37-018 FORM NO. BOCA-BP 1969
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Application for Permit to Build
Northampton, Mass., V.Ci. b 19....1:.....
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 1/4e2`4' v` f(MCC 2<'!t
2. Owner's address V.Z&Z :14 n i.c
f ..»...._.».
3. Architect's name i/
4. Builder's name ....................0....::�:.. :..f....... - =,
5. Builder's address , . .. . .t... .... a... -'`�
6. Location of Building. Street No. t
7. Is this a removal or new building '---,
8. If removal, from where
9. What is the purpose of building S. 4C2,r::?.?1.. '
10. Material of building L..X i.....,t'.E:.1.i.U.::J.t.t...1 4:1' l 4( _». c(.r
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 .....».....x.e= » 2z 1... ....» ; Footing
24. Will the roof be flat or pitched ; Covering
I 4.-
25. Heat; steam, hot water, furnace, stoves...1.(da 4{:� ..4X6 G � ; 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) )'11.C,C�
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. '. b ilding will conform to the requirements of the law.
-,l ,Signature of applicant ,r1
c 442 161.21 c(//':t/ix a'1 L�r IE(LA' >
o L„7 9'
MARKS
.. -- ... d .. ........ .. ..... _ s.
ZONING PERMIT
-,6 37
Tr!: r-p T'o. Lot 18
APPLICATION
7.oning Ordinance Section 10.:- ‘ Y(.c,civC : Fi2 , l'-o. Flan rile .
7in Or W . i •
......, A: licat ___.4ge;___—
A
d.dress ____ 4Jress
:elephone Telephone
. '
his section is to be filled out in accordal:ce -:1 Y.e "Ta':Je °f Dimensional and
ensity Regulations: . (Z,O. AYFICLE :I) —___
Jning use Lot Front DeFth r;otLac :: _Ilrlx. 311. Min. Op.
Astrict Area 7idth Front Side ..,E,, I Cover._ Space
72.2Et Existi
i
r/
resent Proposed iJ %
Lark the appropriate box to indicate the one of the percel:
f ron-Conforminc Lot and/or Ftructure. Sflecify. •
Residential Sinlc Fr 'dly H rulti -Pardly
1 iDuley jethci
Business
I I Industrial
P9InstittWo1
Subdivision I 1Rec,u? -.r IP.U.D,
I 1Clustcr 10t:le_r
' Subdivision with "Aprroval-Not-Relui "- mr:
Plannin Toard Approve 1:
1 1 Zonin Ponrd Approval (Special Pernit 1Y.(_): llriance)
_ 1 1City Council (Special Exception F. 1G. 10)
f 1Yos rc,
'atershed Protection District ()verity: (Z.C. Sect. . .1 )
/6111124 ——-
:arkinG Space Requirements: (S.C. ,Sect. 1) Required Pro;-)oseC. '
":oading Space Requirements: (Z.O. Sect. 8.2) Required4/41-Propoced
gns: (Z.O. Art. VII) Cj Yes I I No
virormental Performance ".tanclarrin: ( C, Art. T) [ Iyer; UKtro
_ I
'Plot Plan 1 1 Yes iv,1 ir2 ,Si.tr Plan 1 1 7cs iZq ! c
: • 10.2) ( :.:. 10.: r,nd 1").11
aiver 0r,-,rte . Date I 1
a en alm am um am Ns =I gm time en an am um wim am sum we gm mis am am no mu am am ma no me my am me am am am ow am me or mu
This s, ction for OFFICIAL use only:
c>gjApproval as presented:
F—Podifications rceersary for arFrovH. :
1 1Return: (flore infermatien r.,_ -Thd)
I ' Denial: Reasons:
------------- -- -- -
/ ^ /
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4,2.„.,e c_x_e,2
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Signature of ApI'lic7nt Date „:*_;n7ture ,,f p,(1-:,in. Officer Date