38C-021 shed File#BP-2020-1125
APPLICANT/CONTACT PERSON JOHNSON SALLY J&SHAARI R MERSACK
ADDRESS/PHONE 361 SOUTH ST NORTHAMPTON
PROPERTY LOCATION 361 SOUTH ST — 0
MAP 38C PARCEL 021 001 ZONE URB(100)/ V
THIS SECTION FOR OFFICIAL USE ONLY: �f
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 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:
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
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
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' ACCESSORY STRUCTURE PERMIT APPLICATION
(For,freest4nding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: &;(.IIW )akla f 0
Address: 3(,z 1 SOl)tLA 5-� Telephone: q 13 9, ID a�5
2. Owner of Property: 001\t.l V �
Address: � Telephone:
3. Status of Applicant: V Owner Contractor
4. Structure Location: AT ONO OT otp-1t4 klkltw
Parcel ID: Zoning Map # Parcel'# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: '..Multifamily: Commercial:
6. Description of Proposed Structure:
Story Shed under 200 sq.f Freestanding Deck under 200 sq. ft., less than 30'above grade:
SIZE OF STRUCTURE: •I_
Other(describe):
7. Attached Plans: Sketch Plan—V—/Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO ZDON'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
g, ALLIM.EnRMATInN MAST RF COMP T Dr P RMIT CAN RF D NI D njjl5 TO LACK OF INFORMATION
This column to be filled in by
the Building Department
Existing Proposed Required by Zoning
Lot size 6q t IVI-
Frontage N/A N/A N/A
Front:
Setbacks: Side: S k�
Rear:
Height �V,
% Open space:
(Lot area minus bldg and
paved parkin
10.Certification: 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 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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