23A-132 (2) 1
MORTGAGE LOAN INSPECTION
THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY
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TO THE EASTHAMPTON SAVINGS BANK AND THE TICOR TITLE INSURANCE COMPANY - ONLY
To the best of my knowledge• information and belief. I hereby report that the premises have been examined and that this inspection plot
shows the improvement or improvements os located on the premises described, that the improvement or improvements ore entirely within
lot lines, that there are no encroachments upon the premises described by the improvement or improvements of any odjoini . • _mixes,
and that there are no easements of record affecting the tract shown hereon. except as shown. a -
1 further report that the premises shown on this plan is not located within o Flood Hozord Area as shown on
Deportment of H.U.D. Federal Insurance Administration Mops,
Community Number
250167 0001 A 7.
�
Identification Dote APRIL 3, 1978 t2r P.L.S. ...:,,•,, i;:L+-•',,'�r
HUNTLEY
OWNER JOHN
& ANDREA P.. RAPHAEL
HUNTLEY ASSOCIATES P.C. LOCATION 58 MIDDLE STREET
Surveyors • Engineers • Landscape Architects NORTHAMPTON, MASSACHUSETTS
30 Industrial Drive East
Northampton, MA 01060 JOB NO. • DATE SCALE
voice(413)584-7444 fax(413)586-9159 03-554 IDATE
08/06/2003 1"= 30'
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 61 'x '1
Frontage N/A N/A N/A
Front:
Setbacks:
Side:
L: R: L: R:
Rear:
Height
% Open Space: /�
(Lot area minus bldg and l 0 0 0
Paved parking)
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: L- j 3 APPLICANT'S SIGNATURE L_ 1
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 •
N r RECEIVED
�*�<.�.,°� ..�1� � 'plc�
„ Massachusetts 7, .
�, � �
a v T OF BUILDING INSPECTIONS `V` i
FI a , 4 APR I 201 t .
+ n 12 Mai Street • Municipal Building ..�+' �'
,mom" � orthampton, MA 01060 4
DEPT.OF BUILDING iNS- TONS
INSPECTOR NORTHAMPTON,MA 01060
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check# 3 70 7
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: -3--o k rr P.,6
Address: Si /l'`!d'a. e k (T 10 p 4 0 Telephone: 4 13" -1 3 4 y
2. Owner of Property: 3011.1 _K P
P dY�_ �
Addess: / L 1," 4 W ( r
Telephone:
3. Status of Applicant: x,Owner Contractor
r ocation: �-+k 1 S c Of f C 0 "A- I - 4 '
4. Structu e L
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:
Shed under 200 sq.ft. J( Freestanding Deck under 200 sq.ft. Other(describe)
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook,body of water or wetlands? NO )c 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
File#MP-2013-0102
APPLICANT/CONTACT PERSON REILY JOHN&ANDREA P RAPHAEL
ADDRESS/PHONE 58 MIDDLE ST (413)588-1349 0
PROPERTY LOCATION 58 MIDDLE ST
MAP 23A PARCEL 132 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT �
Fee Paid 370 /
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT 12 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
INF9RMATION 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
MI 3
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.
58 MIDDLE ST MP-2013-0102
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
1HAMp'
�GIS#: 2838
Map: 23A
:
Block 132 ',
ZONING P
, MIT
F R
Lot: 001 :? ,,`
Permit ZONING PERMIT APPLI T£ecenrFCp� APPLICATION PERMIT
Category: shed
Permit# MP-2013-0102 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2013-001609
Est.Cost: Contractor: License: Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: REILY JOHN&ANDREA P RAPHAEL
#of Fixtures: Applicant: REILY JOHN&ANDREA P RAPHAEL
DigSafe# AT: 58 MIDDLE ST
UseGroup
LonstClass
ISSUED ON: 26-Apr-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ERECT 12 X 14 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:
Zoning Permit Application REC-2013-005717 22-Apr-13 3708 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
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