25C-263 (6) For ALL buildings within Fire District an+r 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 �C,`�12A
Northampton, Mass., . ....».». a......... »�.'.»........19.i.._;f....
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 .................
.lG:»l?.y.. ..... _... . L .............................................................................................
2. Owner's address .»..... »5....... %». .... ..............................._.............»............................»....»......._........................
3. Architect's name ............................................»....»..........................»....».............................................................................................................
4. Builder's name ...........».»....»......................»....»..........».................»............................».........................».........................................................
5. Builder's address ......................................»..........................``....»......................»............... .».........................................................
6. Location of Building. Street No. ........ ................`..d..... ....L t.'......� .......».............»....».............».»...............
7. Is this a removal or new building .............».&.1 '........................................................................................... ...........................
8. If removal, from where .....................................................................................................................................................................
9. What is the purpose of building ............ "..� ia.;,..:.................................................................................................................
10. Material of building ......................U..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 ....11.........;No. of feet deep .....»1' ...».....; No. of stories ....................
14. Size of ell, No. of feet front .......................; No. of feet deep .......................; No. of feet high .........................
15. Size of Lot ................../..1(1.'..................._.......».......................Feet Wide ........ .......».. Feet Deep ................................
16. How near the-line of street ......................................................................................................»................».......................................
17. How near the line adjoining lot. Right............................».....; Left...................................; Rear................................
18. Nearest building is ................................ feet in a................................................... direction ......................................................
19. Material of the floor .....».....................................................................................................................................................................
20. Size of timbers, 1st ...........»..........; 2nd .....»................ ; 3rd ........................: 4th .............................; 5th ..................6.........
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 �t '�"`" • 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 ..............»....».»..... ... .....»..4 ............»..........»...................................................».
30. Estimated cost (must be filled out) ..:: ..».» ............: ... . '!.
.. . ...».......»............... ...................»....».. .........
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 ...................................................»...............».....................................................................................................
REMARKS
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ZONING PERMIT ;F G ,
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APPLICATION
,.,)nixig Ordin.ince Socticn
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�1:ner T AT.', lic t
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,!dress. OL-Z - r e c- /c/ L,
70
Tc1crhol-in 7
is section is to be. olit in :?ccordll
n nd
�nsity Re (z, TICL,':"
Wing IT.�E, Tot r t, D tl t.U'-!c,-
^,;c,?31d. Hill. or).
�istrict
Area 7idth Fri r G- Side Cover. SRace
7-iva-t— E x i s t.i in 3b
recent Proposed
,,irk the appropriate box to indic,-,,te the lisc of t";r P7-t-c(-l•
Ilon-Conformin,- Lot
Pesidcnti-.,,l .yin�-,lc Fr•dly Pnit.
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Industrial
Institutin—T
Subdivision P.U.D.
C'I
Sub�!i vi,�io 1, v: t 11 r C.)-17 7,"t-
Plavnir" T'loard A")]-)r,- V:,I:
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= CitY Council ( poci-il Exception S. 1(;.10) ,
t-e r E;h d Protection District Ovcrlil.y: (Z.C. 'Sect. -,I*i) IT
2.rlkinG Space Requirements: :)cct. '),I)
oading, Space Pcquirementc: (Z.( 7ect. 8.2) Require pr,)noce`
ir = ho
, ns: (Z.C. Art. VII)
Invirorm ntal Performance Artry vJ.T) y e r) IT,,
"lot Plan Yes rlall E: "Tc
10.2) 1,D. n-,d 1:1 I
Thir; Pcctioil for C)FT;'jCjjL.
Fs----,-*IApprov.-)l ns presented:
=11odifications icccf-Ccrk. for
Pe-turn:
Denial Re,--ors:
Date !)f i I, f"i C c r De,te
gn.q tur e 3� A,
hereby certify that the proposed work is-,aufihorize4-by-the; owner-of record,
and f have been authorized `iy '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 Pdorthampton �U�D��G �d
14assachusetts m
Office of the Inspector of Buildings PERMIT
VALIDATION
/lam
DATE G ��`ti 19 � T ,�1C,,P�ERMIT N
APPLICANT V�+ �i �^Q ADDRESS G� /��il= Y 0
/� A n ,. (NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO• GkQ A'� (_} STORY NUMBER NG UNITS
(TYPES OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) J.. L -776-b-My A ZONING
(N0.) (STREET) DISTRICT
rn BETWEEN AND
a (CROSS STREET) (CROSS STREET)
IL LOT
m SUBDIVISION LOT BLOCK SIZE
a
rN K
O
O BUILDING IS TO BE FT. WIDE BY3 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
� (TYPE)
O
IL REMARKS:
AREA VOLUME ESTIMATED COST . �+� FEEMIT liVeO v
_'` , l�+(CUBLJLSQUARE FEET)
OWNER
BUILD[ P ,
ADDRESS �E`Q 2t2Y D BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)