13-018 (3) F DEPT. FILE COPY
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BUILDING
PERMIT VALIDATION
DATE march 14, 19 77 PERMIT NO. 59
APPLICANT SLA1�!DA, ,UTJJARD F. ADDRESS T.ATT1 T, LA1�"r'.
(NO.) (STREET) (CONT(rS LICENSE)
NUMBR OF
PERMIT TO RUILD ( ) STORY S'JJIM1 TiJG POOL DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) TI L i DS TR ICT R
TJRi T, AI DIS SR
A
(NO.) (STREET)
a BETWEEN AND
'r, (CROSS STREET) (CROSS STREET)
O)
EL LOT
m SUBDIVISION — __ LOT BLOCK SIZE
41111
O
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE _ USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
B:
o
I, REMARKS: 4RnVr rRniTTvn SWTMMTNCr Pnni,
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)OWNER _ SAME- - _ r /
b
-- BUILDI G D E.
ADDRESS SAME BY _ . �i.�[a/L..
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 .
ti A55E550R5 COPY
Zo
BUILDING
PERMIT VALIDATION
DATE March Vt. 1977 PERMIT NO. 59
APPLICANT r vit*, .tiiitiitvitia P. ADDRESS LABIUM LAME
(NO.) (STREET) (CONTR'S LICENSE)
NUOF
PERMIT TO gu Tv) ( ) STORY ,aE�il t L DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING sit
(LOCATION) L LANE DISTRICT
(NO.) (STREET)
a BETWEEN AND
a (CROSS STREET) (CROSS STREET)
LOT
a• SUBDIVISION LOT BLOCK SIZE
a
a
U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
D:
I• REMARKS: g}Viri. € ann MI Su1T jNG il'InY.
AREA OR
VOLUME ESTIMATED COST $ FEE
$ 10.00
(CUBIC/SQUARE FEET)
OWNER BUILDING DEPT.
ADDRESS ►AMii BY
l- , '--C
VIII. ZONING PLAN EXAMINERS NOTES 2?ti Ai ...)....--.4, ).'4'.kt (City of Northampton
/
DISTRICT -. n
,\ /\ • , *
, 1b770'ki,Eisl". Olassachusetts 6', ,./67
•
Office of the 31noportor of Iguilbings
APPLICATION FOR
USE
Plot / 4r ZONING PERMIT AND
Page / BUILDING PERMIT
FRONT YARD Z
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. p
SIDE YARD SIDE YARD ZONING
• I. AT (LOCATION) Corner Rockland Heights Rd. and Laurel Lane DISTRICT •
REAR YARD LOCATION (No.) (STREET) irk
••...,:,..,
OF BETWEEN AND
NOTES BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
CO
—I
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 33
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
1 I I New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 I I One family 18 I Amusement, recreational
of new housing units added, if any,
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13) 13 I. I Two or more family - Enter 19 I Church, other religious
number of units- - - - -0. 20 I Industrial
••••;••••• 3 I I Alteration (See 2 above)
SOOSSMOSSO 12. ra 4
V 14 I I Transient hotel, motel,
MIA , 21 Parking garage
4 I Repair, replacement or dormitory - Enter number
• . ,1
cue : ....trammairjr: yinesellainifitat .... ' I, 5 I I Wrecking (1/multifamily residential, of units -0- ,22 I Service station, repair garage
...2- -m— UUUUUUUUU as°°°°°°*116:::jalliiiiiiiiiiiiiiiiime mu Le see..,... 2141MOSSOWS000.":-.
0 UUUUUUU arm ::::::UUUUU rm.: enter number of units in building in 15 I Garage 23 Hospital, institutional
aroas ...."- 1 Part D, 13)
, 6 I I Moving (relocation) 16 r7 Carport 24 I Office, bank, professional
flifilLism: : __----
. 17 XI Other - Specify Above 25 ri P• ublic utility
: 1 .., 7 I I Foundation only
. -.
ground swimming pool 26 r1 S• chool, library, other educational
16 1 L C : : 1 .
