12C-052 (6) -NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
� S
NOTE: ( G�
SUBJECT TO EASEMENTS AND
RIGHTS OF WAYS OF RECORD. BOOK 5787, PAGE 287
PLAN BK. 28, PG. 7
LOT #41
-i
Lo
N
#20
LJ
76't
CLOVERDALE STREET
TO: SUNTRUST MORTGAGE, INC. &
CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
—NOTE—
SURVEYOR: THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
`� of kAS —MORTGAGE LOAN INSPECTION PLAT—
.I S9�y NORTHAMPTON, MASSACHUSETTS I
RAND ALL -4 PREPARED FOR
°v IZER y CHARLES E. YURGIELENCZ, JR., ET AL
135032 SCALE: 1"=40' AUGUST 4, 2006
"
SURV\vj HAROLD L. EATON AND ASSOCIATES, INC.
E�O
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET — HADLEY — MASSACHUSETTS
I
s t
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 N/A N/A
Front:
Setbacks: Side: /O
Rear:
Height
% 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: rS 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
i
City of Northampton
/:✓� Massachusetts
( I�EP TMENT OF BUILDING INSPECTIONS
2015 ,�12 in Street • Municipal Building
Northampton, MA 01060SNFY
DEi
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: CJ G-j SG2 Jvl e-1,r-14220
Address: A aV P V-('l"GL �f S+ f P� Telephone: � L/! �,� 3 1/ / - 3 ��k�
2. Owner of Property: �7 :, -S c�� e pe`k►r d o g
Address: �1��,� Telephone: �-
3. Status of Applicant:!Owner_Contractor
4. Structure Location: yY l
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Use of Property: Ingle or Two Family: ✓/ Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.: LI-1 Freestanding Deck under 200 sq. ft.,less than 30"above grade:
Size:�� /
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 4 MP-2016-0048
APPLICANT/CONTACT PERSON ANNETTE E GRIFFIN& SUSAN D REARDON
ADDRESS/PHONE 20 CLOVERDALE ST 1341-J461
PROPERTY LOCATION 20 CLOVERDALE ST
MAP 12C PARCEL 052 001 ZONE RI(100)/URA(100)/WSP(100)1
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid_
Typeof Construction ZPA - 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
1�NF, MATION 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.
20 CLOVERDALE ST MP-2016-0048
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 18_41-
Map: 12C B
131oc►:: 052 ZONING PERMIT
Lot: -0O1
'Permit-, ZONING PERMIT A PPLI 1 APPLICATION PERMIT
(Category: shed
Permit# _ MP-2016-0048 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-001269
Fst, Cost: I p Contractor: License: Expires:
Fee Charged:$30.00 Homeowner as Contractor
(Balance Due:$00- _ _ Owner: ANNETTE E GRIFFIN &SUSAN D REARDON
�4 of Fixtures Applicant: ANNETTE E GRIFFIN&SUSAN D REARDON
DigSafe# AT: 20 CLOVERDALE ST
UseGroup
ConstClass
ISSUED ON: 11-Dec-2015 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA- 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-2016-002583 03-Dec-15 1572 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMSO 2015 Des Lauriers Municipal Solutions,Inc.