18D-004 (7) VIII. ZONING PLAN EXAMINERS NOTES
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DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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 rr
Name Moi ling address — Number, street, city, and State ow ZIP code Tel. No.
Owner or
William & Judith A. 104 Damon Road, Northampton, MA. 01060 584 -1064,
Lessee Krimsky
Builder's
2. Raymond G. Dargis Hyde Hill Road, Williamsburg, MA. 01095 License No. 268 -7474
Contractor
005985
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 a 'is authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signs re of op cant Address Application date
■ f iL 104 Damon Road, Northampton MA. 01060 6/19/86
h0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review r Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained 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 � �•� FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued — 19 2(^
BUllding $ � 665 � Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by
Drain Tile $ e4 14 ( cot__
Plan Review Fee $
TITLE
e ` , CITY OF NORTHAMPTON
t. MASSACHUSETTS
A ^'r'
')f'�i �. OFFICE of the INSPECTOR of UILDINGS
• i �' 4(� 1�
�' Page l `--� Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. 0
ZONING
I. AT (LOCATION) 104 DAMON ROAD DISTRICT G T
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE 2 Acres
us
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -1
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For "Wrecking" most recent use itn
M
1 I l l New building Residential Nonresidential
2I I Addition (II residential, enter number 12 I I One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family – Enter 19 Church, other religious
number of units– – – – –). 20 Industrial
3 I I Alteration (See 2 above)
14 I Transient hotel, motel, 21 Parking garage
4 0 Repair, replacement or dormitory – Enter number
5 I I Wrecking (If multifamily residential,
of units – . 22 Service station, repair garage
enter number of units in building in 15 I I Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 I I Moving (relocation) 25 Public utility
17 I Other – Specify
7I I Foundation only
26 School, library, other educational
B. OWNERSHIP 27 X Stores, mercantile
8 ® Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other – Specify
9 f I Public (Federal, State, or
local government) —
C. COST (Omit cents) Nonresidential – Describe in detail proposed use of buildings, •.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ 35,500 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 1,000
(No change in current use) The building will
b. Plumbing 2,000 continue to be used as a retail package and variety
c. Heating, air conditioning 1, 500
store with appropriate related storage and offiro
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ 40,000 space.
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 2
48.
30 I I Masonry (wall bearing) 40 I I Public or private company Number of stories
31 IX I Wood frame 41 I iI Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior 2925
32 I I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other – Specify 42 Public or private company _ 50. Total land area, sq. ft. _ 88 000
r
43 Private (well, cistern) K. NUMBER OF OFF STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 Pti Gas Will there be central air 52. Outdoors 25
361 I oil conditioning' L. RESIDENTIAL BUILDINGS ONLY
37 F1 Electricity 44 qg Yes 45 iF7 No 53. Number of bedrooms
38 Li Coal
39 L_J Other – Specify Will there be an elevator' Full
54. Number of
46 L _I Yes 47 I Xl No bathrooms
Partial
NORTHAMPTON, MASS. 01060 , 19
(./ � 1'I2l /VS K
/ 04 iDG� -0-n 0 A / . /Yo!'T a/
IN ACCOUNT WITH
STANLEY J. KOZERA
REGISTER OF DEEDS
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DEPT` OF BDILDING INSPECTIONS BUILDING Z_ / G
1
.. 212 Main Street
:- - Northampton, MA 01060 PERMIT
18D - 4 VALIDATION
DATE June 20, 86 PE T NO. 323
APPLICANT Raymond G. Dargis ADDRESS Hyfe Hill Rd., wi 00Y)65
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Repair Replacement �,) STORY DWELL Package Store/Variety RING OF
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
104 Damon Road ZONING GI
AT (LOCATION) 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: permit for renovations and no change in xxxxymix existing use
per LISA ApprovalltXXXXX
VOLUME 2925 sq. ft . ESTIMATED COST $ 40,000 F EEMIT $ 160.00
(CUBIC /SQUARE FEET)
OWNER William & Judith Krimsky ; �
104 Damon Road, Northampton, Mass. 01060 BUILDIN,y
ADDRESS s -T
BY jT Q
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p i Ap
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