17A-039 (5) 200 BRIDGE RD BP-2018-1176
CIS 4: COMMONWEALTH OF MASSACHUSETTS
klap:Blo 17A-039 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv'shed BUILDING PERMIT
Permit BP-2018-1176
Proiect4 JS-2018-002107
Est.Cost:
Fee $30.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use croup: Homeowner as Contractor_
Lot Size(sa. fit: 11717.64 Owner: BERTRAM PAUL
Zoning RI(100)/URA(100)/ Applicant. BERTRAM PAUL
AT: 200 BRIDGE RD
Applicant Address: Phone: Insurance:
200 BRIDGE RD (413) 727-3332 n
FLORENCE ,MA01062 ISSUED ON:S/10/20180:00:00
TO PERFORM THE FOLLOWING WORK 1 OX14 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 Occuoancv signature:
FeeTvpe: Date Paid: Amount:
Building 5/10/20180:00:00 $30.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2018-1176
APPLICANT/CONTACT PERSON BERTRAM PAUL
ADDRESS/PHONE 200 BRIDGE RD FLORENCE , (413)727-3332 O
PROPERTY LOCATION 200 BRIDGE RD
MAP 17A PARCEL 039 001 ZONE R1100)/URA0001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildine Permit Filled out
Fee Paid
T eofConstruction: IOX14SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included,
Owner/Statement or License
3 sets of Plans/Plot Plan
TH FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INRMATION PRESENTED:
yyyyyy////// 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
& )o IU
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 Office of
Planning&Development for more information.
City of Northampton
RECEIVEs chusetts c=s
mpAariozzrzl OF J UILDING INSPECTIONS i V cm
212 Nein 9 ae[ Municipal Building
MAY — 8 2018X" 1mP Pn, m 01060
DFP?OF BUILDING INSPECTIONS ��II
NOfiTHpMPT0N.Mp01060 i71Y o3
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. h.r at least S feet from any other structure)
Checkil /OUy
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applic�aant:11A,1 L, -f2r1 '- 01--xi-Tam
'/
Address: W L2 CI r I IX m F FA0fC-Ce- Telephone, / ✓-y- /'y
+27-�3�9-
17
2. Owner of Property: �m u G 9f' �f a 'f�n E e-f')'f Q.IYI
Aaareas:�ZOO !-FLQmF. RcP. T /or enc Telephone: 413 -7; '7-
3.
7-3. Status of Applicant: &
/ ,Owner_Contractor //''
A Nn Structure Location: r'f')1 1V V S"r `� O r'n P r CT- �O'� ,k)/m-rd l\l
Parcel ID:Zoning Map# Parcel R Districts)
ITO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Use of Property: Single or Two Family: MWtifamily: Commercial:_
S. Description of Proposed Structure:
One Story Shed under 200 sq.ft.-X Freestanding Deck under 200 sq.It, leu than 30"above grade:
SIZE OF STRUCTURE: JOY—IV
Other(desaribe):
7. Attached Plans:Sketch Plan_Site Plan_Plot Plan
S. Does the site contain a brook, body of water or wetlands?NO_X-_DON'T KNOW_YES--
IF
ES_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 PARE
9. ALL INFORMATION MUST BE COMPLETED,PERMIT CAN BitENiED DIANTO LACK OF INFORMATION.
This column to be filled In by
Me Buildim,Department
Existing Proposed Required by Zoning
Lot size 75-X/49k Wr">X /63' ry3i< /49'x 75X&3'
Frontage N/A N/A NIA
Front- 28 /HS'
Setbacks: side. 2y ' ¢ /O ' 6 ' S- 6s'
Rear. qd
Height
%s Open space:
(Lot area minus bids and
paved
10.CertMeation: 1 hereby certify that the information contained herein Is true and accurate to
the best of my knowledge.
DATE:J7-9-"/S APPLICANTS SIGNATURE z ..�e as n
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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