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24D-279 (3) i a ! y,. ^ 7 4 K�q Q5 l h _ i" f` -d�� r I y f 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: Setbacks: Side: L: R: L: 4 R: Got Rear: Height - �_y�. % 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 SIGNATURE 44A2��& 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. Csit of Northampton Massachusetts -G 1 ° AUG " L�I4 DEPA-VIfENT OF BUILDING INSPECTIONS y 1 211,2 Ma'n Street • Municipal Building �s4'=,,, �'b I Northampton, MA 01060 .__ Electric, Fur ' r,g&; prictions INSPECTO North irp ,n.. ?;, ., ;060 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# a PLEASE TYPE OR PRINT ALL INFORMATION l'�' 1. Name of Applicant: t 1 66�1 )z R \ `' Address: l en ( ��C�lJ� �� Telephone: 2. Owner of Property: W I b--lr 1pf yy'1 ©22 Address: �o� -12 �G �; � , Telephone: 3. Status of Applicant: Owner Contractor 4. Structure Location: Parcel ID: Zoning Map# Parcel# _Dist. ct(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 2010{ sq.ft.:X Freestanding i Deck under 200 sq.ft., less than 30"above grade: / Other(describe): )!�/ y 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-2015-0016 Li �- APPLICANT/CONTACT PERSON ORR WILLIAM&JOANNE MONTGOMERY zeey ADDRESS/PHONE 161 CRESCENT ST O 586-6083 O PROPERTY LOCATION 161 CRESCENT ST MAP 24D PARCEL 279 001 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: ZPA-ERECT 7 X 10 SHED New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE r9LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I F 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 Pe Elm Street C missio Permit DPW Storm Water Management 6�9 _/ 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. 161 CRESCENT ST MP-2015-0016 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON �GIS#: 4121 . Map: 24D — - Lot: 001 _ -- ZONING PERMIT Lot: _-_ oo l Permit: shed PERMIT APPLI shed APPLICATION PERMIT Category: Kermit# MP-2015-0016 _ { PERMISSION IS HEREB Y GRANTED TO: Project# JS-2015-000382 Est.Cost: Contractor: License: Expires: Fee Charged:$25.00 Homeowner as Contractor Balance Due:$.00 Owner: ORR WILLIAM&JOANNE MONTGOMERY of Fixtures Applicant: ORR WILLIAM&JOANNE MONTGOMERY DigSafe# _ AT. 161 CRESCENT ST UseGroup ConstClass ISSUED ON. 22-Aug-2014 AMENDED ON. EXPIRES ON: TO PERFORM THE FOLLOWING WORK. ZPA-ERECT 7 X 10 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-2015-000812 20-Aug-14 1626 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov GeoTMS©2014 Des Lauriers Municipal Solutions,Inc.