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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 f appli ant�J f Address h� Application dote 00 NOT RITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained Obtained Y 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 Building Permit issued _1 / 19 � Use Group Building C—) Fire Grading Permit Fee $ r Live Loading Certificate of Occupancy $ Occupancy Load Approved Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS V T Page 3�' Plot L APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. 0 ZONING Z2 ✓r� r/U�--- DISTRICT S I• AT (LOCATION) '- - LOCATION (NO.) STREET) OF BETWEEN F.�Gi'E/?L� OJ�17 AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H 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()/ residential, enter number 12® One family 18 ❑ Amusement, recreational o7—new housing units added, if any, in Part D, 13) 13 ❑ Two or more family – Enter 19 ❑ Church, other religious number of units– – – – --)- 20 ❑ Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 Parking garage 4 Repair, replacement or dormitory – Enter number 5 ❑ Wrecking (If multi family residential, of units -------- – i 22 Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 17 � Other – Specify Carport 24 Office, bank, professional ❑ i 6 ❑ Moving (relocation) 1/d}L 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP ✓j -te 27 ❑ Stores, mercantile i 28❑ Tonks, towers 8 Private (individual, corporation, 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................ Q 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 a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ ®©a V0 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 48. Number of stories............... 30 Masonry (wall bearing) 40 ❑ Public or private company 41 � Private (septic tank, etc.) 49. Total square feet of floor area, 31 Wood frame p all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 42 Public or private company 50. Total land area, sq. Ft. ........... 34 ❑ Other – Specify ❑ R 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ Yes 45 V, No 53. Number of bedrooms.............. 38 Coal 39 ❑ Other – Specify Will there be an elevator? 54. Number of Full.......... bathrooms 46 ❑ Yes 47 1 No Partial........ DEPT. OF BUILpING INSPECTIONS BUILDING z° ! 212 Main Street oa Northampton, MA 01060 PERMIT <a 36 - 179 VALIDATION DATE August 15, 19 86 PERMIT ISO. 465 APPLICANT Kathleen Duffy/Charles Pysz Jr-ADDRESS 95 Dunphy Drive Owner (N0.) (STREET) (CONTR'S LICENSE) PERMIT TO Addition (_) STORY One Family DWel11nC NUMBER JDWELLING OF UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 95 Dunphy Drive ZONING SR AT (LOCATION) 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) REMARKS: permit for the addition of living area to existing single family dwelling VOLUME OR 280 $q. ft. addition ESTIMATED COST $ 8.000.00 —FEE ,� 32.00 (CUBIC/SQUARE FEET) OWNER Kathleen Duffy � ADDRESS 95 Dunphy Drive BYILDIapt,a� WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p w P