29-530 (3) 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 COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols= to ba filled in
by the Bcj.ldiag Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parkingi
# of -Parking spaces
f of Loading Docks
Fill:
volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: Issuanoa of a zoning permit does not relieve an applioanYs burden to oom t wit
zoning requirements and obtain all required P Y alt
q permits from the Board of Health, Conservation
Commission. Department of Publio Works and other appitoabla permit granting authorities.
FILE #
in i' Z
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRIME ALL INFORMATION
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:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Srte Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:_
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page _ and/or Document#
9. 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 Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
EC E
e File No.
Date Filell
REIISTRATION OF HOME FFICE/OCCUPATION (§10.2 & 11.11)
wit the Building Inspector
DFDT 0G P11"NTG!!VSPFCT(ONS
s�npr�,♦eq"'(l ' AAA �} ,- ,� t
1. Name af-App3-rcztn �,S2�d�1
Address: elephone: tf/3s- 996;X-
2. Owner of Property: .S
Address: Telephone•
3 . Status of Applicant-Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map Parcel #
Zoning District(s) (include overlays) ZtM
Street Address
5. Narrative Descriptio of Proposed Home Offic (Us addition sheets
if necessary)--(A�a� IZj
♦ A
d / a
"Ide off:
6. Is this a legal residential building? 6e-S YES NO
7 . Will there be an employee/owner who doesn't live in the home YES tm
8 . Will you ever see clients or customers at your site? YES
.How often
For what purposes
9 . Will there be any signs for the Home Office? 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
12 . Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking
congestion, noise, air pollution, and materials storage) ? NO
If NO explain:
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: ��' 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 MUST THEN BE RENEWED
Denied as presented---Reason:
Signature of Building Inspector Date
NOTE:issuance of a permit does not reUeve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
*ile#MP-2002-0086
APPLICANT/ ONTACT PERSON COSTERISAN DAWN&TIM:OTHY ALLEN
ADDRESS/PINE 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
Fee Paid
T_ypeof Construction: HOME OFF/OCC REG-COMPUTER 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
INFQRMATION PRESENTED:
v 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 S- ecial 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 Health3 Well Water Potability Board of Health
` I�eiriv r in b&ervation Commission ]permit from CB Architecture Committee
PP t from Elm Street 'ssio
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.
w.
32 GREGORY LANE MP-2002-0086
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 5238
Map:
Block: - max- HOME
'ILot: 001 _
Permit: HOME OFFICE/OCC_R OFFICE/OCC REG
Category: �IHome Office/Occ Registr —
Permit# fiMP-2002-0086 PERMISSION IS HE, Y GRANTED TO:
Project# JS-2002-0810
EIst.Cost: Contractor: License:
r Homeowner as Contractor
Fee: 1$10.00
of Fixtures: Owner: COSTERISAN DAWN&TIMOTHY ALLEN
Applicant: COSTERISAN DAWN&TIMOTHY ALLEN
AT. 32 GREGORY LANE
ISSUED ON. 17-Jan-2002 EXPIRES ON. 01-Jan-2003
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG-COMPUTER 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 Registratio REC-2002-001886 16-Jan-02 605 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2002 Des Landers Municipal Solutions,Inc.