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g. 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 N/A N/A N/A
Front: _
Setbacks: Side: 0�5
Rear:
Height
% Open space:
(Lot area minus bldg and
paved parking)
10.Certification: I hereby certify that the informati contained herein is true and accurate to
the best of my knowledge.
DATE: �l 11 i �5/ APPLICANT'S SIGNATURE WL-
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
Massachusetts =
F- �- t/r �
iiPP. R NT OF BUILDING INSPECTIONS
21 Man Street • Municipal Building
N0 12 2015 Northampton, MA 01060
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check# r
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: i L L Lt
Address:_ 6 Telephone: -
2. Owner of Property: Gam'
Address: Telephone:
3. Status of Applicant:_Owner_Contractor
4. Structure Location:
Parcel ID:Zoning Map# Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Use of Property: Single or Two Family: Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.:✓ Freestanding Deck un-oor 200 sq.ft., less than 30"above grade:
SIZE OF STRUCTURE:
Other(describe):
7. Attached Plans: Sketch Plan Site Plan Plot Plan `/
S. 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-2016-0043
APPLICANT/CONTACT PERSON LIPPIELLO LISA S
ADDRESS/PHONE 1 Amber Lane (413)587-0200 Q
PROPERTY LOCATION 7 GOLDEN DR
MAP 29 PARCEL 241 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- 8 X 8 SHED
New Construction
Non Structural interior renovations
Addition to Existin
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:
VApproved 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
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.
7 GOLDEN DR MP-2016-0043
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 14965
Map:_ 129 4
Block Lot: : 100 l 241 - -- d ZONING PERMIT
...
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
Category: shed
Permit# MP-2016-0043 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-001107
Contractor: License:
Est. Cost: 1, Expires:
Fee Charged:$30.0-0 Homeowner as Contractor
(Balance Due:$.00 Owner: LIPPIELLO LISA S
#of Fixtures Applicant: LIPPIELLO LISA S
- - - - --
DigSafe# AT: 7 GOLDEN DR
UseGroup
jConstClass y
ISSUED ON: 17-Nov-2015 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA- 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:
Zoning Permit Application REC-2016-002090 10-Nov-15 743 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.