25A-051 (15) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT /
USE � ) i
FRONT YARD
SIDE YARD SIDE YARD
Z/�REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
�
Owner or 4
Lessee < 3 Os�I C/
B u i Ider's
2. 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.
Signature of A�ic -� Address Application date
`
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 17C FOR DEPARTMENT USE ONLY
Permit number
Building nq Use Group
Permit issued 19 _
Building Fire Grading
Permit Fee $ ����C� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
E
f
NOTES and Data — (For department use)
Reeofa
's c.0 J
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I. C DISTRICT
ut�Q
AT (LOCATION)
LOCATION (NO.)
(STREET)
O F 4 042-)
A N D
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 ❑ 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— — — — -�
3'�Alteration (See 2 above) 20,.KIndustrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number 22 ❑ Service station, repair garage
5 ❑ Wrecking (If multifamily residential, of units ——————— — -�
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 Moving (relocation)
7 ❑ Foundation only 17❑ Other — Specify 25 F-1 Public utility
26 ❑ School, library, other educational
B. tOWWNNERSHIP 27 ❑ Stores, mercantile
8 p�I Private (individual, corporation, 28 ❑ Tanks, towers
rC nonprofit institution, etc.) 290 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 $
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 f
30 Masonry (wall bearing) 404� Public or private company 48• Number of stories..............
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ..................... '�
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 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 I. TYPE OF MECHANICAL 51. Enclosed ......................
35 ❑ Gas Will there be central air 52. Outdoors........................
conditioning?
36M Oil L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 2� No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other— Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 ❑ No bathrooms Partial........
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.
- t ,
SIGNATURE OF -AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
. ,C
a DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS ZO
212 MAIN STREET BUILDING Oa
NORTHAMPTON, MA. 01060
PERMIT VALIDATION
25A - 51 Code #79
DATE ,juna {� 19 An PERMIT NO. 2$6
APPLICANT S. J. ArAttch ADDRESS 32 Crosby Street
(NO.) (STREET) (CONTR'S LICENSE)
NUM®ER OF
PERMIT TO_ Alterrttian (_ 1—) STORY Of fiCe� Lt>adiaQ dOCIC DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. CPR OPOSED US�
AT (LOCATION) 32 ZONING
Croshe DISTRICT UBB
(N0.) (ST EET)
w. BETWEEN Hubbard Axe AND
w (CROSS STREET)
m (CROSS STREET)
tL LOT
m SUBDIVISION LOT BLOCK SIZE
a
V
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)
o REMARKS: Construct Interior a f4 ce- exterlar InAding dnek, exterior rear
Add entrance door.
AREA OR PERMIT
VOLUME ESTIMATED COST $— 70000 FEE 1000
(CUBIC/SQUARE FEET) �
OWNER -Columbus P_ RUSSO BuILDI G D
ADDRESS 32 Cro$bT St.' N'ton. BY 310, 01C az
(Affidavit on reverse side of application to be completed by outhoLLe nt of owner)