36-390 (2) 156 EMERSON WAY BP-2018-1217
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-390 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-2018-1217
Proiect# JS-2018-002176
Est.Cost:
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor_
Lot Size(sa.R.): 11630.52 Owner: HASELKORN MARK&SUZANNE
Zones Applicant. HASELKORN MARK& SUZANNE
AT. 156 EMERSON WAY
ApplicantAddress: Phone: Insurance:
70 PARADISE ISLAND RD (413) 519-4118 O
RindgeNH03461 ISSUED ON.512912018 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 siansture:
FeeTvpe: Date Paid: Amount:
Building 5/29/2018 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File ff BP-2018-1217
APPLICANT/CONTACT PERSON aASELKORN MARK&SUZANNE
ADDRESS/PHONE 70 PARADISE ISLAND RD Rindge (413)5194118 Q
PROPERTY LOCATION 156 EMERSON WAY
MAP 36 PARCEL 390 001 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
Typeof Construction: 8X 10 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building PI Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
TI t FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
RMATION 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
Z �
Signature of Building Official Date l 't
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.
w Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
of Northampton
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AC SSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq.ft., at least 5 feet from any other Structure)
Checkly !.S5/0
M /P'LEASE TYPE OR PRINT ALL INFO ATION I_
7. Name of Applicant: ' IR.,YK 2v.S / �iyZ0.KH¢ Lt�SC� �yt 91- N
Address:
70 d' T l P1Rind N�o3Telephone: 4/3 SI9 4'/tg
4{'a, 'Se-M5 wnG r- //' /
2. Owner of Property:' Il�.ri` ctv-b JN L0.n'�°- 4I -J7 /& ria
l 5 & Ema'X wayyreac n p D 4/ 3 .5 19 4//h'
Address: FI �°- ,/'�1 �/ ba Telephone:
3. Status of Applicant:zowner Contractor
4. Structure Location: kf_° e
Parcel ID:Zoning Map N Parcel N District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Use of Property: Single or Two Family: ✓ Multifamily:_Commercial:
S. Description of Proposed Structure:
One Story Shad under 200 sq.N.: ✓ Freestanding Pock under 200 sq.N., le j than 30"above Grade:
SI2E OF STRUCTURE: Y,
Other(describe): 61,i I t v - S t, J
7. Attached Plans: Sketch Plan / Site Plan_Plot Plan
S. 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 NO Obtainetl , Date issued
CONTINUED ON NEXT PAGE
9. ALL INFORMATION MOST BE COMPLETED-PERMIT CAN BE DENIED DDE TO LACK OF INFORMATION.
This column to be filled in by
the Building Department
Existing Proposed Required by Zoning
Lot size II, Io 3"Z 5bf
Frontage N/A NIA NIA
Front: INV
Setbacks: Side: /p '
Rear. /0 ,
Height
% Open space:
(Lot asset minus Ndg and
payed Parking)
I O.CertMcatlon: 1 hereby certify that the Information contained Mroln Is true and accurate to
the best of my knowledge.
DATE: �� �s APPLICANT'S sIDNATURE
NOTE: Issuance of a permit does not relieve an applie is 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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