24D-111 (4) DEPT. FILE COPY
ZD
BUILDINGmil
r
PERMIT VALIDATION
DATE April 19, 19 77 PERMIT NO. 122
APPLICANT .Tan .Ta.nus7 ADDRESS 275 State '.rset
tfO I (S R ET)' (CONTR'S LICENSE)
OF
PERMIT TO Alter existing Garage ( ) STORY Gara DWELLLIING UNITS
(TYPE OF IMPROVEMENT) NO. (POSED USE)
ZONING
AT (LOCATION) 275 .SfRtP Street, Northampton DIISTR CT UBR
(NO.) (STREET)
at BETWEEN AND
'D (CROSS STREET) (CROSS STREET)
a
a LOT
m SUBDIVISION LOT BLOCK -. SIZE
a
O O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
B:
IL REMARKS: Raise roof - put in windows - put in different dnors - put some electricity
for lights
AREA OR PERMIT
VOLUME ESTIMATED COST .$ 2000.00 FEE $ 10 00
(CUBIC/SQUARE FEET)
OWNER .Tan Janusz BUILDING DEPT.
ADDRESS 275 State Street, Northampton BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
1
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 19 .
CERTIFICATE ISSUED
DATE
BUILDING PERMIT -
CERTIFICATE OF OCCUPANCY
DATE Apri1. 194 19 77 PERMIT NO. 1.1C
APPLICANT Arc J_.__ffi_ ADDRESS 75 t f'
INO �.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO A1te.r existing uaraj.cft ( ) STORY L .t' .y*F"+ DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. ('PROPOSED USE)
ZONING
AT (LOCATION) 275 . 't.'7tn treot, 'jor'tb r2�ton DISTRICT ;jSy^h
(NO.) (STREET)
o BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
.
LOT
a SUBDIVISION LOT BLOCK SIZE
m
u O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
7 (TYPE)
IX y .i, electricity
I, REMARKS: Raise roof - put in I ntigsw 4 - pit Sfl E43 f 'nor doors - P t elec ricit
for 3i_hts
K-f1 Mil ,_7 ,;-iilMil Illckg; 7 AC K-ft ;iii Eliji Mil ' --II ; 7 Mil
AREA OR ;IIII :ern ;IIII( ;Illlt nut ;IIII ;IIII alMIR;III! 3t111 ;1I111 :III, a
VOLUME K 7 KE1 ' 7 , 7 '- k r':1 i � •�.'T 7 •� �'7 1 c }^�
(CUBIC/SQUARE FEET) ti...1 ' 1`^�
;IIII ;IIII ;IIII ;IIII ;IIII NW ;IIII ;IIII ;1111 ;IIII `IIII :WI ;IIII ;IIII I ;IIII
Cr 1-11 1o.1.-f1 bYTI vrT1 reTT1 CA-T1 Ibl-r1 Cr111/CPCFI FYTM Iv 1-71 0,1711 CrI-f11[YTTI lor1-71 bt",I b
OWNER tfrII JctfltS2 __. _. _ TO BE POSTED ON PREMISES
ADDRESS 275 . tate Al"`^ - - - SEE REVERSE SIDE FOR CONDITIONS OF CERTIFICATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No.
Approved by Date
Remarks
PLUMBING Permit No.
Approved by Date
Remarks
ELECTRICAL Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
F A55E550R5 COPY
za
BUILDINGMEL
PERMIT VALIDATION
DATE April. t9• 19 n PERMIT NO. 122
APPLICANT Jai Jamas ADDRESS 2'"?`K) ; trsfio(A t
"'((���jff R' " (CONTR'S LICENSE)
y NUMBER OF
PERMIT TO &1t r l (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. ROPOSED USE)
ZONING
AT (LOCATION) Z+j�� :' �' D STR CT i31
m BETWEEN AND
a (CROSS STREET) (CROSS STREET)
LOT
u.a, SUBDIVISION LOT BLOCK SIZE
a
O
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
K �.`
0 File "" 1 in '�
I.- REMARKS:
fax lights •
AREA OR PERMIT R*
VOLUME ESTIMATED COST $ 2000', FEE 0
(CUBIC/SQUARE FEET)
OWNER Jim
BUILDING DEPT.