„
re': . „ : ... B. OWNERSHIP27 I I Stores, mercantile '31
: :::: :
8..X.Private (individual, corporation, 28 FI T• anks,'towers
:::::: :1: ri: :mg UU a UU assmassomm: •
Jammu 29 r7 O• ther - Specify f
4-OOOOOOOOO 0404110Of
:0::::"": :1101110 as..
• Is.! : :WOW
: :2 1"
WOW :SO: 1:::::
4 nonprofit institution, etc.)
9 I Public (Federal, State, or
1 : liwo,r,./..nalan local government) \
r resw-sop- :
r ::::::sersavasie: ::::XAS:71:r.111' mommorm
MOS:11,4407010 ::00:1110:41 : :MIMI , C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
1 111••••••::: ir..a...saw assist,i OOOOOOOOOO es.OOOOOOOO,:-..::iii il : processing plant, machine shop, laundry building at hospital, elementary
mi: :".":::::::::!: :
41.1 MULL .
10,Wt Ire*, OOOOOO 00410110 IMMO
WSW : 1 :::222: 10. Cost of improvement $960*00 school, secondary school, college, parochial school, parking garage for.
: ammumr.gra.-AT :O department store, rental office building, office building at industrial plant,
1,...:::1:OOOO SOSOMOO:
....1.6" . 1411114SOU O OOOOOOO OSSA:. :02 To be installed but not included If use of existing building is being changed, enter proposed use.
• I rim
um : 1:111:OOOOOOOOOOOOO SASOSOSOWSIONS: : in the above cost
*
11410f f : a. Electrical
AMU=::: :_p_. ISSOSSO OOOOO: : 1 CV
i 2::::::i1:122::'.2 SO 011:811::POS:::4161 : OS
5121E1UHRia:Shigharirer::::::: :MISS: SI:i :11::::1 :::::: ":1::::
12111 SOW MS111
IMUSS b. Plumbing ,
;:::::ireliiii: .: 11:011410:4114".":12 14 ... , :::::i:::::::: M. ::: c. Heating, air conditioning
iiiiiiinie::::11::::::::::Eillesmmma OOOOOOO 1::::::•::: :".."6":::::::ilarnii::::ailigii::: 1
— iqrnurrbn.....g.suir-no .:. .:1:1: mpuli =•OOO9O Or a,OOOOO -11Ii8ii::i:ii4i:i:ii::ifi1:1:1.4..1:51iilf:E"r::::::1:11::: O
d. Other (elevator, etc.)l: r
1::: pind : Mriliii:611: :: : :: 61"4:11 : 1/1magM 1O:::O14 pros ::mrgur--....Isp:i; 11•111..;tir,rel:prive el,-..: :1:::19 :081::::::::::Ire :::::::::1 4111
11. TOTAL COST OF IMPROVEMENT $
4: ::::musrlar::: ee 110114.14OSHOSOMIM....II.. SOO ORSOISPOSSO :11
"Iiiiiiii:S111.1 :SOO.. .1 1... .:122.:::::::::::1111:2 III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
,..... • ....
41plipliiiiip:MICIF:::::•••: l: 41•"°"'Intn• ..,../...Agg:::::::iiire2 ....
