10D-030 (2) 1
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No._
1.
R Caparso, Pres. 38 Strand Place 01550 617 NOTES and Data - (For department use)
Owner or
Lessee Fairway Village, Inc. Southbridge, Mass. 765 -5445 1 �� 015126 Vv.
2. George Beu, Const. Superintendent same as above
License No.
Contractor
Capricon Construction, Inc, same
3.
Architect or •Tttst& r Pope Asso i at ps 5 Bridge Street 411
Engineer Shelburne Falls, Mass. 01370 625 -2572
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 applic n as his a thor a.ent and we agree to conform to all applicable laws of this jurisdiction.
Signature of appli ant 4"4 Adddress Post Office Box H Application date
Gera d A. Jacks North Amherst, Mass. 01059 6/14/84
D H NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check PIan Review Date Plans By
Date Plans By Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained 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 l_J' �� FOR DEPARTMENT USE ONLY
Permit number
BUI lding Use Group
Sq
Permit issued /8 19 A
Building Fire Grading
Permit Fee $ . OCR • d Live Loading
Certificate of Occupancy $ Occupancy Load
• ppro ed by: /
Drain Tile $ 40;1/
Plan Review Fee $
TITLE
( �44
1
CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES $ A I MASSACHUSETTS
0 111 _ , �i,..
.)c c0 OFFICE of the INSPECTOR of BUILDINGS
DISTRICT URA *. ,
ruh4.4 Page l0n Plot 30 4 O% APPLICATION FOR
USE Planned Unit Development by Special Permit dated April 9, 1981 and ZONING PERMIT AND
INSPECTOR 16A 11 and 13 BUILDING PERMIT
FRONT YARD Z
IMPORTANT - Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
[ � 1- ZONING
SIDE YARD SIDE YARD Northam ton C.C./Spring .l I reef DISTRICT IJFJ
1. AT (LOCATION) P (STREET)
REAR YARD LOCATION N0.)
OF BETWEEN Chesterfield Road AND Ditnnc Streen.
NOTES BUILDING (CROSS STREET) (CROSS STREET)
Fairway Village P.U.D. LOT BLOCK LOT
SUBDIVISION
V1
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D 73
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For "Wrecking" most recent use m
-4
1 n New building 4 buildings Residential Nonresidential
2 I Addition (If residential, enter number 12 1 One fami ly 18 I Amusement, recreational
of new housing units added, if any, 13 y 1 Two or more family - Enter 19 1 Church, other religious
in Part D, 13) X 15
IX. SITE OR PLOT PLAN - For Applicant Use See Site Plans filed and approved by City Boards number of units- - - - --> 201 Industrial
3 I 1 Alteration (See 2 above)
14 I I Transient hotel, motel, 21 D Parking garage
: 4 1 1 Repair, replacement or dormitory - Enter number
• o a00a0 ■■ 410: ■ o units 5 LJ Wrecking (I/ multifamily residential, / its - --� 22 Service station, repair garage
■ enter number of units in building in 15 I 1 Garage 23 1 Hospital, institutional
is ■ 0 Part 1), 13)
sessu: omit i i 16 I I Carport 24 Office, bank, professional
•sr■■■••i 6 Moving (relocation)
■ 25 I Public utility
u:rsaa *■ =0000s0000■■as0as:•as00 mesa :: 17 I I Other - Specify
=000 00•as000r a:ns 0000= ■ 7 I I Foundation only 26 I School, library, other educational
=ssa00 a r•00••ar 1 ■ _
•••#rp• a: •: N
•rani :aasia■ �q ■• : :Ora ■ • ■ • ■•■
: ■
� I11 a#ws• #■ 0 r NM ■ •arrwa•• at�li lrwrll
aa :a•iaRa
a� • • ■•� B. OWNERSHIP 27I Stores, mercantile
i�sllr•s • r1***** 1***** s • 1 ": __ ' 111 � 28 1 Tanks, towers
:0000 Se•:0•yI• ∎OO1 : { :rrar••• ■Ha ::
0110 # i1l∎∎∎∎∎∎i:r.. Z r ■■ : 0 00r•• r�r 8 Ix l Private (individual, corporation,
ass ZSsarssa000a■•tes.11:11116 0 "" nonprofit institution, etc.) 29 1 Other - Specify
a . ■ ■
i 9 1 I Public (Federal, State, or
+ �� r �
iii:••a•w aaa 0 U•• :N ::SHS•::••00rr000 :f..s.r■ .I� local government)
:u. •aarr:.0 :is■ra •••• Mi• sa i■ ■■a•raa area
• ■s sr:a a Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
00rtisri::::!00■• ito 300 a •saTi•rs••soauur�isa■sa ■•II � C. COST (
�Ia0:0000• processing plant, machine shop, laundry building at hospital, elementary
N as •0040HaM•0 a: 0 •�r•raa 00010■::
■rw00�iiasr5 = • . aar 000 525 000
::::::::: • am ra a a• • as 10. Cost of improvement $ a school, secondary school, college, parochial school, parking 'garage for,
d
• ■ras■ss • r ush•sr•:ws•• ns •a••n •s•u +
sr•:• �S ra�■�i = e artment store, rental office buildin g at industrial lant.
