07-027 (7) DEPT. OF BUILDING INSPECTIONSBUILDING z 9 5 lag . (
,i)_K 212 Main Street .°
"•: Northampton, MA 01060 PERMIT
7 - 27
VALIDATION
l
Sundance Design DATE May 13, P,� 088 700P,E�tllstHBmNLEIII 3!}�230S
APPLICANT ADDRESS
(NO.1 (STREET) (GONER'S LICENEEI
Addition/Alterations One Family NUMBER GF
PERMIT TO (_I STORY DWELLING UNITS
ITFE DFMPROVEMENT) NO. (PROPOSEO USE/
AT (LOCATION) oQy XRYX North Farms Road ZONING RR
DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET/ (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO SE 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 to add bathroom onto rear of existing single family dwelling also to remodel
kitchen areaAREA OR
$
VOLUME 1QO sg ft nPw
addnll ESTIMATED COST s non no FFEEEMIT $ 128 00
ICU•IC/SOUAMt FESTI
OWNER Iepnard 1gbPn0mTki BUILDING OioE.Q —%lC""':_ ar
ADDRESS 45 IN • n EA_• BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY mi
�,y/
e1,-.Eva- CITY OF NORTHAMPTON l�
AAAA MASSACHUSETTS,31.4M-q.:.,
g y'' OFFICE of the INSPECTOR of B�L�INGS
°"�' Page Plot
ciro: � APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. ��vJJJ p
L AT {LOCATION) J li )0` � PSS IZ V ' ZONING DISTRICT
'Al
LOCATION ' t"a'' STREETI
OF BETWEEN AND
BUILDING (CROSS STREET) CROSS STREET)
LOT
SuealvISloN LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A — D -t
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Ira
-1
-1
1 I New building Residential Nonresidential
2*1 AdditionU/ residential, enter number 121k1 One family IBI Amusement, recreational
o/new housing units added, if any,
in Part D, 13) 13 b
two or marefamily — Enter 19 Li Church other religious
3 Alteration Ree 2 abatis) number O/ anis.,— — — — —>. 20I j Industrial
14 I I Transient hotel, motel, 21 LI Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (Il multi/wnily residentzal, o/ units —__ 22 Lj Service station, repair garage
enter number o/units in building in 15 El Garage 23 ❑ Hospital, institutional
Part D. 13)
6 Moving (relocation)lacaf ion) 16 I I Carport 24 Li Office, bank, professional
7 ❑ Foundation only n I I Other — sped/y 25 j Public utility
26 Li School, library, other educational
B. OWNERSHIP 27Stores, mercantile
IB Priv at a (Individual, orpor 26 I Tanks, towers
[Set
ins ti tun on corporation,
29 LI Other �SPen/y
9 L Public (Federal. State, or
local government)
C. COST (omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plantmachine shop, laundry building at hospital, elementary
10. Cost of improvement $ 30 school, secondary school, college, parochial school, parking garage for
deportment sr rental office building, office building atindustrial plant.
To be al led but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical 71 °xi /a,. fiat d)'! ./ „ i(20.(
b. Plumbing L9/ ,
Cy
(.LCA o'
c.Heating, air Condit onin9 e.�44IO� �y rinjci /�p//y,�"/!/g ���( 2041e A�
S. Other(elevator, etc ) V L����� (�� �/
11. TOTAL COST OF IMPROVEMENT $ 35
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports 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 j I Masonry (wall bearing) 4O L i Public or private company 48_ Number of stories '
31 12.41 Wood frame 41 ;r Private (septic tank, etc.) 49. Total square feet of Floor area,
all floors, based on "ter,or
321 I Structural steel dimensions /to
33 1-1 Reinforced concrete H. TYPE OF WATER SUPPLY
34 LiOther — Specify 421 I Public or private company 50 Total land area, sq. ft
43 I Private (welly cistern) K. NUMBER OF OF F.STR EET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL St Enclosed
35 1 I Gas Will there be central air 52. Outdoors
36 EtR Oil conditioning' L. RESIDENTIAL BUILDINGS ONLY
3] j Electricity 44 fI Yes 45 T No 53 Number of bedrooms
36 [7, Cool
39 1—1 Other — Specify. Will There be on elevator' { cull
54.
