H Ho 29
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
ΑPPLICATIOΟN
No.
FOR
Permit to Build Addition or Make Alterations
Cambridge
191
To tbe Superintendent of Public Buildings:-
The undersigned hereby applies for a permit to make additions or alterations according to the following
specifications:-
1. Owner's name
2. Owner's address
3. Architect's name
4. Mechanic's name
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?
be a store in the lower story?
11. Is there
12. Size of addition, No. of feet front,
No.
Efeet rear,
No. of feet deep,
13. No. of stories?
14. No.
Efeet from the lerel
the ground to the highest part of the roof?
15. Size of ell
feet long :
feet wide :
feet high.
16. How near line of the street?
17. How near line of adjoining lot?
18. What will be the means of access
the roof?
19. Piles cut off at what grade?
20. Size
: 2d
foor timbers, 1st
3d
4th
5th
Span
; distance on centre
21. Will the building be erected on solid or filled land?
Will the foundations be laid on earth, rock, timber or piles?
22
What is the material of foundation?
23
Will the roof be flat, pitched, mansard or gambrel?
24
25. Will the building be heated by steam, furnaces, stoves
grates?
Will the building conform to the requirements of the law?
26
27. No.
brick walls?
Where located?
Thickness?
28. Estimated cost?
Signature of applicant
REMARKS
