17D-018 (3) 170- /G -6
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:�/t, `
Application for Permit to Build
Northampton, Mass., ... :.:!,l .. :: ..........».. .19.....
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 ................... ...... .......f �� 2,. ....&.............................».......................................
2. Owner's address .».....».............. ?._.»......�:A_f.. ....x?».{ ...... ..� ............».................................».......».. »........
3. Architect's name ...........................................................................................................».........................................................._................._.......
4. Builder's name ..............»...... .»..............................................».........................».........................................................
5. Builder's address ......................s: lai. f2j..5f. ..................»......................»..::»..........»......................»...............................»....»..........
6. Location of Building. Street No. ............... ......... ......:Y......t........................................».......».......».
7. Is this a removal or new building............ ate ......................................................
8. If removal, from where ...........».».., ......... ...»...................................................................................................................
9. What is the purpose of building .............._06............w /I .. ..................................................................................
10. Material of building ............. L:111. .................................................._.............»............................_............. ..........................
11. If a dwelling, for how many families.............1.. »...............».....Number of rooms .....i ...............
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 .,,1 ..; No. of feet high ...........»............
�..
15. Size of Lot ....................».»....,,r ... ...»................�.......Feet Wide ...........,.....».............».. Feet Deep ...........
16. How near the-line of street ................... .k r�,........................».............»................»...............................
17. How near the line adjoining lot. Right.................. ...,........; Left...................................; Rear.................».............
18. Nearest building is 10.6........ feet in a... �:���................ direction
19. Material of the floor ..............».1 . ...... ..��. ..............cc. a 1?I�....................».......».».....»...»....»..»».....
20. Size of timbers, 1st gz614C........ ; 3rd ........................: 4th .............................; 5th ............................
21. No. of feet span .... ...............»................... ; Distance on centers .....»...,,Z............................................»..
22. Will the building be erected on solid or filled land . j.1,1 C .•..•••....••.••.•...»•
23. What is the material of foundation ..... 2R ; Footing �' ✓
24. Will the roof be flat or pitched ...... f. t:,„ . .....; Covering....... .Grn:._........ .......».
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 . » .,t.... Sewer .... � ...; Road Surface ............ A.....; Sidewalk .................».....
29. Is lot on accepted str, a ....... ................. .......»..........».....................................»....».................»....................
filled out) ... .
30. Estimated cost (must be ........». .............................................................................................................
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 . ....... .......»... ... ........ ......»..............................»......................................
REMARKS
...........�,� ..- `...:... . ...........r. ,�� ....,.......».........................».......».............»..........................
............_.................................»....»..........».......».......».............».»................................................................................................................................................................
ZONING PERMIT 1 0
APPLICATION I o. I: t
I
;,onin�, Crdili�ncc: Sc cti _ ; J_t=.n,- " .cci r
-
.c
Add:e s s
Telephone_ t:11 ; ,t/— Telephone
This section is to be fillcd out in accordance t lh the "T�,?:le of Diricnsional and
Density Re ulatione: , (Z.Q. A-PTICL VI)
Zoning rl^e ?,ot Front Der,th Sutl,ac'_-s : nld. Ifin. On.
District P?rea '';'idth Frur.t Side ? '_, • Cover. S ace
� few
Present Proposed 17-11
,.I.-irk the appropriate 1)ca t. i.r.dicate the lase of tiic I?a_rcel ;
C] Ikon-Couforreinr L�'f = r.cr;or rtr� c-ure. Cr reify —_-__----_,------------- -
f ] Residential ( SinUle F;�',ily Unit =I'ulti-Fomily
D0 the3
C] Business
[� Industrial
Institute-1
.Subdivision 1'.U.D.
O SI_ bd i viisioIt .51 U1 'IAA%"'rOV .1.-?TCt
i' y
; rr ' 7
: o�3.rc:- A.l?hz'ov:1:
0 Zoniii,, Poard Av1proval (Speci-1 Aer:a; t 1! .c • t1.-.rinnce)
= City Council ( peci-�l Exception F. 1G.1O1
'Yatershed Protection District Ovcr'l,z.y: (%.r. Sect. ;I`I) Yes 1'0
ParkinG Space Requirements: (2".C. ,;,Oct. .l) Required t'ropose'
Loading Space Requirement, "(,ct. 8.21 Required Prorosed.
SiEns: (Z.O. Art. VII) Yen ®, ho
Environmental Performance Standards: ( �' .C, Art, XrI� =Yes Ido
Plot Plan Na ye's o . _.t- Plan XeU \;c
(S. 10.2)
1'0..? and 10.11
lv^I, rZ"Bite,-!- 7^ to O
maw ® iwnnt�sw� ta� sa��>, mr��+irw» >~ �saa � slsr�r� s� w� � w � ��s�a�� ��f•
This- sectioj, for CFi'ICILT, u: e rl.� :
[Approval as l .resent= d;
=Nodificati-n;
4
Return: (i on._ i_r
+XSigr_,ture of 1!x"1 4,t. Dit f Ci ficcr Date
PLOT PLAN
In accordance with Article XI of the Zoning Ordinance, an application for a ,
Zoning Permit muat includo a Plot Plan. The following characteristics of the
parcel must be shown.
1. Dimensions of the lot.
2. Locations a.nd size of all. buildings. /�,,
3. aver? e finished grade of all structures existing and proposed. b'o—c -o. 0sJyVz__
4. Use of all buildings existing and proposed. �/ � '`�
5. Set Backs as indicated on the enclosed plan.
A.buttors Name
Lot Z'2_ No.
h.
Rear Yard
Abuttors Abuttors ;y�
Name Name
Lot JS� No. Lot No.
k Jv
4
If this is a �. Sideya House � Sideyard If this is a
corner lot, write 6-6
corner lot, write
in the name of the 0 , in the name of the
other street. xj+� other street.
a �
w � �Z4
.t Back
l 4
0 o
I ot �Ft.
Name of Street
Indicate location of garage or accessory buildings with a dashed line.
Indicate location of Sewer hook-up s
List all past plans, applications, permits, variances etc. and corresponding dates that
have been processed by this office. �` f�/Z:• �� 'a`� 1 ��
I certify that the enclosed application and plot plan are complete and correct.
,"ature of Owner Date
PageNo.-J'ZJ7 —Lot No. �