11A-058 (19) BP-2023-1247
90 HAYDENVILLE RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
11A-058-001 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-2023-1247 PERMISSION IS HEREBY GRANTED TO:
Project# 10x16 shed Contractor: License:
Est. Cost:
Const.Class: Exp.Date:
Use Group: Owner: Scotti's Golf LLC DEER BROOK FARMS,
Lot Size (sq.ft.)
Zoning: URA Applicant: Scotti's Golf
Applicant Address Phone: Insurance:
90 Haydenville Road (413)586-5567
Leeds, MA 01053
ISSUED ON: 09/14/2023
TO PERFORM THE FOLLOWING WORK:
10x16 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:
,01
, e , vr
Fees Paid: $30.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
File #BP-2023-1247
APPLICANT/CONTACT PERSON:Scotti's Golf
90 Haydenville Road Leeds,MA 01053 (413)586-5567
PROPERTY LOCATION 90 HAYDENVILLE RD
MAP:LOT 11A-058-001 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: 10x16 shed
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
X 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
n ir
is : ► �l�►` SA , : ' L1 9-3
ture 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.
Cott ii r ttmp n
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tassarkrusrtls ``
:.. •'RTMENT OF BUILDING INSPECTIONS �a
Street • Municipal Building " -
sEP orthampton, MA 01060
D'No,T HA 'OpN.llNSPE ff -`)J -
ioAi
ACCESSO ' = TRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check# a J ?3
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: LarrA't (,31t4InS
Address: 90 11ojdt!nud6ted Leeds, O 1053Telephone: /13-3411 2 319
2. Owner of Property: 1eGe. &Vok F04.1 ANS Lh G
Address: [O 8t3X. (its tas e p ,MAC 0L027 Telephone: Al 13-Sg 0-330 7.
3. Status of Applicant: a*' Owner_J.t Contractor/_ t - n
4. Structure Location: 90 1-tal 1 tl L J am/ bast A AA 01053
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: Xi
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.: X Freestanding Deck under 200 sq.ft., less than 30"above grade:
SIZE OF STRUCTURE: IO�x IV ° I(pos15, .
Other(describe): placol Skudurc cftf9 40'prods etts+11 s rC OOVI ilS
7. Attached Plans: Sketch Plan x Site Plan Plot Plan o
8. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES /!
IF YES: Has a permit been, or need to be, obtained from the Conservation Commission?
Needs to be obtained Ilia Obtained , Date issued
CONTINUED ON NEXT PAGE
Scoths oic@ '1i(, COM
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:��s. ,f
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: 41/8/Z073 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 C 1_,Ipt Deo v,LLE R D / 12T.
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