23D-016 (4) I- DEPT. FILE COPY
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DEPT. OF BUILDING INSPECTIONS BUILDING 4
PERMIT
212 Mein street VALIDATION
Northamptoq,Mass. 01060 23D - 16
DATE October 26, 19_78 PERMIT NO. {36
APPLICANT David H. Korytoski ADDRESS TTni(�Y1 S , N'tnr
(N 63i (STREET-) (CONT R'S LICENSE)
PERMIT TO Alter Residence ( i ) STORY Residence DWELLLIING UNITS I
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 554 Flm StrF it DISTRICT TIRE
(NO.) (STREET)
orn BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
a
LOT
o. SUBDIVISION LOT BLOCK SIZE
m
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)
IL REMARKS: Renovate. & alter rear porch
AREA OR PERMIT
VOLUME ESTIMATED COST $ hnn_nn FEE 10.00
(CUBIC/SQUARE FEET)
OWNER David H. Korytoski
BUILDING
ADDRESS 63 TTp-i orl St. , T\T'±nn_ BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
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
N' BUILDING PERMIT -
23D 16 CERTIFICATE OF OCCUPANCY
DATE October 26, 19 16 PERMIT NO. 53E)
APPLICANT David H. Ftaty'totxki ADDRESS 6 Union R lii tort-
(
NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Aiter Residence ( 1 - ) STORY Dissidence DWELLING UNITS 1
(TYPE OF IMPROVEMENT)I� NO. (PROPOSED USE)
AT (LOCATION) 5511 Elm Street ZONING
(N (STREET) DISTRICT [JRB
m BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
rn
LOT
4' SUBDIVISION LOT BLOCK SIZE
m
a
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
E (TYPE)
m
0
U REMARKS: _ ReThW to &_ alter rear por b
AREA OR )III11 •;11111 )1111 11 II :11N1 :1111 ;1111 71111( `1111t :1111 a
VOLUME • 7 1.71 'If • 7 •Sf 7 •Er •- •S.l •ST • 7 ,VS7 J j • 7 N
(CUBIC/SQUARE FEET) ? Ti '1.�,�� T.I =1 T1 1Tl
:1111 ;1111 :1111 :1111 :1111 .IIII :1111 '11114 :.f11 ;1111 `lilt 11111 '1111 11111 11111 :1111
O TtI br7 I RYl71 bT}1 kY 7'fl 1d T.TI cirri 1D' 1 I0'C7IA 1:'tl K.l'T)k7 x,71 ICY eti vi ldTTTjjj+++XY l•."It6
OWNER David H. Koryteski .4eyjE.��PP�OppSTEtt 0 �/PR�EMISES,.:
St.., Y SEE REV :?!•"1 ONa < '�`NSt,OF C IFICATE
ADDRESS Eli UY31C17Y tc.m. .•?� .
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
VIII. ZONING PLAN EXAMINERS NOTES r
CITY OF NORTHAMPTON
DISTRICT OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060 A 3 �— /Ce7 PLAN EXAMINATION AND
FRONT YARD BUILDING PERMIT
Z
IMPORTANT — Applicant to complete all items in sections: I, I1, Ill, IV, and IX. O
SIDE YARD SIDE YARD {/� <_
I. AT (LOCATION) �`� T `��' DIONING STR C ��
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES
LOT
SUBDIVISION LOT BLOCK SIZE
— N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -4
XI
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 I New building 9 Residential Nonresidential
2 I 1 Addition(I/ residential, enter number 12 One family 18 I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I Two or more family - Enter 19 Li Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use -
number of units- -
uw`r`a`'`�`"` " 3 IX Alteration (See 2 above) 20 Industrial
araruauw ■ ■ • ■ a ■ w.
