43-048 (4) 89 AUTUMN DR MP-2016-0093
OMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 8289 """ •
Map: 43
Block:
048
(lue"� ZONING PERMIT
Lot: ;001
Permit ZONING PERMIT APPLI
' <Ertty ' APP■T
4ICATION PERMIT
Category: shed
Permit# MP-2016-0093 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2016-002305
Est.Cost: Contractor: License: Expires:
Fee Charged:$30.00 Homeowner as Contractor
Balance Due:$.00 Owner: GALLIVAN EDWARD J
of Fixtures_ Applicant: GALLIVAN EDWARD J
DigSafe# AT: 89 AUTUMN DR
UseGroup
ConstClass
ISSUED ON: 19-May-2016 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ERECT 8 X 12 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-2016-006634 17-May-16 304 530.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272.Erna il:lhasbrouck(a@norlhamNon ma.go,,
GeoTMS®2016 Des Landers Municipal Solutions,Inc.
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File#MP-2016-0093
APPLICANT./CONTACT PERSON GALLIVAN EDWARD J
ADDRESS/PHONE 89 AUTUMN DR (781)724-8028 0
PROPERTY LOCATION 89 AUTUMN DR
MAP 43 PARCEL 048 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 344/ Iti 3 b
Building Permit Filled out
Fee Paid
Typeof Construction. ZPA-ERECT 8 X 12 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 �cial Date I I O
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.
City of Northampton
-' Massachusetts �� L
r
o . £ DEPART Di' OF BUILDING INSPECTIONS
ti 212 *lain Street • Municipal Building �,�. •nam
,� Nort ar_p_on, MA 01060 rpx ���
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. t leas -feet from any other structure)
Check# 30 /
''``
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 4471+ k CC 4 1 t/tt A"
Address: frci Ac°TU/`4'V O2 '1t� Telephone: 75-7 — 72L(— cr° '
2. Owner of Property: V/f. / L
Address: c/9 tiC Telephone: c/f '1 ' .
3. Status of Applicant: /Owner Contractor
4. Structure Location: r`! A-(777//1/1-'- AM/ UC
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Propert . Single r 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 : I
Other(describe):
.77t_F
F/� �,K' /
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? 0 ) 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
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 NIA
Front:
Setbacks: Side: 1�
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. _
71
DATE: "Ng APPLICANT'S SIGNATURE Lry"u�"',
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
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