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05-029
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., .... . ...........for.2, ........19..rz. 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 ....................... .............. .,......... ....C�. . ' '.. .....................................................................»........ 2. Owner's address ..............0)')xzk.Wx.2.g.P._..........». .l,fti.. .........,C49S.7.12.49.. V7_0_!4S 3. Architect's name .......................................................................................................... _,.,................................................................................. 4. Builder's name ...................._......4?....E.1................:L....._..........;;.�.l s :. .!........................................................................ 5. Builder's address .............................11`1, ...................... ..................,.............................................................................................. 6. Location of Building. Street No. ................. .ti..�l rrr........... ..r................................................................».................. 7. Is this a removal or new building.............................ALM.W.................................................................................. ..................... 8. If removal, from where ........................................................................... ............................................................................... 9. What is the purpose of building ..................5.``i..!� .�.. ,.......... . .. ..........f� .w..t: ......................................... 10. Material of building ............................. . ...V�!.....................................................................................�................................................ 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 ........./...I.....; No. of feet deep '� No. of feet high ...........J............ 15. Size of Lot ................................../..1.. ........................................Feet Wide Feet Deep ................................. 16. How near the-line of street ..................................................4.n................,..................................................».......»................................ 17. How near the line adjoining lot. Right................. ...,., tA'd't...................2..-J.....; Rear ...........!.C/T......... 18. Nearest building is ..............1..:.C....... feet in a..........sv..�;.' '°.^^. ......... direction ...................................................... 19. Material of the floor.....................t.0 d..............................................................,........................................................................................ 20. Size of timbers, 1st .....aA1e.....; 2nd ......r?AIQ.... ; 3rd ........................: 4tb. ..............................; 5th .............................. 21. No. of feet span .............►.)...........a-i-A..........L.t................ ; Distance on centers ..................../1............................................ 22. Will the building be erected on solid or filled land .....................Ar..,c.��d....................................................................... r, �� S..t. C 23. What is the material of foundation .............J....a.. .x ..... .......... xz,ti x�.............._..............; Footing ..pia........ ::. 24. Will the roof be flat or pitched .........�;...k.� �. .............»...........; Covering .......... ./zrj .............................. 25. Heat; steam, hot water, furnace, stoves.....�!! 1.....�^a.?.�:�.C...; Power oril burner ..........,7...f!........................ 26. Fireplace ..............,.........M..L..................................; Insulation ................F.z..�:�:��rfv s.............................................................. 27. How many sinks ...A...; Toilets ....9....; Lavatories ..A.; Bathtubs.........; Showers............: Settubs ...�.... 28. City Service; Water ..........,X......... Sewer ...................... : Road Surface 0PA.w.e.-A.......; Sidewalk ..1 ,�.ta..Qr.... 29. Is lot on accepted street .................................�X..ds..................................................................................._.............................................. 0'I d eau 30. Estimated cost (must be filled out) .............................. ...,............................................................»............................................... Applicant agrees to give the Inspector of BuildiX24 urs' notice before lathing or plastering this building, Tig will conhe equirements of the law. Signatureof applicant ........... .... .. ......... ..... ....................................... y No.....,11..... .....»........... REMARKS ..........f!�...................................................................................... ......................................................................................................... ............................................................_......................_.....................................................................................................................»............................................... 1 V1�1 !Tv off (�Nol--f -, lillifoll 5,;cell f its sJ ; �t)friY,C A fhr J{`11!311rrfcrr of i�zzifbiligs INSPECTOR 7 CERTIFICATE OF OCCUPANCY Page No . --`5 Plot!u ~Building (Name) �/,cr G� � Per= i D r?IV c F _ Address A u ow c v rt *2U M !7 Owner -bE N N f S J_ �� r7�G fc 1-- ------------ Address A u Dq,3 u n/ 120 o cD Applicant F6,IN , .5 kr7. c Address 0t1S7144A-iPi`b1`f Ni,44S Use : 1st so, u �-EJ�?��'1�� -� _ Occupancy _ —�---- 2nd Occupancy 3rd --- ------ Occupancy — _--- ----- 4th Occupancy ---------- �. Zone District ��-- Required Inspections : New Building Existing Building L- �!(� f . / Y /� ' ) �1 k Electr_ z�a'�. E l(---v a t o r -- - -----____-- `,,I Fire PIu,i-ring i-% Building Other — - _-,--- --_.-_-_- 7��ector�cf b-i- dings ZONING PERMIT APPLICATION Fill-, ,,oniri-- -Ordin;-ince Sf�ctj-,-,n 10,:1 11-In file Wner Al)S 1< --7 L�Ld d r e s s - A42 r e Telephone ;F /0017 Telephone This section is to he filled out in Dccordirce tl,, tTie 11T�,ble of Dinclisionrl and Density Rogulatione: . (ZOO. APT I C L!--,' VI). Zoning Une 1,0 t Fr.ro n t Derth S),--'t 1),--1 C! s 17 ..ax.BT) ld. I-Tin. or). District Area '7id th Frjrt 151dQ Cover. Space 9�z Present Propo's-ed ilrlrk the appropriate box to indicnte tl.je u�cx of thr P<-rcel: O ron-colifor?ain- Dot -,nd//,)r 'tructure, . -cify Residcntj-r! NZI sin-le F;-dly t!jjjt =1!ul ti-randly Dur,le:,- =Othen BusinesG Industrial Ins ti tu ti n--I Subdivision Q R,,:, Y. Q P.U.D. cl St'L(!ivisiul Pith Ppprov,-I: Zoning Approval (Speci--1 pernit 1(1.�): = City Council (Ispeci-11 Exception G. 16.10) atershed Protection Di^trict Over.-l.vy• (Z.C. Sect. Yes ITC) 1,arking Space Requirements: (Z.(). :3cct. 0.1) Required Propose J`LA -,oadin,,- Space Requirements: -- (7—C. Cect, 8.2) Required Proposed. IA: Signs: ( Z.O. Art- VII) Y,6 ro environmental Performance Standards• ( 7.O. Art. X =Yer, ro Plot Plan © yes rTo Flare y 'S. 10.2) 10, ? nm This ficction for =Approvz--)J =NodificaAJ-)1„,,� fnr Pe.turn: (1i,)1 - it)-f,(-)rrr, -J f�,J J it�j to -urq.( f Ap” Offic(l. Sitar. t Dfl t c t F I hereby certify that the proposed work is outhyrized by the 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 z -' 6�� BUILDING MIL a J PERMIT VALIDATION 1' DATE May 28 19 76 PERMIT NO. #179 APPLICANTDenrds J• Skrockl ADDRESS , ,ppleWood Circle, Easthampton (N0.) (STREET) (CONTR'S LICENSE) NUMBER OF single PERMIT TO-construct ( ) STORY dwelling DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 1, ZONING RR AT (L A Audubon Road DISTRICT (N0.) (STREET) - a BETWEEN AND .o (CROSS STREET) (CROSS STREET) A ^ LOT a SUBDIVISION LOT BLOCK SIZE m ¢ p BUILDING IS TO BE 3 T fy FT. WIDE BY 26 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m Z TO TYPE 4 USE GROUP L-3 BASEMENT WALLS OR FOUNDATION concrete (TYPE) f K O a REMARKS: AREA OR ESTIMATED COST 000 00 FEEMIT 90.00 VOLUME 884 sq• ft, (CUBIC/SQUARE FEET) OWNER Dennis J• Skrockl BUILDING DE ADDRESS 6 Appiewood Circle, Easthampton BY (Affidavit on reverse side of application to be completed by authoriz gent of owner