35-297 (3) CO
CJ
•
•1
•
•
•
•
• •
•
Do an signs ebst on the roe YES NO
10. D Y 9 property?S
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 —,— to be fillers in
by the Baildimg Department
Required i
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: RVIR: L: R:
- rear 10o��
Building height
Bldg Square footage 30o0
1
%Open Space:
(Lot area minus bldg
&paved parkingi
# of Parking spaces
f of Loading Docks
Fill:
{volume--& location)
di
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: i a,1 2-104 90 002, APPLICANT's SIGNATURE WON& LmaTL W====2! --
NOTE: Issuance of a zoning permit does not relieve an applio Ys rden to oompty With all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: t� -
Address:��e 04( Cu Telephone:
2. Owner of Property: dt- �a,�_ 1 1a.�q , 11 LXk af- e-%
Address: (Q 0,M1 J ,� Telephone:����
3. Status of Applicant: y Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 6 `7 w��� � r`>t�Q f!oC Q-
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property \('�.QYI'�'�Q,L 5 A I f T!Q-t'hA\j
6. Description of Proposed Use/Work/Project/Occupation: (Use ad onal sheets if necess ):
7. Attached Plans: Sketch Plan Site 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 P mit/Vadance/Finding ever been issued for/on the site?
NO �// DON'T KNOA' 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)
All
Date Filed � File No. �
A6-aN OF HOME OFFICE/OCCUPATION (§10 .2 & 11. 11)
Ait the Building Inspector
1. Name of Applicant*
Address: elephone:
2. Owner of Property: v
Address: T phone:
3 . Status of Applicant: Owner Contract Purchaser Lessee-
other (explain: )
4 . Parcel Identification: Map p
Parce 1 �ocrel-l-p CGS-
Zoning District(s) (include overlays)
Street Address 6A -.s (AjawQcArj Dr.,V'Q
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) WQt1(15'
6 . Is this a legal residential building? YE NO
7 . Will there be an employee/owner who doesn't live in the home N
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 �O
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 kUD
11. Will there be any outdoor storage of materials? YES NO
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) ? YE 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: a� � go?_ 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: issuanoo of a permit does not relieve an applicant's burden to oompty with all zoning requirements and obtain all roqulrod pormits
from the Board of Health,Conservation commission, Dopartmont of Public Works and other applicable pormlt granting authorltios.
File#MP-2003-0087
APPLICANT/CONTACT PERSON DUGGAN MARYANNE L
ADDRESS/PHONE 63 WOODLAND DR (413)582-9984 Q
PROPERTY LOCATION 63 WOODLAND DR
MAP 35 PARCEL 297 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: HOME OFF/OCC REG-ENGRAVED SIGNS
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
INFORMATION 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
Permit from Elm Street C ssion
z-
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.
63 WOODLAND DR MP-2003-0087
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
10672
- - - HOME
Lot: _ l 00_l _
�Pertnit: HOME OFFICE/OCC_R OFFICT/OCC REG
—+— 1' L
Category:
Permit# IMP-2003-0087
Project# !7s-zo—o3-o9sa --- PERMISSION IS HEREBY GRANTED TO:
------ —
'-- - Contractor: License:
Est.Cost:
Fee: $10.00^ i Homeowner as Contractor
#of Fixtures: i Owner: DUGGAN BRIAN&MARYANNE L
Applicant: DUGGAN BRIAN&MARYANNE L
AT. 63 WOODLAND DR
ISSUED ON. 09-Jan-2003 AMMENDED ON: EXPIRES ON. 01-Jan-2004
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG-ENGRAVED SIGNS
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-2003-002036 23-Dec-02 998 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.