25A-051 (20) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE ge
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — .A'imber, strccl, rrt%, nnrl ,C1ntc ZIP code Tel. No'.
1 � P 4ZNL Pr
Owner or
Lessee
BUI d—'s
License No.
Contractor
3. �Q
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 appl' ant o Addre ss 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 $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Permit or Approval Check Obta±ed Number By Permit or Approval Check Obttatned 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 C ��
Building
Permit issued 19
Building
Permit Fee $
Certificate of Occupancy
Appr Ave:
Drain Tile
Plan Review Fee S— `<
TITLE
Crxty of Nort4ainptou
" � � �Ixssad)ixsetts
Offire of the �nsvtrtor of iguitbings_ APPLICATION FOR
Page Plot 137 ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p
7 ZONING
L AT (LOCATION) DISTRICT
LOCATION (NO') TREET)
OF raFTwFFry �tib�crr� Not` AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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(IJ 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— — — — —)� 20X Industrial
3 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 0 Ln Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ 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) 24❑ Office, bank, professional
6❑ Moving (relocation) 16 ❑ Carport
17 ❑ Other — SpeciJy 25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other -,SpeciJy_
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildi gs, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 20 C� school, secondary school, college, parochial school, parking garage for,
departm It store, rental office building, office building at industrial plant.
To be installed but not included If use xisting building is bein 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 400
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. le y
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
m
30[ ]Masonry(wall bearing) 40XPublic or private company 49• Number of stories of floor area ...
49. Total square Feet of floor area,
31 Wood frame 41 ❑ Private (septic tank, etc.) `
all floors, based on exterior (�
32'[::j Structural steel dimensions ..................... .
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 El Other — Specify 42 Xublic or private company 50. Total land area, sq. fT. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35 ❑ Gas Will there be central air 52. Outdoors........................
36><Oi I conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45N No 53. Number of bedrooms..............
38 ❑ Cool
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
��
46 ❑ �_ )Yes 47 No bathrooms Partial.......
n
hereby certify that the e
y y proposed work is authorized by the owner of record
and I have been authorized by the owner to make this appclication as[- his t,.'
authorized agent.
SIGNATURE OF AGENT '
ADDRESS
(NUMBER) (STREET) (cITY)
- APPROVED BY TITLE
DATE 19
. r
DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY
Zo
NORTHAMPTON, . 01060 BUILDINGa .
24 51 CODE # 79 PERMIT
VALIDATION
DATE November 15, 19 79 PERMIT NO. 664
APPLICANT G. Br=eb,. Amherst Wood. SUDD1.ADDRESS ;R Crosby Street
(N0.) (STREET) (CONTR'S LICENSE)
PERMIT TO Al'{:er8.'ti0]1 NUMBER OF
(1_8G) 25TORY �b8Cjj11>�ar DOek DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. `PROPOSED USE)
AT (LOCATION) 32 Crosby DISTRICT IM
(N0.) (STREET)
a BETWEEN Hubbard Ave. AND
m (CROSS STREET) (CROSS STREET)
10
a LOT
m SUBDIVISION LOT BLOCK SIZE
V
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Y_ Q (TYPE)
a REMARKS: Loading dock Q1 X 121
,
VOARE 96 ESTIMATED COST $ 200.00 FFRMIT 1000
(CUBIC/SQUARE FEET)
OWNER Columbus R. Rus90
BU( I T.
ADDRESS 32 CrosbySt., X I ton- BY
(Affidavit on reverse side of application to be completed by authorized ent of owner)
Milli