17A-247 (3) 171� - .24 7
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.,C... «... .....«.7........«........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 .�7.1..1Cj.. .1 f." .«. ..h..A.. 1. 1 ....5 .:............................................«.......................................
2. Owner's address .«J... ...«.�......_. '.....«..J�.... „......�.. ..��?..�e .C» ...a..« .«� SS..............................
3. Architect's name ...............T...«....--..-.....«....................................................«.......................................................................................
4. Builder's name .................. -....._....«.............................«............................_..........«......................................................«.. .........
5. Builder's address .............. .......... ............................................................................................................................................
6. Location of Building. Street No. ...,T.... ........z...�.. h .�................ .T..........................................................«....«...............».
7. Is this a removal or new building ...... Z'"..--1 �x� ............«.................................................... ..................
8. If removal, from where .............._........... �-....«.....................................................................................................................
9. What is the purpose of building ....-'` ai. ...................................................................................................................
10. Material of building ...................� .......f.............................._.............«...................................................«.................
11. If a dwelling, for how many families .........�. ..._F�..............«.....Number of rooms ....41r. ...........................
12. Is there to be a store in the building ...........«r� ..................«...............................««.....«..........«.«.........................................
13. Size of building, No. of feet front ... 2 ;No. of feet deep .....�:..Sa«.....; No. of stories .........4.......
14. Size of ell, No. of feet front ; No. of feet deep �T- .......«.....; 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............,`7...1.... ...; Left... « ...........; Rear ..... «..............
18. Nearest building is .........ft�f?...j ... feet in a.... ................. direction ......................................................
19. Material of the floor.....«.... .. . .... .... e:...............«.............«..........«.........................«.............................................
20. Size of timbers, 1st «::'-'...........; 2nd .....` 3rd ........................: 4th .............................; 5th ..................I.........
21. No. of feet span.«........«......................................................... ; Distance on centers .....» .. f/.......«..............................«..
22. Will the building be erected on solid or filled land ..... ;t...............«.................................................
23. What is the material of foundation....... �c...�c�ti' :«...................« .........; Footing ..... .....:...........
24. Will the roof be flat or pitched .... . .« t.�2Rt »....« ..; Covering... ..... .... ........]
25. Heat; steam, hot water, furnace, stoves«.......K' Power oil burner ..........................«................
26. Fireplace .....«......... -----..................................: Insulation ............. ..........................................................................
27. How many sinks `- ..; Toilets .. ......; Lavatories..»'r. Bathtubs..„.; Showers............: Settubs ........•
28. City Service; Water ....!::=.......... Sewer .............j.- .; Road Surface ....................«.... ; Sidewalk ......... .�......
29. Is lot on accepted street
30. Estimated cost (must be filled`out) ........La..gL.2.............«.
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.
r
Signature of applicant . ......... . . , .. «..C)r... .«.. «.. ... .... ....,X............
REMARKS
........�.. �' . « .... ...� x f .....�.r' r.✓�... F ............�.°` .. I`.r'
. ...�.. ....... ....... .«. «............
.«..«...• ...... • .. .«. .. ..�«.... .«....IF..N....T......T... y...���:.�.t:« .. war •� `, ...YiP.e• . «.. ...««...•«....««.......
..«........«...........«.•.•........•..........................................«............•.....................................................................................................................................................................
Y, I' jto 1,:)t 7
APPLICATION
Zoning crdin-nce I l'ile
1)-,-1 n e r al2t�a_ C�4 Ac-i lic,-it
Address--7 6 6 -,,P4 A(1 2 1-es
Telephone d .Y - 7 yd Telephone
This section is to be filled out in �ccordaiice t1lie 11T� ble of Dir-,icnsionpl and
Density Re lationq:. & A!,TICLE VI)
Zoning U rc C Lot Front Dci,th tbD cl-,S
--11,.,�X.B I d. 1-1in. Op.
District Area 7A d t I I Frort Side Rf,, r Cover. ace
ni
%
IresentoRb Proposed
Mark the appropriate box to indicate the 11se of tjl(
r7Z:A
Non-Conforming- /or Strt1cture. -'_3 r C j-f Y
Residential O S111-le F,-,Iily Unit. E---Irulti-F,
L, lily
Dur1ex =Othel
Business
Industrial
Institutio-1
Subdivision F-1 Rei-,!,] --r
= ;lc-.r
E=1 Subdivision viith
Planning Poard Appro-col:
ED Zoning Poard Approval (speci;ll perrljt •')-0: V,-,,r in 71 c C.
= Cit.Y Council (Special Exccpt-Jon S. 1-0. 10) '
Watershed Protection District 0vcY-I3;.y: (Z.0. Sect. XIV) E=) Y C)
Parking Space Requirements: (Z.Q. :3cct. %I) Required
Loadinr, 'Space Requirement:: (Z.C1. Sect. 8.2) Required Proposed
Signs: (Z.O. Art. VII) F-1 Yes ro
,E--nviropmental Performance Standards: _ ( 7.0. Art. X.T.1) =Yes 1�0
Plot Plan Yes ro Site Plan 0 Yes C54- J."o
(S. 10.2) (S. 10.2 and 10.11
tVaiver Grantc(!: Hate Q
1mmmmU= Kimw= wX � on ffim mm KM K= sm am mu
This section for OFFICIAL use only:
�Approva-1 as presented:
=Modifications necef-,sary for j,r
.j)j,ov.- ).:
Re.turn: Wore information ncrJ(-,-d)
F--1 Denial: Repsors:
Signature of Apnlic-Mt Date S e )f J)miin., Officer Date
I hereby certify that the proposed work is authorized 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 _ -
Zo
DEPT. PILE COPY
BUILDING 4a
PERMIT VALIDATION
DATE April ! 19 76 PERMIT NO. #USX
APPLICANT Armand P. LaFleur, Sr. ADDRESS 96 Lake Street, i lor,
(NO.) (STREET) (CONTR'S LICENSE)
construct 1 garage a NUMBER OF N/A
PERMIT TO ( I I STORY O O DWELLING UNITS
(TYPE OF..IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) /6 .{ ake Street, Florence ZONING
Q T URB
DISTRICT
(NO.) (STREET)
0, BETWEEN AND
'o (CROSS STREET) (CROSS STREET)
T
IL LOT
m SUBDIVISION LOT BLOCK SIZE
p BUILDING IS TO BE
221 FT. WIDE BY 26* FT. LONG BY _FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
to
Z TO TYPE USE GROUP ASS @S• BASEMENT WALLS OR FOUNDATION Concrete
(TYPE)
K
O
LL REMARKS:
AREA VOLUME 572 2 sg , ft. ESTIMATED COST $ 111 800.00 FEEMIT $ jjgX 10.00
- (CUBIC/SQUARE FEET)
OWNER Armand P. ZaFleur, Sr.
BUILDING DE P/i
ADDRESS g6 x,akP Street} FlprPn�e BY
(Affidavit on reverse side of application to be completed by authorize agent of owner)