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OWNER'S AGENT OR CONTRAC'FOR...3,7PLICES FOR BUILDING PERMIT I
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RECEIVED
. , JUL I 6 2013 Le Commonwealth of Massachusetts
FOR
4: sic/
Bo*rd •f Building Regulations and Standards
MUNICIPALITY
1/4‘i :IP DEPT.OF"51.;TTZT\- -C sac usetts State Building Code, 780 CMR
USE
NORTHAMPTON MA 01060
;U1 'tag •e . 1• ' Alen To Construct,Repair, Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: I Date Applied:
... .- - .
- -
Building Dfficin1(Print Name). -..2 SignSignature Date
SECTION 1:SITE INFORMATION - . '_-:.''-',.-,1-•...1; . '--.,-:,- -
1.1 PrApeutr Address: 1.2 Assessors Map&Parcel Numbers
- I (_Xi 5-t Vie tk) L)(RLL _a_q„A.L.11:7 - opi -
1.1a Is this an accepted street?yes no Map Numb& Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
: Outside Flood Zone?
Public 0 Private 0 Zone Municipal El On site disposal system Q
Check if yesEl
'-'1.
iktitioN 2: PROPERTY tri;VNERSEEIF
2. wneri of Record: i
Ma_at__ V-ci hriLLI--
N e rint)
7,
1:= 1., ,, , A,,, C)& -
City,State,ZIP —
+V i g v3 IY1 IR-- A)3--_,A5e) . 73
No.and Street Telephone Email Address
giZiiciicil'DESCRIPTION OF PROPOSED WOW 01Wilttiii italii_ -_;2
_ ....,,_.,„
New Construction 0 Existing Buildingri'Owner-Occupied 0 I Repairs(s) 0 1 Alteration(s) 0 I Addition 0
Demolition El Accessory Bldg.0 Number of Units Other 0 Specify:
- Wet-Description ofProposed Work2:
-
- - -
SECTION 4:ESTIMATED CONSTRUCTION.COSTS.. -._..
Est' imated Costs: '
I Qffici
tern (Labor and Materials) A.V06•POrl'''''''' '-:'-'-'5"-::.'f,:.--
1.Building $ )..- bp . t.)6 1. Budding Permit Fee:S ---_::',:::.Indicate lie,fe:i,is determined:
2.Electrical $ ti Standard City/Town Application Fee
0 Total Project Cost3(Item 6)xlMultiPliet: -,..-:.--;-.1 x. z. --
3.Plumbing $ 2. Other Fees: $ -:::'-...--c7-,f=:- .--,-" ,-.
4.Mechanical (HVAC) $
5.Mechanical (Fire
S
Suppression) Total All F7_
Check No. oc
heck Arnciiint"7‘7,--Cash Amount-. - -
6.Total Project Cost.: S
0 Paid in Full ' 0 Outstanding Balance Duo;
File#BP-2014-0067
APPLICANT/CONTACT PERSON JAY BOLAND
ADDRESS/PHONE 12 PISGAH RD HUNTINGTON (413)214-2414
PROPERTY LOCATION 9 CRESTVIEW DR
MAP 29 PARCEL 467 001 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 Y�j"U p,� �
C65
Typeof Construction: INSTALL ATTIC INSULATION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 101880
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
D emolition Delay
401.1'91r- "7. )A.thair
Signature of:uil. n:Offi al 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.
9 CRESTVIEW DR BP-2014-0067
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-467 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-2014-0067
Project# JS-2014-000147
Est. Cost: $1500.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JAY BOLAND 101880
Lot Size(sq. ft.): 12240.36 Owner: KILBRIDE ROSEMARY&MICHELLE M
Zoning: Applicant: JAY BOLAND
AT: 9 CRESTVIEW DR
Applicant Address: Phone: Insurance:
12 PISGAH RD (413) 214-2414 WC
HUNTINGTONMA01050 ISSUED ON:7/26/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL ATTIC INSULATION
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 7/26/2013 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner