29-316 (4) 123 BROOKSIDE CIR BP-2019-1384
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-316 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-2019-1384
Pro ject# JS-2019-002224
Est.Cost
Fee:$30.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groum: Homeowner as Contractor_
Lot size(sa.R.): 12632.40 Owner: BARTHELEMY MICHELLE M
min : Applicant: BARTHELEMY MICHELLE M
AT: 123 BROOKSIDE CIR
Applicant Address: Phone., Insurance.-
123
nsurance.123 BROOKSIDE CIR
FLORENCEMA01062 ISSUED ON:6/6/2019 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:
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 6/6/20190:00:00 $30.00
212 Main Street,Phone(413)587-1240,Fax:(4 13)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2019-1384
APPLICANT/CONTACT PERSON BARTHELEMY MICHELLE M
ADDRESS/PHONE 123 BROOKSIDE CIR FLORENCE
PROPERTY LOCATION 123 BROOKSIDE CIR
MAP 29 PARCEL 316 001 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: I OX I O 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:
6Lpproved_Additional permits required(sce 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 Dads 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
Signam of Buil ngO ficial Date
Note: Issuance oda 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.
(aiij of Xurt4nM tvn
� § `` ''G B9assarirusrtis
RTMENT OF BUILDING INSPECTIONS 4,
2l Main Street . Municipal Building
Northampton, MA 01060
JV� 9
0.
,sPEp1 aa- ��G 463a
---ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., a east 5 feet from any other structure)
Check# O
+f(��I�. / PLE(ASE TYPE OR PRINT ALL
INFORMATION
1. Name of Applicant k'V C- _U:� 1 • / / p
Address: 1 1- ` (fYikCi t1r�l1e 1' (�`.(��Telephone: ` 13 ' Z7'y
2. Ownerof Propertin_ �I CL9�(- W,6 Wp,8A.rlt I� pp
Address:. �2 > `�tWro '51CL �'tL,IQ Telephone: `03- 244 - 2 /
3. Status of Applk:anv-0-10wnar_Contractor
4. Structure Location:
Parcel ID: Zoning Map # Parcel# DiStrlet(s)
(TO DE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: Multifamily:_Con inerclal:_
6. Description of Proposed Structure:
One Story Shed under 200 sq. h.: FreestandingDwA under 2DD sq.R.,lethan SD"above grads;
+! SIZE OF STRUCTURE: !O Iru
Other(describe): 1 /r� — O SV Qh0 �2. �SSQJ7`ti es'
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? N9__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 N/A N/A N/A
Front:
Setbacks: Side:
Rear.
Height
% Open space:
(Lot area minus bldg and
paved parking)
10.Csrtification: 1 hereby certify that the information contained herein is true and accurate to
the best of my knowledge.
DATE: _ APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden o comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
NOTE:
SUBJECT TO EASEMENTS AND
RIGHTS OF WAYS OF RECORD.
\ \ 152.57'±
BOOK 6809, PAGE 123
\ \ PLAN BK. 74, PG. 46
LOT /162
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\ l� RYo
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1oo.0o'± 1Fl
BROOKSIDE CIRCLE
TO: BERKSHIRE BANK do
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BEUEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
-NOTE-
SURVEYOR, 0.m. Al2 THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
-MORTGAGE LOAN INSPECTION PLAT-
NORTHAMPTON, MASSACHUSETTS
RANDALLPREPARED FOR
E..
IZER STEVEN ROMANOWSKI & JENNIFER M. JACKSON
/35032 SCALE: 1"=30' MARCH 3, 2010
S RVQ � HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
Exhibit"A"
A certain lot of land known and designated as Lot#162(one hundred sixty-two)on a Plan
entitled"West Farms Estates, Section 4, Northampton,Mass.",surveyed for Edbert Homes, Inc.,
Albert C.Nichols&Associates, Inc., January 1969, said Plan being recorded with Hampshire
County Registry of Deeds,Book of Plans 74,Page 46.
Said Lot#162 is more particularly bounded and described as follows:
NORTHEASTERLY: by Brookside Circle, one hundred(100)feet;
NORTHWESTERLY: by Lot 4161 (one hundred sixty-one)as shown on said Plan,one
hundred(100) feet;
SOUTLiWESTERLY: by Lots#160(one hundred sixty)and #164(one hundred sixty-
four)as shown on said Plan,one hundred filly-two and 57/100
(152.57)feet;
SOUTHEASTERLY: by Lot#163 (one hundred sixty-threc) as shown on said Plan,one
hundred twelve and 98/100(112.98) feet.
Said lot is subject to a sanitary and drain easement recorded in Hampshire County Registry of
Deeds,Book 1401,Page 431. See plans recorded in said Registry,Plan Book 74,Page 46 and
Plan Book 63,Page 58.
Together with the right to use all sheets as shown on said Plan recorded in Plan Book 74,Page
46 as public ways and for all purposes for which public ways arc used.
Subject to restrictive covenants set forth in instrument recorded with Hampshire County Registry
of Deeds,Book 1560,Page 181,as amended in Book 1568,Page 328. See also restrictive
covenants set forth in instrument by Edbert Homes,Inc.,recorded in Book 1339,Page 8.
Subject to easements to Massachusetts Electric Company and New England Telephone and
Telegraph Company as set forth in instrument recorded with Hampshire County Registry of
Deeds,Book 1562, Page 373,see also Book 1444, Page 222.
See also Plan of Easement recorded with Hampshire County Registry of Deeds,Book of Plans
63,Page 38.
See Order of Taking by Vote and order of the Board of Public Works of the City of
Northampton,Book 1401,page 431, dated February 12, 1963,encroaching fifteen(15) feet on
Lot#162 along the Southeast boundary thereof.
Being the same premises conveyed to the mortgagors by deed of Jennifer
M. Jackson and Steven Romanovski recorded in the Hampshire County Registry
of Deeds immediately prior hereto.