) REMARKS: AREA OR 13,000.00 PERMIT 52.00 VOLUME ESTIMATED COST $ FEE $ (CUBIC/SQUARE FEET) (?J� �"� OWNER I ouis & Rachel Moore �//j�� ADDRESS 135 Maplewood Terr. , Northampton BYILD�i/ J��' WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P'iNi' IiP �OQS �Gi, CITY OF NORTHAMPTON /1 MASSACHUSETTS $=—"f•:'ii►" rcl • OFFICE of the INSPECTOR of BUILDINGS • .,.s-1 .�,- *!•'' � Page �� b Plot �� � APPLICATION FOR 0yf`I�r.r+J+- a � g INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant� to complete all items in sections: I, II, III, IV, and IX. 0 I• AT (LOCATION) I / r `A,( � � -rC" os.c.-/�. ZONING v DISTRICT 4 LOCATION `ho.) (STREET) OF BETWEEN WNe14EZ., AND k 1 NrGK.Ley BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION _ LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D fi A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 I I New building Residential Nonresidential 2 [ I Addition(If residential, enter number 12 Ind One family 18 I Amusement, recreational of new housing units added, if any, in Part D, 13) 13 I I Two or more family - Enter 19 D Church, other religious number o/ unit'- - - - -0. 20 I Industrial 3 IX Alteration (See 2 above) 14 I I Transient hotel, motel, 21 Li Parking garage 4 I I Repair, replacement or dormitory - Enter number 5 I I Wrecking (If multifamily residential, of units - --).- 22 I Service station, repair garage enter number of units in building in 15 I Garage 23 I Hospital, institutional Part D, 13) r 16 I Carport 24 I Office, bank, professional 6 I 1 Moving (relocation) 17 Other - Specify 25 . Public utility 7 I I Foundation only 26 School, library, other educational B. OWNERSHIP 27 7 Stores, mercantile 8 Li Private (individual, corporation, 28 I Tanks, towers nonprofit institution, etc.) 29 I Other - Specify 9 LJ 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 $ 13fn00 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. Plumbing c. Heating, oir conditioning d. Other (elevator, etc.) 11. TOTAL COST OF IMPROVEMENT $ 1300©0 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 N //� 30 I I Masonry (wall bearing) 40 Public or private company 48. Number of stories 31 IXl Wood frame 41 I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32I I Structural steel dimensions 33I I Reinforced concrete H. TYPE OF WATER SUPPLY 34 I I Other - Specify 42 Public or private company _ 50. Total land area, sq. ft. 43 [ 1 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 I I Gas Will there be central air 52. Outdoors 3 36I i Oil 1\i,/A. conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ri Electricity 38 D(JI .�(1j€�� 44 L i Yes 45*. No 53. Number of bedrooms • �7r C.t I I Cool -ke-1 d e6 39 U Other — Specify Will there be on elevators Full 54. Number of ---• 46 n Yes 47 N No bathrooms Partial IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. ' jq,,5 RQcIel Mode 17 Ma Ie woccl iJe J n of o6 l 586-7458 Owner or p W `" Lessee Su iav1CC Itt i� l� Q .A ' �/�7� Bui�derrs 22,/f 2. { License No. Contractor Q)0 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 00 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 DPermit or Approval Check Obtainedae 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 -1 FOR DEPARTMENT USE ONLY Permit number Bui Iding lire. Use Group Permit issued t l 19 Building Fire Grading Permit Fee $ 3 C�' � Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee TITLE NOTES and Data — (For department use) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use Fin :._ : a $:: : .N./ N..... •r.N•U... ...•.•: $Ella •iii�■��••�Nl0 1 : : .\.N.N..N. ■� • •• CN•:•:••.••1.N_■••:•:•:••_5S..... ::i: : s.: ii whim::: : ■r.••:::It ., fall■�\.q..N •N :N:::: 1'i•:r�N.:...•.U• • •$I : �•/•. 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