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29-262 (6) 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 buildin . Application for Permit to Build Northampton, Mass., » ... .».»........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 1. Owner's name ....».„ ...a.4...:. ....... ..»... .: ............................_.................................................................................. 2. Owner's address .»..... »:,tc.. .... �. :.,::.,G' »... ..... .»........,.e. ............»............................»....»...............»....».......... i 3. Architect's name ......C:1`�,...:.:.»-�/-f f.. ............»::..........................»..................»»..»................»............».....»»................ 4. Builder's name ......: f.:.r/��: wf....., .�: �.::r.:.....::..» 5. Builder's address .......•� .' ' _ .................................... 6. Location of Building. Street No. ........»..::a ....... ....».............»................., 7. Is this a removal or new building..............»: �.:�„ :: : rw: c��_ ��.. ..............»............. ................... 8. If removal, from where ...f."..'W''`''� ...»,c........• 9. What is the purpose of building .. ... �..... »..t.. ... :: �...�.................................... 10. Material of building .............. ..._..................................................................................... 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 ....... a. ;No. of feet deep ;2.,1......; No. of stories .......l.....».. 14. Size of ell, No. of feet front .....4 ...........; No. of feet deep ....f; ........; No. of feet high ...........».............. 15. Size of Lot ........ : ...................... Feet Wide ........:.».. ..,..: ».. Feet Deep .......�.........:.»:.:.» .......... ... .... 16. How near the line of street ..............�../...:: ... ............ ....................,...........,......................»...».......».........................».....,...........,,... j 7 17. How near the line adjoining lot. Rig .» r:M , »..... Left �,.>.:. ..:/........ Rear h .(........feet in a..........»/ ' 18. Nearest building is .:- �.•: .»'�................................ direction .....». .:... ............................. 19. Material of the floor.......L.a......... ..... .: ...».»....».....,»......................».............»....».............................................................................. 20. Size of timbers, 1st .................».....; 2nd ....................... ; 3rd ........................; 4th .............................; 5th ................»»......... 21. No. of feet span ........... : ..... ...................... : Distance on centers .......i.....: ..................».. 22. Will the building be erected on solid or filled land ......, ...........................................................»............. Y a Jr �, Footing ..Lc - 7 - 23. What is the material of foundation .....»... .f:.:. ..:.;� ...»....»....»...................»..............; ..»:..e::.. 24. Will the roof be flat or pitched .... :a» : .......».....; Covering......... .,c »..: �... .. o r: 25. Heat; steam, hot water, furnace, stoves......... .<<_ .....................: Power oil burner ............................. 26. Fireplace ..,..»..:f.z. ...........................»......................; Insulation ..........:: .:.k.................................»..................................................... 27. How many sinks ...1.......; Toilets Lavatories :.:%; Bathtubs.... E;"Showers....: ::.; ettubs 28. City Service; Water., ......Sewer Road Surface ...».....; Sidewalk ....... 29. Is lot on accepted street ......r,t�. :�..... 30. Estimated cost (must be filled out) ..: ...::. »:.......:................. 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:b :�. f Y:f .l ...».....................»......................».... .................. No.....»�G.. .......»........... REMARKS C! .........».»....» ��.1.��::.�.�:....,�....»..� .mac: �. .......c..c.:.�..:....�...,,:�z:...:..: �.......................».......»....».».......»....»..........».............. APPLICATION Filc T"o. n bile A r�iJ i c,, t -in e z z z/ Address—, AcUresi� c-7_2 Telephone . 2__z /7/ Telephon S y' �// This section is to ' be filled out in occor(lance tl,e IIT�,ble_ of Dii.,icnsionpl and Density Pe latione.,. (Z. .- AYTI..'LE, VI). Zoning TT:7,e Lot Front Del'th -Till. On. _11 'X.Bld . I - District Area ""J_dth Front 511 d e _Cover. _Space East 3q2_1s 1 jo � L11 gs ? % % Precen Proposed r.1mark the appropriate box to indic to the 114'C of the pl-rcel: O tIon-Confori,,linr; Let .,i-d/or Residential E—ASin-le F;,ily UiiitF___Ij'ujti-F,,-Ijly F__j Duplex QOthe3 Business Industrial Institutio—I Subdivision Q Re C,113 -r P.U.D. C1 C1 u s t, CUIC.1 ,Subdivision ivith F___jPlanning; Board Approv'-I: [= Zoning Board Approval (Specipi Permit Vc,ri.ince) = CitY Council (Special Exception S. 10.101 , , lVatershed Protection District Overlty: (Z.O. S C c t. X I V) F-I Y e 6 F7_1 ro Parking Space Requirements: (Z.O. ,-,Oct. P.1) E'equired — Pro OSO(I, — Loading Space Requirements: (Z.C. I.ect. 8.2) Pr A Required Proposed _Signs: (Z.O. Art, VII) F-I Y'd C Fyn ro .Environmental Performance StandardG: (7.0, Art. XJI) Y e s n F 0 Plot Plan Yes ro Site Plan Q Yes OQJTO (S. 10.2) (S. 10.2 and 10.11 V.Taiver Grantcti:_D-te RM "MCA M= MCA un CM I= an MM no RM no ;M WA M No MW RM on MM M This section for OFFICIAL u-ce only: . =Approval as presented: Q!Iodificatioiis neccrlsry for or.prov.11: Return: (More information Denial: Rer�cors: Siu.,qture of Ap! lic-�nt Date )f Officer Date PLOT PLAN In accordance with Article XI of the Zoning Ordinance, an application for a , Zoning Permit muat include a Plot Alan. The following characteristics of the parcel must be shown. 1. Dimensions of the lot. 2. Locations and s17,A of a]1 buildings. 3. Average finished grade of all structures existing and proposed. 4. Use of all buildings existing and proposed. 5. Set Backs as indicated on the enclosed plan. Abuttors Name Lot Lot t. -4` Rear Yard Abuttors Abuttors Name Name Lot No. Lot No. �^ r , If this is a If this is a + Sidgyard House Sideyard � corner lot. write corner lot, write 4 in the name of the in the name of the o other street. other street. w Sot Back .N 4-) ° 0 -a Lot 4 ` Name of Street Indicate location of garage or accessory buildings with a dashed line. Indicate location of Sewer hook—up El List all past plans, applications, permits, variances etc. and corresponding dates that hove been processed by this office. I certify that the enclosed application and plot plan are complete and correct. JJ --f Signature of Owner Date Page No. Lot No.