25A-190 (33) ZONING
FRONT DISTRICT
SIDE YARD SIDE YARD
REAR YARD
01
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NOTES and Data — (For department use)
k e-
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State 7I code Tel. No.
r!vv�
Owner or
Lessee Ailss
Lgcens r,
L. eNo.
Contractor
r?
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 �F Address Application date
00 N T WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued o� 7- - 19IF_
Building y Fire Grading
Permit Fee $ Z lld
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITL
1
o� o CITY OF NORTHAMPTON
9 '>8 MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
10
Page—,! 5 1") 7 Plot CO
APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ING
I• AT (LOCATION) Iel)z � / R-%L/ J��L� � DIOSTR CT _
LOCATION (NO.) `STREET—
OF BETWEEN _AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TY E F IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use m
m
1 New building Resid ntial 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
number of units– – – – -->. 20 Industrial
3 E] Alteration (See 2 above) 14 l
t
l
t
t h
i
Transenoe , motel,❑ 21 Parking garage
4 ❑ Repair, replacement or dormitory – Enter number
5 ❑ Wrecking (If multifamily residential, of units ––––––– – – 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation) 16 ❑ arport 24 ❑ Office, bank, professional
7 ❑ Foundation only 17 EjV ",her – Specify— 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNS HIP 0LZPiC, 27 ❑ Stores, mercantile
t / 28 ❑ Tanks, towers
8 Private (individual, corporation, 1
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,,,,,,,,,,,,,,,, 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 $ 00. 0 Q
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 frome 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 – Spccifv 42 F ] Public or private company 50. Total land area, sq. ft. ..........
43 E] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 'L_11 Gas Will there be central air 52. Outdoors........................
J
36 Oil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 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.......
DEPARTMENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING Z2
NORTHAMPTON, MA. 01060 PERMIT Oa
25BD - 61
VALIDATION
DATE July--6y 19 81 PERMIT NO. 318
APPLICANT Joha F. Zaleski - ADDRESS 10t Old Fer Road _
(NO.) (S REEF) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (I_) STORY lgto s Shed DWELLING UNITS 1
P I ROVEMEN N0. (PI�POSED USE)
ZONING URA
AT (LOCATION) 101 OlA Ferry Road DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 8 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: ennst'ruct wood frame storage shed - set on blocks
AREA OR ESTIMATED COST $ lg �g 200.00 FEEMIT 10'00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Tnhr & Elizabeth ZA14Ps y BUILDING PT.
ADDRESS pro Rnx 6OL► Nprthamntnn� Ma_ 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • K - ASSESSORS COPY
_._.__ .
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. x�-_,�...� .w,..� ,fi>. , .. ��. ---�� ,n....,,,
r�
DEPARTMENT OP BU11,I)ING 7NSP CTIOWS f
212 MAIN STUET �o - �¢
c�R o , s BUILDING -
PERMIT a a.
25BD - 6 , ,
VALIDATION
DATE Tut 6- 19 Al PERMIT NO. R
APPLICANT John It 7Al!'sku ADDRESS in C}I[ FAY ► Road
(NO.) (S REST) (CONTR'S LICENSE)
PERMIT TO (_47) .TORY a NUMBER OF -
_ StOxa @ ZiP.t� DWELLING UNITS
P I ROV ME NO.
r (PKOPOSED USE) -
ZONING
AT (LOCATION) DISTRICT URA
(NO.) ( TREET)
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 L CONFORM IN CONSTRUCTION Ulot TO TYPE USE GROUP BASEMENT WALLS R FO JON
a (TYPE)
REMARKS: t on Ulookkf
VOLUME ESTIMATED COST �}> f)� FEEMIT . �
(CUBIC/SQUARE FEET) . -
� J
OWNER jobn & Itl4yrthath ZAIIJA /
BUILDING PT.
ADDRESS 9-0- BOX 6n&- 3".t}a 2t3 #-0 SIB, Olf)60 BY
WHITE - FILE COPY GREEN - FIELDCOPY CANARY APPLICANT COPY ■ K - ASSESSORS COPY