17C-054 (4) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants �►
Name Mailing address — Nurnbcr, street, city, and State ZIP code ""fel. No.
Owner or .tJt���� --TJ 4d
f
Lessee Gs<�
Bui 2. /l(/Cf/L � t���'C,Cj. f, ��ILC/G�. Licenser'No.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
ma this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
ignat re of applica t Address J Application date
00 NOT WRITE BELOW THIS LINE
PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Permit or Approva I Check Obta tned Number By Permit or Approval Check Obtta tned Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Pe (ding. _ Q 19� Use Group
Permit issued ��C�'
Building Fire Grading
Permit Fee $ __ GQ J.." IC
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap d by:
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
�" '� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
'"t � Page -7 C- Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
s'
1 ® _ ZONING /J
1,5-6 -�/•" D I S T R I C111"'TTT
I• AT (LOCATION)
LOCATION IN 0.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -a
70
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
m
1 ❑ New building Residential Nonresidential
2 Addition(I residential, enter number
f 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — —> 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only
� 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
B .y Private (individual, corporation, iJL. � 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
®41 processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,••.•, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT s-00006—
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories................
31 Wood frame 41 n Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — .Specify 42 NZ Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 Oil onditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other – Specify Will ther a an a ator? Full........
54. Number of
46 Yes 47 ❑ No bathrooms
— PartiaL�....
Department of Building Inspections` p
212 Mal �ltreet BUILDING Z°
Nortiampton, Ma. 01060 0 a d. ( t/'
P'FRMIT t
17C - 54
VALIDATION
DATE ()ctoberl Z; 19 A2 PERMIT NO. 564
APPLICANT jaseph mantnnn- ADDRESS 156 Chestnut
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO NUMBER OF
( ) STORY _ DWELLING UNITS t
( O .ENT) N (PROPO D USE
ZONING
AT (LOCATION) 156 Chestnut DISTRICT URA
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: =m-Stall -4 solar—panels-aim roof
AREA OR ST(� FEE s io,00
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER Joseph Montaena
ADDRESS 156 Chestnut St_. Northmpton, Ma_ 01060 BYILO r�
WHITE - FILE COPY ■ GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - SSESSORS COPY