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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
asev4- S°1' ' /SSA
Lot Size 91t-IV St. (t-
Frontage N/A N/A N/A
Front:
Setbacks:
Side: L: R: L: '-+7 R: S r
Rear:
Height /2
/o Open Space: Z S o/
(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: .c-84 2g 2113 APPLICANT'S SIGNATURE PA� M D2
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
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'q�`- I, i n— DEPAR 0T OF BUILDING INSPECTIONS ?
c r.
, y. 7 20112 Street • Municipal Building 6 ,
d'
``, =.:r' i'✓.I•rthampton, MA 01060 414/ .°.
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INSPECTOR Northampt -,Li Oleo ctions
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 # )(03
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: I JGt f l-,`c l'EA 1k-1,( (w n q i 1
Address: 70 t.t)c4 , fFv.e.__ Telephone: S Q(o-7G 96
2. Owner of Property:... Pot fY Fe I, M C Od v1 et
Address: 70 CA)i&f G,;„C Q fel,. 41/'C _ Telephone:
3. Status of Applicant )( Owner Contractor
•
4. Structure Location: GAG rt r.-d of reS d 42 plc
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUII DING DEPARTMENT)
5. Use of Property: Single or Two Family: X Multifamily: Commercial: ,
6. Description o Proposed Structure:
Shed under 200 sq.ft. X Freestanding Deck under 200 sq.ft. Other(describe)
e.A W1.Uy-d- S v1 )a d A e eY
0
7. Attached Plans: Sketch Plan Site Plan Plot Plan X
8. Does the site contain a brook,body of water or wetlands? NO x 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-2014-0035
APPLICANT/CONTACT PERSON MCDONAGH PATRICIA
ADDRESS/PHONE (413) 586-7646 0
PROPERTY LOCATION 70 WASHINGTON AVE
MAP 31A PARCEL 276 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT j J? ��
Fee Paid )
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT 8 X 12 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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFRRMATION 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
6:: -.. -- Atjl--"19 10/10/i)
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.
70 WASHINGTON AVE MP-2014-0035
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
IGIS#: 15883 — -I root HAMp,.o6:
Map: 31A
Block: 276
r
:�C ZONING PERMIT
Lot: 001 4ta
Permit: ZONING PERMIT APPLI v T£kc__TES! APPLICATION PERMIT
Category: shed
Permit# MP-2o l4=oo3s - -__ PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-000727
Est.Cost: Contractor: License: Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: MCDONAGH PATRICIA
#of Fixtures: Applicant: MCDONAGH PATRICIA
1DigSafe# AT: 70 WASHINGTON AVE
IUseGroup
ConstClass
ISSUED ON: 10-Oct-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ERECT 8 X 12 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:
shed REC-2014-001606 08-Oct-13 1636 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.