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9. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK F INFORMATION.
This column to be filled in by
the Building Department. kN
Existing Proposed Required by
Zoning
Lot Size
Frontage N/A N/A N/A
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Height
% Open Space:
(Lot area minus bldg and
Paved parking)
10. Certification: I her -by ce ' y that the information contained herein is true and accurate to the best
of my knowledg " .
/ c-
DATE: / APPLICANT'S SIGNATURE
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
Raw ro . 15 .��1
r � Massachusetts '" .
@ mil Via, 17" 1
w•
'� DEPARTMENT OF BUILDING INSPECTIONS p ',
..far 212 Main Street • Municipal Building y . 'Q�'
-* Northampton, MP, 01 060 s y "
JUN 4 Ltill A CESSORY STRUCTURE PERMIT APPLICATION
oewr.: - s r.,, .. in • structures less than 200 sq. ft., at least 5 feet from any other structure)
NO•THAMPTON M A01'.'
Permit Fee: $25.00 Check # 59- / d
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 1w C/ ra ' G (1 Zve 6 To Ici O
/O /1/o1''�"JC n r Telephone: Cg C 6 3 /
Address: I 5 / 1 _ P
2. Owner of Property: p oci r k r C h j Gr/ E rOi
Address: l¶ 7 mcih/ lrc 6 ft .5 t Telephone: r F 9 6 G 3 9
3. Status of Applicant: YOwner Contractor
4. Structure Location: - 1 2 /V j /V 0T v 6_11 S /
Parcel ID: Zoning Map # 2 3 4 Parcel # 2 3 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:
Shed under 200 sq. ft. \ Freestanding Deck unde 00 sq. ft. Other (describe)
/&
7. Attached Plans: Sketch Plan Site Plan Plot Plan t
8. Does the site contain a brook, body of water or wetlands? NO V DON'T KNOW YES
IF YES: Has a permit been or need to be, obtained from the Conservation Commission?
Needs to be obtained K Obtained , Date issued_
CONTINUED ON NEXT PAGE
File # MP- 2011 -0104
APPLICANT /CONTACT PERSON WESTON RODERICK J & KATHLEEN C
ADDRESS/PHONE 157 NONOTUCK ST (413) 584 -6039 0
PROPERTY LOCATION 157 NONOTUCK ST
MAP 23A PARCEL 235 001 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 Q/
Fee Paid / �/ -
Typeof Construction: ERECT 12 X 16 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
INFORMATION PRESENTED:
I./ 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
l� 6
(30/1/
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.