38B-167 -�c
sp/b ree-tvoo/e'f
fs' f
4 �y5
2itgL
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: R: L: 3 R:
Rear: r , /
t�
Height
% Open Space:
(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.
DAT 02 •2 � APPLICANT'S SIGNATUR (40/-cC0 14 tie
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.
City of Northampton
,,, ',` . Massachusetts :tea \ �
f i DEPARTMENT OF BUILDING INSPECTIONS '1, d
4 ,
n g, 212 Main Street • Municipal Building' 7
+ 232012
AUG ' Northampton, MA 01060 V
` 1 1
INSPECTOR
DE, ?:: BUi ,,, PECTIONS
NORTH ,J+AO1060
CE S TRUCTURE PERMIT APPLICATION
(For freestanding structures Tess than 200 sq. ft., at (east 5 feet from any other structure)
Permit Fee: $25.00 Check # 02
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: / ^' EO • " e'/°
Address: 92 d/1- 4 S;i2 0/, p/tf elephone: cQc 7_ f Z
2. Owner of Property: / 6 /. Q /��✓
Address: 3,2. / /1 %.171" 111 Telephone: Sa /we a S a bad e
3. Status of Applicant: Owner Contractor
4. Structure Location: .
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: 1/ Multifamily: Commercial:
6. Description of Proposed Structure:
Shed under 200 sq. ft. IZ Freestanding Deck under 200 sq. ft. Other (describe)
2S X, 'O 6
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 l< 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
File # MP- 2013 -0027
APPLICANT /CONTACT PERSON RICHARDS KATHLEEN L ��r ,O ✓''"
ADDRESS /PHONE 92 LAKESIDE DR (413) 267 -9530 Q Gn-
5QA baCks 4 •
PROPERTY LOCATION 32 FORT ST /y
!sj
MAP 38B PARCEL 167 001 ZONE URB(100)/ 1ST 4 SHOE lk �Enr-
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT . �� t/ v
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - 8 X 8 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}2MATION PRESENTED:
I./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
F/4 1
Date
of Building Official Da e
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.
32 FORT ST MP- 2013 -0027
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 7665
Map: 38B ati
Block: 167 4 , ZONING PERMIT
Lot: 001
Permit: - _ ZONING PERMIT APPLI APPLICATION PERMIT
�ss Te p
(Category: shed
Permit # MP -2013 -0027 PERMISSION IS HEREBY GRANTED TO:
Project # JS -2013- 000342
Est. Cost: Contractor: License: Expires:
Fee Charged: $25.00 Homeowner as Contractor
Balance Due: $.00 Owner: RICHARDS KATHLEEN L
of Fixtures: Applicant: RICHARDS KATHLEEN L
DigSafe # AT: 32 FORT ST
UseGroup
ConstClass
ISSUED ON: 31- Aug -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA- 8X8SHED
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 - 000803 24- Aug -12 328 $25.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck@northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.