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05-033 (2) 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. s Application for Permit to Build Northampton, Mass., .......L)t:..:»....... . .... 19. � 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 ............... »...................,........ ..........................................»....................................... 2. Owners address aa._...... ......... � .� ,l tli' !,» .•• 3. Architect's name ............... A.�.!a....... ................................................................................................................................ 4. Builder's name ............R"%St S.. .... . kD.4..1�..........................._................................................................................... 5. Builder's address ......................s f..;M......._............................................................».........._.......................................................................... 6. Location of Building. Street No. ........».......»....k�N�l .....Y_......... . ............................................................................. . 7. Is this a removal or new building.............._................ ....................._.......................................................... ........................... 8. If removal, from where ...........................................................»............................»..................................................................................... 9. What is the purpose of building ...................... jl...?2. �5( L/?.� ................................................................._................. 10. Material of building ...........................vx.l l..2....................................................._..........................................._........................................ 11. If a dwelling, for how many families..................... ....„.........._.....Number of rooms .........7...................................... 12. Is there to be a store in the building ......................d s..........»....».........................».................................................................... 13. Size of building, No. of feet front .....1- ........;No. of feet deep ........ 6.....; No. of stories .................... 14. Size of ell, No. of feet front ........................: No. of feet deep .................».....; No. of feet high ...........»...._........ 15. Size of Lot .......................................I.�:�.............................Feet Wide .............yj d.. .. Feet Deep ................................. 16. How near the-line of street ..................................41 . . ............. .,.....,.......................................»......._................»...................... 17. How near the line adjoining lot. Right r • Left �...• Rear......... .��l 18. Nearest building is..........!Za.P.........feet in a.............»SOL,f�' '?^. ?!..... direction ...................................................... 19. Material of the floor.................wg a d_................_.... ................................................................................................................. 20. Size of timbers, 1st ... x ©....; 2nd .....2.X19..; 3rd ........................: 4th .............................; 5th ............................ 21. No. of feet span........ !y. .l C............._.............. ; Distance on centers �.�............................................. 22. Will the building be erected on solid or filled land .... ��..fl.l............ .A. ............................................................... 23. What is the material of foundation .....».... .... .....`.^. : ; ..»...._................... .... . .....; Footing 24. Will the roof be flat or pitched ..............fJx:` ..�.. ....._...........; Covering...........AVIelf......................... 25. Heat; steam, hot water, furnace, stoves.............ttk!.................: Po er oil urner............11. s................... 26. Fireplace ...................................�......_......................; Insulation ......................I �..�'s..................................................... l� 27. How many sinks .....1.....; Toilets .....,L; Lavatories ..A-?.; Bathtubs......1; Showers.....I.....; Settubs......... 28. City Service; Water ..........._........... Sewer ........................: Road Surface .............1.•:✓..; Sidewalk ........................ 29. Is lot on accepted street ............................. .�a...... ............................»....................................._.............................................. 30. Estimated cost (must be filled out �3 D�� Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or plastering this building. This b ing will conform to equir ments of the law. c Signatureof applicant ..................... . ....... .mar-�k.» . ._. ...... ................ ...................................................................... No........��......................... REMARKS r•7 -� l��iil(C itf t�i(' ��11E��1C(�ill !lf ��i1ill liltj5 c 'FR1'I '1CI:T}� OF CCCUPI',iJCY Page No .-------._P 10 t - ------33 _ - - 5 - G t, n`r ---- Renned3�- ea ---- ---:--------- -- --- -- I{ennedy Road l i c1oA pp i -a krocki------- T (3 dr s A$P leooc - vs.; Above Above Ist 0CCupanCy Single family dwelling Residence ?nd GCeupai)Cy — --- - 3rd - occupancy -- -- Occup nCy D i s t r i c pR ------------------ -- - Required Inspections : iew 3uilding !—A Existing ;�?.iloa_ng _ Fire -- _ G her - -- APPLICATION Telephone Telcphoiic S";2 -1474 This section is to be f1Ilp�l out iu ocrnrdcuCe rii}i Uie of Diucusiourl mud Density Rerplationi?: . (Z.0. Aj,'T1CLE, VI District A r ca 7"J.d t I I Fr L)11 t -Side Cover. __!gpace Mark the uppruDrinte Tiox to iodirnita tbe oar of th' yrroeI- ' [-D 0oo~Cnufnrmiog, �ot ,o8/or L7truotnro. SI`eoify -'------'--'-- ------- Residential [ 3�o�Ie Fn`i] y 11uitF--lColt1-FnmilJ �--lDuDlez [--lOtboi F--) Business [--\ Industrial i \ Iuot1tut�nr~] ---' Subdivision 8nbdivioi«u [--lPluuuinO mznrd Approval: Qoo1uc Board Approval (3I)crinI Permit 10.n: Vnr1�nou) = City Council (8 i I Fxccption S. 10.10) Watershed Protection District Overlty: (Z.0. Sect. .-'IV) Yes ITO Parkin,-, Space Fequirements: (Z'.0. .5cct. "'.1) Requix Propose(I Loading Space Requirement1c: (Z.(1. c c t. 8.2) Rcquirc,d_Fr0j.-)O_ce0 =Approval as I)reseijt,-,d: | | Dco1nI: Bpnnono: LA 1,017k� Az /0 A�e Sign Applic-Int Dn to Date I hereby certify that the pt osed,`worK is t l�ot4xbdyby-the--owner"-of record and I have been authorized by the owner to CV s q tion as his authorized agent. SIGNATURE.OF AGENT- ADDRESS (NUMBER) (STREET) (OTY) APPROVED _BY TITLE DATE I9 DEPT. FILE COPY ZO Qs �- 03 � BUILDING City of Northampt6n PERMIT Massachusetts VALIDATION Office of the Inspector of Buildings '76 DATE 19�_ PERMS_NO. APPLICAN^T &O �" ADDRESS �f.V�OEft"�+nG '/'�_ r 1N0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT (N0.) (STREET) a BETWEEN AND m (CROSS STREET) (CROSS STREET) rn LOT IL SUBDIVISION LOT BLOCK SIZE m u BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O M O USE GROUP BASEMENT WALLS OR FOUNDATION Z TO TYPE (TYPE) f O W REMARKS: / V V y��{✓ PERMIT d� 161240 VOLUME ESTIMATED COST $ FEE �P (CUBIC/SQUARE FEET) OWNER BUILDIN D . / ADDRESS BY If (Affidavit on reverse side of application to be completed by authorized agent of owner)