35-300 (3) d 1
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 O
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This aolw= to be filled in
by the Buildiagr Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
a &paved parking%
# of Parking Spaces
f of Loading Docks
Fill:
{vo1-ume--& location)
13 . Certification: I hereby certify that the inform ion contained herein
/- is true and accurate he best of my knowled
l�
DATE:ezu� 0 O O f APPLICANT's SIGNATURE
NOTE: a of a zoning permit does not relieve an ant's burden oomply %[H4 all
zoning ements and obtain all required permits from the Board of Health, Conservation
Comm Department of Public Works and other applicable permit granting authorities.
FILE #
JUL 2 6 2001
File No.
DEPO OF BUILDING INSPI
NORT NAA.�PT4
E ERMIT A.PPLICATION (§10 . 2)
PT
PLEASE TYPE OR PRINT ALL INFORMATION
/ Q
-/1. Name of Applicant: , u ,S i�S S �f ccs
/Aldss: wood�Q''�� �- _Telephone: S47 7 /A 70
Owner of Property: cC.0 C - L �^)
Address: ( '? /�W9CJ (41^co 1J+r, Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
Job Location:
Parcel Id: Zoning Map# Parcel# a� District(s)• _
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property plp -
`�
.. Description of Proposed Use/Work/Project/Occupabon: (Use additi opal sheets if necessary):
( o.►�r/ Q-c..� g 1�-� �a �( o(R'c.c l �o.�.2_ a{�c c
.
7. Attached tans: 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 Permit/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOI^:�_ 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)
r...._.�..�.�...�._...._...._..._.__,... _..._ ,..
t
t q i t., b� �..t .� �fi..
tj � Y
tr.. r�.a....,�...�.�rr,...... ,.
0
y"
M
Dat ed File
REGISTRAT OF ORE OFFICE/OCCUPATION (§10.2 & 11.11)
DEPORj�� ON 0 060 INSPECTIONS Wi h the Building Inspector
1. Name of Applicant: K #'J Telephone-
Address: 1'7 W.
2. Owner of Proper t
Address: ( ® H Telephone:
3 . Status of Applicant: /Owner Contract Purchaser Lessee-
Other (explain: )
4. Parcel Identification: Maps Parcel
Zoning District(s) (inc l ov lays)( S
Street Address T�
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) COh, u + rCcs 0S;;LQj1CS r'X NCA J _
J r rW_0 ((
.95 4" *rol Sarancc Q�F'/brake✓.
6. Is this a legal residential building? O
17. Will there be an employee/owner who doesn't live in the home YES O
8. Will you ever see clients or customers at your site? YES N
How often
For what purposes
9. Will there be any signs for the Home.Office? YES NO
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 I
11. Will there be any outdoor storage of materials? YES O
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 info 'on is incorrect,
my permit is null and void and I may be liable for no riminal ines and
criminal and civil actions.
Date: Zp 0 j 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: Issuanoe of a permit does not rellevo 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.
f
File#MP-2002-0015
APPLICANT/CONTACT PERSON KUHN SCOTT
ADDRESS/PHONE 17 WOODLAND DR (413)584-3163 Q
PROPERTY LOCATION 17 WOODLAND DR
MAP 35 PARCEL 300 001 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
Tweof Construction HOME OFF/OCC REG-CONSULTANT SERVICES
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:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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
liser�ation Co on Permit from CB Architecture Committee
P it from Elm Street ission
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.
17 WOODLAND DR MP-2002-0015
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
j HOME
{ i
t 001
OFFICE/OCC REG
'.
HOle Off1tGCgStC'
�„ MP 2002 0 PERMISSION IS HEREB Y GRANTED TO:
JS 2002 0 5
��k Est
Contractor: License:
�,. :: .. $10 ?,
Homeowner as Contractor
Owner: KUHN SCOTT
Applicant: KUHN SCOTT
AT: 17 WOODLAND DR
ISSUED ON: 03-Aug-2001 EXPIRES ON: 01-Jan-2002
TO PERFORM THE FOLLOWING WORK.•
HOME OFF/OCC REG-CONSULTANT SERVICES
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-2002-000260 27-Jul-01 MO $10.00
212 Main Strcct,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2001 Des Lauriers Municipal Solutions,Inc.