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(6) Description of Proposed Work
To move existing 12' x 14' storage shed from current location on property (on south side
of house currently set back from street approximately 35 feet) to be moved approximately
another 40 feet to the rear of the property and to extend driveway by the same 40'x 19'.
10. Do any signs exist on the property? YES NO V
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) o7f acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Gov .,
Frontage
Setbacks Front
Side L: R: L: R: i L: R:
Rear
Building Height
Building Square Footage
% Open Space: (tot area
minus building Et paved t � 5`5.7 7
parking
# of Parking Spaces
1
# of Loading Docks 0
0
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
W: \Documents\ FORMS\ original \Building- inspector\Zoning- Permit- Application- passive.doc 8/4/2004
JUL 27 2012 '
i _ . 1
_ File No. I 1 13 )3
DE ' 'THA ' iA 01060 _ O 1O6O r In ( � ` NING PERMIT APPLICATION 01o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order) payable to the
City of Northampton
1. Name of Applicant: .: � L ft O R:. 4A-
Address: A14 8 L4 (3 5$6 5) 2
�f� �Kt f 5 j Telep 4
2. Owner of Property: AM E
Address: Set f Telephone: 5/4/
3. Status of Applicant: Owner / Contract Purchaser Lessee Other (explain)
4. Job Location: ? e i tA1A S .. t Sr
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: k i A E/( Ti tt 1— '1k P/ j ozi}(9'e RE 0
6. Description of Proposed Use /Work /Project /Occ on: (Use additional sheets if necessary):
i
c
'7/1W ,, nri'Ar. �/ . "w
7. Attached Plans: Sketch Plan / Site Plan Engineered /Surveyed Plans
8. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DONT KNOW / YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and /or Document #
9.Does the site contain a brook, body of water or wetlands? NO / DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
(Form Continues On Other Side)
W:\DocumentslFORMS 1origina0BBuilding- lnspector\Loning- Permit Application- passive.doc 8/4 /2004
File # MP- 2013 -0013 5E0) eipt e
APPLICANT /CONTACT PERSON FEDERMAN PAUL 02—
ADDRESS/PHONE 84 MARKET ST (413) 586 -5262 0 •
4
PROPERTY LOCATION 84 MARKET ST
MAP 32A PARCEL 115 001 ZONE URC(99)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 0.4) Li �t`7
Building Permit Filled out
Fee Paid
Typeof tA
f Construction: ZPA - RELOCATE SHED & EXTEND DRIVEWAY M 1Ni/VI 1 S t L/C A NA R6A
New Construction SE?&4C(C, S
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
INF9RMATION 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
)
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.
84 MARKET ST MP- 2013 -0013
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 6438 1 - o ti
Map: 32A �• �
Block: ;115 ZONING PERMIT •
Lot: 001 0 -
Permit: 1ZONINO PERMIT APPLI 'ss R � � , 9yA APPLICATION PERMIT
'Category: Zoning Permit
Permit # MP-2013-0013 PERMISSION IS HEREBY GRANTED TO:
'Project # JS- 2013 - 000178
Est. Cost: Contractor: License: Expires:
Fee Charged: $15.00 Homeowner as Contractor
Balance Due: $.00 Owner: FEDERMAN PAUL
# of Fixtures:1 Applicant: FEDERMAN PAUL
DigSafe # A 84 MARKET ST
UseGroup
ConstClass
ISSUED ON: 06- Aug -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - RELOCATE SHED & EXTEND DRIVEWAY - MINIMUM 4' SIDE & REAR SETBACKS
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:
Zoning Permit Application REC- 2013 - 000376 30- Jul -12 5224 $15.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.