35-063 (4) For ALL buildings within Fire District an Wither 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.
Application for Permit to Build .
Northampton, Mass., .. ..»&............»........19.7...(.....
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 .....»......................
2. Owner's address ' ` "
».T.Nr....��.......F.�..,. .......!.......»r.:... . ..»» .»....»......................_..........».»............................»....».................................
3. Architect's name ... ....... %.................................................................................................................
4. Builder's name ........I.,AL r:.�. ......f�: !��.� �.r......f' .....................................».......................................................»................
5. Builder's address .... ....�.:. ........ :. .:.......1..,........r`.:...... .:. ? ..................».................»........................................................................
6. Location of Building. Street No. '»:.. .......»r,...,p'1»..°..........� .....»r.: ...`..7°........................................................».................
7. Is this a removal or new building......&s.......................»...................»..............................................................................................
8. If removal, from where ..............».................................................................,..........................................................
9. What is the purpose of building .............. .......... ....
,�.. .» F?. / f.? �.. ?c.... "7":....
10. Material of building ....... .U NJ,f.. ...»........................................................»................................... ......................t i.... .* ....
,r
11. If a dwelling, for how, many families ......................_................».....Number of rooms .�� sl.: :�::a ,,.....f...F »
12. Is there to be a store in the building .......N.fi.....................».......»...............................»...........:.......».».............................»...........
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 ........a..............; No. of feet high ..........»...............
15. Size of Lot .................................................».».............................Feet Wide ..........-..................... Feet Deep .................................
16. How near the-line of street ....................................................................a..,.......................................................................».......................
17. How near the line adjoining lot. Right............................».....; L eft....................................; 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 .....»..................................».......»....».........................»............ • Footing .
24. Will the roof be flat or pitched ..................... Covering
25. Heat; steam, hot water, furnace, stoves .........................................; Power oil burner.....».........................................
26. Fireplace ...................».............»..................................; Insulation ..............»...............................................................................................
...... ...• Toilets .1.... Lavatories
27. How many sinks ... » .........; Bathtubs.........; Showers..../......; Settubs .........
28. City Service; Water ........................ Sewer Road Surface ...........................; Sidewalk ........................
29. Is lot on accepted street ..............»..................»
......................»....................................................................................».........»................
....
30. Estimated cost (must be filled out .......4ZC»::::.............».
.....»......................I......................._.............................................
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 ...411 .14--.1-.... ... . ......... ....»» .. �...�»s i»........................,...........................»......................................
/ No.. ......_...........
REMARKS
....................................................................................»...........................................................................».............»........................._....».»........................................
............»....................................................»................».............»...................................................................................................................................................................
z-vivima ranivis i T' V p- 1'O'p2'.1 1.0 t
APPLICATION
,lo'toning Crdin,nce St,cticn 10. Fil "o, e
r A-'�;.lic"
oy-L4 t
f
Adress -L22 /L1/Z!'/- /v
e 1 epho n e z Tc-lophonn
This section is to be fi-11cd out in accordance t.l� it of Dimcnsion^l and
Density Regulatione:. (Z. ). A-T1-'TICL1'-1' VI).
.'D n i r,gr IT�7 C Lot Fro 1,t DC3 t"' t 1 1,-)C r T'--X.T11d. Ifin. Op.
stri c t Pier. ""id t)I r,'t 51 d e Cover. Space
7ast Existin 7e- %
P Proposed d
resent
'!ark the appropriate box to indicnte the of tl,,c parcol:
ITon-Conforming 1;(,,t :,nd/or ctr,,tcture. Sp-c if y
Residential = S)inCle F?-;ily Vnit =Vulti-Foriily
Du pl e Q 0 tll('I.
Business
Industrial
Institutin-1
Subdivision F---j 1-1 D.
C 1 I'l!7, I I
Subdivicioi-, with "Approvrl 1. No t-7� j-1--,'i t p
T;
Zonin- Pojrd Approval (Spcci^l
V,
City Council (Special Exception S. 1(-).10)
Yes ro
(Z.(,.. Sect. '-'17)
tatershed Protection District Overli
Parkinc Space Requirements: (Z.O. )Oct. ".I) Pequircd PriposeC,
Loading .Space Requirements: (Z.C. 7ect. 8.2) Required—Propocec'.
-,�ipns: (Z.O. Art. VII) y6c ro
-7rivirormental Performance Standards: ( z-.•.O. -Art. X ye!3
Plot Plan Q YOE, ITO
cite Plall Yes
(S. 10.2) 10.2 -end 10.11
tv
This section for OFFICUL use only:
=Approval as presented:
= • odific-ations i•.eccrFcry for
Re.turn: (11ore inform-itir,n m,,e-Ied)
[ Denial: R rr)I-S:
Signature of Ap:,lic-int D,,A t ')f Officer Paste
I hereby certify that the pro osed work is authgrizec� 6 Jhb ,owp6r of recor€!
and I` have been authorized by the' owner tomake this application as' his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) TY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
City of >orthampton �, LDING 04
Massachusetts a
Office of the Inspector of Buildings PERMIT VALIDATION
DATE 4 — 1 R IT N O.
APPLICANT ADDRESS
PERM�� - ' (N 0.) (STREE (CONTR•S LICENSE)NUMBER OF
wj��' ��pX—J (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
rn BETWEEN AND
-� (CROSS STREET) (CROSS STREET)
LOT
IL
ID SUBDIVISION LOT BLOCK SIZE
a
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
O: -
O 3
IL REMARKS•-
AREA OR
VOLUME ESTIMATED COST $ ����l��J FEEMIT
RE FEET) �P
OWNER BUILD
ADDRESS BY
(Affidavit on reverse side of application to be completed by authorized agent owner)