43-078 (2) DEPT. OP BUILDING INSPECTIONS BUILDING g i /(,) , (\,()
pr„ 212 Main Street Fa
Northampton, MA 01060 PERMIT
VALIDATION
PATE April 2Q is___per PERMIT NO. 25A
Richard P. Zimnowski ADDRESS Dunphy VI .
(NO.) (STREET) ICOHTR'S LICEN SEI
Addition Shed NUMBER Cc
PERMIT TO I I STORY DWELLING UNITS
MEI Or IMFROVEMENi) XO. tEROPOSEO URI,
49 Dunphy Dr. ZONING R SK
AT ILOCAT ION) .DISTRICT
(NO.) (STREET)
BETWEEN AND
(ROSS *Melt (CROSS STRUM
LOT
SUBDIVISION 12 LOT BLOCK._ SIZE
BUILDING IS TO BE 14 FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Permit to attach lean-to to existing shed.
AREA OR (. 1255.00 PERMIT $ 10.00
VOLUME ESTIMATED COST $ _ FEE p
IC SIV OVA1E PEST
Richard P. Zimnowski f/'� ///� /�// 4-fl(//J� p
OWNER (L P9
ADDRESS 49 Dunphy Dr. LOIIIW'9FR^")
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY N PINK - ASSESSORS COPY Pz,.
I'.t? CITY OF NORTHAMPTON
MASSACHUSETTS
`t'j=.„. i--.
�� t OFFICE of the_ INSPECTOR of BUILDINGS
' N,�.',' -'T Page '� 5 Plot APPLICATION FOR
K ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete ell items in sections: I. II, III, IV, and IX. o
_ )` ` ZONING
AT ITOGATfoto t t. .i. r v 1 ` - CDSiIGGt_/
LOCATION `to.' 1i o.e-i
OF BETWEEN AND
BUILDING (noose sTREUTI Icea46 5TREET1
LOT
SUBDIVISION .. Size •
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D z
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"WreeIingr' most recent use m
I I I New building Residential Nonresidential
~
2 M Addition(it rrazderNist, enter number 12 iLl One family 18( l Amusemem,recreational
of n t 'm ring Irons added, if any. 13 L..) TwoormoreomtlY - Enter 19 l_i Church,°the religious
U. r s
ire Part D. 13) .
number FF tants--- - '-Y 20 Industrial
3 U Alteration (See 2 aHove) 14 [. [ Transient hotel, motel, 21P
4 LJ Repair. replacementor dormitory - Fnt[r number L Parking garage
j Wrecking (It maltitrmmnlr esidcnit al. 1 torte - y 22 [ I Service station, repair garage
enter numb err of ants in bnie`ding in 15 1,,,,,_ . G• arage 23 L I Hospital,;nstitutionol
Pmt R :3)
16 v C• arport 24 Li Office, honk, professional6 [ I Moving (relocouon)
17 x1 Other - Specdy 25 LI Public utility
7 En Foundation only rte- 26 tH School, library, other educational
rt
8. OWNERSHIP - %='r ir�T l 4 " i 27 Stores, mercart.b
B Li Pr-note (individual corporation, L , • nig 28 Li Tanks, ewers
nonprofit ns a an etc')et - '-> 29 Other - Sp err:/y__
9 LI Public (Federal Stant, or
local government)
C. COST (Omit cent sJ Nonresidential - Describe in detail proposed a of but Idnngs, e.g.. food
prat singbuildingn
machine shop, laundry building at hospital,elemental,/
10. Cosi of improvement $ 11 Er schoolc
secondary school, college, parochial shool, parking garage for.
onmemstore, rental office building, office building at industrial plow.
se of existing building is being changed, enter proposed use.
in
o. E
b.P Y 1
'> C
d, 0
it TOT. 7-1-1rit
III. SELECT • - I A-,,jL) r buildings and additions, complete Parts E - L;
;king, complete only Part 1, for all others skip to IV,
E. PRINCIPAL em ISPOSAL I J DIMENSIONS
30L Maes ;->Q 7 Y;1'' ', --- "''7 N b o1 stories _
corepony
31 ❑ Wood f —Itk• , etc,) 49 Totalsquare feet of floor area,
32 [�• uc' '' /// - dimensionsall
flooren0 onsbased onexterior
33LI Rein( ii/�/' PPLY dm ,s �y� A
34 LTO• ther r.ompanr 5O. Tool land area, sq. fr /` 7
tern) �K NUMBER OF OFF-STREET
_ PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL F. Enclosed
•
35 G• ot Wig there he central m, 52 Dutdaots
36 IL 0;1 conditioning- ...........
_ L. RESIDENTIAL BUILDINGS ONLY
39 Li Electricity 45Ii Yes 45 No 53. Number of bedroom
38 i�i Cool
L 1
39 OLLm - Specdyh NIII rhea be on elevorm Full
54. Ne b r 01 -
CS[ I yes 47 I Na bathrooms Partial
IV. IDENTIFICATION - To be completed by all applicants `
Nome Moiling address — Samara, street. einy, and State ZIP code Tel. No,
t. c Us.
I h' ft 'c /.. J;!--V 1 .
n s
o., r g
Pt —� t ,
Lessee
2. Wit, .. Lecer,.e tie.
Contractor
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.
$ 9rellre of ppl cen.✓> Address Appl o date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans By Date Pions By Net'
Fee Started Approved
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 I WRECKING
OTHER • OTHER
VII. VALIDATION JJJ```
Building ��(j FOR DEPARTMENT USE ONLY
Permit number 7
BuildingUse Group
1 /
Permit issued _,.. v Gls/ ("��j 19 !S.'S
Building / Fire Grading
1
Permit Fee $ **(yt Live Loading
Certificate of Occupancy $ „^_ Occupancy Load
Approved by:
•
Droin Tile $ ['�h _ 9n .-t- 4-
Plan Review Fee $_
TITLE
NOT ES and Data — (For deportment vse)
1
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT c 5K'
USE (f t IX of m
FRONT YARD //S/,
SIDE YARD C V ( SIDE YARD /6 r
REAR YARD
` -
NOTES V?Ty�� J//Kp ,QUI// - 4 .L_ Ipiii U L.
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