38B-004 (5) DEPT. OF BUILDING INSPECTIONS BUILDING -7°
212 Main Street 04
Northampton, MA 01060 PERMIT
38B - 4
VALIDATION
DATE AUGUST 17, 19 87 PERMIT NO. 553
APPLICANT _PAUL K071OWSKT ADDRESS PHYSICAL PLANT 126 WEST STREET
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT To FOUNDATION (_) STORY FMFRCFNCY UNFRATOR DWELLNUMBERING UNITS
(TYPE Of IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 126 WEST STREET/SMITH COLLEGE D STR CT GI
(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 CONCRETE SLAB FOR AN EMERGENCY GENERATOR FOR HEATING PLANT
AREA OR 2,000.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER TRUSTEES OF SMITH COLLEGE BUIL�e� � ��✓-���
ADDRESS 126 WEST STREET, NORTHAMPTON BY 1/
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pOP
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of B ILDINGS
Page ��� Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
1 tom' ZONING I
AT (LOCATION) I�-�4 7 ) —_�f�-.. � DISTRIC
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -i
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
rn
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of nein housing units added, if any,
in Part U, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — —� 20 Industrial
3 Alteration (.See 2 above) 14 ❑ 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
Par U, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ ving (relocation)
7 Foundation only 17 ❑ Other — Specify 25 ❑ P lic utility
26 School, library, other educational
B. O7ivate
HIP 27 ❑ Stores, mercantile
8 ❑(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,,,,,,,,,,,,,,,, � school, secondary school, college, parochial school, parking garage for,
deportment 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 ....................... N �
c. Heating, air conditioning..........
d. Other (elevator, etc.).............I
11. TOTAL COST OF IMPROVEMENT I$
111. 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
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 I❑ Gas Will there be central air 52. Outdoors........................
36 F] Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Fj Electricity 44 ❑ Yes 45 No
53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevatoro Full..........
54. Number of
46 ❑ Yes 471 I No bathrooms Partial.,.....
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or !,
Lessee C� �� I 6) 1C LfT��
Builder's
2. License No.
Contractor
3.
Architect or
Engineer
O
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.
Si ature of-310plic t Address Application date
• Vit'-( � --�' �"�'��I/�J� �.i7 ��
ue �
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
9 Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL Is
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obta ned 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 FOR DEPARTMENT USE ONLY
Permit number
Bul Iding- Use Group
Permit issued —CL198-40
Building Il Fire Grading
Permit Fee $ (J Live Loading
Certificate of Occupancy $ Occupancy Load
Approve by-
Drain Tile
Plan Review Fee
TITLE
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