Cambridge
10
INSPECTIONS
DATE
To the Sup
The undersigned hereby applies for a permit to build according to the followine Inspector's name
specili er's name
Foundation
2,
3.
Owner's address
Architect's name
Chimneys
Mechanic s
name
Location of Building, No.
What is the nearest cross street ?
What is the parpose of building 1
o.
Fire Stops
7.
8.
: 9
Material of building ?
Light and Elevator Shafts
is
there to be a
Is
story?
Size of building, No. of feet tront,
No. of stories ?
No. of feet rear
: No. of feet deep,
12
13
Means of Egress
14.
1 feet from the level of the ground to the highest part of the roof ?
No.
How near line of adjoining lot ?
18.
What will be the means of access to the root 7
Piles cut otf at what grade ?
Size of 1loor timbers, Ist
Strength of Materials
19.
; 2d
;5th
20.
3d
4th
centre
ce
Will the baikding be erected on solid
21.
22.
23.
24.
Will the foundation be laid on earth, rock, timber or piles ?
Last Inspection
the material of foundation ?
Will the roof be flat, pitched, mansard
What
r gambrel?
rates P
REMARKS
Will the building conform to the requirements of the law
26
Estimated cost P
28
Signature
applicant
REMARKS
