No.
8ra Class
APPLICATION FOR PERMIT POR ADDITIONS, ALTERATIONS, DEMOLITION, OR MOVING.
[Separate applieation required for ench batlding.)
Waltham,
I9r
The undersigned hereby applies for a permit to
TO THE INSPECTOR OF BUILDINGS:
specified below
one
Address?
RESPONSIBLE PARTIES: Owner?
Address?
Architect?
Address?
Builder?
LOCATION OF ALTERED BUILDING: Street, No.?
Position upon lot? (indicate by sketch)
Any wooden building nearer than six feet?
Where?
Where?
Any stable nearer than ten feet?
Materials
NATURE OF BUILDING:
present, Use?
Is building block or separate?
Stories high?
When Changed, General Use?
Block or separate?
Materials?
Use c
new portions i
SYNOPSIS OF PROPOSED CHANGES:
t is proposed to
SPECIFICATIONS FOR NEW WORK
Height?
Width?
Dimensions of new work: Length?
Cost?
NEW FOUNDATIONS: Will footings rest on clay, sand, gravel, rock, timber or piles?
Give diagram section of foundation, piers, footings, etc., with dimensions.
(1)
Dry or mortar wall?
Material?
Material?
Number?
NEW CHIMNEYS:
(2)
Use of flues?
Height above roof?
NEW COLUMNS, POSTS or PIERS: Cast Iron, wood, iron and cement, brick or stone?
(3
Shape?
Diameter?
Number of each?
Height?
Footings
Bridging: Where placed
floors?
In roofs?
woOD USED IN NEW CONSTRUCTION:
4.
Pitch?
Material?
Style of roof?
Proposed plan of fire stopping?
Wood?
Metal?
Any lathing to be done?
Inside studs and spacing ?
Qutside studs and spacing?
Dimensions of new sills?
Partition Caps?
Girts
Girders?
Ceiling joists and spacing?
Rafters and spacing?
3rd?
4th?
2nd?
Floor joists: 1st?
Spacing of floor joists?
Plates?
Braces?
Trussing?
How are partitions carried?
Any new plumbing?
Any new heating?
Any new electrical work?
Specifications?
DOCUMENTS AND PLANS FILED: Number of drawings?
WILL THE BUILDING CONFORM TO THE REQUIREMENTS TO LAW?
Owner's Name?
By
Agent.
