43-072 (2) Department of Building Inspections
212 Main Street.
Northampton, `• BUILDING tzz
o //`� �
Mass. 01060 PERMIT (� (/ �
�
43 - 72
VALIDATION
DATE August 4, ,B 83 PERMIT NO. 386
APPLICANT Marzaret Spitzer ADDRESS 112 Dnnph Drive N/A
(NO.) (STREET) ICOMTR s LICENSE)
F
— PERMIT TO Addition I_I STORY One Family DWELLLIING UNITS
(TYPE OF IM•NOYEMENTI NO. IPROPOSED USE)
112 Dunphy Drive ZONING SR
AT (LOCAT ION) 015TR ICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SI2E
BUILDING 15 TO BE 12 FT. WIDE BY 14 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Auxilary Building attached to existing gafage
AREA OR 168 sq. ft. 500.00 PERMIT $ '00
VOLUME q ESTIMATED COST IM
ICURIC/SOUARE FEET( /
OWNER M. Peloquin & 47m Spitzer 1/
40,
112 Dunphy Drive BU or/ /�
ADDRESS P Y BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY
«P^:(Y�e CITY OF NORTHAMPTON
' MASSACHUSETTS
Aw ,
�'�' ,' e•I OFFICE of the INSPECTOR of BUILDINGS
v�,wfJ
•R,u`F,T.a...
= .� Page 4-C3 Plot 7"' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT -- ApplicantAto complete all itemste� /msin sections: I, II, III, IV, and IX. \��\� O
AT (LOCATION) //� W Q . ZONING
'�
LOCATION (Moil Is EETI
OF BETWEEN AND
BUILDING (CROSS STREET( (CROSS STREETI
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 'a
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
IT,
I i I New building
Residential Nonresidential
2 XI Addition(If residential, enter number 12 One family 18I I Amusement, recreational
onew housing amts added, if any, 13 Two or more family - Enter 19 Li Church, other religious
inPart 0, 13) d
number of umss- - - - y 20[J Industrial
3 U Alteration (Sre 2 above) 14I I Transient hotel, motel,
4 I I Repair, replacement or dormitory - Enter number 21 Parking garage
5 I I Wrecking (II multifamily residential, of units - -i 22 I I Service station, repair garage
enter number of units in building in 15 EH. Garage 23[_b Hospital, I nstituti ono
Part D. ]3) 16 I I Carport 24 I I Office,bank, professional
6 Li Moving (relocation) 171 Other - Specify 25❑ Public utility
7 I I Foundation only 26 School, library, other educationalB. OWNERSHIP / 49#64C41 27I I Stores, mercantile
B �' Private (individual, corporation, a) 28 Tanks, towers
nonprofit institution, etc.) /s+-' Rk/C *. 29I I Other - Specify
9 I I Public (Federal, State, or f/A
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 g 6:66—s. school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be ii-stalled but not included If use of existing building is being changed, enter proposed use.
n the above cost
a. Electrical
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc )
11. TOTAL COST OF IMPROVEMENT E 50C9—
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 /
4830 ElMasonry (wall bearing) 40 Li Public or private companyNumber of stories I
31 ® Wood frame 41 Private (septic tank, etc.) 49. Totalasquare feet of floor area, 41-0 K
_ o l floors, based on exterior 1 ''
32 LLL structural steel dime's, IV -p
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34"IP 1 Other - Specify 42 xi Public or private company 50. Tocol land area, sq. ft
43 r.j. Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL St Enclosed
35 ii Gas Will there be central air 52. Outdoors
36 i Oil conditioning'
_ L. RESIDENTIAL BUILDINGS ONLY
37_)e Electricity 44 l_ I Yes 45 _ ' No 53. Number of bedrooms
38 LI Coal
39 j 1 Daher- Specify Mil there be en elevator'
54. Number of
s
46 Les 47 No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailingdddd7ress — Number, et, c and Stale ZIP cod Tel No.
lower or .417,164,—..; Of�,6 /12- J %2,— UCOw1 sb o- r()
Lessee 1*;#$4M
Builder's
License No,
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I hove 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 dote
0
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Checkit or Ape pNumber 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 5P`% FOR DEPARTMENT USE ONLY
Permit number
Building. /gip- " (�� Use Group
Permit issued (/c" "\ QJ
19
Building J Fire Grading
Permit Fee $ f 0 v CD Live Loading
Certificate of Occupancy $ 'n\o/ccapoey Load
App by:
Drain Tile $ U
Plan Review Fee $
TITLE
NOT ES and Data — (For deportment use)
YNI. ZONING PLAN EXAMINERS NOTES
DISTRICT ceaA
USE
A a t
'�«
FRONT YARD '� d„�.(�
SIDE YARD I ` � W'' ``'
SIDE YARD
REAR YARD g 0
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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SOCA FORM APECP — 669 C1969 OYILDINO OFFICIALS 0 CODE ADMINISTRATOPs INTERNATIONAL, INC.