36-223 (6) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Kr z s S1cre c k: RR " rr,n e
Lessee
Builder's
2. ` Q� License No.
Contractor
jazov-7 -V-?Y
3. &
Architect or &IJ4-d 71446r r M
Engineer �+
!i V1
I hereby certify that the prordsed 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 Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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
Permit issued ��-� tT_ 19
Use Group
Building �^ h Fire Grading
Permit Fee $ �J t )
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ lez
Plan Review Fee $
'� TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
w T
Pale Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complet(te all items in sections: 1, 11, 111, IV, and IX. O ZONING 11-11K
I• AT (LOCATION)
a / . t Vf Y D rr�/ 44 YI — DISTRICT
LOCATION (NO') (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION �oad LOT Q6 G .BLOCK SIZE �,
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 [U�New building Residential Nonresidential
2❑ Addition(If residential, enter number 12 ❑One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - -� 20 F-] Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 E] Parking garage
4 ❑ Repair, replacement or dormitory - Enter nurnber
5 ❑ Wrecking (If multifamily residential, f units ------- - -- 22 L Service station, repair garage
enter number of units in building in 15 [Garage 23 Hospital, institutional
Part D, 13)
16 ❑ Carport 24 � � Office, bank, professional
6 ❑] Moving (relocation)
17 ❑� Other - Specify 25 Public utility
7 ❑ Foundation only
26 � � School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation, 28 C� Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (O,nit 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 chai.ged, enter proposed use.
in the above cost
a. Electrical....................... QD
b. Plumbing ....................... WO
c. Heating, air conditioning.......... 60
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ 140, 04)0
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
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories..............
49• Total square feet floor area,
31 ❑<Wood frame 4`. ❑�ivate (septic tank, etc.)
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY }_
34 ❑ Other - Specify 42 �P blic or private company 50. Total land area, sq. ft. ........... 7y (,sa
4:3 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES ?
51. Enclosed ....................... 3
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 [Uotl as Will there be central air 52. Outdoors........................ 3
conditioning?
36 ❑ Oil L. RESIDENTIAL-BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 V No 5 um er of bedrooms.............. Ll
38 ❑ Coal 7
39 ❑ Other - Specify Will there be an elevator? Full.......... 3
54. Number of
4.6 P, Yes 47 10 bathrooms
Partial.......
Grit� of Nort4a11ytiTn
9 " � ,�Il.ss�cl}u�etis
(bffsrr of fife )nsptator of Auilbings _
A
212 Main Street•Municipal Building
Northampton, Mass. 01060
#360
CERTIFICATE OF OCCUPANCY
September 8, 1989
Page No. 36 Plot 223
Building (Name) New Single Family Dwelling/Garage Address 89 Winterberry Lane
Owner Kris Skrocki Address RR1 20 Governor Prence Rd.
Applicant Dennis Skrock i Address Same
Use: 1st Residential Occupancy
2nd Residential Occupancy _
3rd Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Building X Existing Building
Elevator_ Electrical
Plumb' S.D. FIre���
Building l -'�u +� � GAS: Other
i
I Spector of uildings
DEPT. OF BUILDING INSPECTIONS gUILDtNG Z° ��
212 Main Street: °a ?j5 . qD
Northampton, MA 01060 PERMIT
36 - 223 VALIDATION
DATE. MAW 31 19 PERMIT NO. 36n
APPLICANT tipnniS Skrnr.kl ADDRESS RR1 20 GGvrn$r Pr®nog Rd 925�0�
IN0,1 IS BEET (CON7 R'S LICENSE)
NUMBER OF
PERMIT TO (__) STORY
ORE? ge
DWELLING UNITS
ZONING
AT (LOCATION) Q
(N0.) i�. IS�E �rb�rr�--�r� D157R7CT .�
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 the construction of a new building, single family dwellinq/2 floors/garage
VOLUME 2556 sq. ft. ESTIMATED COST $ 140,000.00 PERMIT ITTd, 825.40
)CUBIC/SQUARE FEET)
OWNER Kris Skrocki
ADDRESS RR1 20 Governor Prence Rd. BYILDI
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P'QNf P