43-072 (3) a.
DEPT. OF BUILDING INSPECTIONS BUILDING /Q L. (��
qp6'_� , 212 Main Street 00A
": Northampton, MA 01060 PERMIT
43 - 72 VALIDATION
DATE July 11, 86 374
APPLICANT Margaret Spitzer ADDRESS t1219 uunp`prytrriv°e Owue,_
O.) (STREET) (COSTS'S LICENSE)
PERMIT TO Above Ground Pool I_I STORY One Family NUMBER OF
DWELLING UNITS
(TYPE Of IMPROVEMENT, (PROPOSED USE)
AT (LouTION) 112 Dunphy Drive ZONING SK
DISTRICT
(NO.) IsTREETI
BETWEEN AND
(CROSS STREET, I CROSS STREET,
LOT
SUBDIVISION LOT BLOCK SIZE
�iPtPO�OL
3000@n XWA Is TO BE 20 FT. WIOE BY 30 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I TYPE)
REMARKS' permit for the WO( installation of an above ground pool
AREA VOLUME 600 sq. ft. ESTIMATED COST 7)000.00 EMIT $ 10.00
ICUSIC/SOUARE PEET)
XMOORODWRIXXt Same as Applicant / �K� �/
OWNER icA . slue as AppliLau LTS BUILD . � D i - /�{_/I
ADDRESS BY �E�/!K(� �`�!�
WHITE - FILE COPY a GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY ,077L .
oralagt; CITY OF NORTHAMPTON
' MASSACHUSETTS
":•"(771/14;1:3
75 - OFFICE of the INSPECTOR of BUILDINGS
.��" e -
�^ � Page VPlot /;4 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections:�yct1, II, III, IV, and IX. o
AT (LOCATION) ,(l; ✓( r ZONING
ONNG
LOCATION ' ° ' r TREE
OF BETWEEN (CROSS zTnFFT1 AND
BUILDING ICn055 5,BEt I
LOT
SUBDIVISION LOT OLDEN SIZE
ca
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D a
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use In
m
1 [ New building Re dentiol Nonresidential -i'
2 Addition(If residential, enter nunber 12 One family IB I� Amusement, recreational
of new housing units added, 2 any, 13 Two or came family - Enter 18
L_ Church, other religious
r� in Part D, 13)
3 ❑ Alteration tsar, 2 above) number o/ unit's---y 20 El Industrial
C 141 1 Transient hotel, molal, 21 L i Parking garage
4 Repair, replacement or dormitory - Enter number
51 I Wrecking (11 multifamily residential. of units -y 221 iij Service station, repair garage
enter weber of units in building in 15 LI Garage 23 ❑ Hospital, institutional
Part D, 131
16I I Carport 24 LI Office, bank, professional
6 j Moving (relocation)
7 Foundation only
17 I I Other - Specify 25 I I Public utility
yam Lp ��J 26 L J School, library, other educational
a�j/ g "I
B. OWNERSHIP 221 I Stores, mercantile
B El Private(individual, corporation,
raon, 076
r X 29 Tanks, towers
nonprofitinstitution, etc.) 29 Li Other - Specify
9 1.-1 Public (Federal, State, owee &local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, foundry building at hospital, elementary
10. Cost of improvement S7 000' school, secondary school, college, parochial school, parking garage for
department star rental office building, office building atindustrial al plant.
To be installed but not included If use of existing buding is being changed, enter proposed use.
in the above cost
a. Electrical
b. Plumbing
c. Heating, air conditioning
d. Other(elevator, etc.)
i
Ii. TOTAL COST OF IMPROVEMENT $ tetM
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Pans E - L;
for wrecking, complete only Port .1, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 L_] Masonry (nail bearing) 40 E I Public or private company Number of stones
31 [Ti Wood frame 41 `— J Private (septic tank, etc.) 49. Total square feet of
florioarea,
all floors, based onfl
32 I I Structural steel dimensions
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 Ti Other - Specif> 42 L i Public or private company 50. Total land area, eq. ft.
.
43 L 1 Private (well, cistern} K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51, Enclosed
35 I Gas Will there be central car 52. Outdoors
36 1 Oil conditioning'
L. RESIDENTIAL BUILDINGS ONLY
37 I Electricity 44 ri Yes 45 Na 53. Number of bedrooms
38 [ I Coal
39 �H Other- tpee!)y Will there be on elevator' { Full
. I ..Ti _ 54. Number of
46 Yes 47 I Na bathrooms
Partial
IV. IDENTI FICATION — To be completed by all applicants
Nome /e �J //�/�y�-Mailing address�lNumber, .nrrt, ray, and State ZIP code Tel No.
Owner 6 a/`/ Aif ' 41 /��/ Ilse `�'� '
Lessee
Bo Eder
License No.
Contractor
- `
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 dote
"t-s-eletr � '�
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Starred Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
Vt. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
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 32O9FOR DEPARTMENT USE ONLY
Permit number
Building / Use Group
Permit issued L / 19 7Y/
Building /1 /,/� Fire Grading
Permit Fee $ 19s+ '✓V Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile 9 !
Plan Review Fee $
TITLE
NOTES and Data — (For department rise)
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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