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17A-079 (3) PLOT PLAN SNOW ALL OU11_D INGS ON LOT EXISTING OR PROPOSED M No. . . . . . . . . . . . APPLICATION FOR PERMIT TO . BUILD A DWELLING Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permit Granted Approved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supt. of Buildings . . . . . . . . . . . . . . . . . . . . . . . FT. FRONTAGE STREET NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI- TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plot Plans and Plans,must be filed with this application before a permit be granted. Zone / r- 1-APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit 4 rA a p Northampton,Mass. . . . m w. .,30�. . . . . . 19 1:O. . Telephone No. . . . . . .6&.-.9.S.Y.d . . . . . . . . . . . . 7b the Supt. of Buildings: Application for a permit to build is hereby made according to the following:- 1. Location, Street and No. . . . 3Y . . yN. . .j.':. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . 2. Nearest cross street . l U.(/n?7-i�?!!`?. . .S,T. . . . . . . . . . . . . Size of lot . . .. . .!�.O.o f?.- Sf/ f. . . . . . . . . . . . 3. Owner's name /tai'i 2,h. .`t.�'?,0/1?N�./??G�'U�!y'!� �. Address . .3. 51. .CXOKQ4 ,Y! . 5�7. . . . . . . . . . . . . . . 4. Architect's name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 5. Builder's name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mass.Construction Supervisor's License No. . . . . . . . . .. . . . . . . . . .. . . . . . Expiration Date . . . . . . . . . . . . . . . . . . .. . . . . . 6. Use of Building:One-family . . . .X. . . . . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . .J5. . . . . . . . . . . . . . . . Number of Bathrooms . . . . . . ./. . . . . . . . . . . . . . 8. Is there a garage attached? . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . S uare footage 9. Size of building . . . .y . . 7C . ..�- ` . y 10. Number of stories . . . . . . .l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . ./.2 . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . .W.(5-.OP.F 2 i,64!i%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . 3.1.t.. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Distance from building to side lot lines in feet:Left . . . . . �.�f. . . . . . . . . . . Right . . . . . . ./. ..5 F.T,. . . . . . . . . . 15. Distance from building to rear lot line in feet . . . . . . . /. . n. •. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . .A--v. . . . . . . . . . . . . . . • .. . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . .. . . . Spruce .I<PX. . . . . . . Other . . . . . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . .Y!L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. Nature of land upon which the structure will be erected: Natural . . .- . . . . . . . . . . .. . Filled . . . . . . . . . . . . . . . . . . . 20. Depth of basement or cellar floor below finished grade . . . .�.�.. . . . . . 21. Material of foundation walls . . 13�t5.0 k . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness in inches . . . . . . . . . . . . . . . . . . . a 22. Type of roof: Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . j.�Oz. . /tf'f'��' : . . . . . . . . . . . . 23. Material or roof covering . . .Q S.PN. 4 T. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 24. Method of heating . . . .0. !.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . .Y"S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . .Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? .N. .U. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Construction within 100 year flood plain? . . .!r'.'?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Estimated cost:Total$ . . . . .O P c?.'.0--) . , No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The undersigned certifies that the above statements are true to the best of his knowledge and belief. oo "t, , . . . . Signature of Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE /� �. . . . . . . . . . . . . . . . .a-.,. . - . . . . ./l- J . . . . . . . ���ey u . . . �1`4 . .-•1�: iF, �. . 1. ._Q �l t(! .c-ti . .�.OI�... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. Crz#� of 'Nort1jam toll z 7 iB �isasncJrnsetts � DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building 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 A HOMlOWJNER 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. � ' r��`• ;�_.. .:�` ,.,ti . . s ,�,..�,,,.�... ..��,� ,. City of Northampton REQUIRED INSPECTIONS 1 . Footings and Walls BUILDING DEPARTMENT 2. Structural Components in 3 . Complete Building No. 141- Office of the Building Inspector Date l �' 19 90 BUI DING P RMIT THIS MAY CERTIFY THAT Na&Nl C ra Insp. on Site — Foundations has permis i is D braid t" "dog lruse!' style doomers cn.the front roof of Insp. of Plumbing — Rough OTTE space situated one+ C mlyn St- provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon Q, return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN CO SPICUOUS PLACE ON THE PREMISES Certificate of Occupancy Building Inspector PRINTSNOP