Plans must be fled and approved by the Inspeetor of Buildings before a permit for erection will be granted.
No..
..
APPLICATION
FOR
PERMIT TO BUILD.
Lawrence, Mass.
191
To the Inspector of Buildings-
The undersigned hereby applies for
permit to build according to the following specifications:-
. Owner's name and address
Architect's name
2.
Mechanic
name and address
3
No.
What is the location?
Street
Ward
What is the purpose of building ?.
5
Material of building?
6
7. Size of building, No. of feet frout,
No. of feet deep,
No, of feet rear
No. of stories ?
9. No. of tenements 3
No. of stores
If a tenement house, how many rooms above second story?
10
11. No. of feet in height
level of the ground to the
ghest part of the roof?
If a rear building, what is the distance between front and rear buildings?
12.
Will any portico, porch, bay or bow window project over the line of any street or way?
13
How near line of street
How near side lines of lot?
Size of floor timbers, 1st
: 2nd
16
:3rd
4th
:5th
Distance on centre
Spam
17
18. Size of carrying partitions?
Number of stairways?.
19.
20. Location of stairways?
What will be the means of access to roof?
2 1
Will the building be erected on solid or filled land ?
22
What is the material of foundation?
23
Will the roof be flat, pitched, mansard or gambrel?,
24
Will the building be heated by steam, furnaces, stoves or grates?
25
Will the building conform to the reqnirements of the law?
26
No. of brick walls?
Where located?
Thickness?
27
Estimated cost i
28
Signature of applicant
REMARKS
Office Inspeetor of Buildings. Central Building,
Hours 9 to 10 a. m. 1.30 to 2 p. m.
