31C-011 (0 tt)arc] five p(a_vi
184.5ft
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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 ` 5 et e-re 5
3, � c' s
Frontage WA NIA WA
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Height /2. f 2 0-
% Open Space:
(Lot area minus bldg and •? t c,c_crL°S 3 r u'eS
Paved parking) J
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: rP /C/ & APPLICANT'S SIGNATURE avt
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.
Q �� o City of Northampton
RECEIVED Massachusetts G
k, ,�f DEP OF BUILDING INSPECTIONS
v `JIJN I 0 2013212! Street • Municipal Building ‘S'�'
" aJV�7 orthampton, MA 01060 �
•
INSPECTOR — -__.._...�...__.
DEPT- 6,-;,:SINIa iv;,„ECTjONS
NORTHAMPTON,MA 01060
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check # ( �-
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: IGL-c-- 6 c,t (ci
Address: 10 W Ct.,irC( A J / /61#442-/% elephone: 7 7- D 7 ' 3
2. Owner of Property: la 6 d t IC/
Address: /0 A a/c. Alta ta /U rT ✓i t o Telephone: / 07 7--8-7?
3
3. Status of Applicant: Owner Contractor
4. Structure Location: t'Vt U{C a r 'C- GJ(i ,en 7 .- D bGc,se_1o1 dopy--py
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: x Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.: )( Freestanding Deck under 200 sq.ft.,less than 30”above grade:
Other(describe): /O
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO y 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
File#MP-2013-0128 l.J Y
APPLICANT/CONTACT PERSON GUILD TARA 700 (��
ADDRESS/PHONE 10 WARD AVE (413)727-8783 0
PROPERTY LOCATION 10 WARD AVE
MAP 31C PARCEL 011 001 ZONE WP(85)/RR(59)/URA(57)/FFR(2)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 1/18 4a25'
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- 10 X 10 SHED
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 FOL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 :m Elm Street Commissi• Permit DPW Storm Water Management
40,,
Signa re of Building 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 the Office of
Planning&Development for more information.
10 WARD AVE MP-2013-0128
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
THAMp
[GIS#: 16184
Map: 31C �' �
Block: of l *1 ZONING PERMIT
Lot: 001 ;St::=��,�/a
ssi �_y�`y
Permit: ZONING PERMIT APPLI �R�E APPLICATION PERMIT
Category: shed
Permit# MP-2013-0128 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2013-001937
Est. Cost: Contractor: License: Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: GUILD TARA
I#of Fixtures: Applicant: GUILD TARA
#f
�Di Sae
g AT: 10 WARD AVE
UseGroup
ConstClass
ISSUED ON: 19-Jun-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA- 10 X 10 SHED
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
shed REC-2013-006613 11-Jun-13 1182 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.