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Map Contents � �.
i citymap M . �
1- utilities (provisional) + `
1 roads "
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. 17 hydrography ' �
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I� demography r • 00 k
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an
10, Do any signs exist on the property? YES NO •
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) over 1 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
Depau lzueni
iZb EXISTING PROPOSED k : XE: RI1 .B
DY
N: eL In .iy
Lot Size
1 00492 . 9e
Frontage
Setbacks Front I5
L
Side J4- L: R: L: R: R � .
Rear it
Building Height
Building Square Footage
% Open Space: (lot area v
minus building & paved
narking
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. -
i
Date: 8/ Applicant's Signature z AM/
NOTE: Issuance of a zoning permit does not relieve an applican :' ur o 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\FORMSbriginal\Buil ding- Inspector\Zoning- Permit - Application- passive.doc 8/4/2004
EIVED
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File No. A� I�' 1 �7'jt� -- [ l 2
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NOR �' ��� �� � m° G ��-., f „ �-R ,�fl X5 '. t � } ... �+ �b 6+ l !�SxS'7 Gs� ��4'��`� Y� s�,� �' z'�ta r•�5,
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 ofNorthampton
1. Name of Applicant: fONIMt1L "I7`I : A'Ll'It (4-0) r 7 19` f
Address: PA 6.itiOtJ ' T Telephone: (4 1 7 4D'1
2. • Owner of Property: fi (`i niliPtilOP "
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location:
' .� -w+ ��°O'n1Rt� �
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4', C b ''x` u tn
,yw- b 4 r � • '” * � y x y, 2
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_ 'fi' MIFi 8 I S.l ®r 1 . � .. � E.` s' `�aegi# } �,.. -
.... � , S ,+art;..
5. Existing Use of Structure /Property: nUQt LM Id fiti ( 10 y
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary):
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 ✓ DON'T 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)
8/4/2004
W:\ Documents\ FORMS \original \Building- Inspector\Zoning- Permit- Application- passive.doc
ti..
File # MP- 2013 -0018 �}f� # rc 0
1 e
APPLICANT /CONTACT PERSON COMMUNITY ACTION
ADDRESS /PHONE 393 MAIN ST (413) 582 -4230 0 /
PROPERTY LOCATION 56 VERNON ST is
MAP 31A PARCEL 112 001 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 ° (O $ 25
Fee Paid
Typeof Construction: ZPA - 10 X 14 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
INFSRMATION 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
rf
_ 9/1"?._
Signature of Building S ficial 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.
56 VERNON ST MP- 2013 -0018
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 9465 Z H AMa
�, ,,
Map: 31A t ikva
Block: 112 ;
� ZONING PERMIT
,Lot: 0 01� , � r:
Permit: ZONING PERMIT A PPLI s, T R ��%
APPLICATION PERMIT
Category: shed
Permit # MP -2013 -0018 PERMISSION IS HEREBY GRANTED TO:
'Project # JS- 2013 - 000263
Est. Cost: Contractor: License: Expires:
'Fee Charged: $25.00 Homeowner as Contractor
Balance Due: $.00 Owner: NORTHAMPTON CITY OF VERNON STREET SCHOOL C/O CITY PROP
1# of Fixtures: Applicant: COMMUNITY ACTION
DigSafe # — `— AT: 56 VERNON ST
IUseGroup
IConstClass
ISSUED ON: 30- Aug -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - 10 X 14 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- 000569 13- Aug -12 370606 $25.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck@northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.