No.
APPLICATION FOR PERMIT TO BUILD.
191
Fall River, Mass.,
TO THE IN.SPECTOR OF BUILDINGS.
The undersigned hereby applies for a permit to build according to the following specificatiions:
1. State how many buildings to be erected,
2. Material,
3. What
the Owner's name?
Architect's name?
**
4
Ruilder's name?
5
Location?
Ward
6
Nearest street?
No.
7
4
District?
Purpose of building?
10. If a dwelling, for how many families?
the lower story?
Is there to be a store
11
12. Size of lot: No. of feet front
No. of feet rear
No, of feet deep
The height of the building above the grade of the street is
13
feet
14. Size of building: No.
15. No. of Stories
No. of feet rear
No
f feet deep
feet front
16. No. of feet in height from the level of the ground to the highest part of the roof
feet wide;
feet long:
Size of ell:
feet high.
17
Distance from surrounding buildings: front.
19. Distance back from line of street
feet; side
feet; side
18
feet: rear
feet
20. What is the height of the nearest building?
21
Height of 1st, 2nd, and 3rd story?
22. Will foundation be laid on earth, rock, timber or piles?
23. What is the material -
the foundation?
flat, pitch or mansard?
Will the roof
24
25. Will the building be heated by steam, furnaces, stoves or grates?
26. Will the building conform to requirements of law?
27. Number of brick walls
and where placed?
Are there privies
water closets?
28
29, How is the building to be ventilated?
30. If fire escapes are required, how many?
o be used for business purposes?
31, Is the lower story
32. Probable cost?
Remarks
Work must not be commenced until the expiration of seven days from the date of this notice.
[SIGN HERE]
(See diagram on other side.)
[ADDRESS]
