36-141 286 BROOKSIDE CIR BP-2019-1255
GIs#: COMMONWEALTH OF MASSACHUSETTS
Man:Block:36- 141 CITY OF NORTHAMPTON
Lot,-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: shed BUILDING PERMIT
Permit# BP-2019-1255
Project JS-2019-002025
E5I,Cost
Fee:$30.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use croup Homeowner as Contractor_
Lot Size(sa.ft.): 19950.48 Owner: JOHNSON RICHARD E&SHIRLEY A
Zoning, Applicant, JOHNSON RICHARD E & SHIRLEY A
AT. 286 BROOKSIDE CIR
Applicant Address: Phone: Insurance:
286 BROOKSIDE CIR
FLORENCEMA01062 ISSUED ON.5/9/2019 0:00:00
TO PERFORM THE FOLLOWING WORK 10X10 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:
Find: Final:
Rough Frame:
Gas: FireDepartment 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 Sienature:
FeeType: Date Paid: Amount:
Building 5/920190:00:00 $30.00
212 Main Street,Phone(413)587-1240,Fax:(413)587.1272
Louis Hasbrouck—Building Commissioner
File#BP-2019.1255
APPLICANT/CONTACT PERSON JOHNSON RICHARD E&SHIRLEY A
ADDRESS/PHONE 286 BROOKSIDE CIR FLORENCE
PROPERTY LOCATION 286 BROOKSIDE CIR
MAP1§PARCELI4I 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING CLOSED REQUIRED DATE
RMF DO
Fee Pi
Buildine Permit Filled o
Fee Paid
TypeofConstruction:
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Piot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN TION 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 m 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 Delay
L.� /lampp
4y[4y
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.
tj(ait-4 of Xurt#ttmptnn
HENT OF BUILDING INSPECT/ONSain Street a Municipal BuildingNorthampton, MA 01060
////����V ���/
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. k., at least 5 feet from any other structure)
Check#M. (. # ?�O
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /3 1 t- r J), J4 TO r /l,��y)V
Address: 6� ped S) l trd 6 Tele�Telephone:wne
2. Or of Property: AlI i /� L
F).J/��"f i l/6 j ,/ d 4 k-V IV
Address: f J9/'h G Telephone; y f9 h I
3. Status of
a. StructureLocations ratiom 2�` /'D'# z S) i� '//,11 h, Z
Parcel ID: Zoning Map# Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Use of Property: Single or Two Family: ✓ Multifamily:_ Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.: Freestanding Deck under 200 sq.H., less than 30"above grade:
SIZE OF STRUCTURE: 101(0
Other(describe):
7. Attached Plans: Sketch Plan Site Plan Plot Plan /
S. Does the site contain a brook, body of water or wetlands? NO v 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 NIA - NIA NIA
Front:
Setbacks: Side:
Rear.
Height
% Open space:
(Lot area minus bldg and
paved parking)
70.Certification: 1 hereby certify that the information contained herein is true and accurate to
the best of my knowledge. `
DATE: l ' 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, partment of Publ'e Works and other
applicable permit granting authorities
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