30C-056 (4) t
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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 f�� �7/_ �r J� g2-A
Frontage /l0 N/A l/�j f N/A NIA
Front: DI/
Setbacks:
#64- Side: '
L: /v R: 3 L:�p, R:J`'
Rear: / �d
Height
% Open Space: Cll�7y S��Gr� Cjl�jc S� Ft
(Lot area minus bldg and
Paved parking) �� 70
10. Certification: I hereby certify that the information contained herei s true and accurate to the best
of my knowledge.
DATE: �APPLICANT'S SIGNATUR
NOTE: Issuance of a permit does not relieve an applicants 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.
of Northampton
Massachusetts ` s
tll
NT OF BUILDING INSPECTIONS
212 Mai Street • Municipal Building
,_.�tiOr15
orthampton, MA 01060
INSPECTOR Electric,FIB"��
Northan , �
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 O'R PRINT ALL INFORMATION
1. Name of Applicant: � b h er— —79
�<�
C
b � '5,Q.0 r7 y � ,3
Address 3 G 1 ✓ri C-�r�"t J� Telephone:
2. Owner of Property: °`� ��� -��-y-) f
Address: 1127 C)��-L' Y? � c3C �)12 tU Telephone: �7 ���- � `�+
3. Status of Applicant: _Owner Contractor
4. Structure Location: 113 Cka en f- ,Jr!.
Parcel ID: Zoning Map# Parcel# _District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: G�6r 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:
Other(describe): 9
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-2015-0017 � �f
APPLICANT/CONTACT PERSON GREENE ROBERT A&PATTY A
ADDRESS/PHONE 113 CLEMENT ST (413)584-8085 ()
PROPERTY LOCATION 113 CLEMENT ST
MAP 30C PARCEL 056 001 ZONE SR(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid OR Pet,
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ERECT 8 X 8 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
1 R TION PRESENTED:
pproved 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
P i Elm Street Commission Permit DPW Storm Water Management
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.
113 CLEMENT ST MP-2015-0017
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIs#: 5576
Map: 30C
Block: - 056 ZONING PERMIT
Lot: 001 ..•
Permit:-- ZONING PERMITAPPLI; APPLICATION PERMIT
Category: shed
Permit#; Iv1P-2015-0017 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2015-000391
Est. Cost: Contractor: License: Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: GREENE ROBERT A&PATTY A
#of Fixtures Applicant: GREENE ROBERT A&PATTY A
DigSafe# AT. 113 CLEMENT ST
UseGroup
ConstClass
ISSUED ON: 22-Aug-2014 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 8 X 8 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-2015-000823 20-Aug-14 668 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.