12-020 r
File#BP-2009-0957
APPLICANT/CONTACT PERSON FITZGERALD HAROLD R TRUSTEE
ADDRESS/PHONE P O BOX 60445 FLORENCE (413)586-2529 Q
PROPERTY LOCATION 37 MARY JANE LN
MAP 12 PARCEL 020 001 ZONE RR000 //RI/WSP
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 2 STORY 15 X 30 ADDITION(KITCHEN/EXERCISE ROOM)_
New Construction
Non Structural interior renovations
Addition to Existing`
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INy9RMATION 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 Comrission Permit DPW Storm Water Management
Demolition Delay
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.
f
BP-2009-0957
GIs#: COMMONWEALTH OF MASSACHUSETTS
Y av z- 101 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category BUILDING PERMIT
Permit# BP-2009-0957
Project# JS-2009-001383
Est.Cost: $21200.00
Fee: $360.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. 1): 53578.80 Owner: FITZGERALD HAROLD R TRUSTEE
Zoning: RR(100)//RI/WSP Applicant: FITZGERALD HAROLD R TRUSTEE
AT. 37 MARY JANE LN
Applicant Address: Phone: Insurance:
P O BOX 60445 (413) 586-2529 ()
FLORENCEMA01062 ISSUED ON.512912009 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY 15 X 30 ADDITION
(KITCHEN/EXERCISE ROOM)
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 5/29/2009 0:00:00 $360.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo