05-038 (3) i
o� o Tx# of 'Wort4alnpton
� � �fassach�isetfs -
Offire of tot �nzptrtor of 'Puilbings
,U —
212 Main Street•Municipal Building = ��
Northampton, Mass. 01060
V
CERTIFICATE OF OCCUPANCY
December 14, 1977
Page No. F Plot
Building (Name) Lot #2 Address �,di-ib n Road Leads
Owner Robert Skrock' Address Rt. 66v Westhampton
Applicant Rame Address Same
Use: 1st Rtmal anae Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District RR
Required Inspections:
New Building x Existing Building
t r .
Elevator Electrical
Plumbing �m ;i t'., Fire �J^,1 , >r fzrr.✓1 »; �J v,«l
Building Other
A:
Inspecto�-Builldilngs
TIE PRINLIHG t!&SS
Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE - . SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — .%'umber, citN, and 51,11" ZIP code Tel. No.
Owner or 1 �/l wi �� A J`s
Lessee J ��
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 of a (icant Address Application date
i� 6-21-77
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
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
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
Permit number 252
Building
Permit issued June 21, 19 77
Building
Permit Fee $ 105.00
Certificate of Occupancy S
App }y:
Drain Tile
Plan Review Fee S— LOCAL INSPECTOR
TITLE
o� ro
Crlt� of Northampton
� � �Cassmcltixsctts
�b
t Offire of t4c �navrrtor of 'Ouildings APPLICATION FOR
/ ZONING PERMIT AND
Page Plot C� BUILDING PERMIT
IMPORTANT_" — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
I •AT (LOCATION) 6 •,_/ •+ 141 1 �P e `s — DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET) �t
LOT g /Z
SUBDIVISION LOT '-"" BLOCK SIZE / ' �/ /T
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For-Wrecking" most recent use tmfl
1 New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 F-1 Two or more family — Enter 19 ❑ Church, other religious
in Pa D, number of units— — — — -
3 ❑ Alteration (See 2 above) -)- 20 Industrial
14 ❑ Transient hotel, motel, 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
❑ — —— 22 ❑ Service station, repair garage
5 Wrecking (If multifamily residential, of units — --- — --� P 9 9
enter number of units in building in 15❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24 D Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17[_1 Other — Specify 25 ❑ Public utility
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
121 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 1$ -! doo —
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. D
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 0
� m
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 —j
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. ........... , A
43 F:] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
35 ❑ Gas Will there be central air 52. Outdoors........................
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? 54. Number of Full..........
46 ❑ Yes 47�No bathrooms
Partial.......
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
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE �9
m
DEPT. FILE COPY
Z
CITY OF NORTHAMPTON BUILDING Q(L
NORTHAMPTON, i lA• 01 060 PERMIT VALIDATION
DATE �71.LT1e 21 19 PERMIT NO. 2
APPLICANT Robert Skrocki ADDRESS Rt. 66, iieSthalttptA231 Ma.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Now Re>aidence (�_) STORY Residence DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING �p
AT (LOCATION) DISTRICT AA
(NO.) - (STREET)
a BETWEEN AND
(CROSS STREET) (CROSS STREET)
n LOT
M SUBDIVISION LOT 2 BLOCK SIZE
U BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O I
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
� (TYPE)
REMARKS: .tens nict new one—fi3rail.y--=silence
c
AREA OR PERMIT
VOLUME (CUBIC/SQUARE FEET) '�3x
ESTIMATED COST $ 33F001 00 FEE $10o
OWNER Etabart Skrnr ki BU
ADDRESS R+- #6A. Astha.,n Lton- Ma. BY
(Affidavit J
(Affidavit on reverse side of application to be completed by authorized agent o owner)