29-265 (6) �
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ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR 1
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants `
Name fO Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee G v
2, Builder's
License No.
Contractor
C
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 conform to all applicable laws of this jurisdiction.
Signature f applicant IQ Addres Application date
00 NOT WRITE t.BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Ls
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number 8 Permit A Date
Obtained Y 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
Permit number
FOR DEPARTMENT USE ONLY
Building Use Group
Permit issued lq
Building �y Fire Grading
Permit Fee $ 11 •( ? �
Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ Approved by:
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page z! 9 Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant complete 1plete all items in sec ns: 1, 11, Ill, IV, and IX. O
I• AT (LOCATION) (,,,� 7i+ ) - �,;. — ZONING
DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDG
IN (CROSS STREET) (CROSS STREET)
BUILDING LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 .New building J�• e/C, Residential Nonresidential
2 ❑ Addition(I/ residential, enter number 12 One family 18 L❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 L❑ Church, other religious
number of units— — — —
3 ❑ Alteration (See 2 above) __0' 20 Industrial
14 ❑ Transient hotel, motel, ��
4 ❑ Repair, replacement or dormitory — Enter number 21 Parking garage
5 ❑ Wrecking (1/multifamily residential, of units ——————— — -� 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 L❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 E] Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — Speci/y 25 �� Public utility
7 ❑ Foundation only 26 L❑ School, library, other educational
B. OWNERSHIP 27 L❑ Stores, mercantile
8 Private (individual, corporation, 28 C❑ 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
er processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,•,,,, t1 school, secondary school, college, parochial school, parking garage for,04 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, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part 1, for all others skip to 1V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 40 ❑ 48. Number of stories..............Public or private company "
31 Wood frame 49. Total square feet of floor area,
❑ �� �ay,,hF jZ 41 ❑ Private (septic tank, etc.) all floors, based on exterior �/1 4-K
32 ❑ Structural steel dimensions .............. .. !�� fQ
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
Q�X ( yyc t� �z`t _,4_ 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
N F FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 ❑ as Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 .rte, No
— 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator
Full..........
54. Number of
46 Yes 47
No bathrooms
� Partial......,.
DEPT. gF BUI DING INSPECTIONS BUILDING D°
! � 2 ain Street $a l�r
Northampton, MA 01060 PERMIT
29 - 265 VALIDATION
DATE junP 7 1 PERMIT NO. '133 0231
APPLICANT Frank Denno ADDRESS Ihor o ve. 'r6T
(NO.) (STREET) (CONTR'S LICENSE)OF
Addition One Family NUMBERNG UNITS
PERMIT TO (_) STORY DWELL
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
longview Drive 0IISTR CT URA
AT (LOCATION)
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
WOOS TO BE 10 FT. WIDE BY 16 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS, permit for the addition of a deck
AREA OR 160 SQ. ft. ESTIMATED COST .� 1 .800.00 FEE
MIT 1 0.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Donald Marhefka BUILDING IZp_
ADDRESS 68 Longview Drive Florence BY - ----
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY p'INT P