10B-086 (5) D 8 (o
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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 Depadmnt.
Existing Proposed Required by
Zoning
Lot Size
Frontage NIA N/A NIA
Front:
Setbacks: t�
Side: i-�- L: -I 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: 02(,P116-
APPLICANT'S SIGNATURE v
NOTE:Issuance of a permit does not rellwife an appica 9 burden to comply with all zoning requirements
and obtain all required permits from the Conservation Consrission,Department of Public Works and other
aMicable permit 9renft au#wtftkmL
Vr.V I Vi i�Vi Wr�YM/✓rV�i
ALL
Massachusetts
DEP INT OF BUILDING INSPECTIONS ,;: '
' MAY 2 2OIg212 j' street • Municipal Building wg`
orthampton, MA 01060
INSPECTOR Electric, Fiumbing&Gas inspections
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#�
I �PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: KAA f—ya 0 r i 5 G
Address: V(�X L'�e "A y `Z2-Q Telephone:
2. Owner of Property: 3 �,y — .�39 M1 :i YA S+- I L LC—
Address: / �f
X:51 —p� 1 0�In S+ye0 I Le,fd..S Telephone: —� l[�� ' � �
3. Status of Applicant: Owner Contractor
4. Structure Location:
Parcel ID: Zoning Map# `V Parcel# V �District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: 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): A f1
7. Attached Plans: Sketch PlanV_ Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO V 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-2015-0088
APPLICANT/CONTACT PERSON 237-239 MAIN ST LLC� ����
ADDRESS/PHONE 237-239 MAIN ST (413)464-5934 Q too gee®7y7A odd 3,'
PROPERTY LOCATION 237 MAIN ST
MAP IOB PARCEL 086 001 ZONE URB(100)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 11L 0( Palo
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT 8 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFftMATION 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
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 the Office of
Planning&Development for more information.
237 MAIN ST MP-2015-0088
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIs#; 553
r
Map-__- OB
-
-- l — #r
.Block: 086 - - ZONING PERMIT
ILot: 001 „�.•
ermit: _--ZONING PERMIT APPLt '� ° APPLICATION PERMIT
Category. shed
Permit# MP-2015-0088 PERMISSION IS HEREBY GRANTED TO:
Project## JS=2015-002210
Contractor: License: Expires:
Est.Cost:
FFee Charged:$25.00 Homeowner as Contractor
Balance Due:$:00 Owner: 237-239 MAIN ST LLC
of Fixtures Applicant: 237-239 MAIN ST LLC
�DigSafe# AT: 237 MAIN ST
UseGroup
,ConstClass _
ISSUED ON. 28-May-2015 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ERECT 8 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-2015-006408 27-May-15 1162 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov
GeoTMSO 2015 Des Lauriers Municipal Solutions,Inc.