37-018 (2) FORM NO. BOCA-BP 1969
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Application for Permit to Build //
Northampton, Mass., 42.01 / 19 7
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 �. �- »... '. ... :»......:..:.... __
2. Owner's address . 72:0' ,R- -i. .fr :s ...f.< C
3. Architect's name
4. Builder's name
5. Builder's address
6. Location of Building. Street No. ,.�.»....».»..,
7. Is this a removal or new building../-e...0421.4=-A=2.-.L.... .. !=z-xr'u c :r�G.. :`s?..4» `. ?.•f
8. If removal, from where '. .. .... z:,».».. .. . et,- . .,Lrc..i......t �,.`v."'"' 4.2;. ».»
9. What is the purpose of building _,4;sC, *.v:�� ._..
10. Material of building , .. ::C le
11. If a dwelling, for how many families Number of rooms ,1
12. Is there to be a store in the building ..... ...-i.:
13. Size of building, No. of feet front .,1..2-% ;No. of feet deep .fh ; No. of stories j
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 1.. .. '
17. How near the line adjoining lot. Right... .4..x.41 ; Left ../42C5 -- ; Rear.,.`.L%
„1,
18. Nearest building is . ...".1......... i2/ -feet in a .4.22:e...,1--
. :� f direction
19. Material of the floor 4 :-. ..» »...».•..».»
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 and .... z- '
23. What is the material of foundation ... ...... (. ?....r ; Footing
24. Will the roof be flat or pitched ».Y ; Covering .a.y9/1
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 y�r
30. Estimated cost (must be filled out) 7„1.4147
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this b ildi g. is building will conform to the requirements of the law.
Ale &Wit/tifial
Signature of applicant , .. k,[•, : . •• :!
No 9 d--....
//
REMARKS -y---
{.-"-.1 .42:z Cf... :7)::m' C. - I ».�..,r
ZONING PERMIT
'17
D
APPLICATION
Zoning Ordinance Section 100T File No. Linn File
•
,rner 6/5/-47- 8Argsr Apvlic; -t 51;n7L----
K De D
Address AR.7,"/F,721.0 0/0 0 AddresE
Telephone 57'/ 72 0 3 Telephone
This section is to be filled out in accordance with tUe "Ta'ile of Dimencienal and
Density Regulations:. (Z.Q. AFTICLE VI)
Zoning use Lot Front Depth . Setbncks. MRx.Bid. Min. Op.
Pistrict Ares . 7:idth Frunt Side Re;-,r Cover. __ Spaoe
Past Existinr; ,0
R r,/)
resent Proposed
Mark the appropriate box to indicate the 1 .(-, of fLr parcel :
F-1 Non-Conformilm: Lot and/or r.tructure. S!:ecify-
Residential Fami]y Unit Multi-Fanily
Duple>: 1-10thei
r-i Business
1-1 Industrial
Institut10,1-cootoi 4mip SCHOOL
Subdivision 1 . 1Regnlr P .U.D.
I J 1 1 ther
1 Subdivision with "Approval-Not-T;cloird"- tomp:
Planning Board Anrovnl :
Zoning Board Approval (Specinl Permit 10.0: VaTinncc.)
City Council (Special Exception S. 10.10)
W Yes 1 N
... atershed Protection District OverlTy: (Z.C. Sect. •C1.7) 1 1 1 o
ParkinL; Space Requirements: ,Sect. Pequired Proposel
Loading Space Requirements: (Z.C. .'7t. 8.2) Required Proposed
Signs: (Z.00 Art. VII) 1Y _
Environmental Performance Standards: (Z,O, Art. XII) Yes No
_7_
Plot Plan rn Yes I 1 No Site Plan I I You No
(S. 10.2) (S. 10.2 and 1'1).11
'Thiver Gra.nted: Dnto F-1
Thin section for OFFICIAL use only
lApproval as presented:
['Modifications necesnrry !0r pprnv1:
1Return: (More in form'- Linn needed)
1 ! Denial: Ren!7ons:
/
A1/4/76
Signature of Applica.nt Date 7ignoture mf A,Imin. Officer Date
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