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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 all
Frontage NIA NIA NIA
Front: �S i
Setbacks:
Side: L: R: 35' L: R: 18dl
Rear:
Height !0
% Open Space: g� _
(Lot area minus bldg and l v 70
Paved parking)
10. Certification: 1 hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: l" Z y % APPLICANT'S SIGNATURE
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
TAENT OF BUILDING INSPECTIONS y
ia �
,� 2 a 20 " s,
Main street s Municipal Building
__.. Northampton, MA 01060 tq q
INSPECT R
Electric, F'Iorrbina&t:�s I.°spections
Nortt-r,rtort, k1A 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# CB 0o�
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: y
Address: Telephone: '!W3 53 k3
2. Owner of Property:
Address: rn
,,/�E/Y2y
/R 11S.1oc IZ-1.
Telephone:
3. Status of Applicant: Owner Contractor
4, Structure Location: /cg lTJ��1z>'C F /I/14r,
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family:_ 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): Ox I z
7. Attached Plans: Sketch Plan Site Plan Plot Plan_,?C__
8. Does the site contain a brook, body of water or wetlands? NOS_ 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-2014-0062
APPLICANT/CONTACT PERSON BROWN HENRY
ADDRESS/PHONE 18 HILLSIDE RD (413)537-1185 Q
PROPERTY LOCATION 18 HILLSIDE RD
MAP 24D PARCEL 307 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid
Typeof Construction:_ZPA- 8 X 12 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
INFORMATION 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
IL3e �1
Signature of Building Officia 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.
18 HILLSIDE RD MP-2014-0062
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 14149 - ..
Map: I24D
Block: 307 ZONING PERMIT
Lot: 001
Permit: (ZONING PERMIT APPLI �� •. � .�II�
Category: ,,rhea APPLICATION PERMIT
Permit# MP-2014-0062 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-001413
Est.Cost: Contractor: License: Expires:
- - --— _-- Homeowner as Contractor
Fee Charged ($25.00
Balance Due:$.00 iOwner: BROWN HENRY
#of Fixtures: Applicant: BROWN HENRY
IDigSafe# AT: 18 HILLSIDE RD
UseGroup
!ConstClass
ISSUED ON: 03-Feb-2014 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-8 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-2014-003252 24-Jan-14 682 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.