16B-009 (3) FIELD COPY
DEPARTMENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING
NORTHAMPTON, MA. 01060
PERMIT
4 16B - 9
DATE October 1T, 19 RO PERMIT NO. 628
APPLICANT Waclaw WyrZy *kL ADDRESS 111 Br1i Rd.
�J (NO.) TsTREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO R (i g) STORY Garage DWELLING UNITS 1
I EMEN NO. (PR,'rOSED USE)
ZONING
AT (LOCATION) 111 Bridges lead DISTRICT URB
(NO.) ( REST)
rn BETWEEN AND
O (CROS T) (CROSS STREET)
O
LOT
a' SUBDIVISION LOT BLOCK SIZE
m
a
u0 BUILDING IS TO BE 14 T. WI FT. G BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE G U BASEMENT WALLS OR FOUNDATION
X (TYPE)
CC
U• REMARKS: Coaetr"st dead aaa-car garage - pre-fab
Weed frame
AREA OR PERMIT
VOLUME 184 ESTIMATED COST $ FE $ 10-oo
(CUBIC/SQU
ARE FEET)
OWNER j
OWNER Waclalil Wyrz7/Swvw+REaiI' �
ADDRESS 111 Bridge Rd., N'ton., Ma. 01060 BYILDI G D
_ _ INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
,/"/Pei o..."-gto:441:1„..7
IONMININT OF BUILDING INSPECTIONS CERTIFICATE ISSUED
STREET DATE
,S* 11101MAIWrON, MA. 01060 BUILDING PERMIT -
168 - 9 CERTIFICATE OF OCCUPANCY
DATE Cctobsx 17, 19yy}� to PERMIT NO. fs7$
APPLICANT Wi Uyrzykowwki ADDRESS (N 111 Bridotc°R,STREET) (CONY R'S LICENSE)
NU OF
PERMIT TO �ar]1(� 7F . ( ',� ) STORY GarageDWELLING UNITS 1
011t RO'`TE MEN NO. 2 (PR OPb SED USE)
ZONING
AT (LOCATION) '�1,1 Bridge B•o.d DISTRICT MR
(NO.) (STREET)
o+ BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
rn
LOT
am SUBDIVISION LOT BLOCK SIZE
a
p BUILDING IS TO BE 16 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
CL
O _y�1
a REMARKS: ConstrwMt j taca7N1 os c'r eatag, - fto..fab
Wood frame
AREA OR :IIII :IIII •:IIII 'III( p.II II :Ilnl ;IIII yi .11)11J} :11111 ,g1yu11 Mil •INII :nu CS,
VOLUME 384 ' 7� E1 ?� '. 2 ;Ti '\7 ;, _ 'T1 T1 7Gt 7 1zi 7 7 N
CUBIC/SQUARE FEET) AMNMAMNMNMNM .IIII :IIII :IIII :IIII `IIII :IIII :IIII NMNM :IIII
o`{'TI E TI SYTTI 6,-TI,bT?I A7TTI 6;TTI 6rTI R7CE!%7TTI,6 rTl IDTTI ATT1 ErT11I vT-?I 'T.TI6
OWNER 612aclaw S�iyrzykowski TO BE POSTED ON PREMISES
ADDRESS 111 Bridge ltd•, N'tot1., 4a. 01060 SEE REVERSE SIDE FOR CONDITIONS OF CERTIFICATE
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
DEPARTMENT OF BUILDING INSPECTIONS Z D DEPT. FILE COPY
212 MAIN STREET BUILDING 2a4e2. w/o. oo / —i -FD
.. •a NORTHAMPTON, MA. 01060 PERMIT
16B - 9 VALIDATION DATE October 17, 19 80 PERMIT NO. 678
APPLICANT Waclaw Wyrzykowski ADDRESS (N 111 Brio.) de E ER�' (coNT R'B LICENSE)
NUMBER OF
PERMIT TO rt �`lL�e Qa jjQB ( 1 ) STORY Garage DWELLING UNITS 1
7PPOF I Ai ORENIRTM NO. (PROPOSED USE)
ZONING
AT (LOCATION) 111 Bridge Bond DIISTR CT UM
(NO.) (STREET)
rn BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
ot
LOT
a SUBDIVISION LOT BLOCK SIZE
m
0 BUILDING IS TO BE )6 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
0
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
K
o REMARKS: COAStrurt dotochod ono-Car garage - pre-fab
Wood frame
AREA OR PERMIT
VOLUME 7$/# ESTIMATED COST $ FEE
(CUBIC SQUARE FEET)
OWNER Waclaw Wyrzykowski
ADDRESS 111 Bridge Rd., N' ton. , Ma. 01060 . BUBYILDI DE .
(Affidavit on reverse side of application to be completed by author! 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 .
_____iri; CITY OF NORTHAMPTON
` MASSACHUSETTS
• 3.141 O`• If4 - OFFICE of the INSPECTOR of BUILDINGS
��% --yr Page /�P18 Plot 7 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete�ett all items in sections: I, II, Ill, IV,,)and IX. }(�� 0
I. AT (LOCATION) /�/ �/ (Jf�S � -% / ' Jc- " NING
DZISTRICTU RSC.J
LOCATION N ) (STREET J
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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 m
m
1 "New building Residential Nonresidential
2 I I Addition(If residential, enter number 121One family 18 Amusement, recreational
of new housing units added, if any, 13 I I Two or more family — Enter 19 I Church, other religious
in Part D, 13) number of units— — — — -0.
20 I Industrial
3 I I Alteration (See 2 above) 14 Transient hotel, motel,
4 I 21 Parking garage
I I Repair, replacement Pacement or dormitory — Enter number
5 I Wrecking (If multifamily residential, of units — ....l 22 Service station, repair garage
enter number of units in building in 15 I I Garage 23 I Hospital, institutional
Part D, 13)
16 I Carport 24 I Office, bank, professional
6 I I Moving (relocation)
7 Foundation only 17JOther — Specify �Z 25 I Public utility
26 School, library, other educational
B. OWNERSHIPf- ^/e�Gtt, 27 Stores, mercantile
�/ 28 I Tanks, towers
8 I Private (individual, corporation, /6 / ' (t( 29 I Other — Specify
nonprofit institution, etc.) /
9 I I 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, secondory 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 SO1 o067•OCD
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 1
30 Masonry (wall bearing) n 40,4Public or private company Number of stories /
31 Wood frame �1 ffv,�/Y1C/ 41 I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior � ' /
32 n Structural steel dimensions `/f
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I Other — Specify 42Public or private company 50. Total land area, sq. ft.
43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35,, Gas Will t re be central air 52. Outdoors
36 I Oil conditi. ing?
L. RESIDENTIAL BUILDINGS ONLY Q
37 I I Electricity 44 I Ye 45 J No 53. Number of bedrooms ,./
38I ICoal ����JJJ
39 I I Other — Specify Will th re be an e evator? Full /
54. Number of
4. i Yes 47 I 1 No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - ,Yumbes, street, city, and State ZIP code Tel. No.
1.
Owner or z� .ti -"Lt� /// / '"-�',}/Q L" V: 6. �
Lessee //f� (/ /J�6+ C!
2. Builder's
License No.
Contractor QJ
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 of applicant 1 r Address Application date
0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
Permit or Approval Check Obtained Number By Permit or Approval Check ObtDained 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 c
Building. Use Group
Permit issued i. /7 198't
Building Fire Grading
Permit Fee $ /?. Lid Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
T TLE
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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