18C-031 (14) DEPT. FILE COPY
Z p
I Ur BUILDING
PERMIT VALIDATION
//�� DATE I/.�_L 19 PER IT NO. rf/C
APPLICANT ( �CC.I1�-st_►17 �(/o / ADDRESS '!c- — /IJLC1�
j INO.1 (STREET) (CONTR'S LICENSE)
PERMIT TO Ajelei ( ) STORY / NUMBER OF
DWELLING UNITS /�2...S--.14—.
(TYPE O FF IMPROVEMENT) /AAA O. (PROPOSED USE)
`` ZONING
AT (LOCATION) o/7� [ / DISTRICT
6/ \ (
NO.) (STREET)
a BETWEEN AND
'0 (CROSS STREET) (CROSS STREET)
a
-'"-'7 LOT
a SUBDIVISION —. LOT '--- BLOCK SIZE
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OO BUILDING IS TO 8E F FT. WIDE BY { P FT. LONG BY ! FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
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Z TO TYPE1:1- USE GROUP BASEMENT WALLS OR FOUNDATION�~J(i�
0 (TYPE)
Or
0 LA- REMARKS: �[iyy� �1Yr d'Ao"-- i - L i
AREA OR PERMIT //s 5 _
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER
BUILDING EPA
ADDRESS BY �-4, L----
(Affidavit on reverse side of application to be completed by authorized agent of owner)
S . t
I hereby certify that the 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 .
/
For4ALL vuildings within Fire District and for other buildings costing $10,000.00 or more, plans [ t,
and specifications must be submitted to the Inspector of Buildings for examination and approval. 1 1
If building is to be moved give details relative to proposed location as for a new building. l I
/1 .1) P
Application for Permit to Build
Northampton, Mass., .L24.4 7 19..,7.h.
To the Inspector of Buildings:-
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
1. / Vit2.4
Owner's name .. t.:,. .cf.-- ",1 ._ if ......»....
S..�t•
2. Owner's address � C' .. lz ....,.... / 1�.� �,;
3. Architect's name /
4. Builder's name ...CZd.& A.!('ti`'.c. _.................................,�` r .. .4
5. Builder's address ..,/5 ....... .0 ` ,c'�...0 i <-:.- �.Al.lei e' - !1/.. /V AI ...�j.�1...% .»._
6. Location of Building. Street No. ./ .? ..5....�el...f.1..% 4/ ......._....»............. ................ ..
7. Is this a removal or new building ./VJQ......_....... ....»...._... .._ _ _...._
8. If removal, from where
9. What is the purpose of building 4.L. A`4C' C. - v 0 ill
10. Material of building .»....LA) C...2...Q
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 ....._....2 ;No. of feet deep ...r. j ; 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
17. How near the line adjoining lot. Right ; Left ; Rear
18. Nearest building is ..... .......(:-.)C.`.....1.222
feet in a direction
19. Material of the floor ...4.;!.
20. Size of timbers, 1st ; 2nd ; 3rd ; 4th ; 5th
21. No. of feet span ; Distance on centgrs
22. Will the building be erected on solid or filled land .....` ..l..0.....J.... L,
23. What is the material of foundation ...C.„1 ti..� .. ��..���.i.L _,.; Footin
24. Will the roof be flat or pitched .......: G.l� » N _ ;^Covering .:ntA./....1.t1. . .:.a
25. Heat; steam, hot water, furnace, stoves ; Power oil burner
26. Fireplace ; Insulation
27. How many sinks ; Toilets ....._.....; Lavatories ..».....; Bathtubs....._..; Showers ; Settubs
28. City Service; Water Sewer ; Road Surface ; Sidewalk
29. Is lot on accepted street -
30. Estimated cost (must be filled out) ». ..,1` t ...»..... L.. ..i.)1` C`' i.) D.c..1.. ......: s
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. This building will conform tooth the requirements of the law.
Signature of applicant ... .771�./.ei »» .`l;.. 1..2. t .... ../.2.L..
9 No f., .(
REMARKS
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