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File#BP-2013-1173
APPLICANT/CONTACT PERSON CHAMBERLIN KRISTIN
ADDRESSIPHONE 117 BLACK BIRCH TRAIL FLORENCE (413) 586-2373 Q
PROPERTY LOCATION 117 BLACK BIRCH TRAIL
MAP 37 PARCEL 065 000 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 4 WALLS&2 CLOSETS IN BASEMENT-NEE TTER
New Construction � �Q
Non Structural interior renovations Gno 1�G►(
Addition to Existin -^
Accesso Structure Nr /1/V2 C LAIMNy f y 0004L9,
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 Street Commission Permit DPW Storm Water Management
D molition Delay --
Signature of Buil ing fficial 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.
117 BLACK BIRCH TRAIL BP-2013-1173
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 37-065 CITY OF NORTHAMPTON
Lot:-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2013-1173
Project# JS-2013-000859
Est. Cost: $1650.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg. ft.): Owner: CHAMBERLIN KRISTIN
Zoning: Applicant: CHAMBERLIN KRISTIN
AT. 117 BLACK BIRCH TRAIL
Applicant Address: Phone: Insurance:
117 BLACK BIRCH TRAIL (413) 586-2373 O
FLORENCEMA01062 ISSUED ON.61712013 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 4 WALLS & 2 CLOSETS IN
BASEMENT - *ALL WIRING,SMOKE fCO DET MUST MEET CURRENT CODES
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 6/7/2013 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner