25C-247 (8) R
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.- p
1. Owner's name ........... .» .... _...._».».�C3. 'G-i ....» .........................................................................................................
PJ2. Owner's address ........«..».. ... �t............' 7*».»....I ...4...._..........._.»............................»....».................................
3. Architect's name ..................................................».»......................._...............................................»....................................._.........................
4. Builder's name ...........»....................................».......».................»............................_.........._.............................................._..........................
5. Builder's address .......................»...................»..............................».............».......»....»............................»...................»................».._»..........
6. Location of Building. Street No. ........».r..7 0--)U ..E-,e _. A-Ol
7. Is this a removal or new building .......................................»................... ............................................................... .....................
8. If removal, from where .................................................Q....»....................... M................... .......................»........................_........
9. What is the purpose of building ........./ ........��l.sn/ ":........ ........................ ................................».................
10. Material of building ............... xr fit._....... .. .................................:.._........... »............................. ....................
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 ...... ...L..;No. of feet deep .....y7 / ; 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 .................................
16. How near the-line of street .......... ..r: .. ........al. e... ..... -.....».... .. ...........................................................
17. How near the line adjoining lot. Right.................................; Left...................................: Rear................._.............
18. Nearest building is............................... fe t in ................................................... direction ...............................................
19. Material of the floor ........................ ........ ......... ».a..�t!` ':� Y...:...»....»»...... .... .. ... ........
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.....»...».». .. ....... .»....»......_..._....».....»..... .:»....».».....; F otin ......................
24. Will the roof be flat or pitched .......` K .. . ......... ....»....•
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) ........».. .1i.. .....»....».. .»......».......».. Q`! Y� .»....:.L.. .... .. » . ...
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...... �. . .....1 . ...»....»... .....».._»............»...............................»......................................
No.» `........ ...........»...........
REMARKS
.................................................»..................................»...........................................................................».............».........................»....».»........................................
ZONING PERMIT io -D '17
APPLICATION 1 X02J 176
This section is to be fillc'6 oot ill oornrdruoo �JUi the of DimeuGioorl rind '
Density Rervlationq: . (Z. Al'I'lCLE' V1
Erer
�arb tbe a��royrinta box io io�ic�te tbc u�r n� t}�' Pproel:
[--1 Non-CoufnrmioC I�,t "nd/or 3tructure. i`coify -- '----'—'----- -------'
Bosid,utinl F��YSingIc Fnni]y Uuit [--lVuIti-Fu.miIJ
[--� Duplex F--l0t1lui
F--1 Duo1ooaa
^--^
Industrial
[--1 Iuotitutinr~l
^--'
[__]
Subdivision .1 ^U.D.
(`Uler
[--) Subd1visi'`m nitb "���rov{l-�ot-R'�xirr��/-�t'`my�
[--7Planning T�oncd Apjjrnvxl;
F—� Zoning Board Approval (SDcoinI permit Vrr1nnne)
= City Council (Specinl Exccption s. 10.10)
Natershed Protection District OverlT.y: (Z.O. Sect. !IV) Y c T'T0
Parkin,,; Space Requirements: (Z.O. -13cct. P1.1) Requircd Pro
Loading Space Requirement- (z.(1. ect. 8.2)
Plot Plan Yes TT(, Site Plan Yez; ='ro
This section for OFFICIAL nro only:
[�;aAPyrovnl mn preoeuted:
=Modifications nounorcry fnr ,T)T�j'nvnl:
[--�Betoro: (0orm iofoxmntiou nerde6)
F--lDenial: Bpinnoe:
---------------------- -------'
a
S
I hereby certify that the proposed work is authorized 6�'the tiwrter,of record
and I have been authorized by the `owner to� maU ,il hg`'i acbt3ori as his_ .. .`;
authorized agent.
SIGNATURE OF AGENT
ADDRESS
- (NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
r .
DEPT. FILE COPY
ZO
2 IL
City of Northampton BUILDING
Massachusetts
Office of the I"spector of Buildi%RMIT
VALIDATION
DATE oct- 28 1ry9�y� PERMIT NO. 445
APPLICANT JosephAahal n ADDRESS 17 0 d .[erry Rd•
IN 0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO p^rch &; ShPd (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 17 Old Ferry Rd. ZONING
DISTRICT
(N0.) (STREET)
a BETWEEN AND
'O (CROSS STREET) (CROSS STREET)
C,
a LOT
m SUBDIVISION LOT BLOCK SIZE
a
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
Ix (TYPE)
O
LL REMARKS:
AREA OR
VOLUME ESTIMATED COST $ 900.00 FEEMIT 10.00
(CUBIC/SQUARE FEET)
i
OWNER — Joseph Babala
BUILDIN
ADDRESS. 17 Old Perry Rd. BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
TO
Date Time
WHILE You WERE OUT
M
of
Phone
Area Code Number Extension
TELEPHONED
PLEASE CALL
CALLED TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
URGENT
RETURNED YOUR CALL
Message
operator
EFRCIENCYO LINE NO.2725 AN AMPAD PRODUCT 60 SHEETS
s
17 7
'I