31A-134 (4) SITE PLAN
Proposed Accessory Structure Lot Size: ......................................... 5,227 ft2
Walter Fogg&Dan Filler
80 Forbes Ave. Existing House: ........................... 1,008 ft2
Northampton,MA Paved Driveway: ........................ 250 ft2
Accessory Structure: ................. 190 ft2
Total:................................................ 1448 ft2
%Open Space:............................ 72%
-- 10' 4'
4'
Proposed
Accessory 19'
Structure
f-- 12.5' —�
T
9'
8'
Existing House 24,
4.5'
36'
Paved
Drive
F-]
25'
�--- 10'——�
Forbes Ave.
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
Frontage NIA NIA N/A
Front:
Setbacks:
Side: L• R: L: R•
Rear:
Height /6,7 l J /
%Open Space:
(Lot area minus bldg and ,v 7
Paved parking)
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE:_ 7/plllf APPLICANT'S SIGNATURE
NOTE:Issuance of a perry*does not relleve 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
applicaMe permit granting authorities.
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS 5,
212 Main Street • Municipal Building
{� a Northampton, MA 01060
�n INSPECTOR
mom ACCESSORY STRUCTURE PERMIT APPLICATION
JF4?r freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
p
Permit Fee: 0 Check# �S
' / PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: WAS,6 K r 0 6( � 7�^� 1-"PLC Z
Address: 70 Falzr3G S AV61 Telephone:
2. Owner of Property: /tl c i c"z r06G A,10
Address: g0 ryr--'3i S A A, - Telephone: 4)'S
3. Status of Applicant: ✓Owner iContractor
4. Structure Location: Sty ft 6°G�►. �d ,�3GS f1l/ r
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:
Other(describe):
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook,body of water or wetlands? NO iol' 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-2016-0001
APPLICANT/CONTACT PERSON FOGG WALTER&DANIEL FILLER
ADDRESS/PHONE 80 FORBES AVE (413)588-7569 Q
PROPERTY LOCATION 80 FORBES AVE
MAP 3 1 A PARCEL 134 001 ZONE URB000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvpeof Construction: ZPA-ERECT 10 X 19 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
INFORMATION PRESENTED:
4/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
ie
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.
80 FORBES AVE MP-2016-0001
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
1(G1S#: ___57
31A tE
Lot: ; 01 � ZONING PERMIT
Lot:_�� oo l ,�.,.
>' �.
Permit: rON PERMIT APPI I ° "''�.° " APPLICATION PERMIT
Category: shed ,
Permit. MP-2016-0001—:L—
Project PERMISSION IS HEREBY GRANTED TO:
# JS-2016-000071
Est. Cost: Contractor: License: Expires:
Fee Charged:$30.00 Homeowner as Contractor
Balance Due:$00 Owner: FOGG WALTER&DANIEL FILLER
#of Fixtures Applicant. FOGG WALTER&DANIEL FILLER
DigSafe 80 FORBES AVE
UseGroup
ConstGlass
ISSUED ON. 20-Jul-2015 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 10 X 19 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-2016-000174 13-Jul-15 159 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck@northamptonma.gov
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