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34-031 FHECEIVED Department use only I City of Northampton Status of Permit: JUN14uilding Department Curb Cut/Driveway Permit JUN ' ?€"'" 212 Main Street Sewer/Septic Availability '' Room 100 Water/Well Availability DEPT.OF C '`"` !'0"s No hampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON.MA 010P0 p ofi ne 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office `TU(k-t1 i� �i r1(ntl\ Map Lot Unit % Zone Overlay District `V O Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 13,,"t1 ht,i_t4\ T1nf K(1 j' i Pin; tA t�►s �: ►� Name(Print) Current Mailing Address: See A\kuc1he� tt,31 • ��., Telephone Signature 2.2 Authorized Agent: IDS 2p (eorlt Hityviaod■ S . Green eltIt AA o" Name(Print) Current Mailing Address: ' ►, •, l 11.S Vt, X3)-779. -3604 Signatu Telephone SECTIO 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by_permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection ` s 6. Total=(1 +2+3+4+5) jf 591,51 Check Number �i j5 �'T`1 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2013-1229 APPLICANT/CONTACT PERSON JOSEPH GEORGE ADDRESS/PHONE 64 HAYWOOD ST GREENFIELD (413)774-3604 PROPERTY LOCATION 329 TURKEY HILL RD MAP 34 PARCEL 031 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out S Fee Paid �� Typeof Construction: ATTIC INSULATION&AIR SEAL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 99372 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO TION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management deo;;oe, ition Delay Signature of Building 0 ficial Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 329 TURKEY HILL RD BP-2013-1229 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 34-031 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2013-1229 Project# JS-2013-002028 Est. Cost: $1592.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOSEPH GEORGE 99372 Lot Size(sq.ft.): 32016.60 Owner: BOMBARD THOMAS W&LEONILDA M Zoning: Applicant: JOSEPH GEORGE AT: 329 TURKEY HILL RD Applicant Address: Phone: Insurance: 64 HAYWOOD ST (413) 774-3604 Liability GREENFIELDMA01301 ISSUED ON:6/24/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:ATTIC INSULATION & AIR SEAL POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 6/24/2013 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner