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24C-143 (5)
85.2 169 65 IC - 144 s 163 v t 2 143 159 127`'x. 65 24 — 14 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 Ar 'Z ( .2 Frontage N/A N/A N/A Front: �{ O Setbacks: Side: L: /� R:AIA L: SI'V R: Rear: V/ S Height N % 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. / al/ DATE: '611111Y APPLICANT'S SIGNATURE NOTE: Issuance of a permit does not relieve an applicants 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. - r Massachusetts ��?S`s s,�f%, c. f DEPARNT OF BUILDING INSPECTIONS y. AUG ! 12014 212 M.4 n Street • Municipal Building Northampton, MA 01060 INSPECTOR f t Electric - a0 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# .� PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: - rks y`GA K I— -2- 'el Address: 60'yiie l r`�!t l�- 4 vli'f 4I I*A Telephone: a t> �3 y -7 2. Owner of Property: / (k Q Address: l l ��/t�>l `�i k"Telephone: E6© � U c' 3 3. Status of Applicant:XOwner Contractor 4. Structure Location: C ` `(�'ls 6, A11P,- XA A)�� 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.:�_ Freestanding Deck under 200 sq.ft.,less than 30°above grade: / Other(describe): Q )c / T 7. Attached Plans: Sketch Plan Site Plan Plot Plan 8. Does the site contain a brook, body of water or wetlands? NO 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-2015-0012 APPLICANT/CONTACT PERSON KURTZ JUSTIN ADDRESS/PHONE 82 LAUREL HILL RD (860)830-7523 Q PROPERTY LOCATION 11 ARLINGTON ST MAP 24C PARCEL 143 001 ZONE URB000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Wdolo Building Permit Filled out Fee Paid Typeof Construction: ZPA- 10 X 14 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 INF MATION 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 Signature of Building Of ici 1 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. 11 ARLINGTON ST MP-2015-0012 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIs#: 3818 Map: 24C ----- ''� LBloch: 143 ZONING PERMIT ot. -- 001 Permit: ZONING PERMIT APPLI APPLICATION PERMIT (Category: shed Permit# MP-2015-0012 -- Project# JS-2015-000321 1 - PERMISSION IS HEREBY GRANTED TO: Est.Cost: Contractor: License: Expires: Homeowner as Contractor Fee Charged:$25.Q0 Balance Due:$00 Owner: KURTZ JUSTIN #of Fixtures Applicant: KURTZ JUSTIN DigSafe_# - _ _-;AT: 11 ARLINGTON ST UseGroup ConstClass ISSUED ON: 15-Aug-2014 AMENDED ON: EXPIRES ON. TO PERFORM THE FOLL O WING WORK: ZPA- 10 X 14 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-2015-000687 11-Aug-14 553 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.