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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
s
Owner or
Lessee ReSJ,44 E;
Builder's
2. License No. 0.1 �3 i>J"
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.
Signature of applicant4 Address/ Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
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)
Bui[ding
Permit issued l� ' 19 Use Group
Building Fire Grading
Permit Fee ! r f
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap roved by:
Drain Tile
Plan Review Fee $
Z
% TITLE
i CITY OF NORTHAMPTON
�• .e MASSACHUSETTS
d OFFICE of the INSPECTOR of BUILDINGS
Page_ Plot L a APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING 4
I• AT (LOCATION) �� DISTRICT
LOCATION (NO.) (5T REET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION; LOT— BLOCK _SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use/:J M
l m
i c�Y
1 New building \ Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — —)- 20 L❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number 22 Service station, repair garage
5 ❑ Wrecking (11 multifamily residential, of units ——————— — --�
enter number of units in building in 15 ❑ Garage 23 �❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 L� Stores, mercantile
8 K Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
10. Cost of improvement,,,,,,,,,,,,,,,, processing plant, machine shop, laundry building at hospital, elementary
;£!/ school, secondary school, college, parochial school, parking garage for
�t4 department store, rental office building, office building at industrial plant.
T'o be installed but not included If use of existing building is being charged, enter proposed use.
in the above cost (J
a. Electrical......................�.I
b. Plumbing ..................v
c. Heating, air conditioning..........
d. Other (elevator, etc.)........0...
` )
11. TOTAL COST OF IMPROVEMENT 1$
III. SELECTED CHARACTERISTICS OF BUILDI — 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 2j ldz `
30❑ Masonry (wal earing) 40 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❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other — Specify 42 a Public or private company 50. Total land area, sq. ft. ..........
43 LZ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 Gas Will there be central air 52. Outdoors......................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 7&1 Yes 45 IG!', No 53. Number of bedrooms....?.
38 Coal
39 Other — Specify Will there be on elevator? Full. ......
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.,......
.«,��
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DEPT.<01MILDING INSPECTIONS BUILDING �O
t 212 Main Street Oa `
Northampton, MA 01060 PERMIT
29 - 333 VALIDATION
DATE Apri 1 13, `/g� To-—rw 0-89 ERMIT NO. 231
1T
APPLICANT Frank Deno ADDRESS �Ve.
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition �_) STORY Deck DWELLRING OF
UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING UKA
AT (LOCATION)
260 Acrebrook Dr. DISTRICT
(N0.) (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
(TYPE)
REMARKS: Dermit for the addition of a 8' X- 12' deck
AREA VOLUME 96 CC( Ff ESTIMATED COST $ 680.00 FEEMIT . 10.00
(CUBIC/SQUARE FEET)
OWNER F1 Ana RAi 1 atrhPnkn But
ADDRESS Z�o ArrAronk nrl yP BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY Piwr"' P