30A-053 •
9. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
This column to be filled in by
the Building Department.
Existing Proposed Required by
Zoning
Lot Size
Frontage N/A N/A N/A
Front:
Setbacks: -
Side L: R: L: R:
Rear:
Height
% Open Space:
(Lot area minus bldg and
Paved parking)
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities.
City of Northampton
Massachusetts
dirMAIIirdill
' DEPARTMENT OF BUILDING INSPECTIONS
fi r`° 212 Main Street • Municipal Building
Northampton, MA 01060 44 44 . W01 �4
R ' I'ISPG
LEIN
1 - 4 2012 ACCESSORY STRUCTURE PERMIT APPLICATION
DEPT u . dSP CTION'i
NORTHAM BU sta • ing structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 c Check #
PLEASE TYPE OR PRINT ALL INFORMATION } 1
1. Name of Applicant:CorQ11 eG'vok. S /rVc- i(wA_C��
01062-
Address: Jr 4, L-►, y J / f ►LC C �"1 Telephone: C�(l ^ 2-O9.
2. Owner of Property: G e , Cs� el V` 'i S
Address: 5( / . (�✓et,.t e /IA 8106 Telephone: L l �) S ?G
3. Status of Applicant:X Owner Contractor
4. Structure Location: 2 - L Pit (r C (D,. 'Z
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Singl- or Two Family: X Multifamily: Commercial:
6. Description of Proposed Structure:
Shed under 200 sq. ft Freestanding Deck under sq. ft. Other (describe) a t €A1-(75 rar `�e,,ts CC) Z0 x 3 0 - oxYo ff
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
IF YES: Has a permit been, or need to be, obtained from the Conservation Commission?
Needs to be obtained Obtained , Date issued
CONTINUED ON NEXT PAGE
56 LIBERTY ST BP- 2012 -1085
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30A - 053 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Tents BUILDING PERMIT
Permit # BP- 2012 -1085
Project # JS- 2012- 001867
Est. Cost:
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 19514.88 Owner: HENDRICKS GRETCHEN J
Zoning: URB(100)/ Applicant: HENDRICKS GRETCHEN J
AT: 56 LIBERTY ST
Applicant Address: Phone: Insurance:
56 LIBERTY ST
FLORENCEMA01062 ISSUED ON: 6/7/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: ERECT 2 TENTS 20 X 30 & 30 X 40
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 6/7/2012 0:00:00 $50.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner