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3 NUMBER:E220-11 PROJECT: STANDARD PLANS FOR 14' This drawing is the property of Country Lane Woodworking,LLC,provided by rmber Tech Engineering,Inc.and reproduction,alteration or use of this drawing without the
OCTAGON WOOD GAZEBO written consent of Country Lane Woodworking,LLC is prohibited. Drawings shall not be scaled to obtain dimensions.The contractors and builders involved on this project
3E:2 OF 3 shall verify all dimensions and conditions before starting work and any discrepancy shall be reported to the engineer in writing before starting work.
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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.
L A
Existing Proposed Required by-
Zoning
Lot Size
Frontage N/A N/A NIA
Front: J_o
Setbacks:
Side: L: - R: L: R:
Rear.
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: APPLICANT'S SIGNATURE ✓ "`
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.
City of Northampton
Massachusetts
..,.A,
DEPARTMENT OF BUILDING INSPECTIONS r.
L.� 212 Main Street • Municipal Building
Northampton, MA 01060
I TOR
N m
ACCESSORY STRUCTURE PERMIT APPLICATION
N �n
O.. E to
IN E freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
6z
Permit Fee: $25.00 Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: Telephone:
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contractor
4. Structure Location:
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): r
7. Attached Plans: Sketch Plan Site Plan c' 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-2015-0031 W
APPLICANT/CONTACT PERSON GREENE ROBERT A&PATTY A .rte
ADDRESS/PHONE 113 CLEMENT ST (413)584-8085 () l
PROPERTY LOCATION 113 CLEMENT ST
MAP 30C PARCEL 056 001 ZONE SR(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiny,Permit Filled out
Fee Paid
Typeof Construction: ZPA- 14 FT OCTAGON GAZEBO
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
INFJd�RMATION PRESENTED:
fir,,//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
V.— 1 /a : /
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.
113 CLEMENT ST MP-2015-0031
COMMONWEALTH OF MASSACHUSETTS
IGIS#: 576
CITY OF NORTHAMPTON
5 - _ - j .� .
Map: 3'OC
-
Lot:Block:, 1M6 ZONING PERMIT
...Lot: _ lool ,.
--- '
Category: ZONING PERMIT APPLI APPLICATION PERMIT
Category. shed
Permit# MP-2015-0031 -- PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2015 000674
IEst. Cost iContractor: License: Expires:
- - -
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: GREENE ROBERT A&PATTY A
#of Fixtures Applicant: GREENE ROBERT A&PATTY A
DigSafe# _ AT: 113 CLEMENT ST
--
,UseGroup
i
ConstClass
ISSUED ON: 03-Oct-2014 AMENDED ON: EXPIRES ON.•
TO PERFORM THE FOLL OWING WORK:
ZPA- 14 FT OCTAGON GAZEBO
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-2015-001400 30-Sep-14 681 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMSO 2014 Des Lauriers Municipal Solutions,Inc.