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PLAN R EVI EW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL Is OTHER ]s VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obta ined 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 Vil. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued _V 1 19 Building J Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load. Approved by: Drain Tile $ Pion Review Fee $ TITLE _ CITY OF NORTHAMPTON 1�. MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Ut Page—2� Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. 0 I• ZONING AT (LOCATION) f /f)'r � �, •, � i� � DISTRICT . LOCATION (N0.) (STREET) / / OF BETWEEN /'f� �' / :/ AND / %i�j/ {Iji.�7 BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. 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 ew building Reside t' I Nonresidential I Addition(If residential, enter number 12 L One family 18 Amusement, recreational of new housing units added, if any, in art D, 13) X 13 Two or more family — Enter 19 Church, other religious number of units' — — — — i 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 C� Parking garage 4 Repair, replacement or dormitory — Enter number 11 5 ❑ Wrecking (If multi family residential, of units ——————— — -- 22 �J Service station, repair garage enter number of units in building in 15 L� Garage 23 Hospital, institutional Past D, 13) 16 Carport 24 Office, bank, professional 6 [71 Moving (relocation) 25 C J Public utility 17 Other — Specify 7 D Foundation only 26 School, library, other educational B. OWNERSHIP 27 L l Stores, mercantile 28 Tanks, towers 8 t Private (individual, corporation, nonprofit institution, etc.) 29 L� 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,,,,,.,,,,,•.... C school, 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....................... 4-Add 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 50. Total land area, sq. ft. ........... 34 Other — Specify 42 Public or private company 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 Electricity 44 n Yes 45 r�. No 53. Number of bedrooms.............. 38 Coal 39 Other — Specify Will there be an elevators 54. Number of Full.......... bathrooms 46 n Yes 47 I� No Partial........ DEPT.-VF BOILDING INSPECTIONS BUILDING + ! 212 Main Street O<a. Northampton, MA 01060 PERMIT 35 - 171 VALIDATION DATE July 7, 1987 PERMIT NO. 4�a APPLICANT Paul Lastowski ADDRESS 1-1h1 Rllrte Pit Rn;;d Owner (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Alteration (_) STORY nnP Fami 1 v DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED E) AT (LOCATION) 1363 Bur s Pit Road DIISSTR CT SR (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 installation of a bulk head into existing foundation to create-exterior entrance way into existing cellar AREA OR ESTIMATED COST $ 259.00 FEE MIT .� 10•00 VOLUME (CUBICJSOUARE PEET) Y OWNER Paul & Joanne Lastowski BUIL IN ADDRESS 1363 Burts Pit Road BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK AS ESSORS COPY P061,