05-045 or ALL buildings wit-Ain Fire District and for other boil iirg3 t.osting $10,0W.00 or more, plans
and specifications must be Submitted to the Inspector of Buildings for -examination and approval.
If Building is ;,-j maved give details relative to proposed lcw:-,a tion as for a new building.
I Ll R
F11,--,pBca-L"on for 'ermi to 'uild
:Northampton, Mass.. ...........S�_/J....................192L
To the Inspector of BulAdin.-3:-
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
1. Owner's name ............................ Mr. N. Laurence Miller ....».».........._.».......................»»»............
91 Hulst Road
2. Owner's address ....................... Amherst, Mass. 01002 ......... .r....... A- ..............
3. Architect's name ..................... 'I - .............I............... ...............................
Mr. N. Laurence Miller
4. Builder's name ..............«....».. 91 Hulst Road ...................................................................
Amherst, Mass. 01002
5. Builder's address ................... ..........................................................
6. Location of Building. Street No. ..............................................
7. Is this a removal onnew building.............».............P .......................................................................
S. If removal, from where ..........:».................................... ...............................................................................................
9. What is the purpose of building ........................ ............... ..........................
10. Material of building ................... ...........
(......................................................................................
11. If a dwelling, for how many families ..........._....I...._................_.....Number of rooms ..........t<.._.......»...
12. Is there to be a store in the building ..... N 0 ......................................................»»_ »...............
13. Size of building, No. of feet front ..........;No. of feet deep ...2--L.... ; No. of stories
14. Size of ell, No. of feet front .......................; No. of feet deep ......................; No. of feet high
15. Size of Lot ...Rk....... �_Veet Wide J?A.....t.�!....Q_ Feet Deep �:KL......
16. How near the-line of street ......................L
........................................................................................
17. How near the line adjoining lot. Right.....4,-:V._................; L e f t -0.................; Rear..... ...»..»».... .....!&�
C( C v-- �3 's f V, A-Lr
18. Nearest building is ................................ feet in a..................................................... direction .........................._...».
19. Material of the floor.......
.................................................................................................................................
20. Size of timbers, 1st 2.11/..4:.......; 2nd ...... ; 3rd ........................; 4th .............................; 5th ...................
21. No. of feet span $..C&
PUL-�......... ........................... ; Distance on centers ...........�C.......
22. Will the building be erected on solid or filled land ........... d
23. What is the material of ....... :.... .4...._.......;; Footing
24. Will the roof be flat or pitched .....kel.i i.L......ZA Covering................................. Coveri .....
25. Heat; steam, hot water, furnace, stoves ...1.4....... ..................... Power oil burner ........le.�.......
26. Fireplace .....__..Y.A - ...........................................; Insulation a.....L 5(
,,,, --
27. How many sinks tiPt.; Toilets ..2..-.; Lavato riesj!.... Bathtubs....:..., o w e rs. .........; Settubs ......
28. City S(,i-,,ic(., Vi'ater Sewer Road Surface .............. Sid--walk .....__...........
29. Is lot on e_- Id Street ........ I" .......................................I..............I.....................................
30. Fztirnatf (i-lust bo filled out) .......3Ar�_.Qx'p...........................................................................................................
'ro -11,;e tb ., I:rizpeti t_or of Buildings 24 hours' no ice before lathing or
1711 building will conform to the requirements of the law.
_ �_ "s i 11)
"I at;] 0' -- ,I ., .1...»....................................................................
...........
S1_11, ti ne I _kij�
No.........P::.:7
....�V
..........
REMARKS
................... ...............I...................................... ...................................................................................................................
............................. ................ ....... .................................................................................................................................................
................-.......... ................................................... ...............................................................................
............. .................. .......................I.......... ........................... ..........................................................
PLOT PLAN
In accordance with Article XI of the Zoning Crdinance, an application for a
Zoning Permit moat include a Plot Plan. The follof-ring characteristics of the
parcel must be shoran.
