43-073 (2) q�` DEPT. O' BUILDING INSPECTIONS BUILDING ie 41, 1 G. (YTh
fl ciin 212 Main Street
__z- Northampton, MA 01060 PERMIT
43 - 73 VALIDATION
DATE April 6 19 R9 PERMIT NO. 215
APPLICANT Theodore Conroy, Jr. ADDRESS 1.9.1126 Dunphy(STREET Dr NnrthamptOn aoxrlwnpr
p m
Above Ground Pool/DecI One Family NUMBER
RING UNITS
PERMIT TO ( NO.
9T MV
Inn or IMFROVEMENTI O. IIROFOSE°USE
AT ILDCATIOXI
120 Dunphy Drive ZONING
T SR
0.0.1 IETREETI
BETWEEN AND
101014 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, permit for the installation of an above groundEE.. pool with 8' X 15' deck
AREA 271 diameter ESTIMATED COST $ 5,000.00 PERMIT .^ 10.00
GLUMEE
ICUnU SO UAEE FEET! [
OWNER Same as Aoplicant I iavGr-,,z,', 7
UILD '
ADDRESS
Same as Applicant's By• ERr.
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY ,lap
a,. .. CITY OF NORTHAMPTON
C
MASSACHUSETTS
ca , OFFICE of the INSPECTOR of B ILDINGS
.ABE .�= � Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. O
r ZONING
AT (LOC ATIONI IC�n f,,)/0l4yrN OISTNIEC
LOCATION '"° __ \\
OF BETWEEN AND
BUILDING ,CF05S SIREETI IcROss s+REETI
LOT
SUBDIVISION LOT BLOCK SIZE -
CM
II. TYPE AND COST OF BUILDING - All applicants complete Ports A — D —1
z
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For^Wrecking'' must recent use lin
In
I n New building R�yy��s�ddd{¢¢¢ ri al No idenliel ~
2 1 A• ddition(If res;der al. enter n reline Iz ^y,l One family IB n Amusement, recreetianal
of I br _ added,'If any. 13 Twofamily Enter
19 [ _ Church, other religious
in Part I3)X
3 Alteration (Sec A i numberof t 20I 1Industrial
14 TransientHotel, 21 I T Parking garage
4 [ p replacement r dorOry Gni rr munbr
5 W• recking IIF nrdeifariily sidential, cit units — y _ 22 L[ Service station, repair garage
enter raho tof Fonts m building to 151 j Garage 23 [_i Hospital, institutional
Part D, 13) 241-- OFfice, bank, p
6 j Moving (relocation)
❑ Carport _ rofession&
Foundation an only
[_ Omer — Specify251 Public uwlty
26 [_ _ School, library, other educational
B. OWNERSHIP 27 [-j Stores, mercantile
28 I,I Tanks, rowers
8 Lf Private findividual, corporation,
nonprofit "'Mini"'
et" 291. I Other — Speruy
9 I_L Public (Federal, State, o
local government)
C. COST (OTT( Cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
Im
pc s ing plan machine shop, laundry building at hospital, elementary
10. Cost of improvement $, )t tin
school, secondary school, college, parochial school, parking garage for
deportment store, rental ofFice building, office building or industrial plant.
Ir be installed but not included 11 use of existing building is being changed, enter proposed use.
in the above Cost
a. Electrical /) e, /i �q'q(i2r ,pq
b. Plumbing
( 97 s`{ /I - �>t'Lr
c. Heating, air conditioning l((� (o��!" / e'.
d. Other (elevator, etc.) ��.�//�� - su ��, `^ - -
_ 11. TOTAL COST OF IMPROVEMENT b clifte.1
III. SELECTED CHARACTERISTICS OF BUrLDING - 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
4830 L_1 Masonry (wall bearing) 40 tom
" Public or private Company Number of stories
31 [_ Wood frame 41 [ 1 Private (septic tank, etc.) 49- Total square Feet of Floor area,
all floors, based on exterior r)71
32 I I Structural steel dimensions
33 rt R• einforced concrete H. TYPE OF WATER SUPPLY
34 1 Other — Specify42 in Public or private company 50- Total land o ea, sq. II
43 ❑ Private(well, cistern/ K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL L TYPE OF MECHANICAL st. Enclosed
35 LJ Gas Will there be central air 52. Outdoors
36 I` oil conditioning's _ L. RESIDENTIAL BUILDINGS ONLY
1_
37 _ Electricity 44 [ Yes 45 No 53. Number of bedrooms
38 I_/_ Cool
39 L_' Other— Specify_ Will there be an elevators { Full
54. Number of
46 [-1 Yes 47 --I No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number. street, c , and State ZIP code Tel. No.
LeT.-S.COAnaoy 1t . ioo Sll�ett pi _ AJ I It& 40' alobo sc66a
Lessee
or
e / I
B✓dder's
p, License No.
Contractor
3.
Architect or
Engines
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 appl' tion his a. ,orized agent and we agree to conform to all applicable laws of this jurisdiction.
g of app a t Address Application dote
Signe
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Pion Review Dote Plans Date Plans Notes
n uir° Fee Started By Approved By
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ote Dote
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 (-) i /
Building Use Group
Permit issuedCLe" 19_
/
Building ! }1 00 U Fire Grading
Permit Fee $ Liv. Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ `..
TIT iV� .
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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-THIS PLAT NOT FOR RECORDING PURPOSES-
ALL DISTANCES BY PLAN
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PLAN BOOK 99 , PAGE 67
LOT #24
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p.
157. 67 '
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a
TO: THE HERITAGE-NIS BANK FOR SAVINGS &
THE TICOR TITLE INSURANCE COMPANY.
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING
MONUMENTATION ALL EASEMENTS, ENCROACHMENTS, AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN TIlE LOT
LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE
AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 250167 .
DATED: November 24 , 1987 -NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
SURVEYOR7 � /dmf AND DOES NOT CONSTITUTE A PROPERTY SURVEY
.01 6r Pitt 4.• -MORTGAGE LOAN INSPECTION PLAT-
' NORTHAMPTON, MASSACHUSETTS
17 HAFI,D „
1. •z PREPARED FOR
(•� wen " VICTOR S. & MARIE D. LISEWSKI
y,\Ho.2.3l1
%,-J lee .y��/ SCALE: 1 "=40 ' NOVEMBER 24 , 1987
A ' ut" L� HAROLD L. EATON AND ASSOCIATES, INC.
.' REGISTERED PROFESSIONAL LAND SURVEYORS
9 SUNRISE DRIVE - HADLEY - MASSACHUSETTS
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by 15 �_..
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