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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
Lot Size �" A,
Frontage N/A N/A N/A
Front
-Setbacks:
Side: L: c' R::14' -749- L: R:50.
Rear: 4_.1.
Height
I o Open Space:
(Lot area minus bldg and / /-°" r- /'
Paved parking)
10. Certification: 1 hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: � / e%„3' APPLICANT'S SIGNATURE d.4.4-• .•�------
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 •
a" h RF f , D assachusetts
, DEPAR' I I OF BUILDING INSPECTIONS • �
JUN 12 2U n -treat • Municipal Building
a1 a Wes,
N. thampton, MA 01060 W v--
�
INSPECTOR DEPT.OF BUILDING INSPECTIONS
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#
PLEASE TYPE OR PRINT ALL INFORMATION
1. —=Name of Applicant: i?r t./ _. 7/r Can a✓
Address: ' (20e:/1 y��'T/ AO-id _ Telephone:41/3. '�� f J 6 6
2. Owner of Property: ''-. 4 T ,�?<'"/f,.#r?,n /#4/ ;– ✓ /47.-"--
Address: L1 / ' r►, � _r71 Telephone: 4"/
''Co
3. Status of Applicant: Owner '''Contractor
4. Structure Location: � � ��^ ,sn k.J s'• ��" �s
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. '- Freestanding Deck under 200 sq.ft. Other(describe)
/O
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
File#MP-2013-0129
7a/tic;19
C \
APPLICANT/CONTACT PERSON DAVID CHICOINE
ADDRESS/PHONE 16 EDGE HILL PLACE (413)246-7536
PROPERTY LOCATION 50 MANHAN ST
MAP 38B PARCEL 195 001 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 / ��r-
Fee Paid
Typeof Construction: ERECT 10 X 20 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 061582
3 sets of Plans/Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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
'-joy a El . -t Co •..: ion Permit DPW Storm Water Management
��� /-71 /1
Signa .ildi•:I fi al - 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.
50 MANHAN ST MP-2013-0129
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 7693 _ 0"`H T ti\
Map: 38B ,
Block: 195 ZONING PERMIT
Vliglif Lot: 001
Permit: ZONING PERMIT APPLI T£R�EN�ENP�Y APPLICATION PERMIT
(Category: shed
Permit# MP-2013-0129 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2013-001967
Contractor: License:
Est. Cost: Expires:
DAVID CHICOINE CSL-061582
Fee Charged:$25.00 10/20/2013
Balance Due:$.00 Owner: ALBRO-FISHER BENJAMIN&BETHANN ALBRO-FISHER
#of Fixtures: Applicant: DAVID CHICOINE
DigSafe# AT: 50 MANHAN ST
UseGroup _
ConstClass
ISSUED ON: 19-Jun-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ERECT 10 X 20 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-2013-006658 12-Jun-13 2123 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.