ADDRESS 275 Eats Afreet, N)I BY
o r • •
VIII. ZONING PLAN EXAMINERS NOTES A t, '
_ -4) City of oxt gut tort
$_1 - -, S' Aassaclinsetts
DISTRICT 'S�-'0. j5„, •�.
`�_ (Office of the 3lnciptrtnr of 14uillzngs
APPLICATION FOR
USE ZONING PERMIT AND
Page '.may Plot //� BUILDING PERMIT
FRONT YARD
Z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX.
• /� -1 O
SIDE YARD SIDE YARD I. AT (LOCATION)
REAR YARD LOCATION (NO.) DISTRICT
(STREET
/Q.
OF BETWEEN AND 4 y.
NOTES BUILDING (CROSS STREET) (CROSS STREET) /"
LOT
SUBDIVISION LOT BLOCK SIZE
. co
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D xi
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
1 I I New building Residential Nonresidential ,
2 I Addition(If residential, enter number 12 I I One family 18 Amusement, recreational
of new housing units added, if any, �
13 �1/r I wo or more family - Enter 19 Church, other religious
in Part D, 13) number ofunits- - - - -� 20 Industrial
IX. SITE OR PLOT PLAN — For Applicant Use �_
■ 3 Iteration (See 2 above) t
14 Transient hotel, motel,
11:::mN.a� . : N•N•r I 21 Parking garage
i:a ols '�
uaNaar •N - 4 Repair, replacement
a•aaaq _ or dormitory - Enter number
a:■r • 22 Service station, repair garage
a apN•ala •: i. :. ':::' 5 I I Wrecking (If multifamily residential, of units - -!
:•'serfs ' as 'a: enter number of units in building in 15 n Garage 23 Hospital, institutional �`�
n.• NfN•N•N••N Part O. 13) h.
afN: a 16 I I Carport 24 Office, bank, professional
:::::::::::::::11::: - rNlr•sN. • P
e : �•� 6 I I Moving (relocation)
r:a:a Nr op O :: 17 I�Other - Specify 5 Public utility
as.0 rN::: �a��emmersa•aa :
■ia:aa•.aaNr+raasa•a=• r. :: :a•::a 7 I I Foundation only - 26 School, library, other educational - �
it::ass'a:ttit:: 66 "a•:¢a' "':sass .:' aaa_ _ a:: B. OWN SHIP 11 /� "ter 27 Stores, mercantile
1 28 Tanks, towers . ,
: aaaa ses:::::: a=aaa:: ::'Nr••N: : 8 Private (individual, corporation,
:a: : : a :nem:: ..000.aaa.aaa::'a:aa:a:aa••a a.r""' nonprofit institution, etc.) 29 Other - Specify ,_.i
1::: :::a:::N s Nr/ .•r•rNNa•.aNNam aaa 9 I Public (Federal, State, or
MOO. a _ :!■•<:NN••a: local government)
a asa::: aaN•aNNN•a•raNraaNrN:NN::::a aaaaaa••:N aaNN
1•i• Nr• Nr■ afr aN : :a ••N
aN•:NN:•aN::Na:aai: ai: : mu::: aaa•a : : C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
■• NNaaN : ��:aa • processing plant, machine shop, laundry building at hospital, elementary
Haa•aa' NNa air anN.a :: ' _ HINa 10. Cost of improvement $ ,� t school, secondary school, college, parochial school, parking garage for,
::sesame: a••N: 0 _ department store, rental office building, office building at industrial plant.
:'••••••::N::aaa•=i•��::Na'•:NN aaa' al"ia : :. : of :' Toin t be be installed not included If use of existing building is being changed, enter proposed use.
:•a•Nas • N • r• ■ .. aa.a.a.a son 1,
•• : : :•N■:NNN•NNN• : Fl:ra■ a. Electrical
4:::.aIles:aaaaa::::::uaa.aaaaa ��aaiia{ .e as:a::a::::a::' a a : a: •a■•I gin
•N:_:a.a..a0 00:::H:::00 ::g:a:::a:::N■N•aaN N: �aaaaaa:: N: : • ■ ■ • ► •rN•:: ^.
