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37-061 (2) File#MP-2020-0011 APPLICANT/CONTACT PERSON HOMETOWN STRUCTURES ADDRESS/PHONE 627 SOUTHAMPTON RD (413)562-7171 PROPERTY LOCATION EASTHAMPTON RD MAP 37 PARCEL 061 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT 1114 Fee Paid Building Permit Filled out Fee Paid Tvaeof Construction:_ZPA-REPLACE 7X8 SHED WITH NEW 10X12 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 LLOWING 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 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 the Office of Planning&Development for more information. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of Planning&Development for more information. VFlect File No. ZONING PERMI APPLICATION (§io.2) type or print all i ormation nd return this form to the Building i:ZID Office with t X30 filing fee check or money order)payable to the rthton am , z ampton m 1. Name of A plicant: Address: �o a -7 S u A nMP 4-n 1`i�. Telephone: L/171-- S(Oa� -7n/ W f-S 4-C'C- P1 A f 0/o 3'S 2. Owner of Property: R:ck.,.A S Ft,c l SC- V:'e.l Address: 1c) U n.a si. R0'r ;) Telephone: V/3- 52 -7— 619 Y Eaj4k -p 01va7 3. Status of Applicant: Owner Contract Purchaser _X Lesr/s�,/e�Ie///�1 /�\) Othhe�r^(/explain) 4. Job Location: �1} A^fs(Ip A'A'l, /Uur�1(�� Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Cy 01 c_; " I 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): F--1,7p (Qe- -7X.F' S)-e-d w,t1, 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW X YES IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO 7C DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: _M rho 1 (Form Continues On Other Side) Co^ W:\Documents\FORMS\original\Building-Inspector\Zoning-Pemilt-Application-passive.doc 8/4/2004 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO X IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO A IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building _ De artment EXISTING PROPOSED REQUIRED BY ZONING Lot Size f 3 Frontage Setbacks Front S ' Side L: R: L: IS R: L: R: Rear Building Height i Building Square Footage / %Open Space: (lot area minus building Et paved parking #of Parking Spaces #of Loading Docks Fill: (volume Et location) 13. Certification: I 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 zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 30-year architectural 2 x 4 rafters 16" on shingles over 1/2" CDX - center with collar plywood roof sheetin ties 4' on center y exclusive detailing, painted eaves, and wood corners double 2 x 4 top wa plate, 2 x 4 wall stuc double 2 x 6 16" on center header over doors pressure treated floor 5/8" DuraTemp T1-11 fastened with system, 4 x 4 rails, joists 12" galvanized nails, exterior acrylic on center, 5/8" plywood latex paint - or 1/2" CDX with vinyl S HOMETOWN STRUCTURES 627 Southampton Road - Westfield, MA 01085-1329 (413)562-7171 Order Date - ��- www.HometownStructures.com Estimated Completion Date ( y Suo,A-Q,— Bill To C kc�ic4 s F.,c I -..P-, Notes Address 1 `� CJn:..� S free t E st/��y�pito� IQz E044 J����, !r)/� U/U- A) -4),•�-,o{�,. /j'I!� via Phone# Cel I Phone# 7_ D/9 y E-mail Address DuraTemp Tt-11 Ll Vinyl ❑ In-stock Display Shed 1$ To Be Custom Built Body Color Body Color Trim Color Trim Color.• White ❑ Delivered Fully Assembled (Includes fascia&trim around doors and windows) (Includes fascia&trim around doors and windows) ❑ dularA ❑ Modular Door Color Dpor Color (Specify if trim on door is a different color) Corners Corners SOFFIT CHOICE(For New England Style Only) Size �V X +� SOFFIT CHOICE(For New England Style Only) ❑ Venting Vinyl white ❑ New England Series ❑ Solid DuraTemp T1-11 Body Color ❑ Venting Vinyl Brown ❑ Exposed Rafter-Fails BodyColor IP Keystone Series ❑ Ecconoline Series ❑ Aluminum Strip Vent Body Color Base Price $ Y,39 y Style &!I aAC 11-1 Code �-S' Door Adjustment $ Window Adjustment $ _/S-0 Shingles Windows Ramp ❑ 6'x 4' ❑ 5'x 4' ❑ 54"x 4' ❑ �� $ ❑ Dual Black _❑ 18"x 36" ❑ Earthtone Cedar ❑ 24"x 36" Loft ❑ 4'x 8' ❑ 4'x 10' ❑ 6'x 12' ❑ $ ❑ Dual Gray ❑ 30"x 36" ❑ Dual Brown ❑ 36"x 36" Window Boxes ❑ Wood ❑ 18" ❑ 30" $ ❑ Weatherwood _❑ 36"x 40" n ❑ Vinyl ❑ Harvard Slate LJ 24" ❑ 36" 1 i ❑ Charcoal Gray Color Ll Shutters ❑ Wood Color/Detail $ Drip Edge: ❑W ❑B Grids: ❑W ❑B ❑ Vinyl f Sin a Dor Double Door b�; ► an s;to u c tic�� $ Width Width li' 'K7� Type Type T -L) Z r, 1 `r M' $ Q r Transo Transom Q t4, eh �r ���`� $ C L n'T Grids: w\U B Grids: ❑W ❑B Hinges: ❑Std. ❑Strap Hinges: ❑Std. Rlqtrap a Site Preparation—pad size_12. x l C/ " (subject to site evaluation) $ y /U-r ❑ Overwidth Road Permit Fee $ Loading Illustration Subtotal $ _ 3"7 5. y / Trailer >E Truck Sales Tax $ b,a TOTAL $ :_� y Ln S - - - - - - - - Deposit $ o oot oo Balance $ y (n `�• 9 Customer Signature Salesperson Signature 1 71 40 " ~'41k 1� f aw 4 ♦{ -, - x^� .Cry_ � i - - � If 17 Alp it 1 kip 7-1 1T ` , I + • � y - ^ an �wi s w f i iy. Yh.