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GRAY W DIRECTOR,ARCHITECTURAL RELATIONS Office and Exhibit Area: ids n Residence: 146 DASCOMB ROAD HINGHAM,MASS. (Route 93-Exit 16) (617)749-2080 ANDOVER,MASS.01810 COMMERCIAL RESIDENTIAL (617)475-7100 DATE JOB x. _x Z X rb -� - rr y r f 5 � i 1 i — f 10, R f i t r--1 5--- ft 'Wualla6le to seroe you milhf 53uo�9e1 J Aces �Ino�ow l7elalln9 anon c�pec Drilin9 DOOR ENTRY SYSTEMS m W/rSCO© I-11 STEEL AND WOOD �hermerui Brockway-Smith Company F_ Serving New England Architects since 1891 ZTT JOHN B. GRAY u W DIRECTOR,ARCHITECTURAL RELATIONS Office and Exhibit Area: ♦�> Residence: 146 DASCOMB ROAD HINGHAM,MASS. (Route 93-Exit 15) � (617)749-2080 ANDOVER,MASS.01810 COMMERCIAL RESIDENTIAL (617)475-71001 DATE JOB 3 v 47 X T S n t�< •�' � ._ _-ms`s ..,.- ,'. � 1 h ALI- i 'ry ^� 5 ij7 S T Q) T �oarla6le to seroe you mi/A `�uo69e1 J�rices, Dino%w Delallny anon c5pec &)rilin9 DOOR ENTRY SYSTEMS m Wref��• STEEL AND WOOD skiltul IV. IDENTIFICATION — To be completed by all applicants Name 11 � Mailing address — Number, strut, city, aauf State- �hZIP codee) Tel. No. owner or Lessee P 'T Builder's 2. �r i License No. Contractor 7 21 . C, oo O t3 a 9 5;3 65 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. Signature of applicant Address Application date 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 Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained Obtained 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 II. VALIDATION Building L( FOR DEPARTMENT USE ONLY Permit number Building. Use Group Permit issued fq Building Fire Grading Permit Fee $ 1 � ,C� 3 Live Loading Certificate of Occupancy $ Occupancy Load App ed by: ^ Drain Tile $ U Plan Review Fee $ TITLE CITY OF NORTHAMPTON C �+ MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS Page � � Plot—rl Z_ APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all fitems in sections: 1, 11, Ill, IV, and IX. ,s O ZONING I• AT (LOCATION) 171< )�,,�� I;,.J-�t,�. C( � D STR CT(4? LOCATION (NO.) TREET) 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 ❑ New building Residential Nonresidential 2;,Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious 3 Alteration (See 2 above) number of units— — — — � 20❑ Industrial ❑ 14 ❑ Transient hotel, motel, 21 Parking garage 4❑ Repair, replacement or dormitory — F.nter number 5 ❑ Wrecking (It multi family residential, of units ——————— — 22 �� Service station, repair garage enter number of units in building in 15 L❑ Garage 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17 Other — Specify 25 ❑ Public utility 1 ,{ 26 ❑ School, library, other educational B. OWNERSHIP s 1�7 LL '-/"�t "o 4fr/ 27 L❑ Stores, mercantile 8 >1""Privote (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) '' `i 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,,,,, �.r.,,•, 541 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..................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $, f 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, i all floors, based on exterior 32 ❑ Structural steel dimensions ..................... d 33 ❑ Reinforced concrete H. TYPE. OF WATER SUPPLY 34 ❑ Other — .Specify 42 F—] Public or private company 50. Total land ores, 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 ❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning.' L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ Yes 45 L7 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial........ a DEPT. OF BUILDING INSPECTIONS BUILDING z° ~ 212 Main Street O a /'-' Northampton, MA 01060 PERMIT 36 - 112 VALIDATION 1 GGDATE July 17, 19 85 PERMIT NO. 420 APPLICANT Joseph S. Ocicki, Jr. ADDRESS 95 Pelham Rd., Amherst mm 013911 (NO.) (STREET) (CONTR'S LICENSE) Addition Deck/Sliding lass Door NUMBER of PERMIT TO (_) STORY g DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 215 BrooMide Circle ZONING Ogp, AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE DECK X),J , IS TO BE 14 FT. WIDE BY 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) permit for the addition of a deck and installation of a sliding glass door REMARKS: AREA OR 280 sq. ft. ESTIMATED COST $ 2,500.00 PER � 12.00 VOLUME (CUBIC/SQUARE FEET) OWNER John Bukowinki BUILDIN ADDRESS roo si e Circle BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - A ESSORS COPY pINT- P