43-077 (6) City of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
'say BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 510 Office of the Building Inspector
Date July 19, 19 B9
BUILDING PERMIT
THIS MAY CERTIFY THAT Gary Plocharski Insp. on Site — Foundations
has permission to add 2 decks and a sl idinq glass door Insp. of Plumbing — Rough
situated on 57 Dunphy Drive Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
f months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office urn
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors LFire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOU PLACE OE PREMISES
Certificate of Occupancy— ",�/"}T
Building Inspector qP .
I. w
nL^J1",t; CITY OF NORTHAMPTON
4111.4.74 IiIi°1
MASSACHUSETTS
14n. ..•-i.:,, 'tei OFFICE of the INSPECTOR of BUILDINGS
to
��- Page 93 Plot i ,
�"�"'ro` APPLICATION FOR
n
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I, 11, HI, IV, and IX. o
T (LOCATIONI . s7 �uNP11 / DRIVE ZONINGISTRI (5/c
LOCATION A (NC.l ISTNEET)
OF BETWEEN ICPOEm STREET) AND IEaoEm STREET)
BUILDINGt l
O
SUBDIVISION LOT BLOCK SIIZE .452:1 X 142 Qa p •
LA
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D —I
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use sR
m
—1
1 New, building Residential Nonresidential
2 fl Addition(If residential, enter number 12 1 1 One family 18 I I Amusement, recreational
on nem has u_ aq units added, if anys
:n Part 0. 13) 131 1 Two or more family — Enter 19 r 1 Church, other religious
II number of mriis motel, 20 j Industrial
31/ Alteration (See 2 above) _
_ 14 Transient r hotel, motel, 21 Perking
4 Ill R• epair, replacement or dormitory — Inter number '"9 garage
5I I Wrecking (I1 multi!mrilY residential. 01 ruts y 22I I Service station, repair garage
enter number of antis in building in 15 Garage 231. I Hospital, institutional
Part 0, 13) —:
6 Moving (relocation) 16 P1 Carport 24 : Office, bank, professional
7 I I Foundation only 17 Other — Specify2E Public utility
,�AA /� 26 School, library, other educational
B. OWNERSHIP �.PJ ill CX AA_hflI 4-dull,' 271 1 Stores, mercantile
B X Private (individual, corporation, 28 II Tanks, towers
nonpofit institution,ion, etc.) Spec-eh
LI Other — Spe
9 n P• ublic (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 $ 1.5-00 school, secondary school, college, parochial school, parking garage for
deportmentrental office building, office building atindustrial plant.
'lo he installed but not included If use of existing building is being changed, enter proposed use.
in the above rob(
a. Electrical 4
6. Plumbing 6
c. Heating, air conditioning 0
d. Other(elevator, etc ) 0
II. TOTAL COST OF IMPROVEMENT $ 1600
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L,
for wrecking, complete only Port J, for all others skip to V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 —, Masonry (wall bearing) 49 ''LI Publiccompany48. Number of stories (�
g qor private
31 X Wood Frame 41 J Private (septic tank, etc.) 49. all floors.squareTotal based an exterior
321 H' Structural steel dimensions
33 FH R• einforced concrete H. TYPE OF WATER SUPPLY
34 L._ Other — spec)) 42 241 Public o private company n a 50. Total land area, sq. ft
43 'i__ Private (wellcistern) K. NUMBER OF OFF.STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ( I Gas Will there be central air 52. Outdoors
36 IH Oil conditionings
L. RESIDENTIAL BUILDINGS ONLY
37 )C Electricity 44;f Yes 45 irSdlo 53. Number of bedroom 3
38 f-1, Coal
39 :I Other — Sperrfy Nisl there be an elevotorT Fu I)._,.I._.
54.
Number of
46 r1 Yes 47 ZNo bathrooms
Partial
. ;
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, strep:, rily, and State ZIP code Tel. No.
owns, a. GARY L PLochiAeS � ,c r rlu7p/X -AeI ue
Le3ee eABoLA PLoe.iIAe NoPt4Amptau, mg eve66
Budde;s
C. W
Ib ke: License No.
Contractor
A.cbaee or
/UO iL t
Engineer
hereby certify that the proposed work is author)zed by the owner of record and that I hove been authorized by the owner to
make this application os 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 Dote Plans Date Plans ByNares
quire Fee Started By Approved
BUILDING a$
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or A pprovo I 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 In FOR DEPARTMENT USE ONLY
Permit number
BuildingI Use Group
Permit issued `C 19
Fire Grading
Building $ tb.f Pd- ((Ali)Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
ro ed by:
Drain Tile -
Plan Review Fee /
/TITLE
NOTES and Data — (For deportment use)
VIII. ZONING PLAN EXAMINERS NOTES� � [�� -�un�
DISTRICT 0 tIC' d:.n.l' A1L.e34 . -41a4u L5 (. v 4
USE V "^ re I%//FRONT YARD i
/ SIDE YARD In i SIDE YARD Iv
r REAR YARD S)0 I
NOTES
t i S
IX. SITE OR PLOT PLAN —,For Applicant Use
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^`"��+�"y'�'-7 DEPARTMENT OF BUILDING INSPECTIONS €
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES REGULATIONS ARE COMPLIED WITH.