Location, ownership and detail must be correct, complete and legible.
Separate application required for every building.
Plans must be filed with this application.
Permit to Build
Application for
man.
(Ist and 2d CLASS BUILDING.
Boston,
1912.
To THE
BUILDING COMMISSIONER:
The undersigned hereby applies for a permit to build, aceording to the following
specifieations:-
Location, No.
Wd.
Name of owner is?..
Name of mechanic is?
Name of arehiteet is?
Address,
1st or 2d class?
Building to be oceupied for?
No.
Stores?
How many families?
How near the line of the street?
Width of street?
If in bloek, how many?
Will the building l
ereeted on solid or filled land?
Size of lot, No, of feet front?
feet rear?.
feet deep1
No, of feet deep?
Size of building, No. of feet front?
No, of feet rear?..
No.
feet in height from sidewalk to highest point of roof?
If concrete, submit speeifications,
eight, above basement?
Mate
Will foundation be laid on earth, rock or piles?
Length of piles?
oNumber of rows?
Distance on centres?
Wood or conerete piles?
Diameter top?.
Bottom?
Capped with stone or concrete ?.
Piles cut off àt what grade?.
External walls,
Grade of basement?
2d,
thiekness?,
2d.
3d,
4th
5th,
6th,
7th.
Sth
9th
10th
4th.
3d
5th,
6th,
7th,
Sth
9th
10th
Are the walls solid or vaultedS
Material?
What will b
the materials of front?
Will the roof be flat, pitch, mansard or hip?
EWhat will be the material of cornice?
Material of roofing?
means of access to roof?
What will
Are there any hoistways or elevators?
How protected?
2How is building heated?.
Thiekness of shell of flue?
Method of fire stops?
Means of extinguishing fire ?
Stairways enelosed in brick walls?
Thickness of such walls?
If the building is to be occupied as a Tenement House, give the following particulars:
Height of cellar?.
Height of first story,
Height of basement?
third.
second,
fourth
sixth,
fifth,
seventh,
eighth,
ninth.
tenth,
Is the cellar or the basement to be occupied for habitation?
Distance from lot lines? Front,
side,
side,
rear
If there is a building already ereeted
ways of egress are f
the front
rear of lot, give height?
be provided,
Nature of egress?
Will the building comply with the requirements of statutes?
Estimated Cost,
Signe
ned reurescutatire.
uthor-
Address,
Received by?
Plans submitted?
Deed submitted?
Lib
Folio
Year
PERMIT
MUST
BE
OBTAINED
BEFORE
BEGINNING
WORK
pcate set
hereol (bearing
nt
Department, and the o
ldine
bmitted in dupiate,
Plans m
the approval of the
