49-045 File#MP-2016-0095
APPLICANT/CONTACT PERSON MADRU CLIFFORD
ADDRESS/PHONE 751 PARK HILL RD (413)306-8339 0
PROPERTY LOCATION 751 PARK HILL RD
MAP 49 PARCEL 045 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONIN F RM FILLED OUT
Fee Paid 3 O— ( ,K 4/
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- 10 X 16 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 FLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR _Special Pernik 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
4 ..... /.--,V 1 ‘_.,,
Signature o uilding OfficialDate
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.
RECEIVED
•it of Northampton
aYH; l ,w„D4.-' MAI 9 Massachusetts 47- �
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N✓ �o �tif * c
4 ARTNLNT OF BUILDING INSPECTIONS ;41 r PT OF BULL h v C-
: - , , NORTHAHf-ON,MA 0-CE) 212 Main Street • Municipal Building J``,, Ca`'
-z,r, Northampton, MA 01060 .P`^-.- �'S
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check# , (.- 41
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 67;40 0/d 1' l gcjyki,
Address: 75. / d `fir 1< Ha R°9CI Telephone: �93- 30 833°1
2. Owner of Property: G/, 1 oic / • ►arV
Address: 7s7 Pcyr L //,'/( /fold Telephone: Yj ✓,ZOG `� �3 39
3. Status of Applicant: Owner_Contractor
4. Structure Location: App/d)(, Jo/ "r Ov`" filae,►i� 1�1 kik/ter/44-14R a4 * °find
/ ' /Cn- /sr/ /sire., XI,i
Parcel ID: Zoning Map# / l Parcel # °ys District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property. Si. Si g or Two Family: 1 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 OF STRUCTURE: /0,Y it i
Other(describe):
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
;a
9. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACtiOF1NF_ORMATION.
This column to be filled in by
the Building Department
Existing Proposed Required by Zoning
Lot size 20 000 6 t
J
Frontage N/A N/A N/A
Front: DS W i 4,..,se
Setbacks: Side: iwif Itrnod
Rear: /Ofi (Y& pr 4. T At.
Height
% Open space: qg%'
(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. ' v
DATE: �/P1/ab/6 APPLICANT'S SIGNATURE Jilt N
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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