23C-102 (9) 9/24/2015 Assessors Office-City of Northampton
t
Area:
Basement >`,ivul<g 0 X 0
A
1 1
Basement Recreation Area: 0 X 0
Woodburning Fireplace 0/0
( Stacks/Openings:
Metal Fireplace
0 / 0
Stacks/Openings:
j Heat/Central A/C: Central Air
Heating System: Warm Air
Fuel Type: Gas
j Quality Grade: C+
Physical Condition: Average'
Interior/Exterior: Same Addition Information:
Condition/Desirability/Jtility: AV - —
1 Vacant/Dwell/Oby Status: Dwelling
Additional Features: --
Brick Trim: 0 X 0
`Lower ` I st Story
Basement One Story Frame
j Stone Trim: 0 X 0
Remodelen Data: One Story Frame
g I� Open Frame Porch
Year Remodeled: 2010
Frame Porch[
Kitchen Remodeled (Y/N): i
I Bath Remodeled (Y/N):
I Land Data Outbuilding Info
I
i Square Foot Type
' netType Value
�no
'Prime information
Site _ 16,466 F,260 Type' Qty,Year Size I Size
Acreage Type
Street/Road
Type Acres Value - I
no I
r ;no 1 information
0 1 information i
httpJ/www.northamptonassessor.us/ 1/2
35(l
Ar
Jf:
n W dd"
s.
fir,
�-
r 1021,
'
.m34 k:' t, gig•
A/0
1. 4
^ 4.
�`'x., t ;
g. 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 4&ioz
Frontage N/A N/A N/A
Front:
Setbacks: Side:
Rear.
Height .70
% 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: ` �q ^ 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
r
r'
Massachusetts �5 �~ sfc
' r t
N.ENT OF BUILDING INSPECTIONS '
' in Street • Municipal Building
Northampton, MA 01060
L 10M
1! plumb►n on;A0 060`
enam
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check# tE '
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: S'cli i-21 Cty -3- SaLJ 1 CK1 Jam'
Address: -265 RiyerSiCIe -7j2, F)o,-enee- Telephone: Atli"Z5U•7218y
2. Owner of Property: 5 i nnL-e-1 146 I D i SAWI CK
Address: /i Hove- Telephone:
3. Status of Applicant: x Owner_Contractor
4. Structure Location: 5(5 R l V er6 lCl e DR J Ve
Parcel ID: Zoning Map# 3 C Parcel # •3C"�� �`�'District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Use of Property: Single or Two Family: Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.:—)L Freestanding Deck under 200 sq.ft.,less than 30"above grade:
SIZE OF STRUCTURE: 191-16
Other(describe):
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-2016-0021
APPLICANT/CONTACT PERSON SAWICKI STANLEY J JR&HEIDI S
ADDRESS/PHONE 565 RIVERSIDE DR (413)586-1425 Q
PROPERTY LOCATION 565 RIVERSIDE DR
MAP 23C PARCEL 102 001 ZONE URB(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
Tyneof Construction: ZPA- 12 X 16 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Buildine 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
C';'-f 14-4,-9 14`1,611 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.
565 RIVERSIDE DR MP-2016-0021
COMMONWEALTH OF MASSACHUSETTS
_ CITY OF NORTHAMPTON
GIS#:---3163
Map: 23C
Block; 102 � : , �
Lot: 00.1. ,µ,.. ZONING PERMIT
Permit: ZONING PERMIT APPLI' "''"° APPLICATION PERMIT
Category: shed
Permit# MP-2016-0021 PERMISSION IS HEREBY GRANTED TO:
Project# 15-2016-000709
Est. Cost: Contractor: License: Expires:
Fee Charged:$30.00 Homeowner as Contractor
Balance Due:$.00 Owner: SAWICKI STANLEY J JR&HEIDI S
#of Fixtures Applicant: SAWICKI STANLEY J JR&HEIDI S
DigSafe# 565 RIVERSIDE DR
UseGroup
ConstClass
ISSUED ON. 06-Oct-2015 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA- 12 X 16 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-2016-001353 29-Sep-15 5054 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.