24A-092 (2) 22 DICKINSON ST BP-2017-1192
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24A-092 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-2017-1192
Project# JS-2017-002020
Est.Cost:
Fee: $30.00 PERMISSION IS HEREBY GRANTED TO:
Const Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 4748.04 Owner: CAROTHERS KRISTA
Zoning: URA(I00)/ Applicant: CAROTHERS KRISTA
AT: 22 DICKINSON ST
Applicant Address: Phone: Insurance:
22 DICKINSON ST (718) 764-6314 0
NORTHAMPTONMA01060 ISSUED ON:5/1/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:8x10 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 5/1/2017 0:00:00 $30.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-1192
APPLICANT/CONTACT PERSON CAROTHERS KRISTA
ADDRESS/PHONE 22 DICKINSON ST NORTHAMPTON (718)764-6314 0
PROPERTY LOCATION 22 DICKINSON ST
MAP 24A PARCEL 092 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out x_
Fee Paid VAC
TyoeofConstruction: 8x10 shed
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
BuildingPlans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9BMATION 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
4112-7/1 7
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 40k Contact Office of
Planning& Development for more information.
City of Northampton
]r t , Massachusetts
r
t-
"-t` DBPART146NT OF BUILDING INSPECTIONS
4212 Main Street • Ngniaipa1-Hulldtn4
Northampton, MA 01060' 'rr '
_ W }-1�
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq.tt t least 5 feet from other stn cture)
Check#/ )4'K dc7 ) 7_2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 7ANI ES i '\E DO ICK. d- KRIS-(A CA?0TH E SI
Address: LZ h t&K I hI90 IJ ST, Telephone: I�� ' - �3(
2. Owner of Property: Mkt w, MbO DI°k. I- jKISiA , CAD ' U2
rES
Address: ZZ 5V bILKI��� ' 1J'o(Z7IakM?'WMelephone: 118- Y- .31"(
3. Status of Applicant: VC/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: V"Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.R.: `. Freestanding Deck under 200 sq.R.,less than 30"above grade:
SIZE OF STRUCTURE: `,Z'X i 01
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
9. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DFNIFf DUF TO I ACK OF INFORMATION
This column to be filled hi by
the Building Department
Existing Proposed Required by Zoning
Lot size pc�rwu,5
Frontage N/A N/A N/A
Front
Setbacks: Side:
Rear.
Height
% Open space:
(Lot area minus bldg and g e W q5 �A
paved parking)
10.Certification: I hereby certify that the information contained herein is true and accurate to
the best of my knowledge.
��
DATE: 7 L°'1- 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
NoSNi >-IDIC ZZ 7-1
I
Z
J
1
�, ci � �-
IX553 , of
< >
1__
v