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NOTES and Data — (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — \'umber, street, city, and State ZIP code Tel. No.
1.
Owner or 00
Lessee
Builder's
2, v S4- License No. 3
Contractor A VK4
3. V1 rs2
Architect —
Engineer ("L), �
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 nature of a licant Address Application date
C �
/� %
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
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $ It
ELECTRICAL ' $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObtDan d Number By Permit or Approval Check Obttaitned 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
i
VII. VALIDATION
Building t - FOR DEPARTMENT USE ONLY
Permit number
Building � 1
q ' 1.7 Use Group
Permit issued T� J\ C 19 _
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
• r!
TITLE
CITY OF NORTHAMPTON
g+ $ MASSACHUSETTS
r
$ OFFICE of the INSPECTOR of BUILDINGS
L
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
0. ZONING �� )�
I• AT (LOCATION) I DISTRICT}[_R
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT •1 Q
SUBDIVISION LOT BLOCK SIZE 1 _( d
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 Re idential Nonresidential
2 Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new bousing units added, if any, 13 wo or more family — Enter 19 ❑ Church, other religious
in Part D, 13) number of units— — — —
3 ❑ Alteration (See 2 above) 20 ❑ Industrial
14 Transient hotel, motel,
4 ❑ Re air, replacement ❑ 21 El Parking garage
p p or dormitory — Enter number
5 F-1 Wrecking (If multi family residential, of units ------- — -i 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 26 ❑ Tanks, 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,,•••••••,,,...• $ 1.r�, 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..................... _�?�f ✓� � � � �y ���dt �' °'�1.t�r
b. Plumbing .....................
c. Heating, air conditioning..........
L1
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 r' rea,
Public or private company 49. Total square feet of floor 48. Number of stories..............
31 Wood frame 41 Private (septic tank, etc.)
a
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 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 E Electricity 44 Yes 45 it No
53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevators Full..........
— 54. Number of
46 Yes 47 'J No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS BUILDING oa ` r�
212 Main Street 4
Northampton, MA 01060 PERMIT Qa
36 - 99 VALIDATION
DATE Mar, 29, 19 89 PERMIT NO. 133
I-I
APPLICANT nIICP Fartnrv� Inc ADDRESS 136 Carver St. ,
Gran y, Ma. 0 3 24 29
(NO.) (fTREET) IC ONT R'f LICENSE)
Addition NUMBER OF
PERMIT TO (_) STORY One F�mi 1)/ DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOf EO USE)
I Burt-, Pit Road
ZONING IC URA T
AT (LOCATION)
QQ(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROP! 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)
permit for the addition of an extension onto existing dining & bedroom 12' X 29'
REMARKS:
AREA OR 34.8 sq. f t• ESTIMATED COST $ 15,000 000 00 FEEMIT 9 —
VOLUME
(CUBIC/SQUARE FEET) r
OWNER Ed Popielarczyk BUILDI EPT.
ADDRESS 981 Burts Pit Rd. BY
WHITE - FILE COPY ■ GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pINT 'P