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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.