11A-058 (16) DZP.T. OF BUILDING INSPECTIONS BUILDING e
r 212 Main Street is a�•�
Northampton, MA 01060 PERMIT •
11A - 58 VALIDATION
Edward Malinoski DATE May 18. 'BTz�rlaynenv9ilffe ` .-,- teEa'S24 Owner
APPLICANT ADDRESS
1X0.1 ILTR[CTI ICONTR'. LICENSLI
PERMIT TO Addition R OF
I_I STORY One Family NUMDWENIING UNITS
b0[ OF IMRRMCM[NTI NO. IFROROLLD...I
UKAJ
AT (LOCATION) 124 Hay envt a Leeds p ST lir
IN..I un[Ln
BETWEEN
HCAND
C.OSs S1R LC i1 ICROu Si RC[TI
L0T
SUBDIVISION LOT-BLCCN 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
ITq[I
REMARNSt
permit for the addition of porch (sitting room) 141 X 20'
(.
VOLUME 280 sq. ft. ESTIMATED COST y 6,500.00 PERMIT C' 26.00
IC YLI[/SOUM[ F[[}1 V
OWNER .Same as Applicant
S
ADORES s ame as Applicant's 'LD'
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY p F
DiEP.TXiF BUILDING INSPECTIONS BUILDING IZ-
212 Main Street
Northampton, MA 01060 PERMIT P
11A - 58 VALIDATION
Edward Malinoski DATE Mav 18. IBrePmMenPMTJ *.-[eeiP4 owner
APPLICANT ADDRESS
IMO.) ST...1) ICOMFx'] u[Ex[CI
PERMIT TO Addition 1�1 sTaRr One Family NUMBBER UF
rtv.[Pr mr.Onulxn a.or.rtD uvu
(LOCATION) 124 ay Denv a Rd. , Leeds ZONING
ONIN DISTRICT
Ixo.l ulRccn
BETWEEN AxD
IQOU [1.1[11 IERO[[ ]TRC[TI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY IT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
REMARKS: Permit for the addition of porch (sitting room)
141 X 20' 11.rE1
AREA OR 280 sq. ft. 5 6,500.00 PERMIT $ '26.00
VOLUME ESTIMATED COST FEE
OWNER Same as Applicant
ADORESS Same as Applicant-s
Br [[
WHITE - FILE COPY r GREEN - FIELD COPY r CANARY - APPLICANT COPY • PINK - ASSESSORS COPY r Rf
"1
CITY OF NORTHAMPTON
! MASSACHUSETTS
OFFICE of the INSPECTOR of B.UI I?.D INGS
Page 114 Plot °�" APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.
I. AT ILOCATIONI /` 6 er �ee4 olsrnIC, ,YYYY
LOCATIONrMOJ y� / _ inessn /
OF BETWEEN UQit"4 ,''Z A"O C>a hx�er
BUILDING e
LOT
so8ol v l slots wT aLOC n SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — Far"wreck;ms- mo.,recemace m
ti
t ❑ New building Residential Nan sidentiol
2 ® Addition(if residential, care,nun bet 12 IE3 One family 18 ❑ Amusement, recreational
o/new housing units added, i/any. 13 F1Twoor mare Jami ly — Ealee 19❑ Church, other oellgious
in Pare D, 13) number o/ —Os— —
3 E] Alteration (See 2 above) 20 Indmtnd
❑
14❑ Tre r 1, moral, 21 �� Parking garage
camera,
4❑ Repair, replacement or — -- n—venber
—iv
5❑ Wrecking (1/,.1 anits( 'demi in of units — y 22 ❑ Service am Gan, repair gma9e
y rest
enter numb be,aJ units m bus ldi nq in 15 ❑ Ga.age 23 ❑ Hos vera 1, insn lon on al
Pmt D. 13) 16Ca. 24❑ Office, honk, prolesslonol
�JMoving 6 Mon (r.locarion) ❑ parr
g I]❑ O'M1e. — Sp,,,/,_ 25 ❑ Public uCi li ty
] ❑ Fou ndan on nn ly26 �❑ School, library, or
her educational
B. OWNERSHIP 2]❑ Store x, marea.,,le
8 Private (individual, corporation, 28 ❑ Tanks, Cowen r
onprolH inR ta
srs on, a .) 29 ❑ Other — 5P,,,/,-
9
peoi/v9 ❑ Public (Federal, Etatel or
local government)
C. COST (U mit ren[+1 Nonresidential — Des cr3e in derail proposed use of build Ings, a.g., food
p.ow ssl ng plant, machine shop, foundry ben db0 at Fospua , e emenlory
10. Coir of imp.m einem................
1.6
a� _ school, secondary school, college, pamebiol school, parking garage lar,
depot eat sro. rel office building, oHic, b.Ilding a Indus al plan'.
To be installed but not included II use of esisring bu�lding is being changed, enter propos'
n the above cost
a. Electrical.......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other (el...101, etc......
.... ......
11. TOTAL COST OF IMPROVEMENT E0 DO
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L,
for wrecking, complete only Port J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑Masonry(wall bearing) 40 XPuld- or private company 48. Number of aories.._..........
31 IR Wood from.Wd f41 ❑ Privet (xe prie look, .tc.) 49. Total square lee'of floor area,
161 ll Il cors, based on ..,error
32❑ Srmcr...I aloeI diinensioas .........._......... l Y Y. SCJ
33 ❑ Reinforced ccnner. H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42Publle or p.i val. ..mpany 50. Total land ..ea, sq. H. ..... ._..
43 M Prlmte(wall, Cliff-) K. NUMBER OF OFF.STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL sl. Endcs.d ............__.......
35 ❑ Gas Will rbme be cemral air 52. Cod cors........................
36 ❑ 011 .°ndi(°olvgp L. RESIDENTIAL BUILDINGS ONLY
' r �_� _)_Z Na
37 Elena tit 44 Yes 4s� 53. Number of bedrooms..............
38 ❑ Coal /�
39❑ Other — Sp
s/r ,2 & WI II mere be an ele—vor'r 54F.11..........
. N.,.her al
O5 F, Yea 47� um No bmoms
Par of
IV. IDENTIFICATION - To be completed by all applicants
M.,
Mailing oddreza - N—b,,�i rer, rirv, and Smrr ZIP code Tel. No.
010 3 58y-9io7
L.r.- No
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.
Signator: of plicant Address /�K App Gcori on dare
/ply .YC
00 NOT WRITE iELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Re d Check Plan Review Dote Plans B Dare Plans B Notes
quire Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Pamir or Approval Check Obte
mi ed Number By Permit or Approval Chec 0Dan^ed 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 /) u.. Gro„P
Permit issued v l� 79$3,
Building q F.,Grading
Permit Fee $ �f"4'VO Liv. Loading
Certificate of Occupancy $ 0...... , L-A
APPfOV by: C I/G,/i<•...-f.-�"-r
Drain Tile $
Plan Review Fee $
TITLE
rev fir/syd.�� ,,,rr� RL ,
tdtNdy�S
a tj
ba . Cea car /YX�o
> M � 4
ay SR
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NOTES ..d Dot. — (For dep.,fm. r use)
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