36-008 (6) BP-2022-0389
40 FOREST GLEN DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
36-008-001 CITY OF NORTHAMPTON
Permit: Acc Structure
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0389 PERMISSIONIS HEREBY GRANTED TO:
Project# SHED Contractor: License:
Est. Cost:
Const.Class: Exp.Date:
Use Group: Owner: AMSTUTZ ANNIKA S
Lot Size (sq.ft.)
Zoning: WSP Applicant: AMSTUTZ ANNIKA S
Applicant Address Phone: Insurance:
40 FOREST GLEN DR
FLORENCE, MA 01062
ISSUED ON:04/22/2022
TO PERFORM THE FOLLOWING WORK:
10X20 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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: �,e O Tit •
•
I '
Fees Paid: $30.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
'Z- Ox ✓
File #BP-2022-0389
APPLICANT/CONTACT PERSON:AMSTUTZ ANNI KA S
40 FOREST GLEN DR FLORENCE, MA 01062
PROPERTY LOCATION 40 FOREST GLEN DR
MAP:LOT 36-008-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: 10X20 SHED
New Construction
Non Structural Renovations
Addition to Existing CI ))
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Perm its Required:
Curb Cut from DPW WaterAvailability SewerAvailability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
y-ZI.ZOZz
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
City of Northampton
Massachusetts L. • 'e
DEPARTMENT OF BUILDING INSPECTIONS
1'. 212 Main Street• Municipal Building r �
r ,48? Northampton,MA 01060 V •.
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NOR 7.,aLD/N�I
A/P7i N Mq 3 TaOAaS 0, RR,, (f
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq.ft., at least 5 feet from any other structure)
Check' ;O =i
� I, PLEASE TYPE OR PRINT ALL INFORMATION
/1
1. Name of Applicant: r ,Ik'e Leri ,4 intLgc /gM$'ILI,z
Address: yv h r S4 Ryas( Telephone: 't t 3-4 v p
12.7 - 302 U
2. Owner of Property: !`'tn n I jco... Arns-6-17, C�
Address: Li MST Gjkn t) c f lc c A Telephone: !1 3 2 - l 6ZE
3. Status of Applicant: ✓ Owner Contractor
4. Structure Location: cE /.d, I FrDwt SOU.fhVn P^'P" ' bt)w,cta,
Parcel ID: Zoning Map # Parcel #3L-00N-Oo1 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:
One Story Shed under 200 sq.ft.: Vi Freestanding Deck under 200 sq.ft., less than 30" above grade:
SIZE OF STRUCTURE: -
Other(describe):
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO s/ 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 3
a ,
.
Frontage N/A N/A N/A
Front:
Setbacks: Side: -_
Rear:
Height
% Open space.
(Lot area minus bide and
paved pairing) i
10.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 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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