05-001 (11) For ALL buildings within Fire District and for other Buildings costing $10,000.00 or snore, 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 f r a newbuildia z.
C._.- /
Application fs ' Build �` J _
s ,-
Northampton, Mass., . ....E .... ._...19...� _..
To the Inspector of Buildings:— `"
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.— ( k,
1. Owner's name 1L fr.... Pc--k-1.1.'i.. . t �.ti
t
2. Owner's address . .AS ��.C:.t;;�:.�� ._...�°:.i.:�.:. a........_... ....l..■.G. � ..... ......... M ... .......... »_.._._......»....._.
3. Architect's name
G
4. Builder's name ........... _..�' .. -= '5..:..i..i..k k ... �a .l.k1c A._C!.: I-
. i...Y\.c
5. Builder's address ....._........4..k9. •
, -4 c. (.:.1.Z" `�`, _ 3
_.... »
6. Location of Building. Street N o . I
7. Is Ong { ‹.a..C..).. - Q. (:' \.A. .1�,.._.. ::..1 �..L c.. ; L..S 1 1.L.L >� \ --( k‘
8. e L...Li».... .2... ....
9. What is the purpose of building -» .. -...
10. Material of building _ ............._.....__ _________
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 .....».._»....._....;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 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 ; Distance on centers
22. Will the building be erected on solid or filled land _. -.••
23. What is the material of foundation ............. ....._..........._...._........ ..........._..........; Footing _________
24. Will the roof be flat or pitched ; Covering .. ............ ....»_......... .......... ___________
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)
Appli an, :t.gr to give the LInpeictor of Buildings 24 hours' notice before lathing or
plas4eM ng tfais building. This =ull.ding will conform to the requirements of the law.
`
Signatur , 01 applicant. .... `- . . (. :(3�.`. , .... w N,,,-- / ..�.�.;. .. ;:.: c.G :.; ` .. ..0 .a.. ....
/ k
REMARKS
SWIMMIN0..•P00L.,.TO -BE - USED- .BY...CAMP .HODG•KIN5 - ° _
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 .
— DEPT. FILE COPY
f. BUILDING
PERMIT
-, VALIDATION
DATE 1Nay 20 19 77 PERMIT NO. 170
APPLICANT Hampshire Ciro in ADDRESS River Road. Leeds
(NO.) (STREET) (COW( WS LICENSE)
NUMBER OF
PERMIT TO_ OnStr11P+. RWimmin ) STORY Swimming pool DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) Rivpv Road, Leed*. „ ,, D ZONING
CT RR
(NO.) (STREET)
a BETWEEN AND
b (CROSS STREET) (CROSS STREET)
a
I
L
LOT
co SUBDIVISION LOT BLOCK SIZE
a
U
O BUILDING IS TO BE FT, WIDE BY FT. LONG. BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
10
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
Ir
REMARKS: CI it -ground swimmin pool for (amp Hodgkins
AREA OR PERMIT h.
VOLUME ESTIMATED COST .$ . no_ feP
(LUDIC /50UARE FEET)
OWNER Hampshire nnunty � ,
ds
ADDRESS Ri VAr Rnati , Lee B k J --
(Affidavit on reverse side of application to be completed by authori agent of owner)