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32A-066 (2) IV Cif pro 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: /00 f' Setbacks: Side: / { L: R: L:I Z- 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. f DATE: APPLICANT'S SIGNATURE oua �Xe 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. '� V�,/7 � l r-� -� ity of Northampton -22014 Massachusetts ;rG } mbfn DEPARTMENT OF BUILDING INSPECTIONS hampto , Gas Inspections 212 Main Street • Municipal Building , ... MA 01060 Northampton, MA 01060 b �1 INSPECTOR ACCESSORY STRUCTURE PERMIT APPLICATION 3c�H-b b (For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure) Permit Fee: $25.00 Check # 5Sg' PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: (-1 hLrL/ Address: J!" / � )y�/O n Telephone: *3 2. Owner of Property: Lie/�t�j� f f�jbqv Address: 0/7 Telephone: 51 m 3. Status of Applicant: Owner Contractor 4. Structure Location: Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Use of Property: Single o Two Famil . Multifamily: Commercial: 6. Description of Proposed Structure: One Story Shed under 200 sq.ft.: I' Freestanding Deck under 200 sq.ft., less than 30"above grade: Other(describe): a x 2 L 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-2014-0103 APPLICANT/CONTACT PERSON KORYTOSKI CHERYL A ADDRESS/PHONE 63 UNION ST (413)584-0623 Q PROPERTY LOCATION 59 UNION ST MAP 32A PARCEL 066 001 ZONE URC000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid SIV Ty_peof 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 INF94MATION 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 Co ission Permit DPW Storm Water Management 1' 66 ti 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. 59 UNION ST MP-2014-0103 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON 'GIS#: 6406 IMap: 32A Buck - 066 ZONING PERMIT Lot - 001, ,�.• . Permit: ZONING PERMIT APPLI APPLICATION PERMIT Pe �C—atego PeZry:shed t# MP-2014-0103 PERMISSION IS HEREB Y GRANTED TO: (Project# JS-2014-002161 Est.Cost: Contractor: License: Expires: I— Homeowner as Contractor Eee Charged:$25.00 (Balance Due:$.00 Owner: KORYTOSKI CHERYL A of Fixtures Applicant: KORYTOSKI CHERYL A tSafe# AT: 59 UNION ST eGroup !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-2014-006955 03-Jun-14 5587 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @north amptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.