17C-034 (2) 18 . 18
1 216 . 5
89 . 36
-i-- L- I
r 'o p� 17C - 034
82 . 5
204 . 25
113 . 52
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
11 A Zoning
Lot Size
Frontage N/A N/A N/A
Front:
Setbacks:
Side: L: R: 1`73-" 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.
--W
DATE. 08/ /2015 APPLICANT'S SIGNATURE - a,,0 , &—
0
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
DJ�OAA{bJENT OF BUILDING INSPECTIONS
l (y 212;M6in Street • Municipal Building s
AUGUI� Northampton, MA 01060 � � S`">
INSPECT fZ �
nc_ S r, Ftions
Electric F1ur",'C' ��, 1060
- ORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
10,30 - a
Permit Fee:,$:?."0 Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Albert Evans-Perez
Address: 101 North Maple Street Florence MA.01062 Telephone: 413-586-0844
2. Owner of Property: same
Address: Telephone:
3. Status of Applicant: X Owner _Contractor
4. Structure Location: 101 North Maple Street,Florence,MA.01062
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.: X Freestanding Deck under 200 sq.ft., less than 30"above grade:
Other(describe): 41 lvj';�_
7. Attached Plans: Sketch Plan X Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO X 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-2016-0011
APPLICANT/CONTACT PERSON EVANS-PEREZ ALBERT&KIMBERLY DAVID&MICHELLE R PEREZ
ADDRESS/PHONE 101 NORTH MAPLE ST
PROPERTY LOCATION 101 NORTH MAPLE ST
MAP 17C PARCEL 034 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tyneof Construction: ZPA- 10 X 12 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
INF RMATION 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.
101 NORTH MAPLE ST MP-2016-0011
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
'GIS#: 1670
Map: 17C --— --
B1o�k: 034 _- --_ -- � �
Lot: -- 00 ZONING PERMIT
Permit: ZONING PERMIT APpLI APPLICATION PERMIT
Category: shed
permit# MP-2016.-0011�_ � PERMISSION IS HEREBY GRANTED TO:
Project# JS_-2016-000376
Est. Cost: Contractor: License: Expires:
Fee Charged:$30;00 Homeowner as Contractor
;-of-Fixtures Due:$.00 Owner: EVANS-PEREZ ALBERT&KIMBERLY DAVID&MICHELLE R PEREZ
I#of Fixtures 1A licant: EVANS-PEREZ ALBERT&KIMBERLY DAVID&MICHELLE R PER
DigSafe# SAT: 101 NORTH MAPLE ST
!UseGroup
ConstClass 1_
ISSUED ON: 28-Aug-2015 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ZPA- 10 X 12 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-2016-000771 24-Aug-15 6259 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMSO 2015 Des Lauriers Municipal Solutions,Inc.