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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 /4 59/ _O-L /4, 591 s
i
Frontage I N/A N/A N/A
_I - f i
�_�-�� Front:
S-e-Tbacks:
Side: L: Sr R: L: S R:
Rear: /(9 /6 '
Height iI is
I o Open Space: i I r
(Lot area minus bldg and ( 7 CJ t� U
Paved parking)
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: _.2-/ 3 APPLICANT'S SIGNATURE ]r.---.... G ,J
a
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:
Laty or Nor tnamp-con
- ' ' " RECEIVES assachusetts � = `%
Pto y? I :�
r. '„` DEPAR s N OF BUILDING INSPECTIONS . 1t `1
-.__ — M 'n S eet • Municipal al Buildin /' °'
'• 2�3 Nor ampton, MA 01060 g •Fo4ti�
INS PE CTOR ....._
DEPT.OF BUILDING INSPaCTIONS
NORTHAMPTON,MA 01060
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check# 2 3 8 3
PLEASE TYPE OR PRINT ALL INFORMATION
-- -------
1 Name of Applicant: i 1S C.. V a rc' (S
---_Address: /6 Fe el i6l eil J 3�[; F/0 rev-)6 e_ _ Telephone:-4/3 584 L5-669
2. Owner of Property: / Q - Vi TG r 3
Address: c-9/6 Fe d e Yc, I 3 I Telephone: 4(3 .B ( :5669
3. Status of Applicant:JOwner Contractor
4. Structure Location: 0/6 Fed era) 31 rib )n C e
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: 61 Multifamily: Commercial:
6. Description of Proposed Structure: '
Shed under 200 sq.ft. )c.. Freestanding Deck under 200 sq.ft. Other(describe)
/6° '-
7. Attached Plans: Sketch Plan )( x, Site Plan Plot Plan )-
8. Does the site contain a brook, body of water or wetlands? NO )( 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-2013-0108
APPLICANT/CONTACT PERSON VITOLS ELSA C
ADDRESS/PHONE 216 FEDERAL ST (413)584-5669 0
PROPERTY LOCATION 216 FEDERAL ST
MAP 23D PARCEL 114 001 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 a
Fee Paid a 1/y
Typeof Construction: ERECT 160 SQ FT 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
INF1 RMATION PRESENTED:
�V 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
-5-8/3
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.
216 FEDERAL ST MP-2013-0108
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 3270 4016; 'A
Map: 23D _, ii \,
Block: 14 � '��,?: ZONING PERMIT
Lot. 001 t'r► .
Permit: ZONING PERMIT APPLI ' EN_�w�i' APPLICATION PERMIT
Category: shed
Permit# MP-2013-0108 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2013-001722
Est. Cost: Contractor: License: Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: VITOLS ELSA C
#of Fixtures: Applicant: VITOLS ELSA C
i
DigSafe# AT: 216 FEDERAL ST
'UseGroup
ConstClass I
ISSUED ON: 10-May-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ERECT 160 SQ FT SHED
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
shed REC-2013-006046 02-May-13 2383 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.