43-065 (7) f'A DEPT. OF !WILDING INSPECTIONS Main StreetBUILDING �o
-`- Northampton,pton, MA 01060 PERMIT a"
43 - 65 VALIDATION
C DATE May 26, 19 PORMIT NO. F2
APPLICANT Eric W. Smith ADDRESS 56 and py Dr. Owner
(NO.) USAEETI ICONTR•s LiCRN•EI
Deck NUMBER OF
PERMIT TO Addition ( I STORY DWELLING UNITS
IYVNE OF IMPROVCMENTI O. IRROROMC0 USE/
AT ILOCATIONI 56 Dunphy Dr. .—__—.m CASTS CT SRR
INO.1 IRtRLETI
BETWEEN ANO
loon STREEn mNUS STBEETI
LOT
SUBOIVISION LOT BLOCK SIIE
BUILDING IS TO SE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ITTFEI
REMARKS: permit for a 10' X 16' deck 2' high off of ground
VOOLUOR
MEE 1Fn tq ft ESTIMATED COST $ 303 )0 PERM 10.00
CU•Ic SQU A(ran r ✓ _
OWNER Samc ac Applicant BUIL•
NC DEPT.
ADDRESS SAITO A App1 hint's BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PSR "
-1.-fir:/- CITY OF NORTHAMPTON
x}'^ ”. e MASSACHUSETTS
(PttiiL '
:,; etOFFICE of the INSPECTOR ofBUILDINGS
� Pa a Plot 11AJ APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. o
nZONING AT (LOCATION) �l/' I t np4t1L— r, t/la.
DISTRICT
LOCATION INC./ fsreenl e l
OF BETWEEN ANO
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
an
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i
A. TYPE OF IMPROVEMENT D. PROPOSED USE - Far"Wrecking" most recent use m
m
-1
1 I New building Residential Nonresidential
2 IlAddition(1/residential, enter number 121 One family IB El Amusement, recreational
o/new housing units added, if any. 13 Two or more family - [me. 19 Church, other religious
in Part U, 13) s
number of units---- y 201_I Industrial
3 ❑ Alteration (See 2 above) 141 I Transient hotel, motel, 21
4 Li Repair, replacement ar dormitory - Enter number C� Parkin 9 garage
5 I I Wrecking (II multifamily residential, of units --------y 22 L 1 Service station, repair garage
enter number m of units building in 15 i Garage 23 LI lHospital, institutional
Part D, 13)
6 Moving relocation)
16 j Carport 24 r-1 Office, bank, professional
7 I Foundation only 17 Q Other - Specify er k 25 i_i Public utility
1 26 I-I School, library, other educational
B. OWNERSHIP Pr
Y. I10 27I I Stores, mercantile
28
0 Private (individual, corporation, / / Li Tanks, overs
I,
nonprofit institution, etc.) • .1 _,,,d �s .0.i., L.. . 29 j I Omer ,Specify
9 I I Public (Federal, State. or /
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed useof buildings, e.g., food
�q processing plant, machine shops, laundry building at hospital, elementary
10. Cost of improvement $ /�`/eZ� school, secondary school, college, parochial school, parking garagekr
'
departments rental office building, office building atindustrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the aboveCost
a. Electrica
b. Plumbing
c. Heating, air conditioning
d. Other (sterol' , t .) _
Ii. TOTAL COST OF IMPROVEMENT b 2 60
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports E - L;
for wrecking, complete only Part J, for all others skip to V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL 1. DIMENSIONS
30 Li Masonry(wall bearing) 40 L l Public or private company 48. Number of smiles
31 Wood frame 41 IL Private (septic tank, etc.) 49. Total square feet of floor rea,
exterior
all floors, based on
321 I Structural steel dimensions i 66
3311 Reinforced concrete H. TYPE OF WATER SUPPLY
341 I Other - S pec is 42 I I Public or private ca am 50. Total land area, sq. ft
43 n Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL S. Enclosed
35 I Gas Will there be central air 52 Outdoors
36 Oil conditioning' L. RESIDENTIAL BUILDINGS ONLY
371 I Electricity 44 [I Yes 45 Ne 53. Number of bedrooms
301 i Coal
39 pi Other-Specify Will *ere be an elevator' { ELM
54. Number of -'--'
46 _l Yes 47, I No hothrooms
Partial
,
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, ray. and Starr ZIP code Tel. No.
Er1 e. (s�. SAL:tk �L,�,
I. or �r� .� a(ge s
Lessee tlL� _..J,
1. V LiBcense No.
Contractor
].
Engineer
I rtify that the work is authorized by the owner of record and that I have been authorized by the owner to
make t ' //////ggqqqq'''���pppppppli c 'on . on • agent and we agree to conform to all applicable laws of this jurisdiction.
Si ature ofli nt -� Address
IC ��hP L - Application rive
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 Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained Number By Permit or Approval Check Obttate ed 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 15a
Building Use Group
Permit issued \ &COI 19gEE
Building �y�//�� Fire Grading
Permit Fee $ I BTW Live Loading
Certificate of Occupancy $ Occupancy Load
$ Approved by: //
Drain Tile
��,
Plan Review Fee $
u La
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT pSef
}� ,,�jt `l
USE ea., , ,,k52/
„�yn / ( 4 `a_
FRONT YARD G,,."I /
SIDE YARD ft tel SIDE YARD I.0 2
REAR YARD (gni
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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DEPARTMENT OF BUILDING INSPECTIONS €
INSPECTOR 212 Main Street ' Municipal Building c
t� s_'
=
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 AHOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
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