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No. . - L Ke- u� DKI v� CVO C` owner or Lessee �f�,l RZ)yy'� �ff''I ����yy (((i 2. �/ 9 j�. e //�� `.l.-1 Licenser No. Contractor � V l..il 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 DO 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 Q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS 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 11. VALIDATION Building t / FOR DEPARTMENT USE ONLY Permit number Bui Iding Use Group Permit issued 19 V6, Building /�p Fire Grading Permit Fee $ CS/r7" °- cc ) Live Loading Certificate of Occupancy $ Occupancy Load Ap d by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �• MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page Plot _23s APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: ,1,, X11, 1/it, IV, and IX. \ _���^�� O I• AT (LOCATION) ✓- ` 4 JAy'✓" _P\�' �^' E �� �IwKt V1 1.1 t/�+ � ) ZONING LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vs 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 ew building Residdeential Nonresidential 2 F-1 Addition(1/ residential, enter number 1`�I.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 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily residential, of units ------- - -o. 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17 ❑ Other - Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other - Specify 9 ❑ Public (Federal, State, or local government) i 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,,,,,,•,,,...., l% 6&& 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..................... o c) b. Plumbing ..................... D U c. Heating, air conditioning.. © v d. Other (elevator, etc.)....... v(J 11. TOTAL COST OF IMPROVEMENT 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 30❑ Masonry (wall bearing) 4O ❑ Public or private company 48• Number of stories............... 31,Wood frame 4). rivate (septic tank, etc.) 49• Total square feet of floor area, ✓/� all floors, based on exterior j��/� 32 ❑ Structural steel dimensions ..................... a-C' 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY �3r 50. Total land ores, sq. Ft. ........... 34 ❑ Other - Specify 42 254ublic or private company 4 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 2 v F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ...................... 35kGas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 Xi No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 4�Z No bathrooms Porti a L....... DEPT. OF BUILDING INSPECTIONS BUILDING z° ! 212 Main Street 0 Northampton, MA 01060 PERMIT 35 - 235 VALIDATION DATE August 12f 19 85 PERMIT NO. 476 APPLICANT John H. Zieminski ADDRESS R3EFy 'ill Road IN0" (STREET) (CONTR'S LICENSE) New Building Single Family Dwelling NUMBER OF 1 PERMIT TO (__) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Lot #4 Tinklm Woods (Bayberry Lane ZONING CT R (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 (TYPE) REMARKS: ermit for the construction of a single family dwelling with attached garage oors VOLUME 2040 sq. ft. ESTIMATED COST � 92f000.00 FEEMIT 626.00 (CUBIC/SQUARE FEET) OWNER Mike & Laurra Parzialli ` 01060 B"'L ADDRESS 7 Dunphy Dr. , Northampton, Mass. BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - AS ESSORS COPY p0-11'