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SKETCH ADDENDUM
Borrower/Client Richard A. Rice Jr. & Ma.ri 'tie Rice lagorski
PropenyAkc;jress 47 Dryards Green
city _ 4r:�hamaton County..._Nam j`,-.h , sl ate Ma .
" I
ptc:d
Lender
r
1st. 2nd
' Kitchen Bedroom Bedroom
r 13#x14 132x14 14x32
Bath ,. ,
Study Bath
5x6 8x8 62x10 _
u
Porch Bedroom w Living _
10x14 14x16 14x16 -
Bedroom bAroom
a 10jx12 14x14
r
VCUI UVI11 IJU-1 V4111
12x22 9x24
Utility Bath
6x14 6x82
or s -
3rd. ow
Ip
ti� w i
114 IYO.iS
Q 0 ai.a y SUBJECT PROPERTY
MAC' #31A LOT #268
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or �_ y ut I ✓' G L' ) ,
Lessee
Builder's
2. 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 -7
00 Application date
ld
f 00 NOT WRITE ByEL (YIN 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
Dt Permit or Approval' Check 06tta ned Number By Permit or Approval Check Obttaitned 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19 _
Building Fire Grading
Permit Fee $ �Cl/` Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee $
TITLE
o CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page — t c ��
g 3/)q Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
-,
- ZONING 1�/�y//'
I• AT (LOCATION) 4� J��J � L DISTRICT IZ9
LOCATION (NO.) `� STREET)
Y,
OF BETWEEN 'Q, tu,;. �,,t.,, L A" ", i %-•,;, AND
BUILDING ! (CROSS,ATREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —+
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 Addition(I residential, enter number
J 12 ❑ e family 18 ❑ Amusement, recreational
of ew housing units added, if any,
13 Two or more family — Enter 19 Church, other religious
Part D, 13) y ❑ g
number of units— — — — > 20 ❑] Industrial
3 Alteration (See 2 above) Transient motel, 21 C] Parking garage
❑
4 ❑ 14 T it hotel, tl
Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1/multifamily residential, o f units ——————— — -- 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 16 ❑ Carport 24 ❑ Office, bank, professional
6 E] Moving (rerell ocation) P
7 ❑ Foundation only 17 ❑ Other — Specify 25 ❑ Public utility
26 School, library, other educational
B. OWN SHIP 27 ❑ Stores, mercantile
8 [7 Private (individual, corporation,
28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other Specify
9 ❑ Public (Federal, State, or
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,,,,,,•,,•••,••• 2,-' % school, secondary school, college, parochial school, parking garage for,
department 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 c ' ,
a. Electrical.......................
b. Plumbing ...................... }
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ --'
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❑A"sonry (wall bearing) 40 �ublic or private company Number of stories................
31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior /
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE F WATER SUPPLY
34 ❑ Other — Specify 42 Q Public or private company 50. Total land area, sq. ft. ........... } s�
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 /Gas Will there be central air 52. Outdoors........................ E±
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity 44 Yes 45 I- No
-- 53. Number of bedrooms..............
38 Coal
39 ❑ Other — .Specify Will there be an elevator? g f Full.......... �
/ 54. Number of
46 ❑ Yes 47 3 No bathrooms
Partial.......
�A
a DEPT. OF BUILDING INSPECTIONS BUILDING Z°
! 212 Main Street 0
2 IL
Northampton, MA 01060 PERMIT
31A - 268 VALIDATION
DATE July 3, 9 86 PERMIT NO. 357
APPLICANT Jay Breines ADDRESS Dryads Green (Amer
IND.) (STREET) (CONTR'S LICENSE)
PERMIT TO
Alteration Existin g J 2 Family/ DweltUMBER OF
(_) STORY WELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 47 Dryads Green ZONING UM
(NO.) (STREET) D ISTR ICT
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)
REMARKS: permit for alterations to existing two (2) family dwelling
AREA OR
VOLUME ESTIMATED COST $ 33900.00 FEE MIT $ 16 00
(CUBIC/SQUARE FEET)
OWNER Jay & Susan Breines
ADDRESS 47 Dryads Green BYIL
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - tASSESSORS COPY p'INT P