17C-251 (12) _.__.__........„............................ .7...6„....«..
To the Inspector of Buildings:- d
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
1. Owner's name ......... .......L..r�...r..3 .:` z 1...,...,.»..........«...............................».......................................
2. Owner's address ......,�1.L'»� .._4 ......�„._.�:.k:icM_..... �................................„.»............................».....„................................
3. Architect's name ........... .».,.».»... ... .;.»....„.»....................... ....„......................».......... .»..................................».......».................„.......
4. Builder's name ....... .. ............................_................................................................................
5. Builder's address ......a�. .. ..................' `
.... L. IA ......... ......«.„._.......................... ..,... ..............................„..........
6. Location of Building. Street No. ... 34.«.........21.c.... t«.......
7. Is this a removal or new building......... :.s.a. :...»...................„.......»........................................................................„««...„
8. If removal, from where ...........„.«.......»....„.«.......................................................«..........«.........................................................................
9. What is the purpose of building ..... .....».........................................................«.............................................................................
10. Material of building ...........L.L...».. .. . ......................................
11. If a dwelling, for how many families.........C:.}1: .....................Number of rooms .............»...................................
12. Is there to be a store in the building ...........«......................._..............................„.»..„«....«..:.......»............................................
f - �
13. Size of building, No. of feet front ......21....«....;No. of feet deep .......Kl.........; No. of stories
14. Size of ell, No. of feet front ......„...»..« ....; No. of feet deep .......................; No. of feet high ...........•.............
.v
15. Size of Lot .............................1.L�...............«.»....................Feet Wide ....... :...:. .......... Feet Deep .................................
16. How near the-line of street
17. How near the line adjoining lot. Right .,w.............; Left 1J................; Rear 2 ..
18. Nearest building is .....» ............. feet in a.................».................................. direction .....................................................
19. Material of the floor .... ,. .« ....«.„.......»....«.„._»....„.».....................................................................................................
».....
20. Size of timbers, 1st ....al.! .....; 2nd .....»...: :::.»..... ; 3rd ........................: 4th .......................6.....; 5th ............................
21. No. of feet span........«»...1..z........................................; Distance on centers ..... ..Xz......................»................................
22. Will the building be erected on solid or filled land •»•...•..•••.•.••••.••••••.•••....................................„.............
23. What is the material of foundation .....»...„. r « .„«: »....„....«.................„.„... Footing .....„.................
24. Will the roof be flat or pitched ........... �k .LA_ ..P.„.....; Covering......A..11..:...........................I............
25. Heat; steam, hot water, furnace, stoves„.......................................; Power oil burner .....».......................................
26. Fireplace .....«.............».............«..........„......................; Insulation .....»L ............................................................................................
c
27. How many sinks ......f.....; Toilets ..........; Lavatories ..„..J.; Bathtubs....4..; Showers............: Settubs..„.....
28. City Service; Water ......L -d......Sewer 61........; Road Surface ......c ..».....; Sidewalk t ' .........
29. Is lot on accepted stree .» .•••. «••••
30. Estimated cost (must be filled out) ........». .1. ....4 . .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. i1 -
Signature of applicant ...fit ::'.rC„ . 4 h::i...»„.. :�y::�»' ,a..s n............. ».
No.. ..........«...........
REMARKS
.................................................„..................................»...........................................................................»... .«....».........................»....«.».......................................
..»...«..„....„.....«......».............„....»..........„....«.»....„...............„......„.„... ............................................................................... .........................................................
-
ZONING PERMIT
APPLICATION Lot
zoning Ordilml.cc sccti�lll 1.0.:*, c c 1V File Vo. Pile
This sectiori is to be fillcd out ill ,c
Residcntial
Duplex =0thei
F--1
Industrial
| } Ioatitutin-7
[--1 Subdivisi on [--lBe&u] rr F--lP,,U,D,
[__] �xbdivioi'm �ttl� "�y�rov'.l-�ot-R"`xir^'�"-3tnmy^
[--lplanning, n'onr(I ApprnvrI: '
= Zoning Board Approval (SDocinI P(2r,�lit I0^c): n ri oe)— City Council (Z),Pocial
Parkin,,.-� Space Pequirementc: (Z.(.1. Sect. R c-q U i r c cl posed
Signs: _ (Z.0, Art. VII) y ITO
Enviro
/--lModifirotioun nooe:rnry Dnr "DPrnv,I:
[--lBe.toro: (8nre 1nlu�mnti"o oerded)
�—lDeo1oI: Benp000:
------------------------- ---- -------------`'----
Signqture of A 11 t Dote of Mmio" Officer Date
I hereby certify that the proposed work is authorized by the dw"r er,of record
and I have been authorized' by the ownef•to make-this applicatirm as -his'
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE i9
DEPT. FILE COPY
City o Northampton BUILDING 1a
Office -"Mas achusett�s+
Office of the inspector o1 Buildings PERMIT VALIDATION
1�/��*,/��//,,II` DATE /0 19 /P�FgMIT NO.
APPLICANTI�` ADDRESS 420-b Aw
(NO.) .(STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO � � (_) STORY DWELLING UNITS /
(TYPE 15F IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) ZONING CT
(NO.) (STREET)
rn BETWEEN AND
w
(CROSS STREET) (CROSS STREET)
LOT
B. SUBDIVISION LOT BLOCK SIZE
m
p BUILDING IS TO BE PLO FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYRE)
K
O
LL REMARKS:
AREA OR � PERMIT $
�
VOLUME ESTIMATED COST FEE
(CUB I ARE FEET)
/
OWNER
BUILD PT.
ADDRESS err) BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)