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04-017 (3) PLOT PLAN 1 SHOW ALL GUILD INGS ON LOT d EXISTING OR PROPOSED No. . . . . . . . . . . . APPLICATION FOR PERMIT TO BUILD A DWELLING . . . . . . . . . . . . . . . . . . . . . Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permit Granted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . .. . . . . . . . . . . . . . . . Approved . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supt. of Buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. r 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FT. FRONTAGE STREET A 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 _ ' APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit a Northampton,Mass. ./5j .,�.�x�eWbO-.-. . . . . . 19 q®. . . Telephone No. .5c`3�-.yoa4;. . . . . . . . . . . . . . . . . . . . . 7b the Supt.of Buildings: Application for a permit to build is hereby made according to the following:- 1. Location, Street and No. .J�19� . &/VAJ.E&Y. •J>O Lot No. . . . . . . . . . . 2. Nearest cross street Pq�k . . . . . • • • . . • . . . • • • . Size of lot . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . 3. Owner's name�lZ .K1 .4114C.KE�. . . . . . . . . . Address . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 4. Architect's name . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . 5. Builder's name .jk/%///A40(.T.. . aROM S... . . . . . . . . Address P0,-ABW. 1N1. .4E40-c.F.fA. . tai:,%. . . . . . . Mass.Construction Supervisor's License No. . 00.0.516. . . . . . Expiration Date .60101e-o. . . . . . . .. . . . . 6. Use of Building:One-family . . .X. . . . . . . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . . . . . . . . . . . . . . . . .. . Number of Bathrooms . . . . . . . . . . . . . . . . . . . . . . . 8. Is there a garage attached? . .42as. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of building Square footage .20PP. . . . • • . . • • • . • • • • • . . • • . • . . • 10. Number of stories . . --tW-`Q. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 14. Distance from building to side lot lines in feet:Left . . .. .. . . . . . . . . . . . . . . . . . . . Right . . . . . . . . . . . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? JVO . . :. . . . . . . . . . . . . . . .. . . . . . . . . .. ... . . . . . . . . . . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . . . . . . . . .. . . . . . Other /ll"1V1. 1i?• • • • . . . • • . . 18. Are all structural conditions noted on drawings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness in inches . . . . . . . . . . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23. Material or roof covering . - "j 4,,0Z/..S%ir! ��s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 24. Method of heating .014/I fvml."?. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? City Sewer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . .Alp. . . . • . . • . . • . 28. Construction within 100 year flood plain? . 'Vo. . . . . . . . . . . . . . . . . . . • . . • • . . 29. Estimated cost:Total$ . . . 35M Po. . . . . . . . ­ 1 . . . . . . . . . . . . . . . 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. r r ��c�r -=. r i��'?�?5.G?�,.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sign ure of Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE Rawo *- . --. . .<./q�o . coo .oppo.er.s.. . . . . . . . . . . . . . . . . . . .5A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Date Filed 11115-110 File No. ZONING PERMIT APPLICATION Zoning Ordinance section 10 . 2 1. Name of Applicant: �jj1 M 7 lwza-41yA Address: P.Q. (fix 141 iwaos I?W 01WO Telephone: 4005 2 . Owner of Property: Address: Telephone: 3 . Status of Applicant: Owner- Contract Purchaser Lessee Other (explain: to+ut,W&T0a ) 4 . Parcel Identificatio Zoning Map Sheet# Parcel#�, Zoning Districts) Street Address P c � 5 . Compliance with Zoning: Existing Proposed Use of Structure/Property �,go, ,,,.1 Size of Structure (sq. ft. ) _s". &5►�a, Building height Building Coverage Setbacks - front _ - side _ - rear _ Lot Size _ Frontage Floor Area Ratio _ % Open Space _ Parking Spaces _ Loading Spaces Signs _ Fill (volume & location) 6. Narrative Descri*otion of Proposed Work/Protect: (Use additional sheets if necessary) ,yam f,,j�g ,gA*MW ,Dq�tt-4A X,1,v,o T,2�r� - �'GplsoaG D/�i�yaw/I ,cv� TBiM 7 . Attached Plans: Sketch Plan Site Plan 8 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant ' s Signature: THIS SECTION FOR OFFICIAL USE ONLY _ r __L,,-Approved as presented Denied as presented Reason for Denial: Signature of Building Inspector % % y- -,__ _ Date �� Gt 4 0 0 g City of Northampton REQUIRED INSPECTIONS 1 . Footings and Walls ` BUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. 710 Office of the Building Inspector Date November 27 19 90 BUI DING P RMIT THIS MAY CERTIFY THAT William Turomsha Insp. on Site — Foundations has permission to replace fire damaged drywall and trim Insp. of Plumbing — Rough situated on 582 Kennedy. Road Insp. of Plumbing — Finish 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 return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUO PACE N 'HE PREMISES Certificate of Occupancy Building ector PwwTsPnP