36-002 (3) 1135 BURTS PIT RD BP-2017-1136
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-002 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:shed BUILDING PERMIT
Permit# BP-2017-1136
Project# JS-2017-001932
Est.Cost:
Fee:$30.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Grouo: Homeowner as Contractor
Lot Siae(so. ft.): 9191.16 Owner: RIVERA DELBUSTO HECTOR
Zoning: Applicant: RIVERA DELBUSTO HECTOR
AT: 1135 BURTS PIT RD
Applicant Address: Phone: Insurance:
1135 BURTS PIT RD (413) 219-0728 0
NORTHAMPTONMA01060 ISSUED ON:4/14/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:SHED
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 4/14/2017 0:00:00 $30.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-1136
APPLICANT/CONTACT PERSON RIVERA DELBUSTO HECTOR
ADDRESS/PHONE 1135 BURTS PIT RD NORTHAMPTON (413)219-0728 Q
PROPERTY LOCATION 1135 BURTS PIT RD
MAP 36 PARCEL 002 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid (�
Building Permit Filled out �✓/
Fee Paid
TyoeofConstruction: 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
Demolition Delay
Signature o 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 40k Contact Office of
Planning&Development for more information.
p City of Northampton
�_ •"( ' �`'. Massachusetts �a :i. ,OQ�.
DEPARTMENT OF BUILD.vNG INSPECTIONS `
212 rain Street • Municipal Building c'
Northampton, DM 01060 rs h
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check# 11 J... €30
PLEASE
TYY.._..PE OR PRINT ALL INFORMATION
1. Name of Applicant: /Aim
1 La - (66-OR
Address:A35 A4/4` /Z. o ,/ Telephone: 3
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2. Owner of Property: hfre4'C /jai ` cgt
Address://3-3 evfk /
' / /^-"r Telephone: 41j3--e;26'�T 6
3. Status of Applicant:/ Owner Contractor
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:X Multifamily: Commercial:
6, Description of Proposed Structure:
One Story Shed under 200 sq.ft.: Freestanding Deck under 299 sq.ft.,less than 30"above grade:
Size
Other(describe):
7. Attached Plans: Sketch Plan Site Plan Plot Plan __ ll
8. Does the site contain a brook, body of water or wetlands?NO.,J� 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 QF INFORMATION.
This column to be tilled 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 knowledge. yp [/�/ ff j
DATE: 7 �d :9 APPLICANT'S SIGNATURE /c a / '.r`y C eh./'r/f�'U1, 1
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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