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lZamatunwtaltil of Riaanatllunctnh <br />OF <br />BUILDING DEPARTMENT <br />APPLICATION FOR PERMIT TO BUILD <br />To the Inspector of Buildings: <br />The und4 mii6iwd hereby applies foi- a perinit, to build ite, ortling to the following ApV.cifl(!ati,)nm:- <br />I. Owlier,8 name ....... /t "V (I ( I <br />... ... ..... ­... ­­. I .. ..... ... ... ..... ... ..... ....... I ..................... <br />2. Oynier's address ... te..c 40 14 XG .. ... ....... . ...................... I ........ <br />3. Architect's name A.(. ............ <br />4. Build.r's name . ...... tc- <br />. .. ... .. .... . .. ......... .. ... ..... ............................................... <br />5. Builder's address ............................ ....... .......... . . ........ . .. ... <br />kf.L <br />6. Location of building, No. . Street .... ICOCAII/lyx <br />d . ...................... <br />7. Size of lot ........ .... . ............ . ... . ..... ......... <br />s. 1, this a new buildlnP, addition or ,I removal? ...... .. b.A. /)/ '"" ' * <br />9. Side of Street. North........... South ................. _ East ...... ............. best........ <br />10. If remo%al, from wherel ............. .. .. ....... . ............... .... . ........ ........ I ............... <br />11. What is the purpost, or buifilingl <br />12. Material of building? ..... V11JnL_ ... ........ .. . ...... <br />13. If for a dwelling, for how many families? IL:C. F <br />.. ... ... . . .......................... <br />144 Is there to be a store in the lower story?, ... A0 . .... 'low manyl ......... ..... .... . .... .. ....... ...... ............... <br />i. <br />35. Size of building, No. of feet front..... /ly C-.;..... ;'No. of feet dec No. of stories ........................ <br />. <br />16. No. of feet from the level of the ground to the highest part of the roof ...... _F e--- <br />........................................ <br />17. Size of ell, No. of feet front .................... ; No. of feet deep....................; No. of feet high ............................ <br />18. flow near the line of the streat? ... ......................................... <br />10. Huw near the fill(- of adjoining lot! Right. ...... ......... <br />z I ; Rear ...... / .. ;ell .... . .. <br />30. Nearest building is ........ 1:11,�l ........ - feet in a .................................. dircetion .............. ........................... . <br />21. What will be the itientis of access A rooft .......... .... .................. I ................. . ........ <br />22.. Size of floor timbers, Ist.,.Z, Zy ... ; 2d ...................... ; 3d ............... ...... 4tb ... .......... 5th .................. . <br />234 No. of feet span_...4__/9.../ ..... ; Distance to centers..........._ <br />24. Will the linilding be erected on solid or filled land I 5&�l d, <br />25. What is the material of foundation I <br />-c . . . . ......... * ... .................. <br />26. Will the roof be flat, pitched, mansard, hip or gambrel �� 1:1/7 --c'. Z. - ic� .. . ... .. ................... <br />27. Material of roof covering? ...... I—— I ..... .... ................... ........... <br />28. Will the building be heated by steam, furnace, stoves, or grates? <br />29. No. of brick wallst ................... . %Vhvro locatedt ................... Tlikknestil ..... ...... .... .. ....... ....... ............ . <br />10. Nambor of rooms? .... .............. . . . ......... ....... ... ... ................ . <br />31. Fireplaciet ........... A ...... / .... ... ­** ....................... ......... ...... ... ..... ... ... '­ ....... .......... <br />32. Size of Studdingt ...... ...... ............ <br />33. Estimated cost (must be filled out) ... .......... . .......... . <br />34. Will the building conform to the requirements of the lawt . .• <br />........ > . . .. .. .............. ... 1.4 ...... .............. <br />:35. N it bewa.ge disposal system to be constructed, altered, m%tallett or repaired Ili connection with this <br />project? Yes .............. No..... .... .... ..... <br />36. What is. ve Av;ll be the water supply for this building? Z_ <br />..... ... <br />37. Is the above wilier soppiv suitable and available <br />3*,.:Il- plihind osv! <br />Signature of applicant...... '- 411 .... . .. . ........ ... .. <br />Applicant agrees to glv* the Inspector of Buildings 24 hours' notice before lathing, plosftr. <br />Ing or closing In studding an this building. <br />The building will conform to the recirilroments of the low. <br />REMARKS <br />­.­ . . � ......... I . ...­­­ ........ ­ ................ . ....... ............... <br />rOFI:A 1067 HOVERS & WARREN. INC IRIVISSO ool,) <br />RECEIVED <br />.................................................... <br />........ .... ...... ....... .... .. .... MAR 2 11974 <br />..............I ... . ... ........... I ..................... ........................... <br />MASHFEE TOWN CLERK <br />