29-315 (5) For ALL buildings within Fire Distri~-'d"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 building. "X%C� i
Application for Permit to Build `-
Northampton, Mass., r.�' .. .....»........19»1..
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 ... . t J .,,. Lz,%,........»...»........................................................................................................
2. Owner's address .��. ... a » :»:....................._,.............................................................................
3. Architect's name ........✓,1 �.............».».......................»....».......».............».............».....................................................................
4. Builder's name ............. ,..........»....».»..........................»............................».........._...............................».......................................
5. Builder's address :.... ................»...............................................................................................................................................................
6. Location of Building. Street No. ..................................
7. Is this a removal or new building.... ,W.. ''.......».....».....................»..........».»............................»........................................
8. If removal, from where ...........».».......»....».............................»............................»...........................................»....».................................
9. What is the purpose of building .. . .................._...................................................................».................
10. Material of building .................. G -'K`-C''4......�..............................._.............»..........»................»........................................
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 J ...........;No of feet deep ..dle.»..........; No. of stories .......1.»....»..
14. Size of ell No. of feet front
........::.»..........; No. of feet deep ...........»....»....; No. of feet high .....,1,�...»........
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 P....feet inJa.................»...............::.............»... direction
19. Material of the floor ...........� :.t ....».....».......».............».............»....»....».»....»..............._._............._..........»»...............
20. Size of timbers, 1st ..... 2nd .»f,.�..X .. ; 3rd ........................: 4th .............................; 5th ................»».........
21. No. of feet span..........»....... »....... ........».................. : Distance on centers ,..,.........106...rr..................................
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 ......^...I Toilets Lavatories ........; Bathtubs........; Showers............: Settubs .........
28. City Service; Water ..�.......... Sewer .:. ::......; Road Surface ..........; Sidewalk .....
29. Is lot on accepted street ..........1/ ,»......»....».......»....»....»..........».....................................»....».................»....................
30. Estimated cost (must be filled out) ........Z.0-0.�......................................................................................................................
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.
Signature of applicant ......... ,.........��?�......•:���..•. ...»...............................
REMARKS No........
..��'..»
.................................................»................»................».........................................,.................................».............».........................»....».»........................................
ZONING PERMIT 91q
APPLICATION
Jwner
This section is to be fiII,d out in oorordcucc rith Uie »T/blp of Diucusiomrl and
Past Exi STO-11 F,
Mark the npproprixtn l'or t« iodiorto tbc, umr of +h' 1)mrooI:
'
F--) Non-Confnzmin(; �(,t "nd/nr Strunturo. 31`ecify.__---------- ------------------
' ---- ----- - - ------- - ---- - -------
Resideutial �c�9~�iuCIe Frni]y PuitL__Jl|ulti-Family
~---- �--lCxuDIez [--l0tbol
F-�
Business
|--1
Industrial
F--1 �ootitut�n�~]
�-� Re it F--lP.U.D^
Subdivisjuo `--� " `--'
[--lCIont'r
�--lSobd1vioi'`m nith "Ayr:rnv�l-�,nt-Rn?virc��»-��'`my�
[--lPIuuuing 0oncd Appcovcl:
[--lQouioe Board Approval (Spooinl Peruit l(�^�: Vnrinnco)
F--101t y Council (Special Excc,ption S. 10.10)
Watershed Protection District Overl'I'-y: �Iv)
ParkinC Space Requiremento: (Z.O. ",-;),Oct. ".I) Requirod-i2-
Loading Space 1�cquirement,-: (Z.O. rect. 8.2) Requir(�k��Frnpocecl
Environmental Performance 5taridardr-,: (Z.O. Art, X1.1) =yec
Plot Plan Yes TJO
Site Plan Yes
Thir, scction for OFFICIAL uza only:
[�m�ApDrovnl oo presented:
�_~
=llodifioutinun opcensory for z,yyrovnl;
Bmturu: (Moro iuformntino oendcd)
F--lDeoiol: Brnrznne:
De te
4
d
hereby cer#ify that the proposed. work is atith
art ze �t FAA owr r oaf.record.:_;;
and I have been authorized by' t ie"owner fo make #�iis applic6tion-its his-
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
Z
City of Northampto, * 04
Massachusetts R BUILDING
Office of the Inspector of Built WR M I T VALIDATION
� DATE 40—x/', ��,. 19/4 PERMIT NO. TS-°d'
APPLICANT�y�G .4.��..�s.� ADDRESS 3,24— AGLA
(NO.) (STREET) (CONTR'S LICENSE)NUMBER OF
PERMIT TO /s""�Z (`) STORY DWELLING UNITS
TYPE OF IMP VEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) ��'� DISTRICT
IN (STREET)
n BETWEEN AND '..
n
(CROSS STREET) (CROSS STREET).
LOT
L SUBDIVISION LOT BLOCK -SIZE
0
Y
j BUILDING IS TO BE f FT. WIDE BY « FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
0
J
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
It
0
REMARKS:
AREA VOLUME ESTIMATED COST $ ��'�� FEEMIT�KlfOV
(CUBIC/SQUARE FEET) '..,
OWNER .9!2A0&4&-;�
ADDRESS 13-24' C �+�l. Ar "_ BYILD EPT
(Affidavit on reverse side of application to be completed by authorized agen of owner)