25A-144 (7) For ALL buildings within Fire District and for other buildings t'osting $10,000.00 or more, plans
and specifications must be submitted to the Inspector of Buildings for examination and approval.
If building is >'t► `ue moved give details relative to proposed location as for a new building.
,9, s4- 144-
Hon for Permit to Build
Northampton, Mass., rl.c.v ... is-.».......19Zt
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 ... lG bl l j1.j7».�IJ,Q� l!�C Z ��l ............................................
_....»...,._.. ..».»»
2. Owner's address . .. 0... 1' 5...._.... , ._...»».. ._...._......._.........._......_....................» .». »..» »».»..».» . ...
3. Architect's name .................... . ......................................................................................................................».._
4. Builder's name .......... ...........»................._............................».........._._....._..._...............
5. Builder's address ......................._..................._...................................................................................................................
». . ._.. ,
6. Location of Building. Street No. ...... .. .......... ......................»...»..... ».»..
7. Is this a removal or new building..............»...... ... .....»......... v. '. .»..»-.......»....»...-»»....... .. »»....», ....
8. 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 .............._.......»....»».... ...»....
12. Is there to be a store in the building ..............................................................
... » .. . .. ».... »»»».».».......
13. Size of building, No. of feet front ....». v..;No. of feet deep .. ~»; No of
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 ..................................; Lef t.................».................; 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 seater, furnace, stoves .........................................; Power oil burner.....».........._........._...._..»..
26. Fireplace ..................................».........._......................; Insulation ..........................................................................................
w...».... »
27. How many sinks ............: Toilets ............; Lavatories ........; Bathtubs....»»; Showers............; Settubs ....._..
28. City Service- Water ........................ Sewer ........................; Road Surface ..........................; Sidewalk ................»
29. Is lot on street ......................._..........
_.......... .....................................»............. ........._....._.... ......
30. Estimat( n t?-aust be filled out) ..........._........................................................................................
Applicar =r, to give the In--pector of Buildings 24 hours' novice before lathing or
plastLxi: ;:, 3ia iuilding. 'nAi, building will conform to the requirements of the la�
Signature o: of _;i'<i'1t, ........... ..»...... .. .. ».....
T
REMARKS
..... .........................._..........�...................................................�.._............._...s......................................_.........................
...».......»..oaL....,5��....,......./�i',.._........T ::�.......�........_..�.�....�._...................................................
................. .... .............................._..................................................................................................................................................................................................
ZONING PERMIT l° a 14-f
Tz-- V-1) l'o. Lot v
APPLICATION
Zoning Qrdinai:ce Sectic"i 1.0..' "ecci c:: File 1`10. Plan File
-
A 1!t 1�
,vner tG b�AiLO W eA�N�C2 K. A
Address lu RATES I AiFires. _
Telephone Telophnnc
This section is to be fi7_lecl out ill occorde.nce -:J th Uie "'1.' I;?_e 0f Diri::nsionr-l. and
Density Reg latione: . (Z.O. A1'TICLE Vl)
Zoning TT^e I,ut Fro nt Dorth` etb,ac? N,Zx.Bld. Pain. Op.
District ArC" ',';i.cith l?ru11t _Sidele Cover. T Space
Past ExistlI1c'- '` % %
rece Proposed
;Sark the appropriate I ox to :Lndi-c.:to the use of the pE,rce.l:
[�
Non-Couformin(; Let '=,nd/or f?tructurc. Sticcify
Residential Q SinUle F,.r-iil,y llnit, c�_<1P°ulti-Family
Q Duplex Q0thei
Q] Business
Q Industrial
[� Institution-I
Q
Subdivision
[� R°I?,11 L, r [� P.U.D.
i.
Q 01.11 s,t ther
Q Subdivision 1«.i-th
Q Planning ?'oord Approv 71:
= Zoning Roard Approval (Special Permit 1(1.x: Variance)
= City Council (Special Exccpt-ion S. 10.10)
'Natershed Protection District OverlT.y: MO. sect-,IV) C� Yes [Q ro
Parkin, Space Requiremeiitz�: (Z.('. ,>ect. f'..l) Required Proposed
Loading Space Requirements: MO. rect. 8.2) Requircct I'rnl,oced
Sins: (Z.0. Art. VII) -� •,
Ye:- Vo
Environmental Performance Standrardr.: ( 7,.0, Art. XJ.I Q1e' QrTo
Plot Plan [Q Yes Q] A'o Site Plan Yes 1\To
(S. 10.2) ( ". ' 10.2 and 10.11
Waiver Granter); Dnte 0
This section for OFFICIAL u e only:
5jjAPproval as presented:
=Hodificati.ons nece.:s ry for 111L+r'0vnl:
QReturn: (flore inform;ltion nerded)
Q Denial.: Rer,ronc:
Signature of Applicant, I Ap/t o Sit,witure of Ailmin. Officer hate
I hereby certify that the proposed work is authoriied,
d
and I have been authorized by the�,d*nof- to make as
:pp ion,"'. his
authorized agent. `' ` u
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APOROVED BY TITLE
DATE 19
F- DEPT. FILE COPY
- rN..► D
Z0
`r
BUILDING
of Northam ton
ttps C lassaChuse PERMIT
VALIDATION
Office of the Inspector of Buildings
DATE October 27, 19 76 P ''ERMIT NO. 44
APPLICANT gi _h rd wanc Zy$ ADDRESS (NO.) 16 BatesTSt• (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Shad (Tool) (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) -
AT (LOCATION) 16 Bates St. D STR CT URB
(NO.) (STREET)
n BETWEEN AND
n
(CROSS STREET) (CROSS STREET)
LOT
0
SUBDIVISION LOT BLOCK SIZE
t
)
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
p
z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E (TYPE)
C
REMARKS:
AREA OR VOLUME ESTIMATED COST $ 100•00 FEEMIT 10 00
(CUBIC/SQUARE FEET)
OWNER R1 P L1rd W'anczyk
L BUIL T
ADDRESS 1.6 Bates St BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
MW