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LOCUS IS LAND OF
JAMES PODOLAK
BOOK 7611 PAGE 15
TAX MAP 25C-224-001 i
k! SITE PLAN OF LAND IN
NOTES
NORTHAMPTON(HAMPSHIRE CO.),MA
i.TMS SURVEY AND PlµARE 8—A9 A TOTAL STATNM AND DATA Ld1ECTfY1 SURVEY PE3tFORMED PREPARED FOR
W-G THE MAITH a<APML.300.. JIM PODOLAK
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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 NIA NIA
Front:
Setbacks:
Side:
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: S 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
Massachusetts4y
I NT OF BUILDING INSPECTIONS `
D ~+ 212 Main Street • Municipal Building%
Northampton, MA 01060 �'�✓�
INSPECTOR ,)
UN 2 9 11
Electric. V_,
tl,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
PLEASE TYPE OR PP
,,+T L INFORMATION
r--7— cc �1//
1. Name of Applicant: . �J C
Address: Telephone:
2. Owner of Property:
Address: Telephone: y� e�(� SOS-
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.:__X_ Freestanding Deck under 200 sq.ft., less than 30"above grade:
Other(describe): Z�(,6
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-2015-0099
APPLICANT/CONTACT PERSON PODOLAK JAMES L
ADDRESS/PHONE 60 WALNUT ST (413)214-3625 Q
PROPERTY LOCATION 60 WALNUT ST
MAP 25C PARCEL 224 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid_ l 3
Building Permit Filled out
Fee Paid
Ty_neof Construction: ZPA-8 X 6 SHED
New Construction
Non Structural interior renovations
Addition to Existiny,
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
I�iF,ARMATION 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
/""-o 7 E r
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.
60 WALNUT ST MP-2015-0099
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIs# 4601
Map: --25C
Block: 224
ZONING PERMIT
Lot: 001
Permit: ZONING PERMIT APPLI
APPLICATION PERMIT
Category: shed
Permit# MP-2015-0099 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2015-002476 t
t
onracor: License:
Est.Cost: C Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: PODOLAK JAMES L
#of Fixtures Applicant: PODOLAK JAMES L
DigSafe# AT. 60 WALNUT ST
UseGroup
ConstClass- -------771
ISSUED ON. 07-Jul-2015 AMENDED ON.- EXPIRES ON.
TO PERFORM THE FOLLOWING WORK
ZPA-8 X 6 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-2015-006974 29-Jun-15 1851 $25.00
212 Main Street,Ph one:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GcoTMS@ 2015 Des Lauriers Municipal Solutions,Inc.