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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.
Application for Permit to Buildl
Northampton, Ma ., « �'
ss 1 ».:......19.....»........
To the Inspector of Buildings:—
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
Owner's name ) L ���..a:.a:::1 .•.., , :�.
1 ...»............... »...........: .e...... . ...............................«........................................
2. Owner's address .«.....'..« ....... .:........,_..........«..............................«.,..«.................................
3. Architect's name ........................: N .:« ...........................................................................................
4. Builder's name .................. . .....................«......................................................................................
5. Builder's address ...................r U A.. ......«............................«..........«........................................................................
6. Location of Building. Street No. .....................................».».............................................................................................»..................
7. Is this a removal or new building .....= ...........«...................«.......«.......................................................... .....................
8. If removal, from where ........................... _ ,... .... .......................................4
9. What is the purpose of building ........ . .. ......... ....... ��' .... ...............«.......«.................
10. Material of building .
lc .«...... .....................................................«.....................................................................................
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
i
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 ......................... . ..........................I.....................
23. What is the material of foundation2..C... , 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 .....».....; Lavato ries ..«.....; Bathtubs.........; Showers............; Settubs .........
28. City Service; Water ..........`""-.Sewer ........... - Road Surface ..................-.. ; Sidewalk ........................
29. Is lot on accepted street .............t..... ».. «....................................._.............«.........«.....«...,..,.......
30. Estimated cost (must be filled out) ..................c.............:....'.�..................................................»....«.........................................
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.
�. :..»....l »..... ....» .
Signature of applicant ....... «r..:• .... ,.• .......
Y No........;Z.......
r�»�„1�•
REMARKS
...«....«:«�::.`................».............».....�-/�'.'.t...:j.s...»..«�:. r r«...��.'t........ � ........................................».......».....................I..................
.........................................................................«....«.».....................................................»......................................................................».......................................
.
............«..................................«................«.......»....«.«.............«...................................................................................................................................................................
ZONING •
DISTRICT
USE
FRONT . /
SIDE YARD SIDE YARD
L REAR YARD
NOTES
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NOTES and Data — (For department use)
4
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IV. IDENTIFICATION — To be completed by all applicants ,
Name / p� Mailing address — .\'timbcr, strccl, cztN, nr�r( Butt_• _ ZIP code Tel. No.
Owner or 1 S E' !7 2,
Lessee `2 Z
License No.
Contractor
3.
A r c h i to c t o r ---- ---- --------- --- - T
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.
Sig ure of applicant Address App;1c/at��dd ate
zt
,
D NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B otes
9 Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained Number By Permit or Approval Che:k Obta in 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 j
VII. VALIDATION
Building �� • j
Permit number
iM
Building
Permit issued d Z 19 ,7,7
Building
Permit Fee
Certificate of Occupancy
Approved by:
Drain Tile
Plan Review Fee — {
TITL
o� To
Crlt� of Nort4alnvton
$ 'Massarlijusetts
T' Office of the ns}lertor of uilaings
APPLICATION FOR
ZONING PERMIT AND
Page 3l Ca Plot— BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. p
jf ,Q '/ ZONING
• AT (LOCATION) ll�—[.e-�'l.-4z,,_ / t V DISTRIC�
LOCATION ( (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
rn
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 FA New building Residential Nonresidential e
a
2 ❑ Addition(!/residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if an
y
in Part D, 13) 13 ❑ Two or more family — Enter 19❑ Church, other religious '
)
number of units— — — — --]� 20❑ Industrial
3❑ Alteration (See 2 above)
140 Transient hotel, motel,
21 ❑ 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 )4 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 V Private (individual, corporation, 28❑ Tanks, towers
nonprofit institution, etc.) 29❑ 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................ -C 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 $ is
III. SELECTED CHARACTERISTICS OF BUI DING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV. D
0
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS R1
48. Number of stories...............
30 L_] Masonry (wall bearing) 40 ❑ Public or private company
49
31 [K Wood frame 41 ❑ Private (septic tank, etc.) . Total square feet floor area,
all floors, based on exterior
32 ❑ Structural steel
dimensions ....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY K,
34 ❑ Other — SpeciJy 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44❑ Yes 45 ❑ 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........
R �tpo 1t
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I hereby certify that the y
y y proposed work is authorized by the owner f record
and I have been authorized by the owner to make this- applicbti ai his`
authorized agent. _
SIGNATURE OF AGENT '
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
s :-
DATE 19 .
DEPT. FILE COPY
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CITY OF NORUMPTON BUILDING a IL
NaRTHi4MPTON, MASS. PERMIT VALIDATION
31C - 7
DATE f+crtiguibe J , 192_ PERMIT NO. 410
APPLICANT Joseph R MaMa.r7, ADDRESS 28 Ward Avenue
(NO.) (STREET) (CONTR'S LICENSE)
Garage OF
PERMIT TO Qon� rUC (;ara,re (_I STORY_ Garage DWELLING UNITS
(TYPE OF IMPROVE ME ) N0. (PROPOSED USE)
8 ZONING um
2
AT (LOCATION) 8 14axd Avenue DISTRICT
(NO.) (STREET)
rn BETWEEN AND
u (CROSS STREET) (CROSS STREET)
a
LOT rfo t
o SUBDIVISION LOT BLOCK SIZE
m
a
0 BUILDING IS TO BE—,_�—FT. WIDE BY 2�4' FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
f
O
IL REMARKS:
AREA OR PERMIT -[) oo
VOLUME ESTIMATED COST . _t1(i FEE
(CUBIC/SQUARE FEET)
OWNER ,,jps;e1h R utaoiarl7 - BUILDING EPT r
ADDRESS na 'W -rd Avenue BY
(Affidavit on reverse side of application to be completed by authorized agent of owner