06-024 -., DEPT. OF BUILDING INSPECTIONS
Moir) BUILDING =e $ /0, CO
.( Northampton,lMA 01060 PERMIT f>
b - 24 VALIDATION
DATE Mdy 22 19........._91. _ E 1 M 329
APPLICANT Walter Wisniowski ADDRESS bO Le_ondr35t.% .b. °hOx e0g, Leeds Owner
'Pio./ (STM CE TI IC ONTRIS LI CEMSEI
PERMIT TO Addition I STORY One Family NUMBERWWOuNtTs
ITif£OF IMFNOV£M£NTI bD. (plOPOSEO VOA/
AT (LOCATION) 60 Leonard St. , Leeds ZONING URA
ICO.( uTREtTI .. DISTRICT
BETWEEN AND
(;Rote STRE[Tt (CROSS sTRAETI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY �_FT. IM HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Inn)
REMARKS; permit for overhang over back stairs, repair and extend stair platform and stairs
VOLUME ESTIMATED COST $AR
A OP 2,500.00 FeEMIT $ 10.00
ICVnc/Spout TEM
OWNER Sarna as plant kis, r
ADDRESS Same ass Applicant's BYI
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY ,4::')I.
o�TN1A, - CITY OF NORTHAMPTON
A
MASSACHUSETTS
tij1-:,' u OFFICE of the INSPECTOR of BUILDINGSI1
c=yam Page Plot o2 't APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I. II, III, IV, and IX. O
AT (LOCATION) ( O LEoA/4cD .5A. Le.sob. DISTRICT 0ro
LOCATIONr x� STREET f
OF BETWEEN EIJ112 (r2€£N Roo AND pa✓rt R
BUILDING (CROs STRESS) ROSS STREET)
sLBDIVISION t14 A/A/i ii/LL LOT 4— BLOCK sLO2T /3, 94-' e_FT
II. TYPE AND COST OF BUILDING - All applicants complete Parts A — D .-I
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"wrecking•' most recent use In
-1
I 1 I New building Re����idermal Nonresidential -i
2�4 Addition(I(residential, enter number 12 One family 18 Li Amusement, recreational
of new housing units added, i/any.
in Part D. 13) 13 Two or more family - tinter 19 En Church, other religious
3I 1 Alteration (See 2 above) number o/ro't'e - - - s20 In] Indmnl al
Li 14 Transient hotel, motel, 21 Li Parking garage
4Repair, replacement or dormitory - Enter number
5I Wrecking (1/multi/mnily residential, of units - y 22 Li Service station, repair garage
enter number o/ units in building is 15 [7 Garage 23 Li Hospital, institutional
Part 0, 131
6 Moving (relocation)
61 I Carport 24 Ll Office, bank, professional
j-] Foundation only 17 i.X.Other - Sper ify 04CICNA✓F OVA 25 n Public utility
726I School, library, other educational
B. OWNERSHIP SACK Sf4,RS. R1141A /WI) 27 I I Stores, mercantile
8 P• rivate (individual, corporation, 28 PI Tanks, towers
nonprofit institution, etc.) E7(TkNst ad aF STMAsfebf— 29❑ Other - specify
9 in Public (Federal, State, or FoRty 04A/D Snits;
locol government)
C. COST (Omit Cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processingp
plant,machine shop, laundry building at hospital, elementary
10. Cost of improvement $ 2500. school, secondary school, college,
fo
ge, parochial school, parking garage r
departments 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. Plumb' g 0
c. Heating, air conditioning 0
d, Other (elevator, etc ) 0
11. TOTAL COST OF IMPROVEMENT $ 2Soo,
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports E — L;
for wrecking, complete only Part 1, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48301 I Masonry (wall bearing) 40 b4I Publico r ate company Number of stories /
31 xi Wood frame 41 I I Private (septi tank , etc.)
49. Total square Feet of floor area,
abased an exterior
32 S• tructural steel dimensions
floors,
mensiaos
Ili
4/44-
33
I¢¢33 E R• einforced concrete H. TYPE OF WATER SUPPLY
34'_T Other - Spec,f, 42 yQ Public or private company 50. Total land area, sq. ft /3J 94-6
43 L' Private(well, cistern/ K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51 Enclosed NIS
36 L1' Gas Will there be central air 52 Outdoors
36 E Oil conditioning'
/� _ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44i) lYes 45 No 53. Number of bedrooms
38 H Coal ]m
39 Li Other- Specify Will there be an elevator' Full
54. Number of
46I I Yes 07 , -1 No bathrooms
Partial
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — ,Numhrr, serer, ray, and Starr ZIP code Tel. No.
ow". or :JAL1tR J,(d/)5Mc t✓SA/ 60 LLLM44D sr//fid al:24+'LC .HA. oeocJ Oic S3 586'92df
Lessee
z. /ML Porrch ff C/><vaud 5 J S!'f£LS6✓a,vC F�J'r6 .a(3?o Laen;e''Ao. 42-17-.14:89contractor
3.
Architect or
Engin
En in er
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 os his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant1 Address Application dote
ID6C ),tVfa H e. a4), GD LEa,vAag sc., Let DJ, M4, SAln
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans Date Plans ByNotes
nuir` Fee Started By Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained Number By Permit or Approval Checked Numaber 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 Use Group
Permit issued YY\.CL.L ad I 19_a_
Building q\\ Fire Grading
Permit Fee $ (o'W Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ `
$ 2JLe4
Plan Review Fee
"TITLE
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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