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25-076
i •ALL buildings within Fire District and for other buildings costing $10,000.00 or more, plans ar p6cifications must be submitted to the Inspector of Buildings for examination and approval If building s to be moved give details relative to proposed location as for a new building. g � g� P P� g• ; Application for Permit to Build Northampton, Mass., ..... C ►u ..!5..19...1 .:.. 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 ...................................... .................................�4'........................,.............. ........................................................................ 2. Owner's address ........................ ........ .....1 .».. !► .....!.1% 4i' ! Yr.. ;tCY.».N.!.! �.4.►'...... ........ 3. Architect's name .................................. .... �..........:f........................................._...................................................................................... 4. Builder's name ....................»...................... _!....:..R:`........... ...........................»...................................................................................... 5. Builder's address ..........................->>. 7........ j t- .,n iv.C:.......rt i i- ...:.!..... ...FCCt `....At CT........ ... ut tv iK 6. Location of Building. Street No. ......'L.......��..�..,»�.�........................ ...............................................»..»............»... 7. Is this a removal or new building...............4 .kL..................................... .........................................................._......................... 8. If removal, from where ......................."!/_b........................................................_............................. .......................... ................... 9. What is the purpose of building ......' .. �c-: ..... '�._ .\``�!r i:' ` L 1 �................... 10. Material of building ................ 44 La...' 4'.R!?..........(C �, s�..... .C:I'.c:.3v.....'�r ... �� ............................. 11. If a dwelling, for how many families ............YA......................._.....Number of rooms .... ......................................... 12. Is there to be a store in the building ....N ....................................................... .......». .... ..:........................._................ ........... 13. Size of building, No. of feet front ...:A' .k:..........;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 ....................................................................................Feet Wide ............-.................... Feet Deep ................................. 16. How near the-line of street .........»4C 17. How near the line adjoining lot. Right......4','. ..'..................: Left.....»�..?.F...............; Rear.....�.'' . F.t......... 18. Nearest building is �'C: feet in a..»l` ' '=�-Y ............ .. ............ .... .........................,... direction ...................................................... 19. Material of the floor :.:ti .... .......... ........................... 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 .......4X::L_k ................................... ............... ............................................ 23. What is the material of foundation....�4:..��:�!........�...... �............................. • Footing �.`::6:...:".. 24. Will the roof be flat or pitched .. ° :'....a ...............».... .....; Covering ...... 25. Heat; steam, hot water, furnace, stoves :�`=:.''t �R...; Power oil burner .....:��9.. ............. ............................ N Insulation ..........."�-An �f 26. Fireplace ........................................................................: ................................................................................... 27. How many sinks , Toilets �.....; Bathtubs..:.....; Showers..-...; ............• ...�_..... Lavatories Settubs ...'. 28. City Service; Water .... .......Sewer ..... ..........; Road Surface ............. ........; Sidewalk ....a'� .......... 29. Is lot on accepted street ......`1 t.......................... 30. Estimated cost (must be filled out) ...........�....�... C�.�: ..... „:C::.......................................»............................................. R, 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. Signature of applicant ... �r.�.'-: "`' ....,... ....... .......................................................... No......... ...... .. .............. REMARKS .....................................................................................................................................................................................................................»......................................... ....................................................................................................................................................................................»....................................................................... ................................................»...................................................................................................................................................................................................................... I hereby' cert4 that the proposed work is authorize .by fli6, wner: of record and 1 have been authorized by Elie- owniejfo diakc�th� rp tcatren 'a hi$ ; authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 14 ©EPT. FILE COPY Zp -,ty of Northampton BUILDING ° Q' � S - 7X_ Massachusetts HERMIT office of the Inspector of Buildin VALIDATION DATE 19 71 PERMIT NO. � APPLICANT /h�s a /L �Yi ADDRESS (N0.) (STREET) / (CONTR"S LICENSE) PERMIT TO s%/l j� ( /,) STORY �!� // I NUMBER OF /f/� �V-PE) F IM / f �C _(.-_DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (VITOPOSED USE) AT (LOCATION) ZONING DISTRICT— (NO.) (STREET) Ch BETWEEN AND 'o (CROSS STREET) (CROSS STREET) a LOT Q SUBDIVISION LOT BLOCK SIZE m a / 0 BUILDING IS TO BE —FT. WIDE BY LONG BY f '� FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION Z TO TYPE USE GROUP( f•LI.G BASEMENT WALLS OR FOUNDATION, --- - ',� (TYPE) 0 1 t- REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST $ FEE $ (CUBIC/SQUARE FEET) R OWNER BUILDI DEP . ADDRESS BY �'� (Affidavit on reverse side of application to be completed by author' agent of owner)