35-200 k
•
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 33 o p U sti
Frontage N/A N/A N/A
Front:
Setbacks:
Side: L: R: L: R:'
Rear:
Height a 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
of my knowledge.
fib- Ito_ 13 APPLICANT'S SIGNATURE r' /
DATE: ,,,[...• _��
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.
s _ ' City of Northampton
rs s
Massachusetts .&, ,
�
rz ¢ c 1 1 6 2.1313 'ARTMENT OF BUILDING INSPECTIONS
it e uU■ .12 Main Street • Municipal Building rl, "`
Northampton, MA 01060S�1Yr1�
( �,as Inspections
INS'EST!ec, p - �ton."..P"' C6�
no r�°n p
r�
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# / q
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: kAQ-I PtUL L- lb H 105 bk.)
(.t IUaW.E1 PILL b� R-o)2 f---t- Telephone: 1-1 13 -5 tF O 9 1
Address: !1 phone:
2. Owner of Property: S-A l�lL A.5 R-1?)DUE,
Address: `31'0Pt E- N.5 A P)OVE Telephone: 5A At A5 AA L L 6
3. Status of Applicant: Owner Contractor
I
4. Structure Location: It TV E1 ktLi, ICU 6140),\/ PrO 51- Eb v'
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY�T//HE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: X. Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.: X Freestanding Deck under 200 sq. ft., less than 30"above grade:
Other(describe): ?)
7. Attached Plans: Sketch Plan X Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO X DON'T KNOW YES
IF YES: Has a permit been, or need to be, obtained from the Conservation Commission?
Needs to be obtained 01 A Obtained VIA , Date issued 1101 1)
CONTINUED ON NEXT PAGE
File#MP-2014-0037
APPLICANT/CONTACT PERSON JOHNSON RAYMOND&MARIANNE L
ADDRESS/PHONE 11 TURKEY HILL RD (413) 584-0891 0
PROPERTY LOCATION 11 TURKEY HILL RD
MAP 35 PARCEL 200 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ERECT 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
INF9RMATION 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
Vt 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.
11 TURKEY HILL RD MP-2014-0037
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 7017 Op2HAMP�,o
?� h
Map: 35 �
Block: 200 ,. ,`
�;� � ���
� �4 6 / ZONING PERMIT
Lot: 001 7„ �:�
Permit: ZONING PERMIT APPLI �'FRcENTEN APPLICATION PERMIT
1Category: (shed
Permit# MP-2014-0037 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-000786
IEst. Cost: Contractor: License: Expires:
Fee Charged:$25.00
'Homeowner as Contractor
Balance Due:$.00 Owner: JOHNSON RAYMOND&MARIANNE L
,#of Fixtures: Applicant: JOHNSON RAYMOND&MARIANNE L
IDigSafe# AT: 11 TURKEY HILL RD
UseGroup
IConstClass
ISSUED ON: 18-Oct-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 8 X 8 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-2014-001712 16-Oct-13 198 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.