32C-163 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 ....... Qs11... ealtx»»Trust (Leo J. Golashx Jr. Trustee)
...................... ....». »
.».
2. Owner's address ....gln.»Streets _Springfield, Mass, 01103 » (733/1456)
3. Architect's name ......................._.........................».».......................»....».......»............._.............»....................................................»...............
4. Builder's name ...........».»....».......».............»...._.».......»..............».»............................_............._...................................................... ..........
5. Builder's address ............................................».. .....................»......................»....».........................»........................................»....»..........
6. Location of Building. Street No. ......#i9-20-R.andolph... .1ac&o....fiarlha1 pli.q?.a..»I`." ........._..
7. Is this a removal or new building.............._.......Removal ............................»,4.�..................
Demolish & Raze C7 L ( s l-f
8. If removal, from where ..............».......»....»............................»»``......�..... ... ...................................................».................
9. What is the purpose of building .................».......................................... ..........................................::::.... ........................
10. Material of building .........EKAXe...._..........».....................................................».............»............................».........................................
11. If a dwelling, for how many families 2 ....Number of rooms
12. Is there to be a store in the building .....»....Nk
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 ...........».............».....................».................. ; 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 ................x1ta.............................................._..........»....................................._.. » .
30. Estimated cost (must be filled out) ........»...S-:L5�?Q....tQ».hA, l ..» .» ?rs�de............. ...........»� ...�
Applicant agrees to give the Inspector of Buildings 24;ou ' notice before lathing or
plastering this building. This it ill conform requirements of the law.
Signatureof applicant ........... }..».: ..» ..»..... ... . ..........»...... ................ ..................................
No... ................
REMARKS
.................................................»................».............».»...........................................................................»........................................»....».».............»..........................
............»...................».............»....»..........».......»....»....................................»..............................................................................................................................................
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
FIELD COPY
BUILDING
` � ac setts PERMIT
Office of the Inspector of Buildings
2 19/ � P RMIT NO. l
APPLICAN U . , T AE SS ��
IN 0.} STREET) CONTR'S LICENSE)
NUMBER OF
PERMIT TO ( ) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
rn BETWEEN AND
co (CROSS STREET) (CROSS STREET)
m
LOT
D' SUBDIVISION LOT BLOCK SIZE
m
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
L R
0
a REMARKS:
AREA OR ESTIMATED COST $ ` `�-� FEEMIT
VOLUME P
(CUBIC/SQUARE FEET)
OWNER BUILDING DE♦
ADDRESS BY