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17A-291 (5) off" o Cr Xt� of Warthatnr ptau $ �Ixssxchnsetts - (effirt of t4t �nzptrtor of Juilbings 212 Main Street•Municipal Building = �� Northampton,Mass. 01060 �Q February 199 1991 CERTIFICATE OF OCCUPANCY Page No. 1?A Plot 1os Building (Name) 78 Hillerest Drive Address TS Hill&-rest Dr;va Ohio 43701 Owner James Csekalski Address 291 Skrit� m Dr.- Zananviiia Applicant T. Blauvelt, Ptes.l Pladtwtieta Val. Address Florence, Ms. Use: 1st 1 fmily iesideace Occupancy JWes Csekaiaki 2nd Occupancy 3rd Occupancy 4th Occupancy Zone District URA Required Inspections: New Building _X_ Existing Building Elevator Electricalf�- — /�2- i. . Plumbing r 1( Fire Building Other Inspoctor of Buildings M%SS VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 125,00 Ic s " F f f s. 'r f+ , t f E Y 1 9 j t ( Ito .N r t ` a e 1,7 ,y s --0 4 Z {.4 P 6 t ' S t � W � 7-1 J 4 t' S dv y r w c s 3T J� 'A I, i�-m i '-'-4- i 0 i'"O"00 i o+ s BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION - To be completed by all applicants Name Mailing address — ;Vurrebcr, street, city, aril State ZIP code Tel. No. James Czekalski 291 Skyline Drive, Zanesville, Ohio 43701 Owner or Lessee Builder's 2. Plantation Valle P. 0. Box 7, Florence, MA 01060 License No. 584-2893 Contractor Homes, Inc. N;`A 3. Home Planners Inc. Detroit Michigan 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 '�'F4vTq�yue pfigy p Address Application date �/ we BLf1aVEz-T D0 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 $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained 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 M - Use Group Permit issued . / 19 _ Building Fire Grading Permit Fee �Sll. ©� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TLE NOTES and Data — (For department use) CITY OF NORTHAMPTON MASSACHUSETTS OFFICE OF THE INSPECTOR OF BUILDINGS /74 — v1 APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING AT (LOCATION) T)ri VAS Florence DISTRICT LOCATION (NO.) (STREET) OF BETWEEN Sheffield Lane AND Bridge Road BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 21.277 s.f. Vr 11. 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 X❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 120 One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more family — Enter 19 ❑ Church, other religious in Part D, 13) number of units— — — — --> 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 l l h i Transent hotel, mote , ❑ 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[7] Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP °�� ^�` 27 ❑ Stores, mercantile 8 X❑ Private (individual, corporation, / O �� _eo 'f . _1_11YV 28 ❑ Tanks, towers nonprofit institution, etc.) / 29 ❑ Other — Specify 9 ❑ Public (Federal, State, or x a a 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,,,,,,,,,,,,,,,, 50,00().00 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 $ 50,000.00 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................ 2 31 X❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 2358 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 21,277 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... 2 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35❑ Gas Will there be central air 52. Outdoors........................ 2 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 R] Electricity 44❑ Yes 45 [X] No 53. Number of bedrooms.............. 3 38 ❑ Coal 39❑ Other — Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47 [j] No bathrooms Partial........ 5+ i hereby certify that the proposed work is authorized by the ,owner of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT ADDRESS r (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 U DEPARTMENT OF BUILDING INSPECTIONS Z D DEPT. FILE COPY BUILDING 0 0 0 Q 212 MAIN STREET BUILDING �a /0- /6-S NORTHAMPTON9 MA, 01060 PERMIT VALIDATION 17A - 291 DATE October 16- 19 80 PERMIT NO. 625 APPLICANT '- B1 auVPl t,, ADDRESS Pl antatfon Vallay Homes; Fir Ce a (NO.) (STREET) (CO TR'S LICENSE) NUMBER OF PERMIT TO Np4T d�e1 in¢ (�_) STORY On w�am�1V residence DWELLING UNITS 1 (TYPE OF IMPROVEM NT) NO. (PRO OSED USE} ZONING TIRA AT (LOCATION) 7A Hi 1 1 Crest Drive DISTRICT (NO.) (STREET) BETWEEN Sheffield Lane AND Bridge Road 10 (CROSS STREET) (CROSS STREET) w LOT EL SUBDIVISION LOT BLOCK SIZE a Family Rm. 18 16 p BUILDING IS TO BE_�i 4 FT, WIDE BY 98 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m Garage 24 22 0 Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) I It O LL REMARKS: Wood frame, electric heat, public sewage disposal and water supply, 3 bedrooms and 3 full baths. AREA OR FEEMIT VOLUME 2358 ESTIMATED COST .$_ SO- (CUBIC/SQUARE FEET) �(2 OWNER Tames Czekallski BUIL N D ADDRESS 291 Skyline Dr., Zanesville, Ohio 43701 BY (Affidavit on reverse side of application to be completed by auth agent of owner) 2 r w f, �"_S, ke�k` i" `,rte �4 r•.° �� a r X § 3 } U r. + J z Xl "xn 1 ' f �- .: �. � , c. £ �. 'r,.. n� .. ar .. ,�... �. r � �#�', u�. �` k µ �._�y .. �. T' s �bz�. �?. c 4a: ,.fir' .. ate#' $ �,�}e" i d � x'_ f -�, �,�, �,, ;`� �: , �. _ �.. #. ' ,a"» `-� .,, :;��`e � r + �� INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR Otto ' Pfli ,t � r DSPARTIrtWT OF "WILDING INSPECTIONS FIELD COPY 112 MAD STREET BUILDING i W*VMMrMv 14k. 41060 PERMIT 17A - 291 ! DATE October 16 19— 0 PERMIT NO. 625 1 APPLICANT T. b alive t. Pres,. ADDRESS Pt�on�aii r I e4. FIeZdin -I � (NO.) (STREET) (C NT LICENSE)OF PERMIT TO New e3veiiing�__1-) STOF; - DWEBLRING UNITS 1 (TYPE OF IMPROVEM NT) NO, \\, `-�.. ? lP P 0 USE) ZONING �A AT (LOCATION) �e DISTRICT Hill '.. (N0.) ( T EE rn BETWEEN Sheffield Lan �• AND Bridge Read(CR i e (CROSS STREET) OSS STREET) rn LOT j n SUBDIVISION '�"OT k BLOCK SIZE a Family Rm. 18 16 p BUILDING IS TO BE 4/4 FT. WIDE BY FT. L'Of G BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION o Garage 24 22 Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) O LL REMARKS: Mo-family residence idth attacbed garage and family Tom. Wood frame, electric heat, public sewage disposal and water supply, 3 bedrns and 3 full baths. f AREA OR FE EMIT t50-00 j VOLUME 235-8 ESTIMATED COST yi I (CUBIC/SQUARE FEET) OWNER James Czekal ki eYI ADDRESS 291 Skyline Dry., Zanesville, Ohio 43701 L�IN ZOT