29-347 (3) File# BP-2016-1407
APPLICANT/CONTACT PERSON SCHREINER JENNIFER A&CHRISTOPHER B NEAREY
ADDRESS/PHONE 72 AUSTIN CIR FLORENCE
PROPERTY LOCATION 72 AUSTIN CIR
MAP 29 PARCEL 347 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED UT
Fee Paid Ck#' Cr ll i 30
Building Permit Filled out
Fee Paid
Typeof Construction: 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 1THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO MATION PRESENTED:
pproved 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
Demolition Delay
___ jjxs_
Signature of uilding Official // Date S
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 Office of
Planning&Development for more information.
City of Northampton
Massachusetts 6
M _ ` DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal10 building
Yy:
Rf Northampton, MA 01060 rrN;yon°
RE _" :EQ
MAY 27
SORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., a fast 5 feet from any other structure)
Check#_
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: J614UI a 5CHREILI fi4&
Address: 72 A1-1SrfN IC'/E«F Telephone: 5-8t • 2-11(0
2. Owner of Property: JEFIP4t SC"itel 11IG12-
Address: 5 A MTelephone: 'S h A-1 G
3. Status of Applicant:V Owner Contractor
4. Structure Location: FQO'ST) itFC OF LEA YELL/Ay
Parcel ID: Zoning Map# Parcel #�' District(s) V" IP - e
(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:
Size:
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 V 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
Frontage N/A N/A N/A
Front:
Setbacks: Side:
Rear; ,
Height
Open space: -
(Lot area minus bldg and - ^
paved parking)
10.Certification: I hereby certifylhat.'the information containedher9iq is true and accurate to
the best of my knowledge.
DATE: 5/27/16 APPLICANT'S SIGNATURE ,L!
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
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