32A-065 (2) 6'-2
V,n
112 f
are tv
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: DO f- .
Setbacks:
n
Side: L: R: L: t R:
Rear:
Height
% 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.
DATE: APPLICANT'S SIGNATURC
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
xl Massachusetts
} DEPARTMENT OF BUILDING INSPECTIONS
k�
212 Main Street • Municipal Buildings
C - --� Northampton, MA 01060 ry .. th
JUN - 2 2014 CESSORY STRUCTURE PERMIT APPLICATION
ya�45
Electric.. F �� ciiof
r �l"or_#i-eesta ling-$tructures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check# 6Y?7
Ch e- TYPE OR PRINT ALL INFORMATION
/
1. Name of Applicant: (�he-ai� A �r
Address: �r)f d S� Telephone: (q 13—Seq^LJ� Z3
2. Owner of Property:
Address: 3 u n i 0'7 SI • Telephone: 3a 1'►�°e
3. Status of Applicant: Owner Contractor
4. Structure Location: 6
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Ingle r Two Family: Multifamily:__ Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.:-4J Freestanding Deck under 200 sq.ft., less than 30"above grade:
Other(describe): /a xj 4P
7. Attached Plans: Sketch Plan � Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO K 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-2014-0102
APPLICANT/CONTACT PERSON KORYTOSKI CHERYL A
ADDRESS/PHONE 63 UNION ST (413)584-0623 Q
PROPERTY LOCATION 63 UNION ST
MAP 32A PARCEL 065 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid
Tvneof Construction: ZPA- 12 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:
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
r4 l 6h11
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.
63 UNION ST MP-2014-0102
COMMONWEALTH OF MASSACHUSETTS
GIS#: 6405
CITY OF NORTHAMPTON
_ a
. l
Map:
Block. 065 ZONING PERMIT
- -- ----
Lot 001 „�•
Permit. ZONING PERMIT APPLI: APPLICATION PERMIT
Category: shed
Permit# MP-2014-0102 _ PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2014-002160
Est.Est.Cost: _ Contractor: License: Expires:
Homeowner as Contractor
Fee Charged:$25.00
Balance Due:$.00 Owner: KORYTOSKI CHERYL A
#of Fixtures Applicant: KORYTOSKI CHERYL A
DigSafe# AT: 63 UNION ST
UseGroup
ConstClass
ISSUED ON: 06-Jun-2014 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA- 12 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-2014-006954 03-Jun-14 5587 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMSO 2014 Des Lauriers Municipal Solutions,Inc.