35-208 (6) For ALL buildings within Fib 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.
Application for Permit to Build
Northampton, Mass., ... '�,E .:.....8..................19..?6....
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 .... oY. /aC!?/.............1..................._......._....... ........
2. Owner's address s 3%.. , sccrr��osd%.».»r ,,�..... ,P/ f ?, TQ ....� ...........
3. Architect's name ....................................................................................................................................................................................................
4. Builder's name ...., ou ...... .... f d . -; .................................._.........................
5. Builder's address tfg?,,...
Gl
6. Location of Building. Street No. ... 3�1r'..1�° » 2n/?�P � .......led................................................
..
7. Is this a removal or new building .....!V fi. .........acl Cl.!...T!.d!�r.................................................... . ......................
8. If removal, from where ..................................................................................................................p.........................................................
9. What is the purpose of building .... ?,A !„gCC..f.:.....`�'.... ..h..t.. .yl........0 .!.!:.......................................
10. Material of building ..�cd:4....... ._...................... .................
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 . .Q...........;No of feet deep ......., No. of stories /».... ..
14. Size of ell, No. of feet front ........................: No. of feet deep ......................... No. of feet high ..........................
15. Size of Lot ....................................................................................Feet Wide ....-........................... Feet Deep .................................
16. How near the-line of street .........6.. ......................................................................................»...........................................................
17. How near the line adjoining lot. Right........!�:5E................: 1.eft........C..°..................; Rear .................................
18. Nearest building is ..... ........ ............ feet in a......4 a1/ 5/.....,........... direction ......................................................
19. Material of the floor ... .:a.t4r t=.r. e...............».
20. Size of timbers, 1st[..: AIE.....; 2nd ............ ; 3rd ; 4th ....; 5th
............ ........................ .......................... ..............................
21. No. of feet span.......... G'.................................................. ; Distance on centers ........=..........................................................
22. Will the building be erected on solid or filled land ..
......... ................................................................................
r "
23. What is the material of foundation ...Go!4. .....e.. . ..............._.....................................; Footing
24. Will the roof be flat or pitched .,' � ?t��......./..............: Covering...t.vloe. a/*...��'!C�r? ,le.5
25. Heat; steam, hot water, furnace, stoves ..�rx�5°C.+�.�!.''a...; Power oil burner ................................................
26. Fireplace `� ........; Insulation .. 3,1z~Gl�a-��S
y , , , /9; Settubs N
27. How man sinks .!�,�:6?• Toilets��9..• Lavato ries�.,lR• Bathtubs.:9,�:H• Showers�,( ....lH
28. City Service; Water ...':�!...........Sewer ........................: Road Surface ...t..............; Sidewalk
........................
29. Is lot on accepted street ......YeS............. ».......».....................................».............»......... ....................
�S doh
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 .. ...». .»...........................................................................
No....,32... ..»...........
REMARKS
LG rot/is/o�...S IfG4. i .. Q Gdooc/ 5 U�
...................................................d........... . .........................................,................................ ... _.... ............... ....... .................
..4a de -moV°re-d ")A . ........ „,..... ........... S
p.. re....L°ac ... ...fSe.
...........................................................................».......»......................................... ...........».................................................................................................................
......................................................»..........»................_..................................................................................................................................................................................
I hereby certify that the `u``'°1,
y y 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 19
F DEPT. FILE COPY
Z
BUILDING as
• ERMIT VALIDATION
3 J
t DATE r 19 AZ PERMIT NO. tJ 7T
APPLICANT Z6 ;—r— l/ ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
fj�J�j� NUMBER OF
PERMIT TO � �_ (�) STORY G2Q��d� o L�Xk� DWELLING UNITS
(TYPE IMPROVEMENT) N0. �— 4/ROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET) IN
rn BETWEEN AND
�o (CROSS STREET) (CROSS STREET)
A
LOT
d SUBDIVISION LOT BLOCK SIZE
m
U BUILDING IS TO BE FT. WIDE BY —FT. LONG BY /9 FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
Z TO TYPE _T USE GROUP BASEMENT WALLS OR FOUNDATION G d�� (��
Ir
O
1
IL REMARKS:
AREA OR
PERMIT s�
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER BUILDING DEP .
ADDRESS BY
(Affidavit on reverse side of application to be completed by authorize of owner)