25C-179 (6) Vill. ZONING -PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN For Applicant
.............
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NOTES and Data — (For department use)
a
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
70 1),po �n
Owner or
L.e.s.see
� G Builder's
2
c`R W" ox 9 D > License No. j E y'
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.
Sig ul of applicant Address Application date
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 $
ELECTRICAL Is I
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 r
Building. Use Group
Permit issued /T 19?'?
Building / Fire Grading
Permit Fee $ �4J.. %�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approv y: t
Drain Tile $
Plan Review Fee $
TITLE
w CITY OF NORTHAMPTON
�• MASSACHUSETTS
r
OFFICE of the INSPECTOR of BUILDINGS
t Page Plot �z / APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, 111, IV, and IX. O
=/L ZONING / �+�
I• AT (LOCATION) DISTRICT`!
LOCATION NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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 F__1 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13X Two or more family — Enter 19❑ Church, other religious
number of units— — — —ransent —> _ 20 ❑ Industrial
14 T
3 Alteration (See 2 above) i hotel, 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) 16 ❑
❑ Carport 24 ❑ Office, bank, professional
6 Moving (relocation)
7 F—] Foundation only 17� Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP pF�� �� � 27 ❑ Stores, mercantile
i ❑8� Private (individual, corporation, 28 Tanks, towers..}y�
nonprofit institution, etc.) G/� � 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................ ���C 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 $ �
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 ''�j
30❑ Masonry (wall bearing) 40 Public or private company 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45N No 53. Number of bedrooms..............
3B ❑ Coal
39 ❑ Other — Spocl%y Will there be an elevator? Full..........
54. Number of
46 [_—] Yes 47t No bathrooms
Partial.......
Departm.ext of Building Inspections
212`Main Street BUILDING Z°
Northampton, Ma. 01060 PERM'T oa 16. (.
a
25C - 179
VALIDATION
DATE February 10, _19 83 PERMIT NO. 61
APPLICANT Robert A. Borawski ADDRESS 170 Audi bon d- _ Leeds 03M99
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO rep air,re Zj1 8Ce ( _) STORY Fire PS�At>P DWELLING UNITS �y _
(TYPE OF I PROVEMENT) NO. (PROPOSED U E)
AT (LOCATION) 107-109 North ZONING
DISTRICT 11Rr
(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: RP=l ACE wnwitan fi rP Psnaz a with metal one
AREA OR PERMIT
VOLUME ESTIMATED COST $ 4v000 FEE -1600
(CUBIC/SQUARE FEET)
OWNER Ann M_ Rnraygnk4 BUILDI G
ADDRESS 17.0 Audubon Rd. , 1•ppds_ MA_ 01053 BY
WHITE - FILE COPY . GREEN FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
AAI ,
Deep rtmeut of BuC,.,d!.u& Inspections
Lions BUILDING
Northampton, Ma. 01060-212 :fain Street � � _
PERMIT
25C - 119
r VALIp ATION
DATE Febr>aly 10,,, 198 PERMIT NO. 61
APPLICANT Robert A. Borawskf ADDRESS 170 Antitobrs?? Rd-* Leads j 1AT55
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO E �f-Yq I.�G� (�) STORY �'��"� ��� DWELLING UNITS
(TYPE OF I PR OVEME NT) N0. (PROPOSED U E)
ZOING
1A?-1hY 9 North DIIS
AT (LOCATION) TR CT 112-C
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUIL.OING 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: .( ,Q
AREA VOLUME ESTIMATED COST $ AV000 FEEMIT $
(CUBIC/SQUARE FEET)
OWNER AM t2 M. Bp-rAw_q l
- ADDRESS 17()AmAs,b,= » A.l p ma- 01053 B Ui LD l
BY
WH`�TE FILE COPY GREEN - FIELD" COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY