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11C-026 (5) 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 Build Northampton, Mass., ..... .. Q.............19.?.,I..!Q. 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 .......... .. ..... ...... ..................................................................... 2. Owner's address .................. ... .._ ...............................,._............................_................ ................. 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...................................... ..:................................................................................,...................... 8. If removal, from where ........................................................................................................................................................................ 9. What is the purpose of building ................ ... ,.........f.. ......».... ..,. ...................................................................................... ........................... ... ...... .........._............. ............................_......................................... 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 ...1.....:...........: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) ........_........................................................................................._............................................... 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 ,�... . ....,��.....�. ...»»........�.»«.:».....�«;..;...�..._ .... .... ::..................................................... No_ ..»........... REMARKS ..........................................................................................................a............................................................................................................................. ZONING PERMIT APPLICATION Address Adli Telephone This section is to be fillcd out in oncord.c.uCo riik Uie of Die -,uoioorI and Density Regulcitione: . (Z. District A 1,c,I "!Ili d t)I YrJ]I t Side Cover. 5pace 4�t A Fresei FPropoced 1116 Qnrk the apyroprinte l'ox to iudiczito the osr of t>)r Prrnel: F--� 0on-Couf"rmiof; Ict ­Yid/or �truotnrc. Sl/ooify°�_______--_--'___-__--__ - -_-_--_' Residential 3luL-le Fr/`i]y Vuit =I'�ulti-Fomily DvyIox [--l0tboi �—� Buo1uono F--1 Industrial F--1 Iootitutlnr~l �-� Subd1vioiou F—� Be"ol �r [--lP.U.D^ nUhcr F--� 8ubdivi.-inm �itjj v���rov�l-�ot-Rn1��irpJ»-�t'wy: F--lPlouninC RonrU Ap],rovrl: F--lZnoiuc Rn�ird Approval (3y0rinl Permit 1().0: Vrrinnoe� F--) City Council (Specinl Exccption S. 1C.10) ' Watershed Protection District OverlTy: (Z.O. Sect. -,'IV) yes I'To Loading Space Requirement1c: (Z.(1. rect. 8.2) Reqtiirc.d_Pr,)j.,,o,-ec1 Plot Plan Yes 1,To -e Plan Yez; This nc-ntinu for OFFICIAL u1ce only: &4ApDrovxI oa presented: =Modifications neneorory for ,Dprov,l: [--lBe.toro: (More inlormptiro ncpdcd) F--lDroiol: Bcnnnno: Signature of A li nt Dote S1Cu�turc '){ A(lmin^ Officer Date In accordl ;nco with Articlo XI of thin Zoninc; Crdin.:nce, an ; tppl'.cation for a . Zonin,7 Permit muat includo a plot Plan, The follow-ina characteristics of the parcel must be shown, 1. Dimensions of the lot, 2. Locations nrx_1 size or all, buildings. 3. Average finished grade of all structures existing and proposed. 4. Use of all buildings existing and proposed. 5. Set Dacks as indicated on the enclosed plan. Abuttors "iame No. M Lot Ft. Hear Yard Abuttors Abuttors Name �) Name Lot No. Lot No. If this is a �• 5ideyard m House Sideyard F If this is a Corner lot, write corner lot, write in the name of the in the name of the other street. other street. rX 4 Set H-:ck a 0 0 Lot Ft. N''7-a of Street Inr?;hate location of garage or accessory bu.ilriings with a dashed line. in,__.ca loc..pion of Sewer ^ooll•-•up 0 List all past plans, applications, permits, variances etc. and corresponiin., dates that nave been processed by this office. I certify that the enclosed application and plot plan are co,-;-,1 ete and correct. �f -- Si natu e of "'C Ter U?te Pp7e'':o.- —Lot 1 hereby certify that the proposed work is authorized by fhe owner, of 'record and ! have been authorized by the owner to.make, Wis:fppIiCotiori' as,his— authorized agent. .. SIGNATURE Of AGENT ADDRESS (NUMBER) (STREET) (CiTY) _ APPROVED BY TITLE DATE 19 DEPT. FILE COPY Z0 City of Northampton BUILDING - Massachusetts PERMIT VALIDATION Office of the Inspector of Buildings DATE 1 j /q 1c976 PERMIT NO. 455 APPLICANT StanlA. V F. Miartha ADDRESS 4 St®well (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO StnragP Shed (_� STORY DWELLING UNITS (TYPE Of-IMPROVEMENT) NO. (PROPOSED USE) T'p p ZONING AT (LOCATION) 4 Stawell DISTRICT T1RA (NO.) (STREET) a BETWEEN AND a 0, (CROSS STREET) . (CROSS STREET) IL SUBDIVISION LOT BLOCK SIZE IO 1 Q O V. BUILDING IS TO BE 1-4 0 FT. WIDE BY 1 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION M O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION � (TYPE) O LL REMARKS: AREA OR PERMIT 1000 VOLUME ESTIMATED COST $ FEE $ • (CUBIC/SQUARE FEET) OWNER Stanley F. Mientha BOIL ADDRESS _4 S to"pl]„ BY (Affidavit on reverse side of application to be completed by authorized agent of owner)