23C-045 ;y.
MORTGAGE Y LOAN INSPECTION
THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY
414
A
a
co
o
i
^
ro
A D
4
2 1 '9 GARAGE
STORY '
I
GRAVEL W/F \
DRIVE �•J s"
IRF , _ ��L 1 ' " Ka THE PREMISES SHOWN ARE
ik j,'z. :; ,;�' ' � x' y e...0 , + �e I / SUBJECT TO AND /OR
I i * �l/ L �ti� ~' TOGETHER WITH THE
6s,A BENEFITS OF ANY AND ALL
( ` } � � � " "'` �w� AGREEMENTS, CONDITIONS,
O °R °H " �' " � i r COVENANTS, EASEMENTS,
�� , BIT. �� w
- WALK - RESERVATIONS,
4,I ` ' �
' IPF v ' ',/\' 6 11 `"` j ���
� °J ' : RESTRICTIONS, RIGHTS, AND
. .4> 14' TAKINGS OF RECORD.
-<P I 1 ` b T")
4 (Al t ( (cci,1 C
0 3) 8 z(1-C14--
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 StgIS S
Frontage N/A N/A ,.�.
----- Front: a AA -- VYtc, ? _
S etoeeks:
Side:
L: Z R: L:� R. f J
Rear: _' 3 tiAir See VvVetr
Height / / r/L
$ %.et.
I
VI O pen S pace: N■e, .
(Lot area minus bldg and 1'
Paved parking) K
�oa� e:26 sd,
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: / ' APPLICANT'S SIGNATURE - -4 '211 t 7 L
2-
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 w � `.
r DEPARTMENT OF BUILDING SNSPECTIONSs - 1
- ' � e 212 Main Street • Municipal Building t
3 Northampton, MA 01060 'C-
INSPECTOR
ACCESSORY STRUCTURE PERMIT APPLICATION
For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
E EIVEp
Perm Fee: $25.00 Check # PIb
SEP 1 2 101
PLEASE TYPE OR PRINT ALL INFORMATION
(
Address: 17 1 _I ( c ' w c _ Firrc- 1 / Telephone: & �� 3 ) 5 6 `fie '/
2. Owner of Property:. _ _ _ _ ._ s,t vtti..L_
Address: Telephone:
3. Status of Applicant: 7(, Owner Contractor
4. Structure Location: i&e 4 i u c( ;nom (5 c - t , Nei YKN (o)
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: K Multifamily: Commercial: .
6.. Description of Proposed Structure: i i
Shed under 200 sq. ft. ^ Freestanding Deck under 200 sq. ft. Other (describe)
1, )(1
7. Attached Plans: Sketch Plan Site Plan i+ 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
File # MP- 2013 -0034
APPLICANT /CONTACT PERSON WINTER BEN
ADDRESS/PHONE 24 WILLOW ST (413) 586 -4707 Q
PROPERTY LOCATION 24 WILLOW ST
MAP 23C PARCEL 045 001 ZONE URA(109)/WSP(108) /WP(49)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out MO #0'
Fee Paid
Tvpeof Construction: ZPA - 12 X16 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
INFQRMATION 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 uilding 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.
24 WILLOW ST MP- 2013 -0034
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 3109 � Z HA Mp � ti
1
Map: 23C 3 ��
Block. 045 f �� � ��� �� /
Lot: 045 �) ZONING PERMIT
Permit: ZONING PERMIT APPLI s, TFR�EN APPLICATION PERMIT
Category: shed
Permit # MP-2013-0034 PERMISSION IS HEREBY GRANTED TO:
Project # JS -2013- 000462
Est. Cost: Contractor: License: Expires:
Fee Charged: $25.00 Homeowner as Contractor
Balance Due: $.00 Owner: WINTER BEN
# of Fixtures: Applicant: WINTER BEN
DigSafe # AT: 24 WILLOW ST
UseGroup
IConstClass
ISSUED ON: 14- Sep -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - REPLACE EXISTING W /12 X16 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- 001055 12- Sep -12 MO $25.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Emait :lhasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.