43-066 (2) DEBT. OF BUILDING
i
INSPECTIONS BUILDING s i tc 3 '
� Main 212 Street
Northampton, MA 01060 PERMIT
43 - 66 VALIDATION
DATE May 11 19 SR PERMIT NO. 2%
APPLICANT James C. FA tan ADDRESS f,4 r'hiri by nr N(11"1ihnmprnn
C 0110.1 1 ICONA
Ty LICENSE)
NUMBER OF
PERMIT TO Al fp-rarity, i—I STORY JNIP 4aG�ly DWELLING UNITS
itinE co IMFROWCMENT} XO. UROFO$D 44U
AT (LOCATION) in4 Dunphy Drive
ZONING
SR
IMO.,' (STREETI
BETWEEN AND
(CROSS STREET) (EROS> CiAUT)
LOT
SUBDIVISION LOT aLOCN 412E
BUILDING IS TO BE FT. WIDE BY FT. LONG ST FT. IN NEIGNT AND SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(met
•
REMARKS: • •n • • E. G,.
VOLUME 816 sq. ft. ESTIMATED COST $ 6400.00 PFEEEMIT $ 163.20
IWSIC/SQUARE FEET( •
OWNER James & Diane Eaton �j/E� ' ((yy//''
ADORESS 64 Dunphy Drive BYILOIN6 akp/ E' -
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY • APPLICANT COPY 0 PINK - ASSESSORS{j COPY • P
:,-.1.4. 4a CITY OF NORTHAMPTON
MASSACHUSETTS
t ,n
t � OFFICE of the INSPECTOR of BUILDINGS
as•11Sla � Page �� Plot lP �a APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items/lino sections: I, II, III, IV, and IX. P
AT (LOCATION) (C1 41 Pe�P� Y Re. ZONING .4
txo.I Is*F5" DISTRICT VA
LOCATION /} ///- fj
EETI
OF BETWEEN fir• 4 4 ANO {� o
BUILDING /�/j�q/ (//�(CROSS STREET)
STRE / -^/ “ROSS / /y1� �r /rte
SUBDIVISION Z' IWE if `ESOP [T5 LOT ! • BLOCK _ i&OZE • 7 L 63 s`"
v.
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D n
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For''Wrecking" most recent use rR
TI
-1
I 1 I New building Residential�eNonresidential
2 n Addition(i/ residential, enter number 12 ypePne family 181 I Amusement, recreational
/
onew housing units added, it any, Two or more 131 1 family - Enter 19 Church, other religious
�� oin/ Part D. 13)
3ACI Alteration (See 2 above) number o/units1- - - - - 20 F A Industrial
/-� 141 I Transient hotel, motel, 21 1 7 Parking garage
4 Lj Repair, replacement or dormitory - Enter number
51 Wrecking (I/multifamily residential, of units - y 22 Lii Service station, repair garage
enter number of units in building in 15 I. 1 Garage 23 L 1 Hospital, institutional
Part D. 13) 24 Office, bank, professional
61 1 Moving (relocation) 16 FH Carport
17 7 Other -Speci]y 25 ❑ Public utility
7 [_] Foundation only 261 School, library, other educational
B. OWNERSHIP 27 [fl Stores, mercantile
BXPriva e individual, corporation,
28 L � Tanks, awe's
nonprofitc.)at 29 E] Other Specify
institution, et
r.)
I 1 Public (Federal, State, or
local government)
C. COST (( mit 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 $ 45'06 processing
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 ((J/JJ/$A (tps44s , add der
b. Flum6 g / Soli
7 5 sda/dmsa/,k$s) I ;0 x 811x t t(c3-�
c. Heating, air conditioning
d. Other (elevat , t .) //00/�
11, TOTAL COST OF IMPROVEMENT § 4
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 7 Masonry (wall bearing) 90 L7 Public or private company Number of x ones
rea,
31`�Wood Imine 41�:rlvate (septic tank, etc.) 49. Totalll se leer f Hoer or / �
all floors, based onr '
321`1 Structural steel dimensions Si
33 Li Reinforced concrete H. TYPE OF WATER SUPPLY 2
341 I Other - eyed' 42�Public or private company —
50. Total land area, xe. H ['7 9a
431- Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES O
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 L. Gas Will there be central as 52. Outdoors 3
36 L. Oil conditioning+ s� L. RESIDENTIAL BUILDINGS ONLY
37!Electricity 44 7 yes 45 XJ ,No 53. Number of bedrooms
38 Cool 11Y����-
39 71 Other - Specify Will there be on elevator' { Full
54. Namber of
46 1.- I yes 47X4 o bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address — Number, street, etty, and State ZIP code Tel. No.
own„ or JAMOC. 6:eau 4f 01/41/11V at NeenialfeRfA1/It 01060 586-$.254
DiAQE C. E4a' 4l 8Qa/WY LSC. A6AP1yanzw� HA. 5214-51.50
Builders
License No.
Contractor
3.
Architect or JA(
.ineor
Iereby cer ify that t e proposed work is authorized by the owner of record and that I have been authorized by the owner to
m•ke this o elicdtion s his authorized agent and we agree to conform to all applicable lows of this jurisdiction.
Signe ure of ap•Iican Address Aµp vlicotion dote
LIA
00 NOT WRITE BELOW T IS LINE
V. PLAN ' EVIEW RECORD — For office use
Plans Revie Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING •
$
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote
Permit or Approval Check Obtained
Dote
Number By Permit or Approval 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 al
�/( ^ FOR DEPARTMENT USE ONLY
Permit number - I
BuildingMit
,,, Use Group
Permit issued \ \ `l 4LI\ LI 19 Fire GradingBuilding )am,
Permit Fee $ / fl/ d(/ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved OLT Z
Drain Tile ,♦.s 10 A//As'". ^ 4r
Plan Review Fee $ W (J %���
TITLE
NOTES 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
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