23D-089 A A
-* 4 )(V =111 C:‘, - r\ I I , f•m■. 9i /1.).
- v it .21 - 911 cAAN--i i EJ (-) f - Wt.\ Vi/ (1 .11
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
.rte, � - � -
- - Setbacks;
Side: L. , " • ." L: q k R: I /j
Rear _ i
//
Height - '/
l
% 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 belt
of my knowledge.
DATE: /) • / ' /1/ APPLICANT'S SIGNATURE -' �(. 4-24,69e
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
ek 1' % Massachusetts f1
,, ,, y „ DEPARTMENT OF BUILDING INSPECTIONS • :14. i /3;,
2_., 7 212 Main Street • Municipal Building y
: � 1" . Northampton, MA 01060 1.
INSPECTOR
5 2012
(ACCESSORY ST UCTURE PERMIT APPLICATION
(For freestanding struct s Tes� tlLtan 200 sq. ft., at least 5 feet from any other structure)
0 TO
Permit Fee: 1 $ 5.0 0 Ch eck # ��
PLEASE TYPE OR PRINT ALL INFORMATION
1. - �aName of Applicant: t W /'J i /r LO - . _
A d d r e s s : /5__ I / ,2 i /2. 5 Telephone: `y /3 6---g; 2, B % a
2. Owner of Property:.. sJr y LA . 's ,J= c v
Address: /< ii)/l'4 /' 1JF__ /Z > r Telephone: S - fih e--
3. Status of Applicant: U` Owner Contractor
4. Structure Location: ,3H c X I/t72-U
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: v Multifamily: Commercial: .
6. Description of Proposed Structure: { i
Shed under 200 sq. ft: " Freestanding Deck under 200 sq. ft. Other (describe) S c a. N F. 4.;,= /J
?/t ti n, - ,ce/ /C ) 2.-
7. Attached Plans: Sketch Plan U•''" Site Plan Plot Plan
3. Does the site contain a brook, body of water or wetlands? NO V 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 -0060
APPLICANT /CONTACT PERSON ROSENFELD EMILY A & JOYCE ROSENFELD
ADDRESS/PHONE 15 WARNER ST (413) 585 -9898 0
PROPERTY LOCATION 15 WARNER ST
MAP 23D PARCEL 089 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
O Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - 10 X 12 PAVILLION
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:
iv 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
I /V(
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.
15 WARNER ST MP- 2013 -0060
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 3248 SAM r\
Map: 23D
Block: 089 �. � ,
- & ZONING PERMIT
Lot: 001
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
Category: shed
T £R�EN�E-
Permit # MP- 2013 -0060 ~ PERMISSION IS HEREBY GRANTED TO
Project # JS- 2013 - 000856
Est. Cost: Contractor: License: Expires:
Fee Charged: $25.00 Homeowner as Contractor
Balance Due: $.00 Owner: ROSENFELD EMILY A & JOYCE ROSENFELD
# of Fixtures: Applicant: ROSENFELD EMILY A & JOYCE ROSENFELD
DigSafe # AT: 15 WARNER ST
Use Group
ConstClass
ISSUED ON: 09- Nov -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - 10 X 12 PAVILLION
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 - 001855 08- Nov -12 1945 $25.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck@northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.