23D-008 (5) DEPT. OF�BUILDING INSPECTIONS BUILDING �_
j,: - s 212 Main Street 1
-; $a Northampton, MA 01060 PERMIT / 0 - 06
23D - 8 VALIDATION
Gary Cadette DATE August 19 Eas 6StretFERMIT NO. 439 File
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration/Repair ( NUMBER OF
STORY Garage/Existing DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 54 Nonotuck Street ZONING URB
DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS 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)
permit for the repair of existing garage
REMARKS:
AREA VOLUME ESTIMATED COST $ 2.000.00 FEEMIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER Douglas Deihl & Jane Niejadilik �BUIL 9 ADDRESS Florence, mAcc 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pVtt
, � CITY OF NORTHAMPTON
MASSACHUSETTS
rcl OFFICE of the INSPECTOR of BUILDINGS
( , .l Page 2t� Plot APPLICATION FOR
INSPECT OR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT t/— Applicant to complete all items in sections: I, II, Ill, IV, and IX. (/'�j�eG/(�j 0
I. AT (LOCATION) ZONING
:�! 4424/69t eft DIISTR CT-
LOCATION ��7/ �(NO.)) f/ (STREET)
OF BETWEEN • r //Gi'G� �e y AND,
BUI LDING CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
tel
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —1
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 I I New building Residential Nonresidential
2I I Addition(If residential, enter number 12 L. One family 18 I 1 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family — Enter 19 Li Church, other religious
number of units— — — — --� 20 Li Industrial
3 Alteration (See 2 above)
14 I Transient hotel, motel, 21 [1 Parking garage
4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units — ... 22 Li Service station, repair garage
enter number of units in building in 15 [ 'Garage 23 Li Hospital, institutional
Part D, 13)
16 I I Carport 24 [ Office, bank, professional
6 l_,] Moving (relocation)
17 Other — Specify 25 I Public utility
7 I I Foundation only
26 I I School, library, other educational
B. OWNERSHIP 271 I Stores, mercantile
8 Private (individual, corporation, ( nn 28 L J Tanks, towers
L
nonprofit institution, etc.) (J1X 29 Li Other — Specify
9 Li Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
7c/4/.°Y
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ 2,620 school, secondary school, college, parochial school, parking garage for,
deportment store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ ,2t9f✓C�
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
30 I I Masonry (wall bearing) 40 I I Public or private company Number of stories
31 1 I Wood frame 41 1 I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft.
34 I I Other — Specify 42 LL Public or private company —
43 17 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 I I Gos Will there be central air 52. Outdoors
36 L_I Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 11 Electricity 44 r Yes 45 rr7 No
53. Number of bedrooms
38 LL Coal
39 LI Other — Specify Will there be an elevator's Full
54. Number of
46 L 1 Yes 47 'I 1 No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address - Number, street, city, and State ZIP code Tel. No.
I.
owner or Ai(47/" 4//// cY /1r`t,va t2(c., 5T6-63z-2-
Lessee .7 s 7LOief-/ilec 2 oie6o
'l/
,�' � �S, Cr T G�/ �D
J ��yy Builder's
2. Ctrl/ t�9e/e lye �i1i 7 /A9A-fir I O2> 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 7 pplicant Address 'Application date
" e 1 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
ate - Date
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 (/„M'
FOR DEPARTMENT USE ONLY
Permit number
Building /12?-- Use Group
Permit issued �:' 19
Building /``, Fire Grading
Permit Fee $ G c Live Loading
Certificate of Occupancy $ Occupancy Load
App by:
Drain Tile $ I Ate 240
Plan Review Fee $ � �
TITLE
e�,
NOTES and Data - (For department use)
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VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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