1. Dimensions of the lot.
2. Locations And size of all. buildings.
3. Average finished grade of all structures existing and proposed.
4. Use of all buildings existing and proposed.
5. Set packs as indicated on the enclosed plan.
A:utytr Name j
Lot //
..���, 110. ��;,�..'f � �►''� S V��,�%^�
Lot__V Ft.
Roar Yard`
Abuttors Abutters
Name Name
Lot No. hot No.
.CI La� C Tc--t 7,�-c Nj C'h
If this is a • Si4eyard •� house Sidevard If this is a
corner lot, write U� �} corner lot, write
in the name of the in the name of the
other street. other street.
w �
t
Set Back h
4
o . 1�G a
_Lot/ I/>.S Ft.
Name of Street
Indicate location of garage or accessory buildings with a dashed line.
Indicate location of Sewer hook—up [5]
List all past plans, applications, permits, variances etc. and corresponding dates that
nave been processed by this office.
I certify that the enclosed applica ion an plot plan are co, acre and correct.
C - X
Signature of C,;ner
Page""", Lot No.—.� _
ZONING PERMIT
APPLICATION
�'hio gentioo is to be fiII#�d out in 0000rdoune t }� the »T, ble of D1ocnaiqurI nud
A!,TICLI" Vi)
�5 t Exist, nj- & �egr,� /r7 %
���r --'--------- ------['----- -'----'--------
QeoidcutipI ���] S�o�Ic �':iIJ puit [_-] olti-����I�
[--�0tbez
[--� Bus1ueoo
[--1
Industrial
[--1 Inst1tutio~~]
[--1
Subdivision �-� IleC'/] �r
�—1 [)
cIn n t'�
v1Cion nith
Ploco1u8 7110ard Ayprnv.-l:
= Zooiog Poord Approval (Syccipl pnrz'it c
F--lCity council / " i I F Xccptiojj ic'.119) '
This tio� for OFFICIAL uce only:
DrovnI no pr*oeoted:
[--l]]odirioutioon oeosr,,�,-ry for
F--)Retoro: (1]0re i»�n,mnti�n oe°'lcd)
[--lDeuinI: Bnpr7ors:
-----' ---
Si t of A li t Date
��Cnrtur� '/I �8mlu.. 0fficor Date
— --- ------1- ---------- '
ILI
- , \
Ori-� ;f�rr of fl,r
iNSPI-CT(DR
CERTIFICATE OF C(_CUPlNC'Y
Pao
- Page
Building (Na._ ) R c d z e s s Audubon_Road,_-Le-ed
.�r7q
c' 3 r e s s _AudubOrt Road-
(3 d r e s s _`1 julst-Rdo-,_Amherat
Use' - Is Occupancy _—N_. L. �21=_ ---- - -
2nd occupancy ------------------ -- - — - -
3rd occupancy - -------- ------- -
4-h Occucancy --- ----- --
Zone D i s t r i c t ----- ------ -------- - - ---
Required Inspections :
Now Building LX� Existing B?�iloing
F,levator --
,-
othe3C -
?rlilding -------
{:s -)ector of ilcii,�S .
_ ._�-
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
DEPT. FILE COPY
Z 4
i J BUILDING 44
PERMIT VALIDATION
Lawrence Miller DATE August 5 1g 76 1 PERMIT NO. 276
APPLICANT ADDRESS u s y Rd Amherst
(NO.) (STREET) (CONTR'S LICENSE)
Build New Home 2 NUMBER OF 1
PERMIT TO (_.) STORY Private residence d��ce DWELLING UNITS
(TYPE OF IMPROVEMENT) Audubon (PROPOSED USE)
AT (LOCATION) Audubon Road ZONING R• R.
DISTRICT
(N(V) I (STREET)
a BETWEEN AND
'D (CROSS STREET) (CROSS STREET)
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
u BUILDING IS TO BE 58 FT. WIDE BY 26 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m j�� r�
Z TO TYPE T USE GROUP L-� BASEMENT WALLS OR FOUNDATION y�nCrBt@
(TYPE)
0
IL REMARKS:
AREA OR 39,000 PERMIT 117 -00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) -
OWNER • N. Laurence Miller gUILDIN DE ,
ADDRESS u It Rd. , Ainherst BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)