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31B-119 (6) F itaigniefaaw BP-2005-0783 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-0783 Project# JS-2005-1094 Est. Cost: $20000.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT JACKSON 056654 Lot Size(sq. ft.): 5488.56 Owner: HARRINGTON MICHAEL L Zoning:URC Applicant: ROBERT JACKSON AT: 11 EDWARDS SO Applicant Address: Phone: Insurance: 234 PELHAM RD (413) 256-8826 AMHERSTMA01002 ISSUED ON:3/16/05 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL 3RD FLR APARTMENT 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 3/16/05 0:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 5?- y--borb5 Scj i d-) ) 1 *1 J.r7o9 Tr (v1Q� WoZ�� y/N ' z'ns-v iv > -7-2G u (n a N S I 77-VOS' —4_2 7 07 0(V $ 2 i ?J-M �-11? 1100 f File#BP-2005-0783 APPLICANT/CONTACT PERSON ROBERT JACKSON ADDRESS/PHONE 234 PELHAM RD AMHERST (413)256-8826 PROPERTY LOCATION 11 EDWARDS SQ MAP 31B PARCEL 119 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid ( 6 .;>a9„__/ Typeof Construction: REMODEL 3RD FLR APARTMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 056654 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO)RMATION PRESENTED: Approved 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 Str et Commission ,— -/c,e,,,# e46.---- _IIICZ..r--- Signature of Building Official 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.