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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
0.L'3 (1,14 (G -ts)
Lot Size 0. e j C, s4eift.1
Frontage N/A N/A N/A
Front: NI A Imo` I 7d
Setbacks:
Side: L: a`'JJ4 R: L: / R:
Rear: NJ
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: 7/ rf 9 APPLICANT'S SIGNATURE - Alf •
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
/4P
o t..� r�iit
Massachusetts f"".
, , DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Syr Northampton, MA 01060 �'W 1 1
W s. JUL 2 0 2.2
INSPECTO•
AEr r OF BW PEC71C 6
NOflTHAb1F : < d, 01060
AnSTURY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check # 146?
PLEASE TYPE OR PRINT ALL INFORMATION
+
1. Name of Applicant: 0, 1� , r : : i h n t K
!
Address: / 7 r ;'i e c ff -e o f Telephone: 2 79 ° 3 1D - 1[
2. Owner of Property: e_
Address: Telephone:
3. Status of Applicant: Owner Contractor
4. Structure Location: 3A C yl rtt (' t e S f; C
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:
Lru -:3tt� i - s €,
Other (describe):
7. Attached Plans: Sketch Plan V Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO I/ 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
Tar
-it q -00
nz��: u /
File # MP- 2013 -0008 Cit 0' \L
0
APPLICANT /CONTACT PERSON LEBEL CHRISTINE Y & MARK 0 PAGE 01
ADDRESS /PHONE 47 PINE ST (413) 320 -1132 0
PROPERTY LOCATION 47 PINE ST
MAP 23A PARCEL 169 001 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: ERECT 8 X 14 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 FtMATION 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 Str et Commission Permit DPW Storm Water Management
, y( _,.- -- /ii " i z—
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.
47 PINE ST MP- 2013 -0008
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 9028 or
2i�
,Map:
CL 01 _ �:u ZONING PERMIT
Lot: ool ,�,��
Permit: ZONING PE �.
p 1� I s� -- ice �
PERMIT APPLI TfRCENTENP�� APPLICATION PERMIT
Category: shed
(Permit # MP- 2013 -0008 PERMISSION IS HEREBY GRANTED TO:
Project # iJS- 2013 - 000129
jEst. Cost: Contractor: License: Expires:
Fee Charged: $25.00 Homeowner as Contractor
,Balance Due: $.00 Owner: LEBEL CHRISTINE Y & MARK 0 PAGE
# of Fixtures: Applicant: LEBEL CHRISTINE Y & MARK 0 PAGE
DigSafe # AT: 47 PINE ST
lUseGroup
ConstClass
ISSUED ON: 27 -Jul -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ERECT 8 X 14 SHED
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
shed REC- 2013 - 000250 20- Jul -12 1667 $25.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.