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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 3,6a1t( �crc 3.(�0lysor�
Frontage N/A N/A N/A
Front:
Setbacks:
/ Side: L: R: L: R:
Rear:
Height N[4- �Z /
% 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: 6/13114 APPLICANT'S SIGNATURE
rL
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.
u City of Northampton
V Massachusetts �
two �
DEPA)2 T OF BUILDING INSPECTIONS ��.
JUN ' 7 2014 212'!! Street a Municipal Building ,
orthampton, MA 01060
INSPECTO
Electric. Plumbing&Gas Inspections
Ncrthamptcn, MA 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#mod D�
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Jacob Fine
Address: 253 Prospect Street Telephone:-4135306275
2. Owner of Property:—Congregation Bnai Israel
Address: 253 Prospect Street Telephone:-4135843593
3. Status of Applicant:—x—Owner _Contractor
4. Structure Location: Congregation Bnai Israel
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:-
x-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): Aed v 4 l ���` 12 " 12 AIlk
7. Attached Plans: Sketch Plan Stfe 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 Obtained Date issued
CONTINUED ON NEXT PAGE
File#MP-2014-0108
APPLICANT/CONTACT PERSON B'NAI ISRAEL CONGREGATIONAL
ADDRESS/PHONE 253 PROSPECT ST (413) 584-3593 Q
PROPERTY LOCATION 253 PROSPECT ST
MAP 24D PARCEL 001 001 ZONE URB(100)
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: ERECT 8 X 12 SHED
New Construction
Non Structural interior renovations
Addition to Existin
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
INFO ATION 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
,-/, 4--� - 6 '
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.
253 PROSPECT ST MP-2014-0108
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
�GIS#: 9259
IMap: 24D --- —
Black. 001 __ ZONING PERMIT
Lot: 001
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
Category: shed -
IPermit# MP 2014-0108
- - - PERMISSION IS HEREBY GRANTED TO:
Project# JS 2014-002272
Contractor: License: Expires:
Est.Cost:
- -
Fee Charged:$25.00 Homeowner as Contractor
[Balance Due $.00 Owner: B'NAI ISRAEL CONGREGATIONAL
,#of Fixtures Applicant: B'NAI ISRAEL CONGREGATIONAL
DigSafe# _ AT: 253 PROSPECT ST
;UseG
rConstClass
ISSUED ON. 23-Jun-2014 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ERECT 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-2014-007199 17-Jun-14 15208 $25.00
212 Main Street,Ph one:(413)587-1240,Fax:(413)587-1272,Email:ihasbrouck @northamptonma.gov
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.