07-012 (7) DEPT. FRE COPY
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City of Northampton BULLRING $a
Massachusetts PERMIT
Office of the Inspectorof BuildingsVALIDATION
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DAT- �;.A.0 19 / " PERMIT NN.)?Q�
APPLICANT /' i4RS1," " / ADDRESS I' -!S!- A. /
/ (NO.) )STREET) ICONTR'R LICENSE)
PERMIT TO �� 'Ay Iz NUMBER OF /
/TYPE OF IMPROVEMENT/ ( xo jI}STORY /� )PROPOSED VSE} +q,�U DWELLING UNITS //
AT (LOCAi)Ox) 10 Y S /�`R.T40 NWa'• AKIYEJ "'"*'i"'�' ZON MG
DISTRICT a"'P
(NO.) (STREET/
• BETWEEN AND
a
(CROSS STNEET/ I CROSS STRUV)
LOT
D. UB
▪ SOIYSION LOT BLOCK SIZE
•
p BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
0
z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I )TYPO
0
IL REMARKS:
VAREA OROLUME $ .i000 u....1 4IGt c v
ESTIMATED COST y_„� lFEEM�//y�/ f(/f
(C VS IE/fOVME FEET? " _ '-
01VHER
ADDRESS •
iin lir BUILDING
BY
(Affidavit on reverse side of application to be completed by authorized a of owner)
I hereby certify that the proposed-work isauthorized 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
Nome,E;$0 ismer) (OW. K�
APPROVED BY TITLE
DATE 19
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.
#7- 1/ - RR_
Application for Permit to Build
Northampton, Mass., ....,,,,c4,_.2.._19_74=
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 N. t
2. Owner's address 910)('' A)OQ7fry. EACal S.„_. Pc/4/7-)
3. Architect's name - __._......_..........._._._._................._.._..............._......_..._....„_...._....__.»...__..„.._...._
4. Builder's name , _„_Siiinre
5. Builder's address
6. Location of Building. Street No. /02 .Vo PT H f-tl1M S,„. kr)
7. Is this a removal or new building...».._..._...._...._........_._....,.....,_.....................___.....__........._......._....._....._,.............__._
8. If removal, from where
9. What is the purpose of building .... r G.as.+4ir-a -
10. Material of building _.._...._....»...___._..._.........____.............»............._............_...__......_..._......_.__ _
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 • No. of feet deep ; 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 • Left • Rear..........._..._...._........
18. Nearest building is feet in a direction _.
19. Material of the floor — ............._.�.....
20. Size of timbers, 1st ' 2nd ; 3rd • 4th • 5th
21. No. of feet span. • Distance on centers
22. Will the building be erected on solid or filled land .__............_.__._„.............._............__........_ _........_..__.._._..
23. What is the material of foundation __._»„„..........._...._.......»..__..._..................._..._ ; Footing _......,,..
24. Will the roof be flat or pitched ; Covering..........._._...._...._......_........»_...„...._........
25. Heat; steam, hot water, furnace, stoves_„.„.._._.._..._._.„._._ ; Power oil burner „,..w._�._._,..__...._._._._
26. Fireplace ..... Insulation
27. How many sinks ; Toilets .,,.._...; Lavatories .._....; Bathtubs...._..; Showers............: Settubs ....._..
28. City Service; Water _..._..... Sewer_..__.._..__....; Road Surface ._._.......__..,...._; Sidewalk...
29, Is lot on accepted street .............._............._..._._._._...•.,..__......._........_._
30. Estimated cost (must be filled out) ............_... ry' °00 'l
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. This building will conform to the r uirements of thjgtf/'w. /•�
Signature of applicant rZe&.” ' . -.�.. -s' W ! Vr V a
No,\?_
REMARKS
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