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29-166 (7)
i ' I `• r i 1 i i i V' �i C I � I i i i i i I I i li cr, _ J6 r c r 4 1: opt All, 1 to 1 i Air 10. lot il- w i I E; i 10 Iry � . 410 Pro 0/f OERN E } NEE \ Wf \\ EU6EN � E�wE�aN � J of DAL N �� at Of,405 Jf wl B55 it V "w r ' la ' ts• ,�o �7•J6 'JZ'F--► � �.��♦�,1� + arc � r w Clry or �vr �Q� �f• ' Calf �� t r ' T • io s p o tip�JO� � Kd� Jt f o /I,000 it f Ar SSJJLO- go 4b 00 11,501 S.4.0, E3 v > ,4• > z IV e� 70a fi FT. Daup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 x . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . ,ou r M0 NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI- TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plot Plans and Plana,must be filed with this application before a permit be granted. Zone OR 1 f Z k) APPLICANT NOT TO FILL,IN SPACES ABOVE THIS LINE for a Dwelling Application Permit a Northampton,Mass. . . . .5 s 1.�. . . . . . . . . . . . 19 i;: . . ?,Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . 7b the Supt.of Buildings: Application for a permit to build is hereby made according to the following:- (� ,D r 1 D<' Lot No. . . . . . . . . . . 1. Location, Street and No. . . .1.(`.'t . . . . .VJ�l•�<l'!�.•;UC``�: • • .� :• • • • . . . . ' . . . . . . . ' ' . ' . . ' . . . . 2. Nearest cross street . R.C• RG�C K C.1 U ' . . . . . . Size of lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (�►chc�rc� �I61£ . .( � .�;� .S4c . . � . . . . .�. �: .. . . . . . . . . . . . . . . 3. Owner's name .. . . . . . . . . . . . . . Address Address ' 4. Architect's name . . . . . . . . . . . . . . . . . . � • • � • �' � ' � � ' � ' � " . . . . . . . . . . . .. . . . . . . . . . 5. Builder's name . � V1 b• • . : . .1 .1my. . . . . . . . . . . . . . . . . Address . . . . . . ?. . :. . . . . U. .R -. . .lam.An . . Mass.Construction Supervisor's License No. `3. '•`1• • • . • • . • • • . . . Expiration Date .O.Y. .43 o T•j 3• . 6. Use of Building:One . . .5!h . . �6i1'f• . . Two-family Other . . . . .. . . . . . . . . . . . . . . 7. Number of rooms in each family uni t: . . . . . . . . . . .. . . . . . • • . Number of Bathrooms . . .. . . ./. . . . . . . . . . . . . . . 8. Is there a garage attached? . . . . . .ye�. . . . . . . . . . w.. . . . . . . . . . . .. . . . . . . . . . . . . . . . 9. Size of building . . . . . . .t.`�. . . . . . . . X. f�. • . • . • • . . Square footage 10. Number of stories . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . . . . .�L ... . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . . . . . . . !voc' }. . . . .1 rcnxe.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 13. Distance from building to street line in feet . . . . . . . . . . . . . .. 14. Distance from building to side lot lines in feet:Left . . .in.. .. • • • • • . • . • . • • • . Right . . . . . . .o • • • • . • . . • • 15. Distance from building to rear lot line in feet . . . . . . . .�3 IN. . . • . • • . • . • • . . . . . . . ' 16. Is a plot plan being filed with this application? . . . . . . Y!4..5. . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . �.:� . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . .. . . . . . . . . . . . . . . . 19. Nature of land upon which the structure will be erected:Natural . . . . . 1< . . . . . . . . . . . Filled . . . . . . . . . . . . . . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . K. . . . . . . . . . . 21. Material of foundation walls . . . . .�-.•+4,�"1C'.w�'.�t?• . . � • � • � • • � • • � • • • � • . Thickness m Inches . . . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . .�.I!?-. . . . . . . . .. . . . . . . . . . . . . . . . . 23. Material or roof covering . . .Np'.lFiJ'(•. . . . .61.ih.t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24. Method of heating . . . je(HCtr-(,L. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . .'.. . . . . . . . • • • . • . . • • • • • • • • . • . . . . ' 26. Septic Tank? . . . . . . City Sewer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . U. • . • • . . . . . • . . . . • • • . • • . • . ' . " . ' " ' . " " ' • . . . . ' . 28. Construction within 100 year flood plain? . . . . .N/.4. • . . . . . . . . • . . . . . . • . . . WC)O O 29. Estimated cost:Total$ . . . . . . . . . . . . .1.y. y. . . . . . . . . . . . . . . . . . . . . . No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The undersigned certifies that the above statements are true to the st of his knowledge and belief. ^� . . . . . . . . Signature of Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE �/ DUI../.`. . �'-X.l.Q�'.I!?,� �c�'t� �. . . �.'>r�v t'.•r�'l�• .�Xt 3�l'.�. .���``Y�,S E d �� roor►� �'�t� . . . .i�-'. .�. .�?.'.� .'. . . . .��.�:'^.l�j.�. . . . �n'�?. . S�cQ�=: . . ,�?F.Ez'.tsrt��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .