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17D-006 (5) 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. 170- ( - Z2. Application for Permit to Buil*(J-00 Northampton, Mass., .... .'9�✓.5. ..... .....19.... ,6.... 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 .......� .'...f� rr . ... ... �:.., . P ' ....�... .G...! t�? ' ...... '...1� .?..y.P..� ..._...... ........ ».... 2. Owner's address .»..Cl_.. ... ...».... 1 err.. '......_A, .......»................_...............................................»................................ 3. Architect's name ......................................................................................................................................................................._........................ 4. Builder's name ......w-.r...... ay�t.sc r....... .+- :........... ..rvF .......................................................... 5. Builder's address .... .. .........!1.. .... :......»..... ........... ... f1..?.L.> ...................................................... 6. Location of Building. Street No. .......Lr.^.�`....r..........O:t 4ze....... �......................................................................... 7. Is this a removal or new building ........<...9.................... _............................_......................................................... ..................... 8. If removal, from where ........................................................................................................................................................................ 9. What is the purpose of building .............11d.v 3 e....................................................................................................................... 10. Material of building ........................................ a.` ....................................._..................................................................................... 11. If a dwelling, for how many families ........d. ..e................_.....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 .....2..: .......; No. of stories ..........._....».. 14. Size of ell, No. of feet front .... ../...........; No. of feet deep ...2:2........; No. of feet high ..... ........ 15. Size of Lot ...... .:.., e t e.�........................................Feet Wide ...........w...,..................... Feet Deep 16. How near the-line of street ............a.a.-F............................................................................................................................ 17. How near the line adjoining lot. Right....... ...............: left......... ..................; Rear..... .. ......... 18. Nearest building is .....»IS............... feet in a.................... .. .................. direction ...................................................... 19. Material of the floor......»�d.a 20. Size of timbers, 1st ....................4...; 2nd ................»..... ; 3rd ........................; 4th ..............................; 5th ............................. 21. No. of feet span.................................................................. ; Distance on centers .................................. 22. Will the building be erected on solid or filled land ....._... �:../Ld........ .................... .. ................................. 23. What is the material of foundation .....».......»..........».......»..................._...._..................._.............; Footing ........................ 24. Will the roof be flat or pitched e Z-C.A....1..........».... • Covering.....,t .��11.. ./..Z`............. 25. Heat; steam, hot water, furnace, stoves................ b...............; Power oil burner ............................................. 26. Fireplace ...................�0.....»...................................; Insulation .............._............................................................................................... 27. How many sinks ....Q....; Toilets .....Q...; Lavatories .A..; Bathtubs......P; Showers...»0....; Settubs k.... 28. City Service; Water ........................Sewer ........................; Road Surface ...........................; Sidewalk ........................ 29. Is lot on accepted street ........»...._...................»...............»........................._................................................._.............»................_.............. 30. Estimated cost (must be filled out) ............ ..... a ... d.a...................................................................................... 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. 1107 Signatureof applicant .... ti ....» .�..._c..............;. ......»...._..............................................»...................................... No...�U.g...................... REMARKS ................................................._.................................._..........................................................................._............._.........................»................................................ .........»._.................................................................................................»....................................................................................................................................................... PLOT iPLA In accordgnco with Articlo XI of the Zoning Crdina.nco, an appl.i_cation for a . Zonin4 Pormit muat includo a Plot Flan. `rho folloirinrf characteristics of the Parcel must be shown. 1. Dimensions of the lot. 2. Locations And size of all. buildings. 3. !average finished grade of all structures existing and proposed. 4. Use of all buildings existing and proposed. 5. Set Backs as indicated on the enclosed plan. Abuttors i:ame Lot I`o. Lot 5-9-3- Ft. AITS- Re ar Yard Abuttors Abuttors Name Name Lot No. Lot. - No. If this is a ¢• Sideyard House �6``idey�ard If this is a corner lot, write �o corner lot, write in the name of the in the name of the other street. other street. rM� w r ° Set Back 4�1 +� 0 0 .a N Ft 1;:*^e of Street Indicate location of garage or accessory buildings with a dashed line. Indicate location of Serer hook--up List all past plans, applications, permits, variances etc. and corresponding dates that have been processed by this office. I certify that the enclosed application and plot plan are cor..pleto and correct. Si.,nature of C,rrer Date Pad-_No. Lot No. APPLICATION c t i,�',n 1 oning Ordin�ince St " o. Flan rile mer t Arp;Jic;­t c r e s s AJ,i r e s- r,,lephone 'his section is to be filled out in accordance it), tlie of Dir-,iciisionpl and ensity Pegulatione:. (Z, D. A_',TICL111 nirF Tfcc 1,9t Frort U t 1',q C!7 C T. d An. OT). l . I rea "A;id tit de strict Frort _r Cover. Space t ,.-esent Proposed �.,irk the appropriate box to indic-te tic, use of thr pFrc(-l: Ion-Conformin- Let ;,nd /or rtr,,,,ct ure. Sl:r-cify Residential Sin-le Fp­dly Unit =I'ul ti-F,,rjjly Du-r,lex Q 0 thei Business Industrial Ins titu ti 0--T QJ Subdivision Q Rear-;'i1 -.r Q 11.U.D, Subdivirsior with = Plavnir[,; hoard Aj�prc-)wl: = Zonin.,_- P0,xd A-pproval (Spcci^l Pcrznit P).(1• V,-1-irl;-tce) = Cit.-,7 Council (Speci-il Exccpt-4on S. 10.101 , ,_�tershcd Protection District 0vcrlj;y: Sect. :,Iv y0c �.rkin­ Space Requirement:: (Z.Q. :3cct. '%l) TZ 0 qu i r c c! 1- i)j o,s e,' L) _)adirg Space Peguirementc., (Z.( inns: (Z.O. Art. VII) y6c ro :viror:mental Performance 5Landards: �.,..O. Art, XJj) =Yes lot Plan Yet, Q No Site Plan Q Yes c, 10.2) (0. 10.2 and 10.11 - 1:-Date This scctio.n for OF!`ICUL uce .)nly: =Approval as preselnt­,d: =Modifications ileccf7,F,7rt• for ?Tp_rnv.­1: Return: (111orc, infnrm-it_4r,?) ji C rj =,d) Deniol Re, f--,)z- Sign,,iture of Ap,,lic int Date i n- t u re )f Officer Date I hereby certify that the proposed- ork is- authorized 'by the owner of record ' and I have been authorized byte owner to make this application as his authorized agent. SIGNATURE OF AGt4T h # ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 F DEPT. FILE COPY City of Northampton ZO Massachusetts BUILDING xa Office of the Inspector of Buildings PERMIT VALIDAT ION s �/� �^�� � DATE ` I9 PER IT NO. ®S APPLICANTW..y"�+4/M4) T1\Lei�i.Oi'w ADDRESS _ (N0.) (5T ET) _ (CONTR'S LICENSE) d.-" NUMBER OF PERMIT TO STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING --;M- AT (LOCATION) DISTRICT ^. (NO.) (STREET) a BETWEEN AND e (CROSS STREET) (CROSS STREET) a LOT o SUBDIVISION LOT BLOCK SIZE a 0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND,SHALL CONFORM-IN CONSTRUCTION O m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION R-Ct4v (TYPE) Ir O a REMARKS: 2e�A AREA OR PERMIT L} VOLUME ESTIMATED COST .$ �Q d FEE S vs©`� � (C UBICI DARE FEET), 49/ 7 4�� OWNER BUILDING DEPTa ADDRESS L03 BY (Affidavit on reverse side of application to be completed by authorized agent(of owner)