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37-065 (9) L iF -ZS Zq ID o T VN ca It 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