32C-279 Zoning Ordiimixc S(-ctirDii 30-:' File �10. Yl-111 File
Address
Telephone Tel opho nr.
This section is to be fillrd out j ,ccord,--nee ih the »TpbIp of Dirt:uoioorl and
District A r Ca 7"1 d t)I Front '51de Cover. Space
:ork the approprinte 1,ox to iodio�te tbe u�r of thr D»roel:
Poo-Cnuf^zmiuf; Ic , `nd/or "truoturo. 31`eoify _-
Beoideutial 3inclr F,ni]y 11oit =Yulti-Family
Cx/Dlez F--l0tbal
F--1 8um1u000
F--1
Industrial
�—� Institutinr`l
F--1
Subdivision F--� Be°u] :7r [--l �.D.D.
[--lclont'I, | | (`Dhez
�--lSubdivioi.`n with
[--lPIu/uoing !Ionz(l Approv,�l :
�--� Zoning Board Approval (3Derinl Perait l0.�: Vrr 1
innoe
= City Council (8 i l E ti 1().10) ") '
Watershed Protection District OV(-'1-11,y: (Z.O. Sect. 'IV)
Loading Space Requirement'; (z.(-). rect. 8.2)
Sirns: MO. Art. VII) yec T10
-Environmental Performance Standards: ( Z,O, Art, X11) =Yer,
Plot Plan e s Site Plan Yes C240
Thlo nc-ct1oo for OFFICIAL uce only:
=Approval os l`reoeutpd:
|--lUod1f1ootioun oecooE7nr� for ,j)provnI:
[---lDeturo: (0uro iuformntioo oep(jcd)
[--lDeu1ol: Be�inooa:
C.VIW14 Ittlae xy-
sign AT.
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. j
If building is to be moved give details relative to proposed location as for a new building.
Application for Permit to Build
Northampton, Mass., ,.. ». .»........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'
1. Owner's name .......�.».t `. :�F ..»`j.:... '. ,.� �....�1�CT..................._.........................................................»....................
L2. Owner's address . .....,q 'yfuekk ....».»....».......»............._..........»...............................»......................................
3. Architect's name ............................».............................................................................................................
4. Builder's name ...i-.fi d1~:}.... �5�.'. 7.f,`,�Jf�..' '.,Lf�' ..1 f, r'.;r ........................»................»... ........».......».. . ».......
5. Builder's address J .. ........ .....J.........................................................................................
6. Location of Building. Street No. ..» »..� !f.(ILs 'fx '.5......at .........................................».....».........».
7. Is this a removal or new building..............»........................».......................................................................................».,.......................
S. If removal, from where .............._.............».......................................... __._...........................................................................
9. What is the purpose of building »...........................................................,..............................................
10. Material of building ......... ? .........................................._............................_.........................................
11. If a dwelling, for how many families...... ........_................».....Number of rooms ....9.........................................
12. Is there to be a store in the building ...../ �.................._..................................»....»...................».».........................................
13. Size of building, No. of feet front .:�?.C1a7 No. of feet deep ......................; No. of stories...4 ...
14. Size of ell, No. of feet front .......................; No. of feet deep ......................... No. of feet high ..........».............
15. Size of Lot ........ f:.�flt!k '...............c............. .......Feet Wide .................................... Feet Deep ................................
16. How near the line of street .., Kr»ai i/. f.... .. .......`. »... ....
17. How near the line adjoining lot. Right:: 7�'1 ,r�,r» .....; Left....................................: Rear ................................
18. Nearest building is ................................. feet in a...................................................... direction ......................................................
19. Material of the floor .....» ....»......»....»...............................»..........».»....»................».............................................
20. Size of timbers, 1st ......................; 2nd ........................ : 3rd ........................; 4th .............................; 5th ..................6.........
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 .. /..� � ... r! � /�..... ; Footing
24. Will the roof be flat or pitched ...........».».............................................; Covering........................................................»........
't-ZC�.'14t J 'f
25. Heat; steam, hot water, furnace, stoves .�..P..:r�./.�...........:.:»....., Power oil burner .. »�. ......................»...........
26. Fireplace .....4-'&t..._.............»..................................; Insulation ..............»..............................................................................................
27. How many sinks,,?.....; Toilets 42 ; Lavatories 4A2..; Bathtubs& ..; Showers............: Settubs.....»..
28. City Service; Water �,. �;r....... Sewer .f.r:�f'......; Road Surface :.......; Sidewalks, ..
29. Is lot on accepted street ...... ..F-.4................._..........».....................................»....................................._.............................................
;X
30. Estimated cost (must be filled out) .....................».......»..............................................».... .........................»....»........
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.
Signatureof applicant ......... .t x :�.. � . . ..............»......................................................................
No...........,1............................
/REMARKS
........................ : : :kr�r 1. .`........: �,c,l..lm`�!� .................................... ».......».............».......».»..............
............»...........»......»...............................»....».......». ..................................................................................................................................................................................
I hereby certify that the proposed work_ is, authorized by.fihe owner of xe�ord"
and I have been authorized by the owner 'to make this 00' ?lcation as `his
authorized agent.
SIGNATURE OF AGENT
ADDRESS ,. v
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE a9
DEPT. FILE COPY
Z
City of Northampton 11LDING �a
Massachusetts PERMIT Office of the Inspector of Buildings VALIDATION
DATE + 7 19 PERMIT NO.
APPLICANT ADDRESS_Z7 I
EE T) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO &au I Al) STORY � DWELLING UNITS
PE OF IMPROVEMENT) NO. JIPROPOSED USE)
ZONING j'Eel
AT (LOCATION) DISTRICT ��.-J
(NO.) <7 (STREET)
a BETWEEN AND
o (CROSS STREET) (CROSS STREET)
a
LOT
CL SUBDIVISION LOT BLOCK SIZE
m
a �
U
O BUILDING IS TO BE WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
6
O �
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
I
It
O
LL REMARKS:
PERMIT
RE
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
.� BUILDI DE d a2
OWNER L! 'a� � P
ADDRESS BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)