29-237 (6) For ALL buildings within Fire District and for other buildings costing $10,000.00 or more,plans
apd 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 buildi g.
Application for Permit to Bui d
�'Northam ton Mass., ........ . ... ...`...........»'".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 .. ....�.a ».P... ..... ......... ........ .. ... ..»....... ........
2. Owner's address . .. .......... . ..��..... ..`.. ...........
...`¢ ................. .. : Y ..... ............_.I.................. .......0..........
3. Architect's name .......................1'�... .......................... ...................................................................................................................
a
4. Builder's name
5. Builder's address .....»..... . .... n.. . .. ...lµ:, ` ............. ......... ................................................»......._........
6. Location of Building. Street No. ....................... , ►.... r ............................................................._.......»..
7. Is this a removal or new building .�`
8. If removal, from where ...................................................................,..........._. .... __ ................................................................_.................
9. What is the purpose of building .............. .........................
10. Material of building ...................:........�r,.�f. �'. ,•, :.........»,. .:..::. .........................._..................................
11. If a dwelling, for how many families .............. ..................... .....Number of rooms .... . aZ., .....
12. Is there to be a store in the building ....�.....»...........,.._&— t.............................................:....................................................
13. Size of building, No. of feet front ....., ,. ' " ;;�,A a ref0teet deep ........................: No. of stories ....................
14. Size of ell, No. of feet front ...... ...; No. of feet deep No. of feet high ..........................
15. Size of Lot ......................... ' -t �:% Feet Wide ...... F Feet Deep .................................
:,
16. How near the-line o street .........................':"""""............�... .: ..�::� �'.... ................................................................
17. How near the line adjoining lot. Right ..: :1 .....,.....; Left........��., .........; Rear.... . ..16»x...........
18. Nearest building is ............^.............. . feet in a r.-::........... direction ..............:*:""`............................
19. Material of the floor ..... ............. ate ..r ........a.................._.........................................................................
20. Size of timbers, 1st ... ' .r 2nd 4th .............................; 5th .............................
21. No. of feet span ...........»...............al...�........................ ; Distance on centers ............... �..........................................
22. Will the building be erected on solid or filled land ...... ................................................................
:
23. What is the material of foundation
........�:::.:x::1.�: :� -. ............................: Footing .. �.'�"�:�....�...•
24. Will the roof be flat or pitched ...... .. ......,, ...................: Covering ......,
25. Heat; steam, hot water, furnace, stoves ........................................; Power oil burner .....:^...............................
26. Fireplace ''"°. ........; Insulation
27. How many sinks .=:...; Toilets............; Lavatories .........; Bathtub........; Showers. :.=; Settubs
28. City Service; Water ..............e=...Sewer ........................; Road Surface .........:..............; Sidewalk . __ ..:......
29. Is lot on accepted street ................ „ .. .., ....... . .............................................»............._................. ..........
30. Estimated cost (must be filled out) .............u ��.. ......................................................................................................
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 ... .... .... .. ..........,,«......»A..`, ».....». ..:...............................................................................
No...sue../. .........._...........
REMARKS
...... ...�C... !: ......... ................................................
......................................................»...............................................................................................................................................................................................................
f
c�
Q
�o
o
5� lk
v,! c
yrJ
106 /
ZONING PERMIT q
l'o. T,-)t
APPLICATION
r*:C,f__ I V 1:
File
.wner A lic t
,lAdress A,,JJ r e s
Telephone Telephone
'Phis section is to be filled Out in )ccordorce tj,, tje 1lTp`,l_e of Dinciisionril and
Derlsit � !�TI L E Vi)
y 'o ne:. (Z.. YTI
'Joning Lot- Front Dei,til c,t 1) ax
I _K, I-Tin. Op.
�ill S t_ri c t Area i(I th Frurt Side j2&'_aL_ Cover. Space
2a s t
-Cresent Propo-sed /Z
1.nrk the appropriate box to iidicnte, the It c of .1, . 1 :
r r�P_r c
p-TOP-Conforraill(r-, Let
F\71
Residential L 'S i a 1 e F;dly Unit =2
Du file;: 0 then
Business
Industrial
Institutic-1
Subdivision R,:,,, P.U.D.
C.L 1I C.1
Sub !-ivi sAo I, "l-Ji-th
Pliimin[; T,,oard Apl)r(Dv,l:
Zoning Ro�xd '1111prov'A
( c'pcci:nj perl'.1-it 11).0: Vj,ri n'
'Ice)
= city council (Special E,�,cc'ptjoll S. 10. 10) ,
',latershed Protection District Ovcrlj�.y: (Z.C. Sect. XIV) Y c'c EM l7c,
Parking Space Requiremento: (z.C. 1,I)Cct. ".%1) T.Requirccl
oading Space Requirement:`: (z.cl -ect. Require' Propocec'. —
;Signs: 7. r) A,+ Ye-- ro
Environmental Performance Standard • y
( X.0. Art, XJI) ro
2lot plall M71 Yes ro Sitc Plall
I
S. = Yes
10.2) 10.2 nnd
This r,( ctioi-- fo-r
U,
='jodifjCratj.-)ns
PC turn: (1*:()1.l
Do r:i,-,1 Fie'- f-)i-
X
�,;,ture of A, , JJ- D-1 t(l Office'. ;)«t
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 39
DEPT. FlU COPY
Z0
• BUILDING Qa -
PERMIT VALIDATION
j'� n /�[ (�/ �/ �D+ATE �K I 1�9&e PERMIT'��,q/�O. 214
APPLICANT P-• P-4 /4} /Al NG ADDRESS G+4�I RM��� �'�"0
��11 /� �• I�/�vf, (NO.) (STREET) (CONTR'S LICENSE)
PERMIT T� V� L 11�r1. (_) STORY / `�R' NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(140.) (STREET)
rn BETWEEN AND
'o (CROSS STREET) (CROSS STREET)
P
IL LOT
m SUBDIVISION LOT BLOCK SIZE
U
O BUILDING IS TO BE FT. WIDE BY/O" FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION CaKC TZ erE1
F
it (TYPE)
O
LL REMARKS:
AREA VOLUME . �""� ESTIMATED COST 1st4•o� FEEMIT `� GQ
� J.((6WBIC/SQUARE FEET)
OWNER &ZIL Y Fi�r� /W�Zr �
BUILDING EPT
ADDRESS / �� BY
(Affidavit on reverse side of application to be completed by authorize 'agent owner)