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