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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
Frontage N/A N/A N/A
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Height
% Open Space:
(Lot area minus bldg and
Paved parking)
10. Certification: 1 hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: L! 1-I APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's rden 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.
- City of Northampton
w„ Massachusetts
' `.� 1.
r
DEPARTMENT OF BUXLDING INSPECTIONS
212 Main Street • Municipal Building
° Northampton, MA 01060
INSPECTOR
ACCESSORY STRUCTURE PERMIT APPLICATION
tr
Z (F,,pr f anding structures less than 200 sq. ft., at least 5 feet from any other structure)
..., i Permit Fee: $25,00 Check#
z °
�m
--� PLEASE TYPE OR PRINT ALL INFORMATION
�a aofApplicant: i � �r �_ `> 6:1 (711. J
C-i .
ress: Telephone:
2. Owner of Property: P,
Address: ) Telephone:
3. Status of Applicant: Owner Contractor
4. Structure Location: fV, C,\\ VA
C`\�J
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: ing, or Two Family: V Multifamily: Commercial:
6. Description of Proposed Structure: /
One Story Shed under 200 sq.ft.: '/ Freestandi Deck under 200 sq.ft., less than 30"above grade:
Other(describe): y�-4 1
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook,body of water or wetlands? NO-V/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-2015-0026
APPLICANT/CONTACT PERSON GROSS SHARON M&JAMES
ADDRESS/PHONE 98 DEERFIELD DR (413)548-6802 Q
PROPERTY LOCATION 98 DEERFIELD DR
MAP 29 PARCEL 172 001 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
Tyneof Construction:_ZPA-ERECT 8 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
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
14 p le r y
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.
98 DEERFIELD DR MP-2015-0026
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 4896
IMap: 29
Block: 172 ZONING PERMIT
fit Permit: ZONING PERMIT APPLI APPLICATION PERMIT
-- -- -
Category: shed
Permit#_ M_P 2015-0026 __ PERMISSION IS HEREBY GRANTED TO:
Protect# _JS-2015-000549
Est. Contractor: License: Expires:
Cost:
Fee Charged:$25.00 Homeowner as Contractor
,Balance Due:$.00 Owner: GROSS SHARON M&JAMES
j#of Fixtures _ Applicant: GROSS SHARON M&JAMES
DigSafe# _ _ AT: 98 DEERFIELD DR
UseGroup---
IConstClass
ISSUED ON.• 22-Sep-2014 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-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-2015-001163 12-Sep-14 572 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @ northamptonma.gov
GeoTMSO 2014 Des Lauriers Municipal Solutions,Inc.