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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. �