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17A-054 (5) her >v d ry► 14.4 11 d � /65 l�J� rkgNd ` r- _ ----� --- RFS� BUILDING CORP. L q?gbe t E. Skrocke, Pres. RT.66 WESTHAMPTON,MA 01027 PHONE 527--7011 t 1p Rao ° S-reps fA S gR•tciS ��'J eel } F" pzi s raee-4 xcc. r r /Z11 Coate zlocJ' --11 � ,r E(j C 6,rNae r' arc ' 7,� Co Upi fPR � o Oo l L , I k e s CC LY o t eA �� 6 � I i i a rS os i ClaseT t;.rass 7 RESS BUILDING CORP. LTD. q�pben E. Skrocki, Pres. RT.66 WESTHAMPTON,MA 01027 �i PHONE:527-7011 Vill. ZONING PLAN EXAMINERS NOTES 7 DISTRICT FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. 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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. owner or ilkq&wam �- Lessee J-t vOV 1`6 Builder's 2. C C/z f S,e Qckf 6 7 /4.41"� License No. 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. Signatur owppic ) t Address 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 Is OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Dote 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 J Building g Use Group Permit issued Building Fire Grading Permit Fee $—_i Live Loading Certificate of Occupancy $ Occupancy Load Approved Drain Tile $ ` ^""""{ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �. .� MASSACHUSETTS 3 OFFICE of the INSPECTOR of BU LDINGS Page Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, /it,�lIV, and IX. R O ZONING I• AT (LOCATION)Z6"••� -R.R � "`�� ��GX/�!.-�ce F-'/�T DISTRICT f��✓ LOCATION (NO.) 0 (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 [7 New building Residential Nonresidential 2 Addition(1 residential, enter number / 12F I 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 n Industrial 3 Alteration (See 2 above) 14 D Transient hotel, motel, 21 Parking garage 4 ❑ Repair, replacement or dormitory - F.nter number 5 ❑ Wrecking (If multifamily residential, of units ------- - -- 22 Service station, repair garage enter number of units in building in 15 L] Garage 23 Hospital, institutional Part D, 13) ❑ 16 C rport 24 � Office, bank, professional 6 Moving (relocation) 17 Other - Speci/y 25 ❑ Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 1a 1/`�%t �7�}JJ �T 27 Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 0VA(t (/�s "'141!SS� 29 Other - Specify 9 D Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food fa 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....................... v� b. Plumbing ..................... 4eoc Q ... c. Heating, air conditioning........'QQ d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT I$ 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 [�Public or private company 48. Number of stories.......I... 31 ©Wood frame 41 E] Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... �Q 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other - Specify 42 Public or private company 50. Total land area, sq. ft. .......... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors........................ conditioning? 36 � Oil L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 �es 45 �! No 53. Number of bedrooms.............. 38 Coal 39 n Other - .Spt'cify Will there be an elevators Full.......... _ 54. Number of 46 Yes 47 '� bathrooms Partial....... DEPY. OF BUILDING INSPECTIONS BUILDING Z i + 212 Main Street Oa Northampton, MA 01060 PERMIT 17A - 54 VALIDATION Oct. 11 , 88 WQ 650 APPLICANT Robert Skrocki DATE ADDRESS b� Mill R tP1� 007264 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Addition/Alteration[_, STORY Church,other Religiou DUMBERNG OF UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 165 Bridge Road, Florence ZONING CT URB (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 permit for addition/alterations to kingdom hall of Jehovah's Witne(ffft REMARKS: AREA OR 60 sq. ft. addition $ 55,585.00 PERMIT $ 160.00 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER Kinq(inm Hall of Jehovah's Witnesses BOIL Ae1* 9 ADDRESS 16S Rri ap Rd. . Florence BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PONfl?