31B-255 (5) Department of Building Inspe+t;tions
2 MaiStreet Z°2 ' ILrya
Northampton, fla. 01060 '� 0< Y. d
PERMIT
31B - 255
VALIDATION
DATE 0&tAhpr 92- 19 A2 PERMIT NO. 6Q2
APPLICANT ThAbodor-a Tq=p ADDRESS Wi t I-i r r of)07 214
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO �'t "- (_ ) STORY - �, NUMBER OF
' " �. �� � -L°� `";pjt DWELLING UNITS
,(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
t1 f)'f2to DISTRICT
(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: Addition for office spain ,�O
AREA OR PERMIT
VOLUME ESTIMATED COST FEE $ Z�BAQ
(CUBIC/SQUARE FEET)
OWNER Thomas Growhoski
ILDIN DE
ADDRESS (`O State St., Nortl'Impton, Ma. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK ASSESSORS COPY
Department of Building Inspections
212 MainAageetILDING o° y,pj
Northampton-,-Ma. 01060
PERMIT
31B - 255
VALIDATION
DATE Octnher 22. 19 R2 PERMIT NO. 602
APPLICANT Theodore Tama ADDRESS 66 {bttiLar 000724
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TOYPE OF STORY Office aAM t3oa DWELLING UNITS
(TMPROVEMENT) NO. (PROPOSED USE)
ZONING )i1Q
AT (LOCATION) 6Q Sttatp DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (GROSS 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: Addition for office space
AREA OR ESTIMATED COST PERMIT
VOLUME EE24-00
(CUBIC/SQUARE FEET)
OWNER Thnmas Growhoski
BUILDIN DEP
ADDRESS 6n State St., Northampton, Ma, 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY
�Q CITY OF NORTHAMPTON
9* `� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page 3/ 0 Plot ,2 15
g APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant too complete a// items in sections: 1, 11, 111, IV, and IX. O
//I• -x•-4✓�-C �3C
ZONING
�AT (LOCATION) (D � � + � DISTRGC �
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
H. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 I Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
o/ new housing units added, i/ any,
in Part D, 13) 13 [-] Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - -)- 20 ❑ Industrial
3 F-1 Alteration (See 2 above)
14 ❑ Transient 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 o/ units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport , 24 E] Office, bank, professional
6 ❑ Moving (relocation)
17 Other - Specify -e 25 ❑ Public utility
7 ❑ Foundation only
26 L:] School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8Private (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
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 j
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $h
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 I
30❑ Masonry (wall bearing) 40 I Public or private company 48• Number of stories..............
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, l I
all floors, based on exterior 1 `/
32❑ Structural steel dimensions ..................... r��
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 4 �Public or private company 50. Total land area, sq. ft. ...........
2)
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 'Gas p''4 &—L Will there be central air 52. Outdoors........................
conditioning
36 ❑ Oil ? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 Jo 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 bathrooms
Partial......
z.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
U - xO/dip
Owner or
Lessee
Builder's a
2. 6K 'Cit.)� � License No. �(J�
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 applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtaatned Number By Permit or Approval Check Obttatned 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 19ZZ
Building Fire Grading
Permit Fee $ a 4 ,0'a
r Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
We
IX. SITE OR PLOT
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