30A-054 (3) i
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S. 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
'F ro n t:a g e N/A N/A N/A
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: b> ke 1�/ 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
ap.piic.able permit granting authorities
City of Northampton
�S S/
sachusetts �4
D
' ! DEPARTMENT OF BUILDING INSPECTIONS
i SEP I 622 @1ain Str et • Municipal Building r a
North mpton, MA 01060 ss,y. f'D\�
Electric, Plumbing&i r��E:oilcins
IL Northampton. M
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., ast 5 feet from any other structure)
Check#_
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: `�.��`�
Address: 4' Telephone:_ ��!(� -S_2 7—°Z
2. Owner of Property:
Address: -/E� G� `r�`/ S � _Telephone: �;ZZ-Z-\1
3. Status of Applicant:x'___OwnerContractor
4. Structure Location: cclh ccr(� y`� A/1
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 Stofy Shed under 200 sq. ft.:_�g— Freestanding Deck under 200 sq. ft., less than 30" above grade:
Size :---7x` r
Other(describe):� �
7. Attached Plans: Sketch Plan N,<fSite Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO DON'T KNOWW. 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-2016-0018
APPLICANT/CONTACT PERSON MAITINSKY JEAN-PAUL
ADDRESS/PHONE 44 LIBERTY ST (646)522-2448 Q
PROPERTY LOCATION 44 LIBERTY ST
MAP 30A PARCEL 054 001 ZONE URB000)/
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 10 X 14 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:
6/ 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
� f
7
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.
44 LIBERTY ST MP-2016-001
COMMONWEALTH OF MASSACHUSETTS
_
CITY OF NORTHAMPTON
GIS#: 5374
Map: 30A
Block- 054 ZONING PERMIT
Lot: 001
iPermits_ NING PERMIT APP APPLICATION PERMIT
Category: shed
Permit,# MP-2016-00118 _ _ PE"ISSION IS HEREBY GRANTED TO:
Project# JS_-2016-000575 _
fEst. Cost: Contractor: License: Expires:
! -- — —1Homeowner as Contractor
Fee_Charged:$30.00
Balance Due:$.00 _— Owner: MAITINSKY JEAN-PAUL
#of Fixtures __ Applicant: MAITINSKY JEAN-PAUL
.DigSafe# _ _ AT: 44 LIBERTY ST
�UseGroup _
ConstClass
ISSUED ON: 21-Sep-2015 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 10 X 14 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-2016-001126 16-Sep-15 255 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.