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25A-190 (35) Z-VI,41114U rr_riiwjj 1 t APPLICATION N n e r�- Z-0 � ,x, -T (4 16.z dress­Z61 /CV- jcc/-G- A J,J r e s: i41 c-:�7 rielephone t�­ �l T c I c p h n i i n FL C., /74 I'his section is to be filled out in occordarce the 11Ta,!-Je of Dimcnsion^! and Density Pegulatione:. (Z, D. A!,'TICLI' VI). n i r r, trcF T,o t Front 3) t1l t I, C!- X.TI 1,1 Nin. On. __ _strict /±r; "AcIth I d _Cover. Space last Existing_ % % A resent Propos 'irk the appropriate box to indirpte. thc use of the parcel: Fon-Conformin- 1,ot :,rd11,r)r Structure. Sl:ccify Residcnti.al �- FnI —[Asin-le il- U y Unit I:ul Li-FInily Du le QOtII Business Industrial Institute()--1 Subdivision QR -.r 1'.U.D, Subdivision with "Ap,7ro*i -.].-Il,.,t-'I(-"l,,il�'-.'Ll"-5L-.�,�'l-,p: ord A't)pr,)V,--,l: Z0ni11,,J- P(),,rd Approval (Spcci-j perj,jt 1,�.o: V. 31c = City Council (X,),pecinl Exception S. 10.10) ntershed Protection District Ovey-1,11.y: Sect. -,17j) Y fD rc :jarkinG Space Requirements• (Z.(,. 50ct. Re w ire:?��,� onosc' :,oading Space Pcquirement1c: (Z.(-- . "ect. 8.2) Required 0- (1 ;igns: MO. Art. VII) yes 'nvirormental Performancc, 0 Art. XJJ) =Ye!3 "lot Plan F:)Q .c F:Z-�, y 0 ro site r1all Yes (S. 10.2) 10.2 nnd 10.11 ED This scctioii for oFj,,j,.,jjj, use grily: Appr- oval as p re:ei,tr(II: =11odific-ations ileccr—�c.r�- for rI rot l: Re.turn: ZI J/r. t ure of q, "lic D,� Officer t )f d" ill. /Date t..0T , �mm �� In accordanco with Articl© XI of the Zoning; Crdinance, an application for a Zonir,-- Permit muat includo a Plot Plan. The fo]_loi,dng characteristics of the parcel must be sho-wm. 1. Dimensions of the lot. 2. Locations and size of al]. buildings. 3. aver?ge f1nIshed grr+.de of a]1 str11Ctures existing and proposed. 4. Use of ill buildings existing and proposed. 5. Set Sacks as indicated on the enclosed plan. Abuttors N_me Lot Ft. Rear Yard Abuttors Abuttors Name * Name Lot _No. i v' Lot Z-;' If this is a k Sideyard House Sideyard if this is a corner lot, write - G� / �� corner lot, write in the name of the in the name of the other street. "�:;'A J , other street. Set Back a4 Lot . Ft. Tdame of S Llreet T _ji-cate location of garage or accessory buildings with a dashed line. Indicate location of Sewer hook-up O List all past plans, applications, permits, variances etc. and corresponding dates that have been processed by this office. I certify that the encicsed application and plot plan -ro conplete and correct. i: ,� .ur° of Csrner Pate 'old 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. a Application for r Permit to Build �p 19. ��». Northampton, Mass., .... .».............»..........»........ To the Inspector of Buildings:- The undersigned hereby applies for a permit to build, move, alter, or repair, according to the following specifications.- ( (� SO`l ry Z►4 ���3 a 1> t V` \7"z, �V S 1. Owner's name ..............».......»................»....».»................»..............._I..........................................................................................._................ 2. Owner's address .»...%.°..1.......C.1.».lQ�..f ,�!».» G r._..........».»............................»....»................................ 3. Architect's name ....................»..........................».........................._.....................................................»................................................._....... 4. Builder's name ...........».»....»......?.. N1». ..................................................................................................................................... 5. Builder's address .....................................»...._..............................»......................».».............».....................................»................_......_........ 6. Location of Building. Street No. .................................._...........................................»..................................»..............................».. 7. Is this a removal or new building................................................................................................................................................... 8. If removal, from where ...........».».......»....».»..........................»............................».............»................................................._._......._........ 9. What is the purpose of building .......... ........Elp..i..............C-'.b�:r:................................................................. 10. Material of building ......... ...Q _A :»........................................................_.............»............................»......................................... 11. If a dwelling, for how many families ............................................Number of rooms ................................................... 12. Is there to be a store in the building .....»....a-e-1.4...»....»...............................».......».......»..:.......»............................................ 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 ...Z..AJ.�........... 16. How near the-line of street .................Z.0..... �.....»........................................_........................................................ 17. How near the line adjoining lot. Right....:Q..........._.....; Left..........E�ft........; Rear......��. ..................... 18. Nearest building is ............................».. feet in a................................_.................... direction ...................................................... 19. Material of the floor »...»...... f .., -t IL» ........................»....»....».........................»................_............................ 20. Size of timbers, 1st ..........._....».....; 2nd P'_K ..... ; 3rd ........................: 4th ................._...........; 5th ................»»......... ..._. ....» 21. No. of feet span .»......�.��. ..........._.............»......._.....; Distance on centers .....».........l.l¢ ..............»...................».. 22. Will the building be erected on solid or filled land .....»... ✓.» .. .....................................................»........... 23. What is the material of foundation .....».. -•••••••••••••••••••_..........•••; Footing �e 24. Will the roof be flat or pitched .........I ...5..4..x .»....».....; 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 .........................................................................».......»....................................._.............................._............. 30. Estimated cost (must be filled out) ........»....".1. ....ezz...........».......».......»............................»....»........................»............. 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 .............. ................_.»....».......»... . .»....»....».».......».... .............»................»..................................................... No....... ........... REMARKS ................. »............f. l- ............... ?» » !.»' ................... .. `f. ..- .:. n.q•L.....................................