42-014 LL
F_ LC-V-p"',
i
a
,
i
9. ALL INFORMATION MUST BE COMPLETED;PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
This column to be filled in by
the Building Dmalment.
Existing Proposed Required by
Zoning
Lot Size
Frontage NIA NIA NIA
Front: � 'Y
Setbacks: r� v
Side: L: R: d Rr"IV
Rear f✓
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: Ilf If APPLICANT'S SIGNACRE
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 CommkWon,Departrnent of Public Works and other
applicable permit granting authorities.
SEP - 4 2014
Gas Inspections
Electric,Plumbing � ptF 0160
Northan'ptor,.
-- City of Northampton
h Massachusetts
.I DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building J�j• ,,��^^ Northampton, MA 01060
INSPECTOR
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#—.3 L 01-
/ PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: G,-/'�uoc� C�ti°`�� � p' h' s�f� L
Address: -L5-,t W��T J'AI�M�' F^`�' Telephone:�f 3 3- g 5/
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner _Contractor
4. Structure Location: 7-3-4 K-4 !C/y�t�✓
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:
Y y
Other(describe): 14 /� I x
7. Attached Plans: Sketch Plan_ Site Plan Plot Plan_
8. Does the site contain a brook,body of water or wetlands? NO I/ DON'T KNOW YES
IF YES: Hasa permit been,or need to be,obtained from the Conservation Commission?
Needs to be obtained Obtained ,Date issued
CONTINUED ON NEXT PAGE
File#MP-2015-0025 /
APPLICANT/CONTACT PERSON HEIHSEL LAURI A&ROSEMARIE J BRODEUR
ADDRESS/PHONE 254 WEST FARMS RD (413)563-1005 Q
PROPERTY LOCATION 254 WEST FARMS RD
MAP 42 PARCEL 014 001 ZONE
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 10 X 12 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
iFO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
O ION 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
P
in treet Commission Permit DPW Storm Water Management
Signature of B ing icial 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.
254 WEST FARMS RD MP-2015-0025
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIs#: 8104
Map: 42
Block: 014 \
Lot: _ 001 _— —
ZONING PERMIT
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
'Category. shed
Permit# MP-2015-0025 - PERMISSION IS HEREBY GRANTED TO:
'Project# JS-2015-000492
- -- - -- --- -- Contractor: License:
..Est.Cost: Expires:
'Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: HEIHSEL LAURI A&ROSEMARIE J BRODEUR
�#of Fixtures _ Applicant: HEIHSEL LAURI A&ROSEMARIE J BRODEUR
DtgSafe# -_ _ AT: 254 WEST FARMS RD
UseGroup
ConstClass
ISSUED ON: 12-Sep-2014 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 10 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:
Zoning Permit Application REC-2015-001043 08-Sep-14 3412 $25.00
212 Main Street,Ph one:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov
GeoTMSO 2014 Des Lauriers Municipal Solutions,Inc.