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 Addition or Make Alterations.
19
Chelsea,
To the Inspector of Buildings.
....
The undersigned hereby applies for a permit to build according
the following specifications :-
Location, No.
Ward
What is the neareal cross street 7
Owner's name
Addres
Architect's name
Mechanic's name
Description of the Present Building
Material of building is ?
Style
roof ?
Material
roofing?
Size of building, feet front?
feet rear?
feet deep?
No. of stories ?
Size of L, feet long ?
: No.
feet wide?
feet high ?
roof2
stories?
Material of foundation ?
No. of feet in height from sidewalk to highest point of roof
Thickness of external walls ?
Party walls?
Distance from line of street?
What was the building last used for?
By how many families?
Number of stores?
Means of egress?
Size of lot front?
rear?
deep ?
Detail of Proposed Work.
If Extended on Front, Side or Rear, Moved, Raised, or Built Upon.
No. of feet wide ?
Size of extension, No. of feet long ?
No. of feet high above sidewalk ?
No. of stories high ?
; style of roof?
material of roofing ?
Of what material will the extension be built?
Foundation ?
If of brick, what will be the thickness of external walls
inches; and party walls
inches.
How will the extension be occupied?
How coenected with main building?
Distance from lot lines-Front >
side?
side?
rear?
If any Portion of the External or Party Walls are Removed.
Will an opening be made in the party or external walls
story.
Size of the opening i
How protected?
How will the remaining portion of the wall be supported?
Elevators, Etc.
Number of elevators, escalators, to be installed or altered ?
Size of shaft ?
Size of car?
Type of Machine?
Number of hoist ropes?
Type of govemor safety?
Size of?
Size of?
Carrying capacity of car?
Number of counterweight ropes?
Speed of car per minute z
Number of feet run?
Machine location 7
Mode of operation (hand rope, lever, electric switch, button device, hand wheel?
Building to be occupied for
after alteration.
Estimated Cost?
Signature o
r author-
owner
ized representative,
Address,
PERMIT
MUST
BE OBTAIN
IED
BEFORE
BEGINNING
WORK
au Ruuag
10aJaun s 2audnn
aun r
the Department, as
submitted i
Plans must be
