10B-050 (2) It
All
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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 De arbnent.
Existing Proposed Required by
Zoning
Lot Size F-
Frontage 1r �3 MA NIA
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: 1 APPLICANT'S SIGNATUREE��>^
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 authoritles.
F
' JUN z 2015Cii of Northampton
Massachusetts aa'' .a
' AA Electric_Plur wing n Gas Inspections F t�
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OF BUZLDXAVG 1V2 SPFCTX0XS 9� a
212 Main Street • Municipal Building 6J Qa
Northampton, N& 01060 syy�
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# ;�G
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: t 1
ci Ur r r-e e c,i? / G /
Address: OSJ ,/�°-erl l Telephone: 14% �19 L/�-1i 0
2. Owner of Property: u,'ti °, / t"� -eel Pl-6,h r�
Address: t 3 '��'ou e i e L-erA Telephone:
3. Status of Applicant: (-�Owner Contractor
4. Structure Location: 1-2�- `V vy P 4 y P L-(-f(13
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): (Of"
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: 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-2015-0089
APPLICANT/CONTACT PERSON FREEDMAN MARC
ADDRESS/PHONE 7 EAST CENTER ST (774)219-4290 Q
PROPERTY LOCATION 13 GROVE AVE
MAP 1013 PARCEL 050 001 ZONE URA(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 6 X 12 SHED
New Construction
Non Structural interior renovations
Addition to Existing-
Accessory 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 RMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: g
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
C�z
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.
13 GROVE AVE MP-2015-0089
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 522
Map: 1'OB
Block: 050 ZONING PERMIT
Lot:-- — 001 „�.,•
Permit: shed PERMIT APPLI
Category: shed APPLICATION PERMIT
Permit# MP-2015-0089 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2015-402255
Est.Cost: Contractor: License: Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: FREEDMAN MARC
#of Fixtures ' Applicant. FREEDMAN MARC
DigSafe# AT: 13 GROVE AVE
UseGroup
ConstClass
ISSUED ON. 04-Jun-2015 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 6 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-2015-006505 02-Jun-15 267 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @ northamptonma.gov
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.