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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 / i --- -
--_
661 X -l_l `7
Frontage N/A N/A N/A
Front:
_- --Setbacks:
Side: L: R: L: X R: 7
Rear: _
y`
Height
i % 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
ii
of my knowledge.
DATE: ) / I3 APPLICANT'S SIGNATURE (700V114
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 41V"
" ; mss
-- - , ,' ! r DEPARTMENT OF BUILDING INSPECTIONS '�'- € 1
¢ ,w 212 Main Street • Municipal Building a¢�
Northampton, MA 01060 r 4.
DEPT.OF b- `T `ffa'c E.cpb S
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# ! �5
PLEASE TYPE OR PRINT ALL INFORMATION
1. of Applicant: - 1 ih Al--1----
-------Address.----
12-2 aerfkitlk Sf i 1C-e- Telephone: (! }3)_sed'S-4‘if
2. Owner of Property: ---7-21A r,,fF .
,.. 1/
Address: Telephone:
3. Status of Applicant: /Owner Contractor
4. Structure Location: I 21- 04"iik Si—' ,
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: mgle r Two Family: ✓ Multifamily: Commercial: ,
6. Description of Proposed Structure: {
Shed under 200 sq.ft. ✓ Freestanding Deck under 200 sq.ft. Other(describe)
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 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
1 ' 1 '
.4 //t____„(,0
122 CHESTNUT ST MP-2014-0003
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 11727 HORSHAM TO\
Map: 17C , ;
!�
Block: 092 ( • .,t-tf �1 1
L:�,. ZONING PERMIT
Lot: 001 �
9 sfiI/�54�.
Permit: ZONING PERMIT APPLI � .ETE APPLICATION PERMIT
Category: shed
Permit# MP-2014-0003 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-000067
Est. Cost: Contractor: License: Expires:
FeeCharged:$25.00 Homeowner as Contractor
Fe
Balance Due:$.00 Owner: RITT TOBIN C&LAURA A ST PIERRE
#of Fixtures: Applicant: RITT TOBIN C&LAURA A ST PIERRE
DigSafe# AT: 122 CHESTNUT ST
UseGroup
ConstClass 1
ISSUED ON: 16-Jul-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ERECT 10 X 12 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-2014-000171 16-Jul-13 1635 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.