11A-033 (3) 1 ,
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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 a 7S_ gC_R C
Frontage N/A N/A N/A
Front:
Setbacks: Side:
Rear: p
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: �9 Z8 l 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
r , Massachusetts {rt
�.
s DEPARTMENT OF BUILDING I
212 Main Street • Municipa i n ``�
Northampton, MA 01 0
SEP 2 9 2015
.Jr
ENCtriC,Plumbing&Gas Inspections
Northam ton,A1q 01060
ACCESSORY STRUCTURE PERMIT APPLIC N
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: CrPOlt F10-
Address: �j � � � N T P 2 S7— —Telephone:
2. Owner of Property: AS Af '90//&'-
Address: Telephone:
3. Status of Applicant: //Owner_Contractor
4. Structure Location: 13� f-r >/�9 /T P
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:
SIZE OF STRUCTURE:
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
ow
File#MP-2016-0022
APPLICANT/CONTACT PERSON CASEY GEOFFREY H
ADDRESS/PHONE 31 EAST CENTER ST (413)695-8125 Q
PROPERTY LOCATION EAST CENTER ST
MAP 1 I PARCEL 033 001 ZONE URA(100)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 15 3
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- 12 X 8 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:
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
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.
31 EAST CENTER ST MP-2016-0022
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
iGIS#: 669 -
Map 1IA
lock: 433 —_ — : , ZONING PERMIT
ut. 001
Permit:.__ ZONING PERMIT'APPLI .� �
APPLICATION PERMIT
Category: shed
Permit# MP-2416-0022 PERMISSION IS HEREB Y GRANTED TO:
Project# JS-2416-000711
Est.Cost: Contractor: License: Expires:
Fee Charged:$30.00 Homeowner as Contractor
Balance Due:$.00 Owner: CASEY GEOFFREY H
#of Fixtures Applicant: CASEY GEOFFREY H
Dig Safe# AT. 31 EAST CENTER ST
jUseGroup
�ConstClass
ISSUED ON. 06-Oct-2015 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA- 12 X 8 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-2016-001355 29-Sep-15 3053 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.