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17D-064 (12)
jj -7 a h IE i ; 70 f M f A d � � 1(� ( dJlroo�✓ S1Sod )-7 X>7 G O v/M / N � O S�p, i i 6�d 7 I i - � ae e s ,A Q ��y d ���� PJ/ P-- --C,Q� i lid l f ��S f o �� Jsn�� � ogf1 If I l t /! f /7`0 } 70() _ �- i .'� 01 �itAAlp 04 4 � 8 �lassacltusctfs � ENX DEPARTMENT OF BUILDING INSPECTIONS J 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 HOKOWINER 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. ZONING • DISTRICT FRONT YARD SIDE YARD SIDE YARD REAR r 1 IX. 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Nop•■• opu : aa: :� a FF FFa:a:.a.:as aaaaa.N:.........F....., • •:r FFa F:aaiFS:aiinHUaFa.1FIlFaFu:•apauaanN.� nFa F F�aaFs�i FFFF wasmaRm nr1■a • ■N■.!.■.ra • rt1■ U. .NH• 1 Him „a• t1• 1•r .411 F ••■11 1..• .. N ON NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. owner or Lessee Builder's 2, [� i' t� m License No. Contractor 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 a is authorized agent and we agree to conform to all applicable laws of this jurisdiction. Sig ature of appl' on Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans B Notes 4 Fee Started Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obtto t ed Number By Permit or Approval Check Obtained r 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 19 _ Building �- Fire Grading Permit Fee $ 1 Q Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ �-' TITLE f CITY OF NORTHAMPTON MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS 1V T Page Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O (��1+ y /per►..-/ ZONING I• AT (LOCATION) � �-JISf/�X/f- ��P / /"`�L�I���'dC� DISTRICT LOCATION `NO.) `STREET) �d �7 OF BETWEEN l//�I� �/@ I / V AND 6tA(440 &LIC BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 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(I residential, enter number � 12 One family 18 Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family - Enter 19 Church, other religious 3 Alteration (See 2 above) C number of units- - -- --> 20 �� Industrial � -� 14 j Transient hotel, motel, 21 Parking garage 4 �.� Repair, replacement or dormitory - Enter number 5 Wrecking (If multifamily residential, of units ------- - -� 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 F__1 Carport 24 I-] Office, bank, professional 6 LJ Moving (relocation) L r 17 � Other - Specify 25 I f Public utility 7 Foundation only r 26 School, library, other educational B. OWNERSHIP 1--- 27 Stores, mercantile 8 Private (individual, corporation, 28 Tanks, 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................ ,(9© school, secondary school, college, parochial school, parking garage for department store, rental office building office building at industrial plant. 7'o be installed but not included If use of existing building is being chai.ged, enter proposed use. in the above cost v /I� r a. Electrical....................... `�l, , ," b. Plumbing ....................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 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 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 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 E Electricity 44 Yes 45 i No [] _— 53. Number of bedrooms.............. 38 Coal 39 Other - Specify WiII there be an elevators Full.......... _ 54. Number of 46 �� Yes 47 IJ No bathrooms Partial........ �- t=, �;'� . � `, .,� e DEPT. OF BUILDING INSPECTIONS BUILDING 212 Main Street 04 IL Northampton, MA 01060 PERMIT 17D - 64 VALIDATION DATE Maw a, 1ggq '19 ar ielCrETI; 292 ,Mimi APPLICANT Jean A. Padeck ADDRESS (NO.) (STREET) (CONTR'S LICENSE) Deck NUMBER OF PERMIT TO Addition (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) UKb 14 Garfield St. , Florence ZONING 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 construciton of a deck onto rear of existing dwelling 12' X 15' withXXx roof over it 3' off of ground VOLUME 1R0 4 T ft- ESTIMATED COST 1 ,000.00 PERMIT ,00 (CU91C/SQUARE FEET) OWNER Same ACAinl i rant BUILDI PT. ADDRESS Same as Annl irAnt ',-; BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY p241P