29-129 (4) 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.
A pp lication for Permit to Build
Northampton, Mass., ........( ' .Kk.�? ..lf�19.2
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 .Z.ct_.i ,c ,ca !v....�f....... ...... �.s ,:k.:.0...C"t,..; .-1............R...........
.s:..t.�. :�3»�:...4.. t..rt
2. Owner's address `1 Q...._. ..� t�::,...._... .C:. .R:T_....� ....t .. :. :x:1 .tM........._.,.._......_....... .... . ........
3. Architect's name ................. .!a.r............... ....................................................................._.......................................................................
4. Builder's name ........... ..... .!`.. »!. z .1 ...............
......................................................_..........................................................
5. Builder's address ....................................................................r.........._.........................................................................................................._........
6. Location of Building. Street No. ......`.t C........kk 1.-_ti ._e .......,�s:_t'r`..... .��'..1':�. ..��. ». ........,
7. Is this a removal or new building.......... T...t.N1......�. ..................
8. If removal, from where .............._...................................,........»...................................................................................................................
9. What is the purpose of building ......D?!:S.9.KA.......P.E......y .► .. ....°k.. ..a.e,a.Ci.C............
10. Material of building ............................. .5:. ; .............._..........................._.........................................._.........................................
11. If a dwelling, for how many families .............................................Number of rooms ..............................................
12. Is there to be a store in the
3 t r; s3Ew ry building ......u•sv....................................................................:...................................................
1II, Xlctf G
gAAc:.E $V x 2_11
13. Size of-bagdinr, 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 Y `�tL. Xx..............Feet Wide .......... Feet Deep .......3.`. �
16. How near the-line of street .................................... ............ .... ................................................_..................................................
17. How near the line adjoining lot. Right............!3.................: 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 `='r'►E,`kx ' `°G.�V� ; Footing .. »� `!Sll-a-'V Q-
24. Will the roof be flat or pitched ...............�t� ! 1� .�................: Covering........ » 1. �...........C�� k+: C I k
25. Heat; steam, hot water, furnace, stoves................._.......................; Power oil burner ................................................
26. Fireplace ...................._.......... ..................................; Insulation .............._...............................................................................................
27. How many sinks .........._; Toilets ....!2...; Lavatories .` ..; Bathtubs..!Z.; Showers..2.....; Settubs .....
28. City Service; Water ..........:2........ Sewer ........... .»....; Road Surface .............9........; Sidewalk ..........!;;�........
29. Is lot on accepted street .......Y.C..S_.........._......._.....,�........................................................................_............._................................
30. Estimated cost (must be filled out) _
...E�.. c c�
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.
Signature of applicant .............. .................................................
No........ ... .:......
REMARKS
..........................................................................................................................................................................................................._...._._............._..........................
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ZONING PERMIT
APPLICATION
Zoning-itrdin,ii.ce Section 10.:, c c ci v 0 (7 File 1,10. F1,111 File
vner Apj)lic, i t
Address Z2 14
Telephone Telephone
This section is to be fill('(.I 011t ill ,cc0rdcnce ,,Jth tie of Dipq,-,11 sio 11:-1. and
Density _.Reg llationc: . Z. . AI TI 31JI,
Zoning 11:7 c Lot Front, Ic )t], _1 otbnc!:s Kax.Bld. Min. Op.
District Area "idth Front
side -Cover. Space
z/
Past Existuir, Z��_Jt
resent Proposed
I.I.ark the appr6printe 1jox to indicnte the use of t.jjr pvrcol:
11011-Coliforming, Lot `,trUCtUrC. r)nccify
Reside ri t i.a.1 Si I 11 r�le Fr)nily Unit =Vulti-Family
Ditplex QOthci
Business
Industrial
Institutior-I
Subdivision Q Re,,.,tj 1 ,-:r Q P.U.D.
cl 11--.t, I, Q ether
Subdivision vi_t1i "A1 P FI-)v I.-No t-T-1)c,i,I:i I-c, t
Planning Tloarcl Approv,J:
Zoning Board Approval (SPOCir-11 Permit 10.0:
= Cit.y council (special FXccpt-Jorl S. 10.101 "
Watershed Protection District OverlTy: MO. Sect. _Jv) Q Yes ro
Parkin,; Space Requirements: ) ;7
ts: MO. Required _—proposed
Loading -Space Pcquirement;: (Z.(.-). 8.2) Require tr2f/__27roposed
Signs: (Z.O. Art. VII) Ye:-__ f!sqlo
.Environmental Performance St, ridar d r,: MO Art, XJJ)
=YO13 10
Plot Plan Yes ro Site Plan Yes 1\10
(S. 10,.2) ( ". , 10.2, nild 10.11
—D,-!to
F__1
�Viiver Granted:
ThiS section for OFFICIAL use ol,13.:
.Approval ns pres-ents,cl:
=Hodificintionr lieces-E-nr
y far oppl. v:)I:
Re.turn: (Hore ncloded)
Denial: Renrzons:
i.........
'Iturc )f A(Imin. Officer Da,t e
SigntAture of Apilicant Date
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.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY),
APPROVED BY TITLE
DATE i9
Zo
DEPT. FILE COPY
BUILDING
PERMIT
#- VALIDATION
_PATE 19%�_. PER4� ��
APPLICANT 7 DRESS
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO ��l i NUMBER OF
(�) STORY DWELLING UNITS
(TYPE OF MPROVEMENT) NO. (p POSED USE) -
ZONING t�
AT (LOCATION) 2a,
t DISTRICT-� -
(NO.) (STREET)
a BETWEEN AND
tO (CROSS STREET) (CROSS STREET)
a
IL SUBDIVISION LOT BLOCK SIZE
U
m BUILDING IS TO BE FT. WIDE BY FT. LONG BY A5 FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
Z TO TYPE USE GROUP xy 22j,2 BASEMENT WALLS OR FOUNDATION ��
Ix , (TYPE)
O
LL REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER
BUILDIN EP
ADDRESS 7 BY
(Affidavit on reverse side of application to be completed by authors agent of owner)