29-530 w
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
IF YES, describe size, type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This cohann reserved
for use by the Building
Department
EXISTING PROPOSED 1
N
Lot Size
x5
f n.[xY.Z
Frontage
Setbacks Front
Side L: R: L: R: }�
Rear
y --
Building Height
Building Square Footage
Open Space: (lot area - -
minus building&paved parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume Et location) _
12. 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.
OOO.pdf
I
i
i
File No.
A.
-
Please type or print all information and return this form to the Building
Inspector's Office with the$15,filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant:
Address: Telephone:
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location:
Nam=
r m
+� �-Y� �"� -i.
S�"'&`�.
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO 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:
(Form Continues On Other Side)
D. -
Date Filed File No
ALIG 2 0 4 i
4EGISTRATION OF HO H O FICE/OCCUPATION (510. 2 a 11. 11)
l- cif he Building Inspector
.' rrr..�r r�-nt�-,. �I►,cor('T�n�i5
1. Name of .Applicant
Address: y Telephone:
2_ Owner of Property: Wye gV1C� /�
Address: Telephone:
3 . Status of Applicant:__,xOwner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification : Map Parcel z ,
Zoning District(s) (include overlays)
Street Address
5. Narrative Descri tion o - Pr9 posed Home Office: (Use additional sheets
if necessary) S'vf)
ax t ✓ � 3.
G. Is this a legal residential building? ,yam YES NO
7 . Will there be an employee/owner who doesn't live in the home YES
8. Will you ever see clients or customers at your site? 2�t NO
How often 2'3 ee- Eb•�'
For what purpos s
9 . Will there be any signs for' the H me Office? Ab YES
10. Will there be any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or any
display of goods on premises? YES
11. Will there be any outdoor storage of materials? YES ,D
12 . Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking
congestion, noise, air po lution' and materials stora e) ,-.) NO
If NO explain; w;Il ,�, ..�
13 . Attach Plans (if applicable)
14 . Certification: I hereby certify that the information contained herein
is true and accurate. I understand that if any information is incorrect,
my permit is null and void and I may be liable for non-criminal fines and
criminal and civil actions .
Date: $�j$/dcJ Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL, EXPIRES ON DECEMBER 31 OF THIS YEAR AND HUST THEN BE RENEWED
Denied as presented---Reason:
Signature of Building Inspector Date
NOTE. Izsuanoo of a pecmft does not relieve an applicant's burden to comply with all zoning roqulromonts and obtain all roquired permits
from the Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities,
. N." +W
File#MP-2005-0034
APPLICANT/CONTACT PERSON ALLEN DAWN
ADDRESS/PHONE 32 GREGORY LANE (413)585-8268 Q
PROPERTY LOCATION 32 GREGORY LANE
MAP 29 PARCEL 530 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out uu
Fee Paid
T_ypeof Construction: *RENEWAL-HOME OFF/OCC REG-PET CONSULTANT
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
INF�MATION 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
e fr lm Street ssion
T
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.
32`+9AMS 0- ?Yi ANE MP-2005-0034
COMMONWEALTH OF MASSACHUSETTS
_ CITY OF NORTHAMPTON
GIS#: 5238
Map:
Block: - HOME
Lot: '
Permit: HOMEOFFICE/OCC RE OFFICE/OCC REG
Category: Home Office/Occ Registrat _
Permit# MP-2005-0034 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2002-0810
Est.Cost: Contractor: License:
Fee: $15.00 Homeowner as Contractor
#of Fixtures: Owner: ALLEN DAWN
Applicant: ALLEN DAWN
AT. 32 GREGORY LANE
ISSUED ON. 03-Sep-2004 AMENDED ON. EXPIRES ON. 01-Jan-2005
TO PERFORM THE FOLLOWING WORK:
*RENEWAL-HOME OFF/OCC REG-PET CONSULTANT
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Home Office/Occ Registration REC-2005-000767 27-Aug-04 1296 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.