25C-153 (2) 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. ¢ s
l-
A pp lication for Permit to Build
Northampton, Mass., .... . :6:�f...»....`7».:......19...., 7
To the Inspector of Buildings:- ,/
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
1. Owners name . . »..,.r.
2. Owner's address . ....._../., .... ... .„.tfl.... _e .. ..».... ......................................»....r..................................
3. Architect's name ............. .................... _
4. Builder's name .................../.... a..:�'......_... CM»Y: � ..�....._..............................................................................
5. Builder's address ......................... ............_........................................_......................................................................
6. Location of Building. Street No. ............//...._.........,1;. r a�'...:.�r. s... ..... ..............................................._................-1
7. Is this a removal or new building.......:......»..
8. If removal, from where ...........N..........- .............................._................................................................................................_.................
9. What is the purpose of building .......� ...............................................................................................................................................
10. Material of building .................. .�..=w:.�..:..... .......................................................»............................_.............................. ....
11. If a dwelling, for how many families ............,/....................._.....Number of rooms ....... ..X�.. ...
12. Is there to be a store in the building .....r....r... ?1,.�.................................. . ....»....... ..:....................................................
13. Size of building, No. of feet front .....».:.............:No. of feet deep ........................; No. of stories ............»........
s .
14. Size of ell, No. of feet front ....Z/...........; No. of feet deep .., ...$...._.....; No. of feet high ............».............
15. Size of Lot ..........................``_.........................................Feet Wide ....................�::....... Feet Deep .................................
16. How near the-line of street .......::.......� f.....,................................................................................................».......................
17. How near the line adjoining lot. Right......r........._.................: eft.............:.....................; Rear................._..............
18. Nearest building is ................................feet in a..../ . ........................................ direction ...................................... ..........
f
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 .....r.................
24. Will the roof be flat or pitched ' • Covering......... / ...
25. Heat; steam, hot water, furnace,stoves ............: Power oil burner ---
26. Fireplace ...; Insulation..»............. ....... .... ............ ................. .............._.......
..................� ......................................
27. How many sinks,4 , Toilets .....r.....; Lavatories ..r.....; Bathtub ...r..; Showers............: Settubs .........
28. City Service; Water ..%: ' ..�' .....
.:... Sewer ,1 .. Road Surface :............. ...._.....• Sidewalk .
29. Is lot on accepted street ....... . ` .. ..6/....r......r.........................».r.............................................._............._........._.....»..............
30. Estimated cost (must be filled out) :....... .... ?... /, . ...................................................».........................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.
Signatureof applicant....... ,G ..... ».».. »...»...........»....»......................................................................................
-7 .,
REMARKS
'.:».... .»:t .:» �........T.........
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.........._............ ::» :::..r... .�.»�:.. »`....f».:.:.`..: .. j.............................................................................................................................
ZONING PERMIT T,1,-- Tf---o 1,0. Lot
APPLICATION
�'oning Ordiivince Socti,-m 10. C C-- i,- '
10. n rk file
seer ,��rC�e�.-�'�� �L'�!y. Ap;.1ic� ��t `��s�,�%'��Q����!;2
`Adress 1-c-hai'-d :-,- y t44
�'Plcph6ne Tclepholin
1.1 r) T C S on.,his section is to be fill(.,l out in accord rice ;itl, t1lie wj,�, f Di .i ii i nl and
,-)ensity Regulatione:. Z. A..! TICL.; vi).
n i n t-.; IT s C Lot Front DciAh t I),"cl, F Min. Op.
)istrict Ar e '. id th Fru r,t side Cover.
L
`'resent Proposed 6
':-irk the appropriate box to indic t e, the 11�;c of t1ir parc(,I•
1"'or-Conforming Let -r.d/or Oltructure. c c i f y
Residcntj-,.,1 Sir,-IC F,-,ji]y tTIlit =j:Ulti_F,)rjily
0 the.1
Business
Industrial
Institute o-1
Subdivision Q Re, i I -.r P.U.D.
C',t 11 C I
Sub(livi;r3i(A, w-Lth
= P1,11mint-, 70ard Ar' prov,71:
= Zoning Po�--xd Approval (Specipi perj-jjt 1().o: V, i,
= Git:y Council (Special Exception 's. 10. 101 ,
.:,.9tershed Protection District Overl.t.y: Y'D s
r X ' �gl�
kinG Space Pequiremento: (Z . ,5cct. �.-I) Roq u ir c c Propose'
r,oadinr
Space Pcquire ent- (Z.C. ect. 8.21
Required Proposed
n E MO. Art, VII) Yd C
ro
?nvirormental Performance Standard -•
--(, . Art. XJI) y e r�
ro
Plot Plan Yes K—et ro Site rl.111 Q yes
10.2) 10. `- and 10.11
This section for OFFIC111J, use only:
PQApprov.-).l as presented:
=14odific-ations ilccef--cry For
[Return: (JTOI,c,
[Q Denial: Re., •ors:
7
all( e-L
Si
Date
-nt Date I)r El !� c rain.. Officer a.
gr.,4re of Ap:,Iic