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' 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.
3S-, 7 q_. S/2
Application for Permit to Build
Northampton, Mass.. .................. °Z.S�_........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 1�
1. Owner's name ..............., _ ..f _..........t-I.........�..�.�.�®��1'f.,.. ............................... ....................._.................
2. Owner's address ...................... ..............(/__ !? .............._...._..............._.................
3. Architect's name .............................S.'Al.... .............................................................................................................................................
4. Builder's name ........... .»....».........S.1fm._.-....-.................»............................................................................................................
5. Builder's address ....................................................._.... ..... ..
»...................... ................................................. ..
p..... .... ..
..... .... . ........
6. Location of Building. Street No. ............�?- z�.....*./........... 74...... � ......Llc3 � . '�OY AIC°c_-
7. Is this a removal or new building.............. .......... :
............................................................................................................
8. If removal, from where .............. .......».. .................... ....................................�...............................................................».................
9. What is the purpose of building ».... ...�....1..............................................................................
®� a� F »�
10. Material of building ....................a_.. ............................»............._..........»....................._...................................
11. If a dwelling, for how many families 1..,�.�'................../......................./' Number of rooms ..............»T... .........................
12. Is there to be a store in the building ..........»................... ............................»........................._..............................................
13. Size of building, No. of feet front ......5 Q.......;No. of feet deep .....�.q......; No. of stories ........a.......
14. Size of ell, No. of feet front .......................; No. of feet deep .................».....; No. of feet high .....»....».............
a. s
15. Size of Lot ........»......../,A.�,�..1.....�.�.»•c,Y'4°..5........�Feet Wide ..........e..�.:,`T...... .. Feet Deep .......�.90%S...
......
16. How near the-line of street ................................. .............................................................................................................................
17. How near the line adjoining lot. Right...............41A.............; Left...........`7 .............; Rear................................
18. Nearest building is ............:. G........... feet in a....... T ..._..... direction ......................................................
f_
19. Material of the floor...................cipt.v . ................................»..............................................................................
20. Size of timbers, 1st ....:�iA.5...; 2nd .....O4X.k.; 3rd .......................: 4th ..............................; 5th ................._...........
21. No. of feet span.................../.s? . .._...._........................... ; Distance on centers ... .....®.6°....... ..:.C..........................
22. Will the building be erected on solid or filled land .....................%1OL L>q.11..................................................................
23. What is the material of foundation CO/11�. .. X d8
.............................. ..._.:.....�.°...._............................».....; Footing ..... ... ..........
l
24. Will the roof be flat or_pitched ...........P.-Z�.?�'q...._...........; Covering..........�4, 6.�/ .....��j.K� es
25. Heat; steam, hot water, furnace, stoves»....... .s :............, Power} oil burner ................1..��»....»...........
26. Fireplace ..... ............. .L"s.................................; Insulation ..............»....�r®.�-'f;....;1....... ..........................................
27. How many sinks ....I......; Toilets ....I.....; Lavatories J...; Bathtubs... _..; Showers..Q.....; Settubs
28. City Service; Water ........tf.......Sewer .. A.........; Road Surface ....... . ; Sidewalk ..... ��..
29. Is lot on accepted street ..........................1...L�.. »S...... ......................................................................_.....................................»........
30. Estimated cost (must be filled out) ................... cz... 4 :. .. ............................_.............»...............................
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. This building will conform o the equirements of the law.
Signatureof applicant ................. ...._._.......»...... .. ..».........................................»............................................................
No........ _...........
REMARKS
................................................._.................................._..........................................................................._........................................_......._.........................................
ZONING PERMIT
APPLICATION V7 fo,
Zoning drdinnixc -Sccticn 1.0.." cc�:J_Vl File Ilo. Flnil File
wn er— Ro bejeT-- 6- S kPocAll Applic—,t
Telephone JW4W6(5AQ%
Space
Unrk the opproyrinto 1,ox to iodicote the uor of th r PeroeI:
[---1
Non-Couf'`rnint,' lot "nH/or "�truuture. Dywoif y -------- '--- ------'
r-���Beoidcutial le F,ni]y Uuit [--l��ulti-FqniIJ
F--lDvyIex [--l0tboi
[--lBuoiueno
^--^
Industrial
F--� �ootitut�n�~]
^--^ �—l � O D.
Subdivision
^U.
F--) Cl-nnt'r F--� nUcr
[--lSobdivioi'm "Approv'J-�nt-Ttr?xirr�p"-3Lnoy:
[--lPIouoin8 90nrd Ap|,rovxI : '
�--� Zoo1ug Board AyTzuvaI (Spooinl 9orj�j1t I().q: Vr nn ��
ri
[__] Clt Council (;Special F ti 10.10) "
)
Natershed Protection District OvcrlT-y: (Z-0. SCIct. 'l
Loading Space Requirementv: (Z.(.,. '-*ect. 8.2) Requii ed.—
Plot Plan C:Er Y e V, ro Site Plan 99TO y C S C)
. .
This scotiou for OFFICIAL non only:
=Approval ua present-d:
F---l8od1Cioatinun neo( ocor,y f«r �,Dyrnv,)l:
|� }Boturo: (Hore iuD»rmntino uerded)
F--lDeoiol; Bn.)mmoa:
I hereby certify that the proposed work is authorized."by`the ,owiier of record
and t have been authorized by the owner -to reake this application`as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
F DEPT. FILE CORY
Z
City of Northampton BUILDING
Massachusetts PERMIT
Office of the Inspector of Buildings VALIDATION
DATE Nov. 19 19 {6 PERMIT NO. 46
APPLICANT Robert E. Skrocki ADDRESS Rt. 766-We—sthampton
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New oTIS'e (_1 STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) Rt. 66 Westhampton ZONING SR
DISTRICT
(NO.) (STREET)
a BETWEEN AND
'D (CROSS STREET) (CROSS STREET)
a
n LOT
m SUBDIVISION LOT BLOCK SIZE
0 BUILDING IS TO BE 40 FT, WIDE BY._. FT, LANG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION Concrete
f (TYPE)
0
LL REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ 22.000•00 FEE .
(CUBIC/SQUARE FEET)
OWNER Robert E. Skrocki
BOIL
ADDRESS _t Westhampton BY
(Affidavit on reverse side of application to be completed by authorized a ent of owner)