35-208 (7) For ALL buildings within Fire District and for.other buildings costing $10,OW.D 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.
J-
Applicaltion for Permit to Build
Northampton, Mass., » �i,�.. 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. Owner's name ...,f . » :r g...... :...»��cz :. ...............»............,...,.. ,_ ....k ...............`.................................».......»........
2. Owner's address :?` i 1...»GIJc'�7 r77 i ». .,�. ,ri f'T .'......r....m ..................
3. Architect's name ............................................ .....................»...............................,..................................................................................
4. Builder's name ... .4"vjs :....»la �`::.�`�................._... . ........... ...............j.....».........................................................
5. Builder's address ' '. ................... ..���:.`"....: ?? '.T�'.. `.....,. `t ..............»....».»........
6. Location of Building. Street No. .......... ....��......z.«, c�„ �; c?/ r�
7. Is this a removal or new building .......................................»............................».......................................................... .....................
8. If removal, from where ................................. ........... .................. _......._..................................................................»...................
9. What is the purpose of building ...:".`c?,r:G ...................................................................................................................................
r
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 .............../6-/........................................................Feet Wide ...¢" '.: .............. Feet Deep .................................
16. How near the-line of street ...... .................................................... .. ........................ ».........................................................
17. How near the line adjoining lot. Right ......... s................ a;fr,..........`.......?................; Rear....... ........_..............
18. Nearest building is .....»7.:5................ feet in a...................................................... direction ....................................................
19. Material of the floor ...r ..::...........................................,»....»................»..........,.............._.».....................................................................
20. Size of timbers, 1st ' .. .......; 2nd ........................ : 3rd ........................; 4th .............................; 5th ................»....».....
21. No. of feet span ........1»..................................................... ; Distance one centers .....» .............................................»..
22. Will the building be erected on solid or filled land »...............................................................................
23. What is the material of foundation Czc*f cF.' � .. ¢k q �' ' Footing .....».................
....» .... ...........»..,/»....»....»............ .........»...�,
24. Will the roof be flat or pitc4ed ....� !..`.:.............................. ; Coverin ez
25. Heat; steam, hot water, furnace, stoves .........................................; Power oil burner ................................................
26. Fireplace .......................................................................; Insulation ..............»...............................................................................................
M
27. How many sinks Toilets s:.'.Y; Lavatories L'...; Bathtubs.k..; Showers?.....; Settubs .
28. City Service; Water ......!'..........Sewer .!LI............; Road Surface .. .'......».... ; Sidewalk . ' '............
29. Is lot on accepted street ...y`.............. ............................................................................................».......................»....................
30. Estimated cost (must be filled out) .. G :». ' .........».......»..............................................»..............................................
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. TAS building will will conform to the requirements of the law.
Signatureof applicant ....... .... ......»....».....................................................//..........�....................
..�f....
No .g..................
REMARKS
...........................................................................I........_.........................................,..........................................................................................................................
............................................................».............»....».»................».......................,......................................................»...................»................................................
............»..................................»................».....,.»....».».........................................,........................................................................................................................................
PLOT PLAN
In accordance with Article XI of the Zoning Ordinance, an application for a ,
Zoning Permit muat includo a Plot Plan. The following characteristics of the
parcel must be shown.
1. Dimensions of the lot.
2. Locations and size of all. buildings.
3. Average finished grade of all structures existing and proposed.
4. Use of all buildings existing and proposed.
5. Set Backs as indicated on the enclosed plan.
Abuttors Name
Lnt / 7.•; No.
Lot 14-8,4i&Ft.
Rear Yard
Abuttors Abuttors
Name Name
Lot 7 `Z No. Lot /6 ( No.
y6Lrrn u3
If this is a Sideyard. 2, House Sideyard If this is a
corner lot, write q corner lot, write
in the name of the 4 in the name of the
other street. 4- other street.
w w
Scat Back
0 0
Lot Ft.
Name of Street
Indicate location of garage or accessory buildings with a dashed. Line.
Indicate location of Sewer hook—up []
List all past plans, applications, permits, variances etc. and corresponding dates that
have been processed by this office.
I certify that the enclosed appli tion and plot plan are complete and correct.
Y3 /7
Si a ure of Owner Date
PageNo. -3 Lot No.
I L i L
APPLICATION
zoni-11C crdin,-Ixe S('Cticn 1(,.,7 ccciv,:-C File TO o. I loin lile
A r�r I i c,,, t
Yn er
Address S73'� ('43, A(1,3 r e sb
Telephone S l S Cs, Telephone
This section is to be filled out in -ccordance J th the "Table of Dimclisionnl and
Density Pe latione:. (Z.Q. AFTICLE,
Zoning Uce Lot Front Dei,th 11,i x.B1 1 d T-Tin. Op.
District Area e'a "J-d th Fro r t Side Cover.
_.S�aac e
Pest Existi-nc,-- %
k
Present Propoted %
Mark the appropriate box to indicate the iiLx of the p<rcrl:
Pion-Coll forM in Let --nd "or Structure.
Residential -le Fr-iily Unit =j';ii1ti-Farjjly
Duplex Q0thei
Business
Industrial
Institute.or,-l-
Subdivision R e C,i 0,-;r 11.U.D.
Cluster F I Other
Subd-i vision with
Planning Roard Approvol:
Zoning Board Approval (Specipi permit 'L().o: V,-,r in I I c e
[= City Council (Special Exception S. 10.10) ,
. Watershed Protection District Overlj.y: (Z.0. Sect. ',,,IV)
Parking Space Requirements: (Z.O. :-,c-ct. P—L) Required Proposed
Loading Space Requirements: (Z.C. "ect. 8.2) Required Proposed
Signs: (.Z.O. Art, VII) F I y6c ro
,Environmental Performance Standards: (7.0. Art. XII) F---1 Y e r, F-1 No
Plot Plan Q Yes 170 Site Plan FA Yes F-1 I-To
(S. 10.2) ( c. 10.2 and 10.11
1,7a.iver (-',r,-mtcd:—D1-te
This section for OFFICIAL use only
F--jApproval as presented:
[�Modificatiojis nececEcry for orprov,)I:
[Return: (More information needed)
Denial: Reacors:
Sign,�ture of Ap-lic7.:in Date -tire Of Admin.,
Officer Date
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
Z0
7-
BUILDING
• `RMIT VALIDATION
A�fl35 -D ay c F
DATE 3 197_ PERMIT NO. x`118
APPLICANT Louis E. Tact/ ADDRESS 5.39 Westhampton Rd,
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Cnn-Strum (�) STORY pOrCYt _DWELLING UNITS N/A
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING p
AT (LOCATION) DISTRICT A
N0.) (STREET)
BETWEEN AND (
(CROSS STREET) CROSS STREET)
LOT
d SUBDIVISION LOT BLOCK SIZE
m
0 BUILDING IS TO BE 12 FT. WIDE BY 1-0 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE 4 USE GROUP L-3 BASEMENT WALLS OR FOUNDATION Concrete
(TYPE)
K
O
L REMARKS:
AREA VOLUME 120 gt7 ft. ESTIMATED COST $900.00 FEEMIT . 10 00
(C BIC/SQUARE FEET)
OWNER ZOUi s Tacv• - BUILDING DEPT
ADDRESS 539 Warthg-m tom Rd BY
(Affidavit on reverse side of application to be completed by authorize nt of owner)