23C-086 (3) Sheetl
Qty Desc Ind Cost Total Cost Total
3 2"x6"x16' Pressure Treated $11.57 $34.71
19 2"x6"x10' Pressure Treated $6.97 $132.43
5 4'x8'x3/4" Pressure Treated $35.00 $175.00
6 2"x4"x16' $6.98 $41.88
6 2"x4"x10' $4.28 $25.68
100 2"x4"x8' $2.67 $267.00
8 4'x8'xl/2" Plywood $18.75 $150.00
15 4'x8'x3/8"T1-11 $18.28 $274.20
26 4x8x16 Cement block $1.38 $35.88
7 Shingles $29.00 $203.00
17 1 in. x 4 in. x 12 ft. Pressure-Treated Board $5.57 $94.69
1 3/4 x 4 x 8 Pine Sheathing Plywood $35.97 $35.97
2 Tar paper $20.00 $40.00
7 120"drip edge $4.00 $28.00
$1,538.44
Page 1
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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
Frontage N/A N/A N/A
Front: y51 45 1
Setbacks:
Side:
1-: 11' R: 23' L: i&' R: log
Rear: IyS•5% LISt
Height 15t 2S
% Open Space:
(Lot area minus bldg and qy.,WQyg g3.94/.
Paved parking)
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 114 Zoty APPLICANT'S SIGNATURE 2-
NOTE: Issuance 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
���EPARTMENT OF BUILDING INSPECTIONS y;
` 212 Main Street • Municipal Building JafC`�
Northampton, MA 01060 �Y
0
IN OR
RY STRUCTURE PERMIT APPLICATION
Electric,Plumbing& A 01060
Northa'rpto,..nn
(F estanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check# a 0l
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: _F—VAn 1/41 '
Address: '4(, Bit'S S� Flotmnc., MA OIOG2 Telephone: q7R-855-4314 5
2. Owner of Property: V6 .L
Address: *` e1%5< St �:Jcroy\co_ AAA 010(,2 Telephone: 9'49-995'1345
3. Status of Applicant: J Owner Contractor
4. Structure Location: 45 cro-\ 6ac,Lc aAck 10, CC.-, T-141t n'(ofV,.<i 1�"%-
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: J Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.: V/ Freestanding Deck under 200 sq.ft., less than 30"above grade:
Other(describe): / 6 X/ lD
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO J DON'T KNOW YES
IF YES: Hasa permit been, or need to be, obtained from the Conservation Commission?
Needs to be obtained Obtained , Date issued
CONTINUED ON NEXT PAGE
File#MP-2014-0089
APPLICANT/CONTACT PERSON VAINE EVAN
ADDRESS/PHONE 76 BLISS ST (978)855-7345 Q
PROPERTY LOCATION 76 BLISS ST
MAP 23C PARCEL 086 001 ZONE URA(100)/WSP(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid A
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ERECT 10 X 16 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:
tZApproved 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
Signa e 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.
76 BLISS ST MP-2014-0089
COMMONWEALTH OF MASSACHUSETTS
_ CITY OF NORTHAMPTON
�IGIS# 3150 _
Map. --_ 23C
Block: 086 ZONING PERMIT
Lot: 001
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
Category: shed
Permit# MP-2014-0089 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-001892 _
Est. Cost: Contractor: License: Expires:
Fe Charged: 25.00 Homeowner as Contractor
e g $ _
Balance Due:$;00 Owner: VAINE EVAN
#of Fixtures _ Applicant. VAINE EVAN
Dig_Safe# _ _ AT. 76 BLISS ST
UseGroup _
ConstClass
ISSUED ON. 01-May-2014 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 10 X 16 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-2014-006192 24-Apr-14 209 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.