14 I I Transient hotel, motel, 21 I Parking garage
4 I I Repair, replacement or dormitory - Enter number
- ,- _-°-"' _t
a aawsaaaa■saaa' 5 I I Wrecking (If multifamily residential, of units - -0- 22 Service station, repair garage
enter number of units in building in 15 I Garage 23 [ I Hospital, institutional
aua Part D, 13)
• 16 I Carport 24 I Office, bank, professional
• 6 L I Moving (relocation)
} aaa■ua•aa a• ai: w• su
5 uaoa:aarassas•+tssuaa•uuu�:ors ::: ua, 17 Other - Specify 25 Public utility
::• aa•0••ww ::::■.M■.•#r6aa■ss■•rors.r■rr.•i►•■■u■•rr::::::s:s::.:..:....:::::: :::::::::::::::::::::::::::::::a::�:::::::::::a::' 7 L-j Foundation only
Mimeaw *um ■usuaaawaausasaaaaaaa■waa•aaa*aa•was■aaa*asa*awaa■ 26 School, library, other educational
•uauu•ra•s■• as p
::::::su•uu•a::: • •s:••■s•osa .E B. OWNERSHIP 27 Stores, mercantile
.: : 28 I Tanks, towers
a=a= 8 I}1 Private (individual, corporation,
• nonprofit institution, etc.) 29 1 Other - Specify_
9 I Public (Federal, State, or
_ sass aaasoaaaaaaa•saa•waa•auauwasaawaawaaaan ` local government)
asaa■a
:awa•s _ C. COST (Omit cents)
:-:::::aua•:: asa:i a• s • *** Nonresidential - Describe in detail proposed use of buildings, e.g., food
: _ processing plant, machine shop, laundry building at hospital, elementary
1:::::::: :' : : _ • 10. Cost of improvement $ GQO.Do school, secondary school, college, parochial school, parking garage for
rani • 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
: : N a. Electrical
smarm
. 0a.... a:: :� : :•�i b. Plumbing
::a•:-. 0 : =:•aa _.._. c. Heating
, air conditioning
sa a w••a:: ::_ _ ::a:: : _ ' ■:a aai■a d. Other (elevator, etc.) -
•_ _::: : _ _: �::::_ 11. TOTAL COST OF IMPROVEMENT $
":suu•sawsaux:: :uwu■::::::awuawu■us=::w■ a ■ a w • a 1 • ■ a
:a:•:::w■a■: Si :':::::::•aa•=•aa■= : :::::A�� :_ . .� • ■ a • . : aim
• III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
_ ::au:�a■. :a :: : i for wrecking, complete only Part J, for all others skip to IV.
�___• _:: Pt' _ 1:::::: : :a :'u= I :a :a E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS f
1:__ _ ::: :me: 30 L-] Masonr 48. Number of stories Z
y (wall bearing) 40 Public or private company
(+iiiiliasu•::•a: : : 1::::: 49. Total square feet of floor area, l0 X. /l►
31 Wood frame 41 I I Private (septic tank, etc.)
■:::_:::::::■ OlUM:: ::i:i:::::i:::suga :_ all floors, based on exterior ! a t
::::::::::s••= = ::w==•= I : :::::: :asaa • a ■ a a s II* a■••ua' 32 I Structural steel dimension 14/s
` H. TYPE OF WATER SUPPLY
i-: : :w• us•as ' aa1:::: :::::' _ 33 I Reinforced concrete
• sr■s ran 50. Total land area, sq. ft.
"':::::18: sn:uu:wa: : : _ Y�>
_ __:_ _ : : - 34 Other - Specify - - 42 Public or private company
_ :::=::=na• • • • a• s •• ::.. 43 n Private (well, cistern) K. NUMBER OF OFF-STREET
: ::::■:■:a•: :• • _ . ,; �•- PARKING SPACES
..w .a..••aw::sass _
::u::s:u•:s•:!• •••_ _� 51. Enclosed
••• • ••• i: ' :••:•:••:::::: :: F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
1:•:1411::::::a:•: : aue•��::::'::::1 : :::::a.'; :::::: a:::u■• 35 Gas Will there be central air 52. Outdoors
1-:::::::::::::::::_:::::z : a : : ::::
:¢::s ::w:: : : :::::: a :: :: 36 I I Oil conditioning?
�•iw•��'a:a■: !:::::!::1: _:_!:! nun s:.•■■. : :• 'S"=: : ::= aaaa:ia no°aw L. RESIDENTIAL BUILDINGS ONLY
1a::::::::::z:sa:sasa■a:a::: :s ::::::::' ::ai`a■ia■■: w: ::•■a.a:: 37 I I Electricity 44 I 1 Yes 45 X No 53. Number of bedrooms
I:: :: :::::::E ;q:s::as:l;::a•sz :::::sa s:s =s:g;===p•a•aa..aa 11s:s::aa■a:�zw■■a
38 Coal
<k4-1 .�1' fre.i � iri:::::::: a• ■oats: a ■ • :a■a■:: a meb,-.
_a �.«._ �.. _ : :
e. a■ as a• • ■ •a • ••
!•!a!■�!!! II ! !ua! ■ • a as 39 I I Other - Specify Will there be an elevator? 1 Full
54. Number of
46 I I Yes 47 No bathrooms
Partial
BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. 7�'
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
NOTES and Data — (For department use)
1.
Owner or .13A.✓,P A /40,efss,ed 6 s U,vroa 57 Xa •Q . O 64 1 o(z.f
Lessee Ottfordf4 S.
Casi...v.,0,4401 ck Q.448..1144/t7144.., /1•4410"8, itelor.Ad
Atiefe-c, Builder's
License No.
Contractor
.. -./(" 4'4 `4 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 Application date
Q f �f�GCAIr V. GLT+'/`L 907
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
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 J�� FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 6" 19 7
Building r a i Fire Grading
Permit Fee $ /A £Y, Live Loading
Certificate of Occupancy Occupancy Load
Appr by: . 7---.) ,
Drain Tile
Plan Review Fee
TITLE