03-003 File #BP-2024-0243
APPLICANT/CONTACT PERSON:ROTH BRUCE DYRE&JOYCE MORRISON
565 COLES MEADOW RD NORTHAMPTON, MA 01060 I Ill
PROPERTY LOCATION COLES MEADOW RD
MAP:LOT 03-003-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: shed under 200 sq ft-no primary structure on lot
New Construction
• Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS • %'LOCATION BASED ON
INFORMATION PRJSENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDE' :§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/O' Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED U r ER: § 3 50,.- q-Z
Finding J Special Permit Variance*
Received&Recorded at Regis of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Boards Health Well Water Potability Board of Health
Permit from Conserv,tion Commission Permit from CB Architecture Committee
Permit from Elm reet Commission Permit DPW Storm Water Management
Demolition De .y
//& 3. 7- zcz
Signature of Building Of rcial Date
Note:Issuance of a ning 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.
1�,_ 212 va•- S�_ee= • X•__`cipal`Building L: ca
'Y'- ( C 'i 1� - ._. Northampton, MA 01060 ss!jy • `‘o
IrD
AMR R
62024 1
'. t SORY 'STRUCTURE PERMIT APPLICATION
(For freestanding stEucturesless than 200 sq. ft., a least 5 feet from any other structure)
Check# �1� � 4 0
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: � f �� f l lJ 4
Address: �6 Ci �!/ ,1 L 'Ok' Telephone: 41 —6.--c35 gO z3
t. Owner of Property: SQ.°c 7 I c)--114
Address: 1C) enWsP4014900A- Pi?elephone:/ l --�j cl
3. Status of Applicant: Vwner Contractor
4. Structure Location: .>14 a (JLo_ M G 4 D6'/ Dig g 3 -003
Parcel ID: Zoning Map# Parcel # 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:
Size:
Other(describe): 1 /G fl 2 P�i A-'I St-15-I2
7. Attached Plans: Sketch Plan Site Plan Plot Plan
R. 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
•H-ouce)
C oC. =S
1
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
I �
Frontage N/A N/A 1 N/A
Front:
Setbacks: Side:
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: j7 /24 APPLICANT'S SIGNATUR
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
�H Cat of 'orUlpttmpIrni __
F r
atassarltustits 4,/
6 , - 'At DEPARTMENT OF BUILDING INSPECTIONS ', 11 .1.
k
7 212 Main Street • Municipal Building s ' 1.\
Northampton, MA 01060
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address:_ Telephone:
2. Owner of Property:
Address: _ Telephone:
3. Status of Applicant: _Owner Contractor
4. Structure Location:
Parcel ID: Zoning Map # Parcel # 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:
SIZE OF STRUCTURE:
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