31A-131 (4) 55 FORBES AVE BP-2021-0006
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A- 131 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-2021-0006
Proiect# JS-2021-000010
Est.Cost:
Fee: $30.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sa.ft.): 12588.84 Owner. KLATZ CAITLIN E
Zoning: URB(100}/ Applicant: KLATZ CAITLIN E
AT. 55 FORBES AVE
Applicant Address: Phone: Insurance:
NORTHAMPTON MAO 1060 ISSUED ON.7/2/2020 0:00:00
TO PERFORM THE FOLLOWING WORK.-Ml 0 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 7/2/2020 0:00:00 $30.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
z - ox
File#BP-2021-0006
APPLICANT/CONTACT PERSON KLATZ DANIEL L&CAITLIN E
ADDRESS/PHONE NORTHAMPTON
PROPERTY LOCATION 55 FORBES AVE
MAP 3 1 A PARCEL 131 001 ZONE URB000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid
TypeofConstruction: 8X10 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accesso 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:
A(_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
JL T"
Si iature 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
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building .
Northampton, MA 01060 / s .. .,.
r
ok,
ACCESSORY STRUCTURE PERMIT APPLIC
(For freestanding structures less than 200 sq. ft., at le eet from any o @1,1 to )
Check# f � �`�'nso'atis
PLEASE TYPE
/AOR PRINT ALL INFORMATION
1. Name of Applicant: ( c bi Z t, I V �C��K kie ((
Address: G!;��s Anc . Telephone: � — S3 ( '(' G
2. Owner of P oper� �� _G_tt /1 IV`CK ✓1yie-(( TAn4l KWZ.
Address: so r1Ae, Telephone:
3. Status of Applicant: OwnerContractor
4. Structure Location:_s; FT oes TlV C h►
Parcel ID: Zoning Map # _ Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property Single o Two Family: Multifamily: Commercial:
6. Description of Proposed Structure: 5rYk0.(( Ot&,.rA ,4 Sj,.-d
One Story Shed under 200 sq. ft.: V/ Freestanding Deck under 200 sq. ft., less than 30" above grade:
SIZE OF STRUCTURE: 8'K 10
Other(describe):
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. 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 N/A N/A N/A
Front:
Setbacks: Side:
Rear:
Height
% Open space:
(Lot area minus bldg and
paved parking)
10.Certification: I hereby certify that the information contained herein is true and accurate to
the best of my knowledge.
DATE: APPLICANT'S SIGNATURE �iCI
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
V6�
IIl � 007
N �
0v�M2�c T) k lA�z 4 C.VVI C-1ti,.� ►-��I