25A-048 (9) Vill. ZONING PLAN EXAMINERS 140T ES
DISTRICT
I USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR •
................: ::: :::
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NOTES and Doto — (For deportment use)
1
i
IV, IDENTIFICATION To be completed by all applicants
Name Mailing address Number, street, city, and .State ZIP code Tel. No.
Owner or
Lessee
Builder's
License No. 7
2.
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 applicant Address Application date
00 NOT W R I T E BELOW T H I S L I N E
V. PLAN REVIEW RECORD For office use
Plan Review Dote Plans By Date Plans By Notes
Plans Review Re wired Check Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL 1$
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obta ined Number By Permit or Approval check Obtaaitne
ed 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 6020
Building Use Group
Permit issued 0 �a 19
Building II Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ c:uponc Load
Appr e Y:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• , MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page ,__� Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, I1, 111, IV, and IX. O
I• AT (LOCATION) ZONING DISTRICT Ct
LOCATION (NO.) (STREET)
OFBETWEEN „�•. L. .,�-'- ,:., :•...._. . .. 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 ❑] 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— — — — 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 Wrecking (11 multifamily residential, of units ——————— — -• 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑] Moving (relocation)
17 ❑ Other — Speci/y 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 — Speci/y
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 y ' -
III. SELECTED CHARACTERISTICS OF WILDING — 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
30❑Masonry (wall bearing) 40 ❑ Public or private company 48• Number of stories................
31 ❑.Wood frame 4 1 0 Private (septic tank, etc.)
49. Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ..................... r
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 I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 n Oil conditioning?
37 Electricity 44 ❑ Yes 45 i� No L. RESIDENTIAL BUILDINGS ONLY
C J 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator?
Full..........
54. Number of
46 n Yes 47 ❑ No bathrooms Partial........
a DEPT. OF Bt1ILDING INSPECTIONS BUILDING Z a�
+ 21 Main Street $d `-/ 1, a)
Northampton, MA 01060 PERMIT
25A - 48 VALIDATION
DATE
December 18, 19 84 PERMIT NO. 690
APPLICANT Kevin C. Netto ADDRESS 68 Union Street 001317
(NO.) (STREET) (CONTR'S LICENSE)
Addition NUMBER OF
PERMIT TO (_) STORY Existinz 2 Fam11V DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URB
AT (LOCATION) 4 Crosby Street DISTRICT
(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
(TYPE)
REMARKS. Permit for the addition of a 13' x 15' bedroom and raise roof and add second floor
bedroom already mentioned.
AREA OR 195 S q. ft. 5 500.00 PERMIT 24.00
VOLUME ESTIMATED COST $ f FEE 4)
(CUBIC/SQUARE FEET)
OWNER Dorothy Kelly BUILDI /
ADDRESS 4 Crnshg St- , Nnrthnm„tnn, Masg, 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY - PINK - ASSE SORS COPY P'ixr llP