25A-101 (7) 71
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.
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.— f
1. Owner's name ........ .._ . C. ...............................................................................
2. Owner's address . ....._.s .l ......_...... .... .. .».�
3. Architect's name ................:... ........................... ._.......... ..........._.... .......
...............
l
Z/,:, '
4. Builder's name ...........»......�.. 's. xL :. . ......._.... .. 7.TZ.L.:... ... .. ... ........................................................
5. Builder's address .............4 ...` ...�............ .........................................................................
6. Location of Building. Street No. ........».......z »f...� ....� � `.. »..............
7. Is this a removal or new building .................. �`��...�...,... .:......., .
g ... a..,,,,,.............................
8. If removal, from where .................—. ........................................ ............................................................................_.................
9. What is the purpose of building ................ '- �....�........,...., ..._.....................................................................................
10. Material of building ...................:... ....... .... ......................_............._............................ .........................................
11. If a dwelling, for how many families ...........7/....._................_.....Number of rooms .........:,1 ..................................
12. Is there to be a store in the building.....»....,e Z ....................................................:.................................._......._...........
13. Size of building, No. of feet front eet deep ........................: No. of stories .....................
14. Size of ell, No. of feet front ........................: No. of f�eep ........................ 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.................... a`—t ......................................................................................
20. Size of timbers, 1st........... :........ 2pd ....._.:..,...........; 3rd ........................: 4th ..........�� ................._...........
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..................._...
-''........_......I.............
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 ........»......... . . ........»......_....................................._.................................................................
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. This building will conform to the requirements of the law.
Signatureof applican ..... ..... ................ tr::... .......».................»............................................ ......
_ REMARKS No........ .......i;z.........
`
.................(/�,"' '" ....,rL.rYj„W........». .•d�,.Y. ..../ .. .... L ; �..��....................................................................
Address -
Telephone
This section lc to be yillcJ oot ill occordcune rii}i t}ia »f Dimc�ue1on/'I nod
ast Existin 141 7,7 10
Mark the appruyrinto box to iudicote the of thr rneI:
-
F--1 Noo~CuofnrmioO I�,t 'od or �tructurc. S!`eoify --'------'---- --------
' --- '---- --' '-------- --'- --------
L^
Residential . �ASiouIo Fr/�i] y UuitL-_]11oIt1-FuniIJ
---' F--lD«pIoz =0tbci
�--lBuoiuoas
Industrial
i \ Iuat1tutin�~l
^--' P
[--} D D
F--1
Subdivision
^ ^ ^
---- [--l �lont'z L_-] nthoz
�--\ Gubd1vioi'`u with /'�y�rov�I-�nt-Dn?nir,6n-�t'my:
[--lpIouuuing !",onrd Ap|/rnvnI:
F-� Zoning Board Approval (Sycrinl Permit 1().0; Vnrin/�oe)
F--lOit y Council (Special E ti )
'Natershed Protection District Ovcrjj�y: (Z.(). 'Sect. .,.,IV) Y e 110
Parking Space Requiremento: 0".0. "13ect. p..1) Requircd-'2----+1-roposed
boading Space Requirement-': (Z.(). "ect. 8.2) Rcqtiirc-(e=rr,)1,-,ore(1
,Environmental Performance Standardr,: (7-.0. Art. X 1.1)
Plot Plan Yes GRI T,70 Site Plall ye�; ON.1\10
This n�otioo for 0f"FICIAL noa only:
pyrovnl as prosentcd:
[---lModifioutloun opceonnry 2(-)r rDpi'ovnl:
[---lBetoro: (Uorm infnrmnti"o nerded)
F--) DpuinI: Bonnnno:
114
r S
I hereby certify that the proposed work is authorized by.-the ownpr.,of record
and I have been authorized by the .,owner.,fo. make..#his, clicat.ion qs-;#pis,
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
Z0
D-
City of Northampton BUILDING
Massachusetts PERMIT
VALIDATION
Office of the Inspector of Buildings
DATE 11/12/ 19� PERMIT NO, 459
APPLICANT Peter Petranenko ADDRESS 31J4 Bride
(N0.) STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO B.Pnayata ( ) STORY 49!5� DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) �Bri[tae Ste DISTRICT URB
(NO.) (STREET)
rn BETWEEN AND
(CROSS STREET) (CROSS STREET)
of
LOT
0. SUBDIVISION LOT BLOCK SIZE
m
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
Q:
O
LL REMARKS:
AREA
VOLUME ESTIMATED COST $ Aoo�oo FE EMIT 10 00
(CUBIC/SQUARE FEET)
OWNER Peter Petrunenko
BUILDI DE
ADDRESS BY
(Affidavit on reverse side of application to be completed by out onz'eagent of owner)