23D-089 (11) "- 3D - y
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. �/
93
Application for Permit to Build
Northampton, Mass., a.;laittled./1-1 19
To the Inspector of Buildings:—
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
1. Owner's namKzeJ--t--1,14../14. ... U.
2. Owner's address k'll... . 1` ... ... ....!»».»»»....».......»...».....».»...................»......._........
3. Architect's name ..,•
...».».....».»........»...» »
4. Builder's name ..:. ._l..».,�.��.1... . ........ ._........ »
5. Builder's address .....»....- .. , : ': ......... ............»....»..........»................»....».......»....».......».......»....»
6. Location of Building. Street No. i
7. Is this a removal or new building .....17 .rr..�» ' l
8. If removal, from where . ��
9. What is the purpose of building
c-r-----4-
10. Material of building L�1�`. Z.»
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 1-- ; 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 7....3.......»....».. Feet Deep ..../7 `5
16. How near the•line of street A i
�
17. How near the line adjoining lot. Right • .........» .». ; Rear
18. Nearest building is feet in a ». .... .». irection
19. Material of the floor 1. t1....tt._.».... .».... ............ .. ............... ..»...._...._.»....»................».».........................»...._....».....
20. Size of timbers, 1st ...:.,.:-..-:.».....; 2nd . - ' ; 3rd ....a .... , 4th ; 5th
21. No. of feet span.»........».g. / ; Distance on centers .....»....,1L //
22. Will the building be erected on solid or filled land .....».»
23. What is the material of foundation ... ..... ....».».. ...._....»............._....».»... ; F oting
9
.»24. Will the roof be flat or pitched .».... .... .�:. ...».....; Covering...4/.:r»G»»...�.._.L.�.L4,, v i
25. Heat; steam, hot water, furnace, stoves Power oil burner ....._..... .
26. Fireplace ; Insulation
27. How many sinks X ; Toilets ..X...; Lavato ries4...; Bathtubs....,.Showers k' ; Settubs ..
28. City Service; Water Sewer ; Road Surface ; Sidewalk .......---
29. Is lot on accepted street ».».. ».....»....»........
30. Estimated cost (must be fill out) 06..0.L2
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.
1
Signature of applicant ...deri0CArd-i'ir-‘01al...Zieve14
». ....».
No q
$.,.3
RE RKS