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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
Frontage N/A N/A N/A
Front: ! !
Setbacks:
Side: L /
L: R: L: 4 R: 7
Rear:
Height
% Open Space:
(Lot area minus bldg and
Paved parking)
10. Certification: I hereby certify that the information col
of my knowledge.
DATE: /� ,1)/ — to ? " ' APPLICANT'S SIGNAT
NOTE: Issuance of a permit does not relieve an applicant
and obtain all required permits from the Conservation Con
applicable permit granting authorities.
.. - City of Northampton •
G
.._____. _ _ Massachusetts r ,
(1-A,---- r2 1 a :fW * 5 z
%' t JUL 2 4 2fe D AR NT OF BUILDING INSPECTIONS ' k I ' + a
y 2 2 'n Street • Municipal Building .. h'
,. � tr
' I - Northampton, MA 01060 47 , gri
INSPECTORI_=. = - NoRTHAMF ,1A 01060
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check # 63q(
PLEASE TYPE � OR p/ PRINT ALL INFORMATION
1. Name of Applicant: / /a -7 C l - / ai/ / ZGi7/ )
Address: /J.--- C /y ,,� � � A-,:, / e U Teleph Y/ ne: i l v - a /7-
2. Owner of Prop rty: /1 kii c/ a �- Yk� L �.�f��
Address: / 'if, .,iii/ Ate 6 Telephone: y/ 3 S G �
r/
3. Status of Appli t: Owner Contractor
4. Structure Location: %5 C ` vim ,LPL e-Y G!c G v�� 2 - - //�
Parcel ID: Zoning Map / 4 Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family:
L-- Multifamily: Commercial: .
6. Description of Proposed Structure:
Shed under 200 sq. ft. //- Freestanding Deck under 200 sq. ft. Other (describe)
7Y / D-
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO /i 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
0
File # MP- 2013 -0009
APPLICANT /CONTACT PERSON SHERMAN RICHARD K & KATHLEEN T & RANDY R SHERMAN
TRUSTEE
ADDRESS /PHONE 15 GARFIELD AVE (413) 586 -2176 0
PROPERTY LOCATION 15 GARFIELD AVE
MAP 17D PARCEL 058 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 63 7 (f
Fee Paid l�
Typeof Construction: ZPA - 8 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
INFORMATION PRESENTED:
I 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
///.>II-AJ IZ- Z—
Signa 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.
15 GARFIELD AVE MP- 2013 -0009
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 2009 1 0 aS HA "' a, 0�
Map 17D J � , �
block: 058 41. ZONING PERMIT
Lot: 1001
Permit. ZONING PERMIT APPLI ;.„„;,EEC , APP ■ ,ICATION PERMIT
Category: shed
Permit # MP -2013 -0009 PERMISSION IS HEREBY GRANTED TO:
Project # JS- 2013 - 000146
'Est. Cost: Contractor: License: Expires:
Fee Charged: $25.00 Homeowner as Contractor
Balance Due: $.00 Owner: SHERMAN RICHARD K & KATHLEEN T & RANDY R SHERMAN TRUS
I# of Fixtures: Applicant: SHERMAN RICHARD K & KATHLEEN T & RANDY R SHERMAN TR
IDigSafe # AT: 15 GARFIELD AVE
CUseGroup
ConstClass
ISSUED ON: 27 -Jul -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - 8 X 12 SHED
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
shed REC- 2013 - 000290 24- Jul -12 6348 $25.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.