35-037 (14) 198 WEST FARMS RD MP-2017-0008
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 6854
Map: 35
Block: 037 1 ZONING PERMIT
Lot 001z
Permit ZONING PERMIT APPLI APPLICATION PERMIT
Category. fished
Permit# 'MP-2017-0008 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-000215
Est. Cost: Contractor: License: Expires:
Fee Charged:1$30.00 Homeowner as Contractor
Balance Due:S.00 'Owner: WERNIK JOSEPH M&SUSAN
#of Fixtures _.. Applicant: WERNIK JOSEPH M&SUSAN
DigSafe# AT: 198 WEST FARMS RD
UseGroup
ConstClass
ISSUED ON: 04-Aug-2016 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 10 X 12 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-2017-000433 01-Aug-16 5257 $3000
212 Main Street,Phone:(413)587-1240,Fax:1413)587-1272,Email:Ihasbroucka(jnorthamptomma.gov
GeoTMS®2016 Des Tanners Municipal Solutions,Inc.
File#MP-2017-0008
APPLICANT/CONTACT PERSON WERNIK JOSEPH M&SUSAN
ADDRESS/PHONE 198 WEST FARMS RD (413)586-5333 Q
PROPERTY LOCATION 198 WEST FARMS RD
MAP 35 PARCEL 037 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT 7
Fee Paid 5.2V'7 Y:41/44b
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ERECT 10 X 12 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
INFO ATION 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
Permit from Elm Street Commission Permit DPW Storm Water Management
0/ //-- L9 9/9/1
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.
City of Northampton
i"'
, Massachusetts
f ((
Ib .� g ^� s
DEPARTMENT OF BUILDING INSPECTIONS 4� ,t M
212 Main Street • Municipal Building x l�»�/ �?'
\,..a-0"-_- Northampton, MA 01060 rig ,:j��'
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft.,at least 5 feet from any other structure)
Check# 4 "' `, '7
PLEASE TYPE OR PRINT ALL INFORMATION
')
1. Name off Applicant: �� JJ (� S 0 J1 �-' e- r n 1 /`
Address: \ IE 4 UrmS1 ra r lelephon: 'L] ..f 113 353J3
2. Owner of Property': �0 f e )1 fes}- S to San W Q r n\ 1--
Address: `V l2 ` ) Q GU/C1`v S (� , /O(eTelephone: '4 I 3 t 3 3 3
3. Status of Applicant i/nOw) n''er_1Contractor �/ /�
4. Structure Location: 'VIA W �� rmS 62d FIcrri1s. I YA 0 Ldcca.
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: 7 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: )hl)s I a )
Other(describe):
7. Attached Plans: Sketch Plan Site Plan Plot Plan y"
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
FL ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
This column to be filled in by
the Building D *ailment
Existing I Proposed Required by Zoning
Lot size
Frontage NIA N/A I N/A
Front:
Setbacks: Side:
Rear: -...
Height 1.......
% Open space: J
(Lot area minus bldg and
paved parking)
10.Certification: I hereby certify that the information contained herein is true and accurate to
the int of my knowledge. �� ��y 1 // ,/ //
DATE: 7 4"'f l/ APPLICANTS SIGNATURE Can'`1 ) 60(.4., i GU
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
LT