36-130 (3) For ALL buildings within Fire District and for other buildings costing$10,000.00 or more, plans
and specifications must be submitted to the Inspector of Buildings for examination and approval.
If building is to be moved give details relative to proposed location as for a new building.
36- /3 v -
Application for Permit to Build
Northampton, Mass., .......G._-43 " 19.1
To the Inspector of Buildings:-
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
1. Owner's name QSaa ee_q...Bzec,Aiq.... 0.Ji m.Sa.F.................................................................._.................
2. Owner's address4,9 .._ 9.VAkt. ....&A-Z'4 C................._..........................................._.........................................
3. Architect's name ......................_..................................................................................._.........................................................._..........................
4. Builder's name ............................................................................ ............................................................................................................
5. Builder's address ................................................................................................................................................................................................
6. Location of Building. Street No. ... ............................_.».. ................_.................................................................................
..
�.....
7. Is this a removal or new building. .... .. P. rll,e ...wl....
8. If removal, from where ......................................................................................................................................................................
9. What is the purpose of building ....................................................................._......................................................................................
10. Material of building ................................_.............................................................................................................._.........................................
11. If a dwelling, for how many families............................................Number of rooms ...................................................
12. Is there to be a store in the building ........................................................................................................................................
13. Size of building, No. of feet front ..........._...........;No. of feet deep ......................: No. of stories .....................
14. Size of ell, No. of feet front ........................: No. of feet deep ................._.....; No. of feet high ............».............
15. Size of Lot ..............................................................................Feet Wide ................................ Feet Deep .................................
16. How near the-line of street ..........................................................................................................................................................................
17. How near the line adjoining lot. Right.................................; Left...................................; Rear.................................
18. Nearest building is ................................ feet in a..................................................... direction ......................................................
19. Material of the floor ........................................................................................................................................................... .................
20. Size of timbers, 1st ........................: 2nd ........................ ; 3rd ........................; 4th ..............................; 5th ..............................
21. No. of feet span.........................._............._......._...._..............; Distance on centers
22. Will the building be erected on solid or filled land ............................_................................................................................
23. What is the material of foundation ....._............................_............._...._.........................................; Footing ........................
24. Will the roof be flat or pitched ........................................................; Covering.....................................................................
25. Heat; steam, hot water, furnace, stoves................._.......................; Power oil burner .............................................
26. Fireplace ..................._........................._......................; Insulation .............._...............................................................................................
27. How many sinks ............: Toilets ....._.....; Lavatories .........; Bathtubs.........; Showers............; Settubs .........
28. City Service; Water ........................ Sewer ........................; Road Surface ...........................; Sidewalk ........................
29. Is lot on accepted street .....................................................................................................................................................................
30. Estimated cost (must be filled out) ...................y/.. Q0:..0V......................................................................._..............
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. This building will conform to the requirements of the law.
Signatureof applicant....!d ............ ... . ....... . ...................................................................................
No.... _...........
REMARKS
.................................................................................................................................................................._........................................_......._.........................................
}
hereby certify that the proposed work.is authorized by the owner of record -�
and 1 have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS r
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
z
2 IL
BUILDING
PERMIT
VALIDATION
DATE una 13, C 1922 PERMIT NO. 235
APPLICANT Beverly Johnson ADDRESS 295 Brooks:1de Circle (CON7R'S LICENSE)
NUMBER OF
PERMIT TO Above Ground Pool (_) STORY SHi=i= P001 DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
'Y k,-Qi ZONING
AT (LOCATION) 2 R7
de Circle DISTRICT UU
( ,) (STREET)
m BETWEEN AND
b (CROSS STREET) (CROSS STREET)
rn
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
U
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)
LL REMARKS: TnQ+sll above ground swimming pool 241 mind
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1"500,00 FEE $ 10.00
11
� (CUBIC/SQUARE FEET)
OWNER 01acay & Rexerlvy Johmmn BUIL '
ADDRESS _2951 BreinksttrIA -rnle. Nartbampton BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)