43-154 i/ 3 - 1
NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH
THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI-
TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE.
Plot Plans and Plans,must be filed with this application before a permit be granted.
Zone .
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
Application for a Dwelling Permit
/f
Northampton.Mass v oV `�y 199 .
} 5o& &•e-t- -ac.3C
Telephone Na
7b the Supt.of Buildings:
Application for a permit qto build� is hereby made according to the following:
1. Location,Street and NotA/5� /1m....,Not N 2 ..ki r i v-P Lot Na 3 3
2. Nearest cross street . . .V Y''ek's N 1.efrS 1P1 P7 0`)Size of lot dm t�/- S F
3. Owner's name PM- 47M.ektar.fiT offpc UM Address39U Eve) St /YOtyottp 1116. oio4/0
4. Architect's name ./ad F-r]�cf �/F� Address Ceder r m.w
5. Builder's name C�NN/N94imi . . .. LTD Address 3/?9004.tkeThe e11140ta rrWf5,NJu
/ AY/A9.
Mass.Construction Supervisor's License Na .O a a�U. Expiration Date . .0 Sq!.,3Qi/QM Gtdr g7
6. Use of Building:One-family /� Two-family Other/
7. Number of rooms in each family unit: gs Number of Bathrooms r
8. Is there a garage attached? yes a f.. er-
9. Size of building 2 8- X VQ Square footage 3 0 2.? 5.F
10. Number of stories A.
11. Distance from finished /
grade to high-rpoint/�of roof .2 7
12. Type of construction 5 J t c n
13. Distance from building to street line in feet 2 tJ
i
/�
14. Distance from building to side lot lines in feet:Left /s� Right 1.76 /
15. Distance from building to rear lot line in feet /e®
16. Is a plot plan being filed with this application? Ye S
17. Species of framing lumber:DF Spruce X Other
18. Are all structural conditions noted on drawings? YP$ X.
19. Nature of]and upon which the structure will be erected:Natural /1 Filled
/ .
20. Depth of basement or cellar floor below finished// grade 6��,./(�
,/�OOrrd Co.aiC r cafe S(.(.rl tf '/
21. Material of foundation wallsThickness in inches
22. Type of roof: Flat , Pitched /?
23. Material or roof covering^r�. . . . ./9.5_ jI."I Apt,r St)' " tog /moo
VO 24. Method of heating 1'.C°4. . .lel o17 .\.A.l YJ-f- r by Ori.
25. Will the building conform to the Building and Zoning Ordinances? )./0 S
26. Septic Tank? /y` City Sewer?
27. Construction within 100 ft.of wetlands? )fB3
28. Construction within 100 year flood MO?
29. Estimated cost:Total $ . . . . . . . . /r.145-9 CAT°
No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate
of occupancy is issued by the Building Inspector.
The undersigned certifies that the above statemeenntsss are true to the best of his knowledgeland belief.
`-;r=- 19
/ Sig nature of Cont or . . %le dliesponsi plicant
WR TTEN DESCRIPTION OF WORK1'O BE DONE
PLOT PLAN
SHOW ALL GUILD INGS ON LOT
EXISTING OR PROPOSED
No.
APPLICATION FOR PERMIT TO
BUILD A DWELLPNG
Location
I
Permit Granted
19
Approved
Supt.of Buildings
R
S
U
D
FT, FRONTAGE
STREET