00.00000:000000000000 0000: 0
department g, office bui ldin p
00• 000 0000
U:= i00siss • • s • a i s s is : : a a a • a r a 0 • I I ■ To be installed but not included If use of existing building is being changed, enter proposed use.
i the above cost 52 000
3. r ri ri . = s _ a. ^7�,'� `1 "v`
_ s ■aassas s
iii3i :ssitiiiii� WA" : I� ■ :i . Electrical ' C J/7 t ��
faaMiir • ' 2!
600000000000 r M •0.0.00 ■ r� •■
rgrraaaaanrras• :: 0000000 =r• • •�•BM b . Pl 53
iii �/
s 00 rla • a t '1 =ice m.00• 0. a•ar■r ■.
= . =sa S aa•= '
: = y � � ALAI-U-
r•00a::saf00 a a:a00u • :swa : r r �t1 co .�-� -�-� - ECG Z� .� �a� '
... � 00• C . Heating, air conditioning 45
r •00 r�i Z =� g SSra•00••• ssa�i0s:00i00� =ii7r'w iS•w�• _ •_ ■ 11/ 1 ia..) --fatilmikuhl ewlil Vi..6 oi /1
iii. =n'� s iii�i�Ir .........s= Zis•u= S d. Other (elevator, etc.) .
00siiiii• •••a •• •: : /M ( :00= • ■� ■■ •�, a �I�i l••Z'asri • s•y; a urrjsr •• 0: 00∎:0 : :ss :Z : : : 11. TOTAL COST OF IMPROVEMENT $ 675,000 L} t `-
RI1 =iSl S rIn th :ga i:::::l: :S:.S 1, ..:::::: : :: i . • •. :: • ' III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
r il' =� a :�.......iii1ii: =t��'"'• �• :■� a•a S':.1a se's'; Q••= ', for wrecking, complete only Part J, for all others skip to 1V.
9S: •ay •�S :S= r r • Z • 0000 = E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
:••• • ii�ias�ss�si.u a : a : :i a • ■••.. ' a�' _ ••Ia •■_ 48. Number of stories 2
0 11 ..a.r • S�1:11:111 i 6 1111 00 se, :a• :ass s s 30 I I Masonr ) 40 IXJ Public or private company
y (wall bearing
00 �+ =S • r::� i� r ��_ si 0a 0000 mom _ ■ _ 49. Total square feet of floor area,
P
iii 00111100 i•= �ia0 +�r ■s•••gxi C : 31 Wood frame 41 1 I Private (septic tank, etc.) all floors, based on exterior 21 450
�iilb • " : :SS :E :: :: '
i a 32 I Structural steel dimensions
Z ii �' i�i ��"'��'�� ••��" �7i`■ a �iasuwru ant" _ ' •• �''_ = r H . TYPE 0 F WATER SUPPLY
r� • a r • 00 ■ : : 33 I Reinforced concrete
'j •� i iii i �rar■s • 00 • •q ■� • Mra ■a r�:� =�� n�•ligs=aa � �■3 :::Z =11� : :roue+ 50. Total land area, sq. ft. 801 A( P.s
j §I• ■r1f ri� a0 �r ��rs 1 I�■,,rj 001 :trra gg • • ° g ...::::::: e.-":::::: 0000 000 34 I I Other - Specify 42 IX I Public or private company r
liaa•II.r sras 001 r ria Il.ir w�ir• , �. r a � riria - r 0 r r00rrr
1111111111111111 . • . s ; • .1:-..........-.......:41..... •: 010:00 • r: a w 00 0a 00 ■■
i >fi '� • ■ • 43 I 1 Private (well, cistern) K. NUMBER OF OFF- STREET
•. li I ■r• a i 111:111:1 r1a•1r 111.nr 'r I a 111 H:Siasa•1 :mg: PARKING SPACES
i
N 1 riiw•■ esalli •Ilaf:r : :141lili :wini AI •: .!■■amariii ar00 ifi�� : ■ar 1 �`i q ■
s r 0. 00 • 00 • !!�,, •r�I�Ir� �I■ 00
• "� ' ii mi�n�iii�ii = 0 4: • 51. Enclosed 15
00 ea 1111rnitiia r ar11111s1r1eil rni F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
:1 au 1 1 :111111sal 52. Outdoors
lig
}}r • $f.r +i • a :rs Will there be central air
b f + " 04-111111111:d1"111 i#iiii � �i�i :•�i0�r��naiir�lQill
KM 36 I I Oils conditioning? L. RESIDENTIAL BUILDINGS ONLY
RH 1111. 1 r T i • '� i 1'�$ '' . : r : • : aa• 37 Electricity 44 Yes 45 �1 No
( , ! iti n r� X 53. Number of bedrooms
t . , . r , { iii Niiifi 711111 ia'ii.i"" '�'�i� '�sr ■��.:35....... X y 30
ID����
�� t # =i }rt t 110 •1 38 Coal
1 101. }. a a � t i a � 39 1 I Other - Specify Will there be an elevator? Full 16
� 54. Number of
mg bathrooms 15
Partial
BOCA FORM APEBP - 669 CI969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. 46 1 Yes 47 I�' I
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