18C-031 (15) DEPT. FILE COPY
ZD
BUILDING 0a
PERMIT VALIDATION
DATE June 25 19 6 PERMIT NO. #220
APPLICANT Clarence J. Bushey, Jr. ADDRESS 16 Coo e venue
I (NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO construct ( 1 ) STORY garage addition DWEBBER OF
ING UNITS N/A
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 16 Cooke Avenue DISTRICT
SR
(NO.) (STREET)
o+ BETWEEN AND
w (CROSS STREET) (CROSS STREET)
LOT
a.
a: SUBDIVISION LOT BLOCK SIZE
a
U 20 26
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
to
Z TO TYPE USE GROUP Misc . BASEMENT WALLS OR FOUNDATION concrete
M (TYPE)
0:
0
t- REMARKS:
AREA OR 520 S ft. �' 1 , 000. 00 PERMIT 10. 00
VOLUME aESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Clarence J. Bushey, Jr. BUILDINGL
ADDRESS 1 (� Cooke Avenue BY (72.------
(Affidavit on reverse side of application to be completed by authont of owner)
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 .
ire - 3i
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 buildin4/
fo
r
f r Permit to Build
Northampton, Mat4., 19
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 ... f}. �.d1. ...0 �d.:...._. . a . .lJ.. / y 1l .,....._...
2. Owner's address ..Le CQ.G2..1 (1. ... del '
3. Architect's name
4. Builder's name -•
5. Builder's address
6. Location of Building. Street No. /lG' t...=.»4 t?./� ,�111.. .•..
7. Is this a removal or new building lLr`
8. If removal, from where •
9. What is the purpose of building/..1 .41 l.C...L.. ,11.7r � ....._........
10. Material of building a G P
11. If a dwelling, for how many families •--2'7-Q - Number of rooms trAr-t.1.-. 1.-,,k_
12. Is there to be a store in the building ..... ...._..... . '
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 ...,, ,";? .....; 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 feet in a direction
19. Material of the floor
20. Size of timbers, 1st "... .....•, 2nd ; 3rd ; 4th ; 5th
21. No. of feet span te.? " ; Distance on center J6 ''
fr 22. Will the building be erected on solid or filled land
23. What is the material of foundation .. '., r..._.! ..�:. ; Footing
24. Will the roof be flat or pitched 'TA...7.C, ; Covering ,S ..e_!1�'. wa
25. Heat; steam, hot water, furnace, stoves .. ......; Power oil burner
26. Fireplace ..... .. ; Insulation
27. How manysinks ; Toilets lO/....._.....; Lavatories .._.....; Bathtubs.........; Showers ; Settubs .........
28. City Service; Water Sewer ......; Road Surface - ; Sidewalk �~
29. Is lot on accepted str t . ...
30. Estimated cost (must be filled out) ... /t.!.. //.��..L. .. ..l �l/:1a.._.... ...... ..�L.�}..h�.,�
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.
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Signature of applicant .... 1cf'✓I»C�»�.r... �»{�� z. ��
No � ✓z�
REMARKS
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