31C-048 (2) 70 FERN ST MP-2016-0067
COMMON1,WEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
�G I S#: j 1222-
Map.—- — 16B _ J+
Block 033
,Lot:— ool
(PermitZ _RM-
A�PRCI �,,..
ZONING PERMIT
: ONING PIT_ - APPLICATION PERMIT
Category: fished
Permit# Iv1P-2016-0067 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-001901
Est.-Cost: Contractor: License: Expires:
'Fee-Char ged_$30.00_ jHomeowner as Contractor
Balance Due:j$.00 Owner: NAUMCHICK JEAN&J ZMACZYSKI G MAGDALENSKI&S NAUMC
#of Fixtures ! !Applicant: YOUNG ELS ZABETH
-
DigSafe# I JAT: 70 FERN ST
UseGroup
�ConstClass-
ISSUED ON: 25-Mar-2016 AMENDED ON: EXPIRES ON.-
TO
N:TO PERFORM THE FOLLOWING WORK:
ZPA- 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-2016-004428 18-Mkr-16 314 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMS®2016 Des Landers Municipal Solutions,Inc.
File#MP-2016-0067
APPLICANT/CONTACT PERSON YOUNG ELIZABETH
ADDRESS/PHONE 70 FERN ST (413)626-3410 Q
PROPERTY LOCATION 70 FERN ST
MAP 16B PARCEL 033 001 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
Typeof Construction: ZPA- 8 X 10 SHED
New Construction
Non Structural interior renovations
Addition to Existing
AccessoU Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FPLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN, MATION 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
/Z- 3 zy
Signatu of Building ficial 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.
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Massachusetts
TMENT OF BUILDING INSPECTIONS
�iyR-; 12 ain Street • Municipal Building
--��, Northampton,!, MA 01060
psrcc�oras
�BUILDSNG t5AC1U��
NOFC{YRMPION,
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. f ., least 5 feet from any other structure)
Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: qV k/M 1 , C��, 2A, -(.L-_Telephone: ,, G? & 1 d
2. Owner of Property: L-`
Address: ',-"-YU &C, Telephone:
3. Status of Applicant: V/ Owner_Contractor
4. Structure Location: at I",
Parcel ID:Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Use of Property: Single or Two Family: ✓ Multifamily: Commercial:
6. Description of Proposed Structure:
One StoryShed under 200 sq.It.: ✓ Freestanding Dock under 200 sq.ft.,less than 30"above grade:
SIZE OF STRUCTURE: SS x U,
Other(describe):
7. Attached Plans: Sketch Plan / Site Plan plot Plan
8. Does the site contain a brook, body of water or wetlands? NO 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
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 �L
Frontage N/A N/A N/A
Front:
Setbacks: Side:
Rear:
Height
% Open space:
(Lot area minus bldg and
paved parking)
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10.Certification: I hereby certify that the information contained herein is true and accurate to
the best of my knowledge.
DATE: APPLICANT'S SIGNATURE , ��to`J
NOTE: Issuance of a permit does not relieve an applicarWs 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
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