42-095 (9) A
"•� - DEPT. OF BUILDING INSPECTIONS BUILDING °
! 212 Main Street I< JZ
Northampton, MA 01060 PERMIT a
95 VALIDATION
DATE May 27 19 88 PERMIT NO. 308
APPLICANT W-1 I I j am Bresnahan ADDRESS 220 C l Pnda I P Rnad owner
IND.) (STREET) (CONTR'S LICENSE)
PERMIT TO Repair (_I STORY One family NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 220 Glendale Road ZONING
DISTRICT S R
(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 to repair stairs and add deck to rear of the house 10' X 12' .
AREA OR $ 500.00 PERMIT $ 10.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER William & Blanche Bresnahan i—=
`ODRESS 220 Glendale Road BUILDING DEPT •
BY
ITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COP PPQ
P
t- CITY OF NORTHAMPTON
$. .� MASSACHUSETTS
i a OFFICE of the I SPECTOR of BUILDINGS
TaPage Plot
a APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) 0 l T-I Q/j b CA-
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
iA
II. TYPE AND COST OF BUILDING - A/I 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(It residential, enter number 12,,FSI One family 18 ❑ Amusement, recreational
o/new housing units added, if any,
in Part D, 13) 13 ❑ Two or more fomily - Enter 19 ❑ Church, other religious
number o/ units- - - - -> 20 ❑ Industrial
3 F-1 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 LZ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multi/amily residential, o/ units ------- - -)� 22 ❑ Service station, repair garage
enter number o/units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17 Other - Speci/y �e � C 25❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 � Private (individual, corporation, 28 ❑ Tonks, 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,,,,••••,,•,,,,, 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 ..................... /
i
c. Heating, air conditioning.........
d. Other (elevator, etc.)............. ��/�j� /
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - Ll-
for
;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❑ Masonry (wall bearing) 40 ❑ Public or private company 48. 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 OF WATER SUPPLY
34 ❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ..........
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........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 L❑ Yes 451 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevators 54. Number of Full..........
46 F� Yes 47 IJ No bathrooms
Partial.......
- r
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner
owner or • `
Lessee
Bui Iders
2. License No.
Controctor
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 applicantAddress Application dote
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Check Obtained Number By Permit or Approval Check Date 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
Building Use Group
Permit issued 19q_
Building Fire Grading
Permit Fee $ IAQ
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: ., .
Drain Tile $
•
Plan Review Fee $ •
TITLE
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NOTES and Data — (For Jepo*ncn, use)
ZONING
DISTRICT
FRONT YARD
REAR
■
IX. SITE OR PLOT
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