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44-103 (4) � ..�.. wf, k . •,,.C �� • � � � f� �1 } t P * ! �: 1 � i j ,� � • - r _.w, �:; . , • t .a.-wl� w `.t ar rA •r � _ rn � i n + ,. 22 � ti wiNp�w Lo tp A jc)e- .a r� fA {t t 1 f s t # °R° n { p _ n f � r i � a 9. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. X This cok m lb be filled in by the Building Department Existing Proposed Required by Zoning Lot size Frontage 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 knovy#edge. BATE: 'APPLICANT'S SIGNATURE ^C 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 f � 1 assachusetts = 'c ' r.. i �` ji A DEPAR OF BUILDING INSPECTIONS .w Qr l g M52 in Street • Municipal Building ,. J Mcrthampton, MA 01060 �Mfy" ray SEPT.OF BUiLDiNG ild Pc ^GN$ N0RTNANIPT0N,P.".!iCt:i 4 ACCESSORY STRUCTURE PERMIT APPLICATION (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: i �� V , �Y, V1' IJ 1��Z. i ) Address: Ll3 1 C �C� �� ILILL) Telephone:(JO/ 2. Owner of Property: 0� Address: I i lk-1 ��``` ° `� Telephone• �•V) 5 J 6 - / 3. Status of Applicant: OwnerrContractor . l 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.: Freestanding Deck under 200 sq.ft., less than 30"above grade: Size: N // Other(describe): 1(� 7. Attached Plans: Sketch Plan—,ZSite 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-2016-0032 APPLICANT/CONTACT PERSON LASAPONARO DOMINICK ADDRESS/PHONE 431 ROCKY HILL RD (413)586-4257 Q PROPERTY LOCATION 431 ROCKY HILL RD MAP 44 PARCEL 103 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ZONING FORM FILLED OUT ENCLOSED REQUIRED DATE Fee Paid Building Permit Filled out Fee Paid Tvneof Construction: ZPA- 10 X 16 SHED New Construction Non Structural interior renovations Addition to Existing AccessoKy 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 INFO)tMATION 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. 431 ROCKY HILL RD MP-2016-0032 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIs#: 8489 Map: 44 Block: 103 ZONING PERMIT Lot:. —_ 001: „�.,• Permit: ZONING PERMIT APPLI APPLICATION PERMIT Category: shed Permit# MP-2016-0032 PERMISSION IS HEREBY GRANTED TO: Project# JS-2016-000974 Est. Cost: Contractor: License: Expires: Fee Charged:$30.00 Homeowner as Contractor Balance Due:$.00 Owner: LASAPONARO DOMINICK #of Fixtures Applicant: LASAPONARO DOMINICK DigSafe# _ AT. 431 ROCKY HILL RD UseGroup IConstClass ISSUED ON: 02-Nov-2015 AMENDED ON: EXPIRES ON. TO PERFORM THE FOLLOWING WORK: ZPA- 10 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-2016-001854 28-Oct-15 744 $30.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov GeoTMS©2015 Des Lauriers Municipal Solutions,Inc.