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NaNO.■UH HUUUHa • ., • ■ • ■,� o • NHa ••--- •a•••a•• aasrsa's s szaa ar::r:s:sa••.•aa••••4i•4•t•••. • • N _ ..•ri:II.UW:U\ H• ■ 1Hf •anaNUHN•t . a • Hw�n�-' ! • • • .a N • n Ho Hu Hoar i��;i••• ••1 ai • �iN • aa;a= Qtr='j.ua:.ir=e::aaoa::lima:a r iiii�ii i' 5'••�a-H ai:=:araageaHHHHi fu_ r ■ ■ uH ou • z s• a •• s ale_a_raaa;ais...In............. 9s :esss:asrsee'sssssde �� �••" �s if .ayl . .. :z:... .° z:::::a�Us CH: ---------------- ---------- &E NUNN NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name t Mailing address — Number, stmt, city, and State ZIP code Tel. No. 1. - Pc d u� T �� r15 4 / Q Owner or 1J1, �' 1 Ct:-- J�f� u. U!(;�U Lessee / y u l'4ti IG'�%' Builder's 2. '%f I3 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. Signature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObttaT ed 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 /Q� FOR DEPARTMENT USE ONLY Permit number _ ^ Bui Iding / Use Group Permit issued _ '�/ 19 Building // Fire Grading Permit Fee $ / (_ Live Loading Certificate of Occupancy $ ,Occupancy Load Approved .! Drain Tile $ Plan Review Fee TITLE CITY OF NORTHAMPTON .� MASSACHUSETTS r $ e OFFICE of tbie INSPECTOR of BUILDINGS Page Plot q APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• ZONING AT (LOCATION) ��1 V�1J DISTR CT LOCATION (NO.) fl (STREET) `I �1 OF BETWEEN 10 kA/ AND Mf'�,V itC,:,.y// BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT_ BLOCK SIZE H 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 id ntiol Nonresidential 2 Addition residential, enter number ❑ 12 One family 18 ❑ Amusement, recreational of neu., housing units added, if any, in Part D, 13) 13 Two or more family - Freter 19 Church, other religious 3 ,Alteration (.See 2 above) number of units- - - - i 20 Industrial . 14 ❑ Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory - Fnter number ❑ o units - - --� 22 L_ j Service station, repair garage 5 Wrecking (If multifamily residential, / _ enter number of units in building in 15 Garage 23 �_ Hospital, institutional Part D, 73) � 16 �� Carport � 24 � � Office, bank, professional 6 Moving (relocation) 7 Foundation only 17 Other - Specify�G� 25 �� Public utility 26 _J School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, f' 28 , Tanks, towers ) nonprofit institution, etc.) 29 ❑ Other - Speci fy 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,,,•,,,,,•,,.... $ " school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. 7'o 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 $ r 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, 1 - - all floors, based on exterior 32 ❑ Structural steel dimensions ..................... ' 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 L❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. Ft. .......... 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........................ t_, conditioning? 36 [ ] Oil L. RESIDENTIAL BUILDINGS ONLY 37 L.: Electricity 44 Yes 45 _ No 53. Number cf bedrooms.............. 38 Coal 39 Other - Spcci/y Will there be an elevator" Full.......... 54. Number of 46 � ) Yes 47 --1 No bathrooms Partial........ w y a DEPT. OF BUILDING INSPECTIONS BUILDING z° , 212 Main Street o< Northampton, MA 01060 PERMIT <a 36 - 99 VALIDATION DATE Owner August 2, 9 88 PE IT N 492 APPLICANT Ed Popielarczyk ADDRESS 81 ur S Pit d. , (NO.) (STREET) (CONTR'S LICENSE)OF Above Ground Pool One Family DWELLR PERMIT TO (_) STORY ING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 981 Burts Pit Road ZONING UKA AT (LOCATION) DISTRICT (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 an above ground pool 24' diameter AREA OR 24' diameter 3 000 00 PERMIT 10.00 VOLUME ESTIMATED COST FEE . (CUBIC/SQUARE FEET) OWNER Same as ADplicant BUILD) E ADDRESS Same a$ ADpl Kant' S BY a WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK -/ASSESSORS COPY pjNf NP