`•• usiyiiN •• '■ as �• •• : b. Plumbing �•
��a•••aa::.NN■aNaaaN:eaese:saNNaraai: M ••16•aaa+Naaa.aa:::airs■• : :
••.aaa:: :::: aaa =NNa : : ••:NNNN: ■:
1•aa• • a as WINOS
• =a NaNNN CNNN c. Heating, air conditioning v1
• • a: • : : :N.:::•.N: .! .. :
•N� :.s.a•:a.aaa.a::•aaaa.a.:N•a••aaa.aar•:......N::::a':N::a aNNa•a.a+aa•: :••■ Orr SIN ::aa•::■a:a.aa.aa.:::: : Cr••N
a aaaaa.a. ••:• N•aaaaaaaaaa...• aa. • as fN : ::":':
•••• .aa :: : a = : a= ' :Nas"N::aaa•a.a aaaa■a.aaa N • ■� $ d. Other (elevator, etc.)
a:aaaa aaaa' aa.aa !.: 'N:� •N r::'a':•N ::i:f• •�f• N.•r■ a a a •• r■•• N•: raga '=aa•�r: ::: : ::: : N•ma
: : •aaa•aa:.ra•::a•ia::lN a r a a aaa ! •ai ::: :: aN••■NN■ : :a , �'�/n
y��:::i:=:rN r::ra�i:t�ai•NN••is = a::a=i8 a aaa•rra•N•=Ni•aL::a a•Nria• •a aii:::a•a: :: : 11. TOTAL COST OF IMPROVEMENT $, OW,00
':>:Naa: .•.a::a.:N• ..�aa;a aa. _ :�..a.__. L.aa.....:':::�a:'•N••:: : al..3a:S:•.ri': III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
N •ia: :: rf• NN :f ra: N•a■NirbNNNra•NN: : ■:NN •• :a 4:: :• .! • •• NNNNai
:a01:1::aa:1ata:a'= aaa lS::::::..3:•.•a aaaa.. .i ••.■:•+. ::.J:wool: ##::::::1:111::aa as a: !:r s a :•••NN.NN..aaaa, for wrecking, complete only Part J, for all others skip to IV. D
•a• aa• N N NN:a•ar• •:
'�j• .N.si:N:: •:•::N:a N•:: • i•r iar • N:•N:•N.::n.•:NamNa..aaaN:. ::::11::::::::"-..::.:::::11:::a _• E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
1, ..au ::aa.:ar aaa:. �� ia•: ::a••:a sNN: ::• f •�i aaaa •N■N■a�•N•N
!r1 MOO "iji Nia: iii::i?iii:as.r:Nai•::a a... N: :• •a•' ':igaiaa VOOOLaaa:aaa:C:aaaaaaarasaaaaa:a 48- Number of stories
a'aa':a::::::as +� : u::::a. 1....::....::: .:::::'•'r#i'r::':::s:N.•• s:::aaaaa....•aa....aaNa. : 30 LJ Masonry (wall bearing) 40 I Public or private company
•:::ar. •=iia ai�i :::: Na:::N. NaN.Na• aNNab s :a.N: __'_ • Of.:::N N■ a Nr 49. Total square feet of floor area, ��
ai : as: • • 1::::::::::::::::.".• I I I I /(:,
a.aaa.i ais : :aii•i:::iaN: • ::rra•: i•r■' a.aa.aaaiaaaamara: : : 31 Wood frame 41 Private (septic tank, etc.) all Floors, hosed on exterior
as a• a. a•as• aaaaa.a:aaaaaNaM:. : : : : a•.•a.acas.a .•.a� :•r aa.afiress• N:Naa:: ::�: : :Nua 32 I I Structural steel dimensions
■ e:aa.a : lom
■.• : s:a• : e . ■ ,(�
i s a•: ■+! N a • • Nr• _ as • •• .• •
:••a.ia:aORN:.•:a:' :a a ..aaa:::aaa 33 Reinforced concrete
aaiia.aaaaari•::a '.•a:aa.aas .a : !:sass S : a ::u.=:::::aaa.N:::::::=aa;•aaa:::saa::...aa01 a:::aarr•aci:::Nraa 34 I I Other - Specify H.
