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LOT 3 -
/ PROPOSED 1500 GALLON
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1.959 AC( S f `` ERNEST J. T E N.O.
W#5 DIRECTOROFPUBLIC HEALTH
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DATE
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STEPHEN P. MICKA ONE WEEK NOTICE MALL BE GIVEN TO THE DESIGN ENGINEER PRIOR
TO THE BE&= OF CONSMC110N. INSPEGRONS ARE-REGUNtED.
"or D Mss apt PLAN OF PROPOSED SEWAGE OISROSAL SYSUNS- ° N0
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cpa w3meo c►ma� AUM air. AL & ASSOCUM, INC. �JI SITE PLAN VERY: �/A LocA1ED ON LOTS 1 Sc 2
`•"�+ST:^ SUURMTOW 9@RQWZM LUWrAPZ ARMUT= PARK HILL ROAD
^„i APPROVED;•$L&- 80 umuaTzrAL DRTVS um DATE: 9116/96
No. DNTE 8Y REVISIONS a om ZW66 'kite �r. NORPBAlOnW. MASSACIRISC s NORTHAMPTON. MASSACHUSETTS DIaD N0.
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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 61711 5 .15+
Frontage N/A N/A N/A
Front:
Setbacks: Side:
Rear:
Height
% Open space: HouSC W-114 EW000SHLb q-}"�
12 5({L!? .�- r��!3n�. o
(Lot area minus bldg and rL g Rr��� �5�31��Z�Oad= ope P4
paved parking)
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10.Certification: 1 hereby certify that the information contained herein is true and accurate to
the best of my knowledge.
DATE: Lo' APPLICANT'S SIGNATURE -A
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
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3-7-7
City of Northampton
15 s�.
r
X .
Massachusetts
e DEPARTMENT OF BUILDING INSPECTIONS
ti 212 Main Street • Municipal Building
Northampton, MA 01060s[1�
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 s at least 5 feet from any other structure)
.
Check# `A30
PLEASE TYPE OR PRINT ALL INFORMATION
� C4A-41 zs d j
1. Name of Applicant: An
Address: 6 6 K PC '. IC 1-1,g 2d" Telephone:
2. Owner of Property: ''I^
Address: Telephone:
3. Status of Applicant: =Owner,' Contractor
4,/ �G2 �0
4. Structure Location: 'so, 5 i D, u l 6 Oct- 16 Z'3 ()d
Parcel ID:Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Prope Single r 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:
size: 10 X 19 S` 1=7 1955Vf
Other(describe): W 6 0- 31�r9e eJ _t�,►C�Il S LtJPjZ-
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 1�
3C�n n.;�I � ��.—' VQ�`� 4✓L ' S L/�f S Jd.e Or P AC+7'%" Z00+�+
IF YES: Has a permit been, or need to be, obtained from the Conservation Commission?
6�aul�+ no r 64 r,�eded
Needs to be obtained Obtained , Date issued ti �ii�l
'4 Lij A S c _C' uJ k�'*Q F)UZ 2
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CONTINUED ON NEXT PAGE
a
File 4 MP-2016-0053
APPLICANT/CONTACT PERSON EMERSON THOMAS A
ADDRESS/PHONE 664 PARK HILL RD (413)230-8602()
PROPERTY LOCATION 664 PARK HILL RD
MAP 49 PARCEL 023 001 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- 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
INF RMATION 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
j
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.
664 PARK HILL RD MP-2016-0053
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
��GIS#: X8661
Map: - 49 ---- -
Lot: 023 _ - _ - ZONING PERMIT
- . ,
Lot: - 001 •�...
Permit: shed PERMIT APPLI APPLICATION PERMIT
Category: shed
;Permit# MP-2016-0053 PERMISSION IS HEREBY GRANTED TO:
'Project# JS 2016-_001354
Est. Cost. Contractor: License: Expires:
Fee Charged:$30 00 Homeowner as Contractor
�Balance`Due:$.00 Owner: EMERSON THOMAS A
�#of Fixtures _ Applicant: EMERSON THOMAS A
FDigSafe# AT: 664 PARK HILL RD
�UseGroup -
!ConstClass
ISSUED ON. 28-Dec-2015 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK.
ZPA- 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-2016-002897 16-Dec-15 3594 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouckgnorthamptonma.gov
GeoTMS®2015 Des Lam•iers Municipal Solutions,Inc.