23B-044 (8) ZONING
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — y'mbar, .atrcet, cit%, and Stafc ZIP code Tel. No
1.
Owner or
Lessee
//j -
lder's Bui �n
"L. 1'�(� Yl. f' License No. ZY7—✓�Qp
Contractor
2-47-5L4 G
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 ,L Application date
00 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
Dote Date
Permit or Approval Check Obtai ed 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
Permit number __ 7
Building
Permit issued 19
Building
Permit Fee $ /a. Q
Certificate of Occupancy S
Approved by:
Drain Tile
Plan Review Fee S—
TIT
o� To
Cr,it of Wort4a vtou
}
$ � �latssachusetts
Office of t41e �nspertor of Wlbhltls APPLICATION FOR
ZONING PERMIT AND
Page,? 's - Plot !_' — BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
DISTRICT�J,
I• AT (LOCATION)
LOCATION
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE I CA
II. TYPE AND COST OF BUILDING – All applicants complete Parts A – D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 F__1 One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D, 13)
number of units— — — — --)� 20 ❑ Industrial
3 ❑ Alteration (See 2 above) t4 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
S�Wrecking (if multifamily residential,
of units ——————— — -� 22 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 ❑ g (relocation)Movin relocation p ❑
17 ❑ Other — Specify 25 Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 F-1 Private (individual, corporation,
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 °
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT Is Im �Jl✓l
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. D
0
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS IT!
48. Number of stories...............
30❑ Masonry (wall bearing) 40 ❑ Public or private company 49. Total square feet of floor area,
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) all floors, based on exterior
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 ❑ Other — Specify 42 F-1 Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... O
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
35❑ Gas
Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46❑ Yes bathrooms
47 ❑ No Partial........
o�� o Grit of Xoxt4aurpton
� $ �tllassachnsetfs =-
• • i - F
Offirt of toe )noptrtor of 'Puilbings _
212 Main Street•Municipal Building
Northampton,Mass. 01060 t
�4
V
CERTIFICATE OF OCCUPANCY
January 23. 1978
Page No._23B Plot 44
Building (Name) Locust Street Associates Address 41 Lrseust Street —
Owner TaCimt Street Associates Address AboVe
.Applicant RAMS Address
Use: 1st Medical R1da. Occupancy Locust StreetAssooiates
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District 1�1B
Required Inspections:
New Building Existing Building x
Elevator Electrical
Plumbing 4
.� ., , Fire
:
Building Other
Inspector of Buildings
r= .
THE MltT,'oG".E.5S
I hereby certify that the proposed work is authorized by the '6wne�'-of record'
and 1 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
Zo
DEPT. FILE COPY
w CITY OF NORTHAMPTON BUILDING m a
NORTHAMPTON, MASS. 01060 PERMIT VALIDATION
23Bop - 44 1,48
�'p
DATE Sept. V. 19 77 PERMIT NO. 4
APPLICANT Edward Malinowski ADDRESS test St. . No. Hatfield
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Demolition (`� STORY Demolition DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) `7'�t LOCUSt ZONING NB NB
(NO.) (STREET)
a BETWEEN AND
b (CROSS STREET) - (CROSS STREET) -
m
B. LOT
m SUBDIVISION LOT BLOCK SIZE
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
uo
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
- (TYPE)
0: I
° REMARKS: Demolition - Sign,Tanks, Puma. & Lifts
AREA OR
VOLUME ESTIMATED COST $ 4,200 FEEMIT $ jo.00
(CUBIC/SQUARE FEET)
OWNER L.locust Street Associates
ADDRESS 41 TnC�t I;trtz$'t BY
ILD G PT.
(Affidavit on reverse side of application to be completed by au or ze agent of o