_fel_ f . SOWS OfS SOOSS..:::: SOO : 4411...iMiSIS "..11/4W04SIFV40fall SOOSSM4f11 fle.SOMOMO:::11::::::: I difi for wrecking, complete only Part J, for all others skip to IV. >
'4"'"*"1::::::::•:111:0::" iSOSio .., 822121141101111a::::::::::::::r2:411S.....OSIISSOSUUSSO MOSMOSSO......l'
4.....:::::::iii:::::::11:~4:1122:110SIS :::::::....a..,..mrn........m Ea.:...:::::r— u9:::.....1, :::::: GI
2 32fIll....ma! fam..somm.see..41 E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
. MI 22.1. "122...............2 • 48. Number of stories
1:::::::: : ri :: • ireseam:4. :: 411:1:1:: =HUM 30 Li Masonry (wall bearing) 40 I I Public or private company
...,!;LniiiiilifillifillifilliiiP:::::. : :..i
r....:...b........ _._ i' 31 I I Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, N_
rii:::11::::::ii:::11::iireel :Mho: ra:":::::861::ii: mg
i.....Mu all floors, based on exterior
llablogliiiiailefilaiii .......semptill: : ::::iimur"•••::-;r1 kr r....rdlur Jr
: pi ..... . : :.....:::: 32 r7 S• tructural steel dimensions ,),)
ippii:::ii:::1:::::iiiMmus: ::::::."::::
O. ::::::1414 . IN:21:1::: :SOUS: Mina:: 33 [ Reinforced concrete H. TYPE OF WATER SUPPLY
1111:11Ealinililiglinall."8": 1.11.4...1..............Miiigi:::::.:::::::::ig ge.:""4:iiimgliii 34 ri O• ther - Specify 42 [XI Public or private company 50. Total land area, sq. ft.
Uliiingli:selpiagarghlrael
• he 1:816 4:: Rui " ::::!:::::!: esersmailiiiiiiii4 431 I Private (well, cistern) K. NUMBER OF OFF-STREET
iiiimniehirialiiillim Bilhinfi Wail :.:::..: : ::..... ::::::!=:::::::!!!:::::: s :dr 1::::.:!: PARKING SPACES
inininliiillarplogionipaitill:111:::s: : : :iiipplii: ::::::iii:: wommillii:::piregh. ...immeso - 1D
diiii::: difiLiiihiffineillialikiiiiiiiiiiiiii:::: Irm":::::11:Talriitlita:11::::::: dijilmaiiiiiii:::::::iii::::::::133 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
0
ittin;:iptgrappErigniffillp:::::::ii::::::•:: niinieir Zinal lush:1.1:11:111:i:.....:.:::.::.:th.r.:... ; -4
35 I I Gas Will there be central air 52. Outdoors
lialialliimmalinisruainind:: a . as: 1:411::::::midelialimimailitaseishisesermai . 2 1111001:SOWOOM
--::;
Wm')Omar wimp grespi:iiiiwinms..:...:i:::::::::.....::::::::::::giragi:::: pm Film irphr.., :::::::: 36 I I Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY \
ihmilmikligaigniliskihith:::::hullifirliii.:: ::::::.: :11111ffin......iikiES:FiliamishArallimm::::::1:::::::1 37 I I Electricity 44 I I Yes 45 r7 No 53. Number of bedrooms
MIMM1111011•111011•4112HP:111101•11firdirie itillIDEMPAHM1111110:0111151041=11iiiiiiiiiiiii:::::::••
Isaimmesai 38 I Coal
limmunsusangualannumsnoinwat.„,„..u.mulnumunng!!!!!!!!m!!=.1:=:; ;;;.......-..iimoliw:::::,,r'LliI 2:::nit:r.!t..i' 39 I I Other - Specify Will there be an elevator? 1 Full
54. Number of
T'ILIMMIM MP 46 fl Yes 47 I I No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, rit>, and .Mate ZIP code Tel. No.
NOTES and Data — (For department use)
owner or Rrlward F. Slanda Rockland Heights Rd. ,Northampton,Ma.' 01060 =6-0642 .
Lessee
Builder's
2. 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 as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signture of appli A res Application date
44e/a6t e04..64 zocskland Heights Rd. ,
Northampton, Ma. 01060 3/11/77
DO 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
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A royal Check Date Number ByPermit or Approval Check Date Number
pp Obtained pp Obtained By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING v
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Building
Permit issued 19
Building
Permit Fee $
Certificate of Occupancy S
--Approved by:
Drain Tile $a
Plan Review Fee
TITLE