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25C-095 (38) 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 NIA NIA NIA Front: Setbacks: / r Q Side: L• R: / L: Rz / 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. astAs o7to cl."V � � t ..o �i 'C` O � � N -li G } 7 d'0 Massachusetts _ g DEPARTMENT OF BUILDING INSPECTIONS ; 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR 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: DA Q+Q 4- WELL L -e N81AITO" Address: 2/1 1V 0 R 14 e f°FT UP-) _ T- Telephone: q 1 71 SI,5 Q 12 4 2. Owner of Property: 1)jz u t1l + I F'W c.'Lf Lp 1 Address: KT' zTp-r- T 4�)W Telephone: �✓ `" ' 3. Status of Applicant: Owner Contractor 4. Structure Location: O,!. /2c(/ /L/IV��'/2 L-b Parcel ID: Zoning Map# Parcel# District(s) 3 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) / 5. Use of Property: ,/Single oo Two Family: Multifamily:_ commercial: 6. Description of Proposed Structure: WwY A► One Story Shed under 200 sq.ft.: Freestanding De vV Other(describe): 7. Attached Plans: Sketch Plan X Site Plan 8. Does the site contain a brook, body of water or wetlands? NO DON'i 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-2015-0008 APPLICANT/CONTACT PERSON NEWTON DAVID&WENDY ADDRESS/PHONE 211 NORTH ST#5 (413)585-0127 Q PROPERTY LOCATION 211 NORTH ST-UNIT 5 MAP 25C PARCEL 095 005 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out rzaa Fee Paid Typeof Construction: ZPA-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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Signa re 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 the Office of Planning&Development for more information. 211 NORTH ST - UNIT 5 MP-2015-0008 COMMONWEALTH OF MASSACHUSETTS _ CITY OF NORTHAMPTON GIS# 11946 Map. 25C Block:, ZONING PERMIT Lot: 005 Permit: ZONING PERMITAPPLI yl���.,,, APPLICATION PERMIT Category: shed Permit# MP-2015=0008 PERMISSION IS HEREBY GRANTED TO: Project# JS-2015-0.00156 Est.Cost: Contractor: License: Expires: Fee Charged:$50:00 Homeowner as Contractor Balance Due:$.00 Owner: NEWTON DAVID&WENDY of Fixtures J Applicant., NEWTON DAVID&WENDY DigSafe# 'A T: 211 NORTH ST-UNIT 5 UseGroup - �ConstClass ISSUED ON: 25-Jul-2014 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: ZPA-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-2015-000317 23-Jul-14 792 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @ northamptonma.gov GcoTMS®2014 Des Lauriers Municipal Solutions,Inc. 211 NORTH ST - UNIT 5 MP-2015-0008 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 11946 Map: 25C ------ -- >h Block:— 095 - - Lot: ONING PERMIT ,,.. Permit: ZONING PERMIT APPL "` APPLICATION PERMIT Category: shed Permit# � MP-2015-0008 �-_-_� Project# JS-2015-000056 PERMISSION IS HEREBY GRANTED TO: Est.Cost: Contractor: License: Expires: Fee Charged:$50.00 Homeowner as Contractor Balance Due:$.00 Owner: NEWTON DAVID&WENDY #of Fixtures Applicant: NEWTON DAVID&WENDY DigSafe# AT. 211 NORTH ST-UNIT 5 UseGroup ConstClass ISSUED ON.• 25-Jul-2014 AMENDED ON. EXPIRES ON: TO PERFORM THE FOLLOWING WORK: ZPA-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-2015-000317 23-Jul-14 792 $50.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @ northamptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.