17A-258 (7) /771 - x-57?
For ALL buildings within Fire District and for other buildings costing $10,000.00 or more, plans-4-10\1
and specifications must be submitted to the Inspector of Buildings for examination and approval. < r
If building is to be moved give details relative to proposed location as for a new building+
Application for Permit to Build
Northampton, Mass.. .............._...................................19....: L.
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 ...... ..._..r!x.. .ti i .IK�.... �.. J. !..... . ................................... �..S,_.................
,.. ...
2. Owner's address . ./.. ' ... _....:I..t .
3. Architect's name ............................................................................................................_......................................................................................
4. Builder's name ................»......................_......................................................................................................................................................
5. Builder's address ....._:.....................................................................................................................................................................„.................
6. Location of Building. Street No. .........Lv.:: .......,......................................._......................................................................................
7. Is this a removal or new building....&C-4!i4...L,91........................................................................................... . ......................
8. If removal, from where ......1.6_�... .'.. ..... . :.......r.......n.t... : h _._............................................................................
9. What is the purpose of building .....6.12t ................,.. , ................................................................................................................
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 .....»............................................................................w..............; 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 .................................... f.:....`�...................` ..� .....................................................................................
30. Estimated cost (must be filled out) .........::............. :................................................................................................................
......
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this build' g. This buildin conform to the requirements of the law.
Signatureof applicant ...............: `' .... .................. .................................................................
No...... ..........
REMARKS
S.. : '»...�....................
.................................................. .... ................... ........... .......:.. ............... ....... .:l...........................................
..................................................................».......».......»..................................................................................................................................................................................
LUNINU PtHMI I Y
0.
APPLICATION T; t
loning Ordiwince sf,ctic lo. j,-i c', File
• ,t TE ij rq c-I
Adress JL� r F I n 6 c',,,c---c K 2 E
!elcphone Tcleplinw, 66& 3 4
Uhis section is to be filled Out in ."ccorder'ce i1, t-e Djncjjsi,,-)rr,"1 and
Density Regil tiOne:. (Z. D. A',TI LI' VI
�a nin r, Unc Lot wort Dcl'tli
T3 1(1. Hill. OT).
District Area '71 d th Cover. space
V R*R
je7 2,
:'resent Proposed
V
,71rk the appropriate box to
indicnte t}'C, Wl;c- of tj"r P<xc(-'j
11011-coliforminf; -T'c't ,ndlor :'trllcturc-' . i f Y
Residcntj,-)1
F dly 17iijf- =I:ulti-F'1-:ila'
Du-,r I e x C thcl
Business
Industrial
institu ti 0--,1-
Subdivision R t,t', D
Plmmir"'; T-"0,3r(, A'
4) !:'prov-1:
= Zoniii,o,- P0,-.1rd Approval (SPccipl penli t V, inlicc )
= City Council (Special Exccption G. 1G. 10)
itershed Protection District Overl.1-y: SEct. .,,17;) Yc'-
arkinG Space Requirements: (Z.(). :,,cct. %1) P e q'L i i r c'-11 I-j 0 Sc-
oading Space Pcquireraciatc: (Z.C. Coct. "8.2)
Required ro_oce-`.
rns: (Z.O. -Art. VII)
nvironmental Performance Standards: Art. XJI) ye!3
?lot plan [>5'
Yes jTC) Site Flail 0 Yes ITC
S. 10.2)
10. nd 1 11
This Rcction for OFFICUL U--e orly:
C-2 Approval as presented:
=1-Todific•ations reccrCcx� for ?T1j1j'0V.-,J:
Re.turn: (1101•cl informrti-n
Denial: R c r o r s
c
r,-1ture a Ap-lic-int Da t c -i t u r c f f f i c c r IT)e, e
C f
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.
A
q.. . r .. .,W x .' ... ... s+.. <... .'' .„..era • ....., (.. �:'..'*fl°"4 ',t...
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (C1TY)
APPROVED BY TITLE
DATE 19
--- - - DEPT. FILE COPY
-9 Z
BUILDING
PERMIT VALIDATION
9
,...'� '- � 7 DATE � RMIT NO. e'
APPLICANT 04d0 ADDRESS/99-7 OF-41—
(NO.) (STREET) (CONTR'S LICENSE)
_ NUMBER OF
PERMIT TO L D Q ?Of-14'44�— STORY
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
a BETWEEN AND
b (CROSS STREET) (CROSS .STREET)
a
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
a
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)
O:
LL REMARKS:
AREA OR 40Cjt t,yG� PERMIT
VOLUME ESTIMATED COST . FEE
(CUBIC/SQUARE FEET)
//+�
OWNER �1 `�j I-
BU
ADDRESS 140-7 y� �iS h L BYILDING DE�
(Affidavit on reverse side of application to be completed by authorized agent of owner)