Plans must be filed and approved by the Superintendent before a permit for crection will be granted,
duplicates of which, when approved by the Superintendent, shall be kept at the building during the progress
of the work
Ward
No.
Application for Permit to
Build
Cambridge,
To the Superinlendent of Public Buildings:
The undersigned hereby applies for a permit to build according to the following specifications:
Owner's name
1
2
Owner's address
3. Architect's name
Mechanic's name
4.
5. Mechanic's address
6. Location of Building, No.
7. What is the nearest cross street?
8. What is the purpose of building?
9. Material of building?
10. If a dwelling, for how many families?
Is there to be a store
the lower story?
11.
feet front,
12. Size of building, No.
: No. of feet rear,
No. of feet
No. of stories?
13.
14. No. of feet from the level of the ground
o the highest part of the root?
15. Size of ell
feet long
feet wide;
feet high
How near line of the street?
16.
17. How near line of adjoining lot?
18. What will be the means of access to the roof?
19. Piles cut off at what grade?
20. Size of floor timbers, 1st.
2d
3d
; 4th
5th
Span
distance on centre
Will the building
21.
erected on solid or filled land?
Will the foandations be laid on earth, rock, timber or piles?
22.
23.
What is the material
foundation?
Will the roof be flat, pitched, mansard
24.
r gambrel?
Will the building be heated by steam, furnaces, stoves or grates?
25.
26.
Will the building conform to the requirements of the law?
27. No. of brick walls?
Where located?
Thickness?
28. Estimated cost?
Signature of applicant
REMARKS
