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I WALL sFcraA) PuJ� DooR � I K� CrrCnd LAN. 1 y C 4oU]> r� L9 �k 1 z J WALL IS IV. IDENTIFICATION - To be completed by all applicants 1 Name , /Mailing address — Number, street, city, and State ZIP code Tel. No. /J Owner or Lessee 9 4r�-^fL• Builder's 2. 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 f applicant Address Application d to 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 Is OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obta ned 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 FOR DEPARTMENT USE ONLY Permit number Building- , p Use Group Permit issued ` +.-ice �z ig c - Building �l Fire Grading Permit Fee $ ` I L C? Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ ` TITLE o . CITY OF NORTHAMPTON 9` "� MASSACHUSETTS r � e �` OFFICE of the INSPECTOR of BUILDINGS "' � Page =�' a Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O I• ZONING AT (LOCATION) I'I �L Y r �[� /� ��t DISTRICT LOCATION (N b.) /gyp �- (STREET) OF BETWEEN ©r+/ 1(3z I p wr J / _ AND BUILDING (CROSS STREET) CROSS STRE LOT SUBDIVISION LOT BLOCK SIZE Vr II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -f A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m M 1 F7 building Residential Nonresidential �gddition(If residential, enter number 12 ❑ One family 18 Amusement, recreational of new bousing units added, if any, in Part D, 13) 13 Two or more family - Enter 19 ❑ Church, other religious number of units- - - - d�• 20 ❑� Industrial 3Iteration (.See 2 above) 14 ❑� Transient hotel, motel, rrr•��••������ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily residential, of units ------- - -- 22 L_� 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, 28 ❑ 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„..............too - 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 $ %Z=C - 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 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 e 51. Enclosed ....................... 35 u Gas Wi here be central air 52. Outdoors........................ 36 Oil conditi ng? L] L. RESIDENTIAL BUILDINGS ONLY 37 j Electricity 44 Yes 4S -, No -- 53. Number of bedrooms............. 36 �� Coal 1 39 �� Other - Specify Will there a an elevatory Full.......... ` L- + F 54. Plumber of 46 [- , Yes 47 ❑ No bathrooms - Partial....... Dep$,r treat of Building Inspections 212 Main'Street BUILDING ZD Northampton, Ma. 01060 f a �,9 j •l) � L11-1-1 4 � PERMIT r 25A - 134-137 VALIDATION DATE April _ 19-82 PERMIT NO. 147 APPLICANTrbarl es Borowski ADDRESS 19 r.1 Pinwand Ave. (NO.) (STREET) (CONTR'S LICENSE) Alteration NUMBER OF PERMIT TO XUTZ<Y� ( 7 ) STORY Add a[�d;tipnal a»artment DWELLING UNITS 2 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE)T ZONING �B AT (LOCATION) 19 rl e---A AVenL DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (GROSS 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: See Special Permit approval AREA OR ESTIMATED COST $_ 4,000 FEEMIT 16.00 VOLUME - (CUBIC/SQUARE FEET) �� � A OWNER Cberlac J Y�rcg AQ:KGW2k1 — BU IL I T. ��G/®YyJ_l/J// ADDRESS 4 ailwnad Avenve Northampton, Ms 01060 BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY