Location, ownership and detail must be correct, complete and legible.
Separate application required for every building.
Plans must be filed with this application.
APPLICATION FOR PERMIT TO BUILD.
191
Chelsea,
To the Inspector of Buildings.
The undersigned hereby applies for a permit to build according to the following specifications-
I. Location, No.
Ward
2. What is the nearest cross street?
3. Owner's name
Addres.
4. Architect's name
5, Mechanic's name
6. Material of Building?
7. Building to be occupied for?
No
stores?
8, How many families ?
9. Size of lot, No. of feet front?
Ft. deep?
Ft. rear?
Size of building, No. "
10.
11. How near line of Street ?
12. No.
stories?
13. No. of ft. in height from level
the ground to the highest part of roof?
Will the building be erected on solid, or filled land?
Material of foundaticn?
16. Wil the foundation be laid on earth, rock or piles?
14
15.
f of concrete, submit specifications
17.
Length of piles?
18
Diameter top?
Bottom?
19. Capped with stone or concrete?
8 20. Piles cut off what grade?
21. Esternal walls, thickness? basement,
4th
24
5tlh
Ist.
3d.
22. Party walls, thickness? basement,
bhe
23. Size of floor timbers, Ist,
5th
2d
3d.
4th
Ist.
5th
Roof.
2d,
3d.
4th.
24. Span
Distance on centre
25. Will the roof be flat, pitched, mansard or hip ?
26. Means of access to roof?
Material of roofing?
27
Are there any hoistways or elevators?
28.
How is the building heated?
Will the building conform to the requirements of law ?
29,
30, What will be the means of egress i
case of fre
31. Estimated cost?
Signature of owner or author-
ized representative,
Address,
REMARKS.
PERMIT
MUST
RE
OBTAINED
BEFORE
BEGINNING
WORK
Buildings) shall
e Inspector of
City of Chelsea.
ector of the Ci
uan uo paugux
Building Ins
submitted in
Plans must be