2 IP I Public or private Pco company 50- Total land area, sq. ft.
••iSi: •:: •:: •N: ssr a :•N a: .. •aaa
!�`• • • aif aa• :a 43 IPrivate (well, cistern) K. NUMBER OF OFF-STREET
::: i ia•:s:•::::••s : :aaa::: =•a: a :•a::fa::: ss•It' ,s:::saa a:':a:. ::a$::sa■:mr•:•r.. ..=saws =•■fasa I
: 'aa a . :S : :dill: a ■a: :•'s•: _ : _ ::a a:a:.a :s:'a'::a:a:::::::aN::a: aaa. :■ PARKING SPACES
•.a.:■ a:raarasees as as ■.Na•■ar a•■ Na. N!
dafa :aaaa: a : iiaaaa$m�amam .as.aaassaaaaaaNraN•a: •! a •••aaa■' ::a. aaia=:::a=:aaN;a:Naa: a:�••aaaa::•a :::a:::::::s:'ss F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed O
: asi_: : :: if::: aaa.. as a:. .a. °aNa.■sass a•:. aa:a s: ••■. a. a:. i.
• •a ira ... aaa:aa• :aaa'::a aaaaiaaaaa: aaa.::.a•a:aaa • aa.aaaa.aaa Na 1rrsai .•■a: ..a'ss aaa ■ i{ :.a....paa iaaaaa•aaa:'� Nrrl 35 I I Gas Will there be central air 52. Outdoors
ii.aaaaa as aa. Gamma :•a.a:aaa a. aaa•.Naa. I:NNa•N/NNaNaaaaaaa:•aamaa s::aaaa:a:aa::.aaaa: a:aaa•::a::::aaaa::•:: a••:Naal
::••' y :: a laaa::::=a•:: :•aaa::::: s:::a::::s:a'�•a =a`':tsa'aa:a=:sass° ••:a$a::aa ::a :::::::: :::, 36 i oil conditioning? \
:jii!� ;= a : aa ' : ' :"_': aaa..a a.a ::i' : ' 'a q'L a• !�_i •a.■ ■yaaa ■■ I L. RESIDENTIAL BUILDINGS ONLY
1.........l.. a•a■:a..a a...a:...a:aa aaa::aNa a::■..:a■a:::■ .Uaa.L l•a::r■as::11■ Wa:::?aaaa.a.a■.r.ssa:NN. . :aNaar■' 37 Electricity44 I Yes 45 No
: : : 'a: : : aaa . a•a ■•• •r::a • : : ::! :�g: aaa .ar• ::. N•a aua.a:a•a• .a I I L I I 53- Number of bedrooms
• • . a • • N • ■ ■ ■ .• O a• as as N• Ira NN 1
mia moral 1sa• Gamma iim: aam�saaaaaaaa=aaa �aa::>a:a:a. , am: a . l ..it::'aa aapaa= a maaa: aaaaaalaa.Pii aaa:°aai 38 n coal
• aka aaa as as :a .a aaaaaa as m as a=
11310111111011911111111,11411111M1,1 si8:11 i:.In.fat..aaa.ZZ'■:::::=u.a.aaal.11ungtaSnim:s mllaan.m,lit:mm.118Qi0:11ia::::::nov notarslim! 39 I I Other - Specify Will there be an elevator? Full
54. Number of
TM'.i.'a:7T1L/OC..!"L•• 46 I I Yes 47 I 1 No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling address — Number, street, cit , and State ZIP code Tel. No.1.
,
r1Y� O O �' NOTES and Data — (For department use)
Owner or
/19vViatArl/G1/0 - `7� St��e Si-, hnoir+tia,�,,�}o� 5��6.33
Lessee /� `/ /� i f /� /� pip �" '^
Builder's �Ct 4�-� rook-k- �' ',J V 4 W Y A (kO S ()cif n of` f f v\V\ i �Q0 V -0
2 .erJ License No.
Contractor o n
Ut s�,M � \�C 1c,G � �1 �rofT tt
3. �► �S
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 ItiNg. Application date
/) (;& /Y2— 1)75 S t-e S t t)10 ri- v)A d>rk V /7" 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
Permit or A rova I Check Date Number B Permit or A rova I Check Date Number B
pp Obtained y pp Obtained y
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 122
Bui(ding
Permit issued April 19, 19 77
Building
Permit Fee $ $10.00
Certificate_of Occupancy S
Appro ed by::,brain Tile Plan Review FeeS—
LOCAL INSPECTOR
TITLE