No
Application for Permit to Build.
(FIRST AND SECOND CLASS BUILDINGS.
Brockton,
.1 89
To THE
INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build, according
the following specifications:-
What
the location?
nearest cross street?
name of Owner?
Builder?
4.
Architect ?
purpose of building?
6.
How many families?
stores?
What is the width of the street?
o.
How near the line of the street?
1o.
I1. Will the building be erected on solid or filled land?
12. Size of lot, No, of feet front,.
No
f feet rear,
; No. of feet deep,
Size of building, No. of feet front,
No. of feet deep
No. of feet rear.
13.
No. of Stories in height,
No. of feet in height from sidewalk to highest point of roof,
No. of feet in height from level of sidewalk to highest part of wall?.
No. of feet in height from sidewalk to eaves?
6 Size of L
17
feet long:
feet high; No. of stories,
feet wide:
style of roof
laid on earth, rock, timber or piles?
Wil foundation
Material of foundation?,
Will foundation conform to ordinances?.
Thickness of external walls, rst story
: 4th story
: 4th story
; 5th story
5th story
18.
2d story
3d story
: 6th story
party walls,
walls of L. External,
2d story
3d story
: 6th story
1 st story
Party
Are the party walls solid or vaulted?
If of stone, what kind?
What will be the materials of front?
19.
20. Will the roof be flat, pitch or mansard P
Material of roofing?
What will be the material e
cornice?
lutherns,
, scuttles, &c.,
21
22. What will be the means of access to roof i
Are there any hoistways or elevators?
How protected?
23.
the building heated?
24.
How
Thickness of shell
flue?
Estimated cost ?
Fire stops?
25.
If the Building is
occupied for a Tenement or Lodging House or Family Hotel,
give the following particulars:
26. State how many families are to occupy each floor,
and the whole number
in the house,
What
the height of cellar 3
27-
What will be the heights of ceiling on first story?
3d story
d story
28.
feet:
feet:
feet; 4th story,
feet; sth story,
feet: 6th story,
feet.
Is the cellar to be occupied for a dwelling?
29.
Is the front street 20 feet wide?
30.
Where located?
How many water closets?
31.
How is the building to be ventilated?
If there is a building already erected on the front or rear of the lot, give the size,
32.
33
and number
stories,
be provided?
State how many means of egress are
What kind?.
34
Where located?
35. Is the lower story to be used for business purposes of any kindi
Size of floor timbers?
6
headers and trimming ?
37
rafters?
39
Stairways enclosed in brick walls?
Name,
Address,
Ownership and detail n
Separate application
nd legible
must be complete a
required 1
Ocation,
ала
