25C-243 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., ...... �. ._........1 ........
To the Inspector of Buildings:—
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications—
f rr
1. Owner's name S - �C
2. Owner's address . .L.��..z ........ .. :.. .G. ._._..C�?. ..:..........................................................................................
3. Architect's name ..............................................................................»............................_............................................................................._.......
4. Builder's name ........................................................................................................................................................................................
5. Builder's address ........................................................................... .................................................................................................................
6. Location of Building. Street No. .......,�,..C#.. _........._. �I.p.. _. ............, ................................».................
7. Is this a removal or new building ...... a........... .................................................... . .....................
8. If removal, from where ....................... ..............................................................._.....................................................................................
9. What is the purpose of building ................................................................................................................................_.......».................
10. Material of building .......1.L.Ca.C.L................................................................._.....................................................................................
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 ..........._...........;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 .................................
16. How near the-line of street ............................................................................................................._..........................................................
17. How near the line adjoining lot. Right................._..........».....; L eft................................... ; Rear................._..............
18. Nearest building is ................................. feet in a...................................................... direction .....................................................
19. Material of the floor.... ...ca... ,..0.....Nm. ls: ....._......................_...............................................................................................
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 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) .t.&.c......................................................................»..............................._..............
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 ..... �,...�,..ut�,...(.....» �... . . »...».. ..............................q...g.................................
No..�`...L..............._...........
REMARKS
....................................................................................._...........................................................................»........................................».......».......».....,..........................
ZONING PERMIT 3 T,-j r, j'0 La t•APPLICATION
Zonin.- Ordiil�incc, Yo. I 17�11 File
PI-11 )m�A-U--,t tc- A 1.i c; t
�vn er i ck r-o� '4 0 4
Address AF Aci:'re sc-,
Telephone q !9� Tc,I(,.r]I o II
This section is to be fJ-].1(-.1 out in ?ccord,,nce -:M, �Iie end
Density Re lationq:. (ZX. A( T1CI,l, vi
Zoning TT,7c Lot Front Dc I t},
District Area 'J d t)I From ace
Exictip,-: 132 2S� o0
—Pr--opo-';-c
Mark the appropriate I)cx to 11.
dic'Ae t1)"' 11',r, of fl�(- P,-.
-rc rI:
NMI—Coil f orinin r- Lc,t 'trt' .
FIR Residciati-ii
0 t 11 ci
Business
Industrial
Institutin-1 Re "I
Subdivision
Subd i vici()j, ,vj-t1"7 "Al,rro,7J
plmnnj-pg -foal A.11?j,)r,,-)v.-1:
ZOniW,- Pul,',rd Aj-'.,proval (Sj)cci?l Permit
= city Council (11-peci-�I. rxcrpt-401.1 10.10) -
'..'VOterShed Protection District Overl,11.y: Sect. 'IV) Y1�s ATo
Parkin- Space Requirements: (%.c.
cct.
Loading Space Requirement:-: (Z.(-'. Cect. 8.2) R e q i r d Pr o c J
Signs: (Z.O. Art. VII) Ye 0 ro
§Environmental Performance Standards: Art, XJ.1) =Ycc I'To
Plot plan Q Yes Q ro Site Flail c
(S. 10.2) (N. d 1').1.1_
This section for OFFICIAL uce only:
=Approval as presented:
=Modific-ati-ons rccct-, cry for -1rj'T'0V,-'1:
Return: (Norc irifnrrr,,)tjr,n
Signnture of Ap,-Iic-int Date
Officer Date
I hereby certify that the proposed work is-outhorized.by tote,owner.of record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
City of Northampton O<
Massachusetts BUILDING
Office of the Inspector of Buildings PERMIT
VALIDATION
ATE 42 PERMIT O.
APPLICANT ADDRESS
<�{� (NO.) (STREET) (CONTR'S LICENSE)
K�►�J NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF 1 PROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 110 V. ZONING DISTRICT
(NO.) (STREET)
a BETWEEN AND
a
(CROSS STREET) (CROSS STREET)
n -LOT
m SUBDIVISION LOT BLOCK SIZE
0 .BUILDING IS TO BE FT. WIDE BY C `FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I
Ir (TYPE)
0
LL REMARKS:
AREA OR �/'i%.`G+J PERMIT
VOLUME ESTIMATED COST $ V V FEE
(CUBIC UARE FEET)
OWNER _9(1-� BUILDING
ADDRESS BY
(Affidavit on reverse side of application to be completed by authorized age of owner)