Number of
46 H T Yes 47 lAr No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Nome Moiling address - Number. Street, City, and State ZIP code Tel. No.
o.,ner a, Lfeco zt1 STY.Ati+DGs"ALl 14e7X/. 1`Ad2,4L-S 2h. 59'( 019€
Lessee
,Uore(4Par.LVTo1-=
2. SUA?bALLZ.Rc CiAikKr P.O, F,CS 700 Li ense No.
Contractor I->O2:4.ArtitP7OII.0 . 6z238S
4001/4-V7--
Engineer Architect or 400 -
Engin er
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.
Siq{;a of applicant Addresses ,% Application dote
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
P Ions Review Required Check y Plan Review Date Plans BDote Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approve I 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 . - FOR DEPARTMENT USE ONLY
Permit number
Buildingy�r� j Use Group
Permit issued Met et Lit1>� i 19 n�
Buildingmi $ 1 �m N`
Fire Grading
Permit Fee l y� 1 �l ) Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ W O
Plan Review Fee $
TITLE
NOT ES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
is• s::•4:"s..4::s v:a..•.....r•• ; sun :
. ••.•.•........••••••s•••• =in--......U..is ••••.•..
:sis......yiii:s:s I •"x:::::s:riss::sar • mu- :
..
:ir.insassinuns. s r pi i..ss. :::u
..t.............. .•;1r•'•'i' :. :::si: us s
ranunnunSassnniii:n .igii;;{:e::iu=;i;iasi ..1..Seises::ie s: :::
iiii �1 1 ir: .srki =izw u:::asee:e s uns...............Milts: rs
gr.... . n:nags ••••••...sr•••••••unr• -•r••"
i:iist.:••••:i44i•••.?iPi ::•••:7 0.�•••.......••.•.inn :'u snore:::i
•••. .
si4: 'u:ANL ..snr: •• • ••... ..••.....«•uissn:unini""'a... :"'
E:: ........ .........: .a ri..... ; .;.....:i .— :•.. i....;
m n::u ;;ssi�...:s•:r••••••••••a : :is"' f
nu U ....i. sfL:::inxi::......i„ii:.........u••—••u•••••••••i:::ux••••
nn ::ua::4^. ;„.•..••u••s:i.:.»i.. ... .
nu uu '• u.•i•••'r : e sm.............>£::i...••
: 111:::::.=..i. '•x 7 R
1 n.::::nsnani:us•'....i:ii:::is s: :sus : ..
x Cuinis�ailii7i• :::::ns ii
ligiitt9iii4ii ilii lii:••'uiGi x a .....i:n i:r ; s=ail i
181isu�n:isii4iinifinuseg••••••iii::••••Q I s
iu:.:u•iva.es:::::s: u :
eirH ?HliiUin :innsuR i iliIi :: stu ::u:••':•'•a? :
i4:sss:es:ur °ii3u's'a.:. i i s•••: szuuie i s.... ham'" e e s
s:::u::rse34. ..ii3 4 " :44i u:a:: s: s i u '
iiuiuSnus s�• i i'iu:u.rri e....d... ........;rn••4:'x a ns :
i :::•••••^•i:::::uer••:
:4•::i ••;.•:tunas... ...:i:a 2.5_I: I....s'n:... 5....=...: : a i
griFu.:in unii:s.:iii:: un.L ....:..:: s:n.s : Jr.::
nui•iiiiiii xi numniufiisnr••',•ri4ii... i.'iss i i:u:li::i s: ::::s::sei.^.=:s::stCi'e':ee
iiiIni i issiiiid.ia.... 4x44uier ;.•.sa:ui:s•s i I a
i:ianiiiieiiiiaiiei$iei iiiii i.i ••••=11.9:113:14..i. ?e44ii _a::::s f 1e•.4:4.......; 9p...... ° 111 s i
nna
iiciHiii€! 's zai i tiuiieitt i4U...SIi �Fi"1 ei i mu.inriiiiiii?.....:eine:s::i:_ii::iii�;:e:xr
Suitt..=i a.ili�iiiii iiiii iiii1i iiaeii�iiiumniiui.u:::ie:iuiei•Sirir iiri ::°sssniii. miiiirina u
na s : u: Sen: u4 .. •; :•a•isarsi «••• s :::g:a:u
ill iiiusiiiiiiii'si{i � t„- niu ri.nauasu4i.i.ii4u44ii4i:i'SiiiHii:siii4.s�iinndi44,yiis:s
ill i NUMMI
inai {7, ai :i e 'in�pi siiinisiinesi iiii:::a::::E:::::i
'.d :�* iiiliE�lUiiiaieiei+niuuuiiill�iina:en:n::suesuss:::u:
., , n1 }i s pH , c e . OILivai