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38B-040 UNIT 9 167 SOUTH ST MP-2004-0046 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 11185 Map: Block: HOME Lot: 009 Permit: HOME OFFICE/OCC_RE OFFICE/O C C REG ('1 Category: Home Office/Occ Registrat _ Permit# MP-2004-0046 PERMISSION IS HEREBY GRANTED TO: Project# JS-2004-0726 Est.Cost: $0.00 Contractor: License: Fee: $15.00 Homeowner as Contractor #of Fixtures: Owner: GOLL EDWARD P&CHARLES W BOWL Applicant: BERNHEIM ONAMI AT: 167 SOUTH ST ISSUED ON: 10-Nov-2003 AMENDED ON: EXPIRES ON: 01-Jat1-2004 TO PERFORM THE FOLLOWING WORK: HOME OFF/OCC REG-COMPUTER CONSULTING BUSINESS 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-2004-001361 28-Oct-03 182 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2003 Des Lauriers Municipal Solutions,Inc. File#MP-2004-0046 APPLICANT/CONTACT PERSON BERNHEIM ONAMI ADDRESS/PHONE 167 SOUTH ST#9 (413)586-8008 0 PROPERTY LOCATION 167 SOUTH ST MAP 38B PARCEL 040 009 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid � �/J_'` Typeof Construction: HOME OF /OCC REG-COMPUTER CONSULTING BUSINESS 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 FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Cotj.ssion ...........-- 1,:,2.2 O O Signature of Building Officia 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. • T��y ���ifn _1 GJii �i�y� Datc• Et � f File No�► ., REGIBTRA. OF HOME OFFICE/OCCUPATION (510 . 2 & 11. 11) If !s With the Building Inspector OCT 2 $ 2003 1. Name of A l iCIan t a v'i 4Pery.11eLl,i � �!� cl*' r '`"d(a S`� r'1 A/r>A/fistr1 1.0.4„ Telephone:04, '•/ Sflb 8 2 2 Owner of Property: �,yt-�'�n 1►S IL k/>' ' Il'I`1 7_ __ Address: Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4. . Parcel Identification: Map e L (�� Parcel �&7 1 C/ , 2907 Zoning District(s) (include g/ve lays) Street Address /C7 S � 7` , 5 . Narrative Description of Proposed Home Office:r-- __ (Use additional sheets if necessary) ti (r `Ll io� _ kP^ ,44_ - ` hOk'►0 p f Ce X r9 C& vc-f' ree (a vice (a.•.^tf41-1,er b o<i Ae s.•S 6. Is this a legal residential building? (YES) NO _ 7 . Will there be an employee/owner who doesn't live in the home YES 10 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 GO 10 . Will there be any goods sold from the premises or any sale o goods stored on premises , either retail or wholesale, or an display of goods on premises? YES S 11. Will there be any outdoor storage of materials? YES T• 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) ? 4 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: !Q/ z � (7 �� 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 door not roliovo an applicant's burden to comply with all zoning requirements and obtain aliroquirod permits Board the oard of Hoalth,Conservation Commission, Department of Public Works and other applicable permit granting authorities. Fi1e No. ZONING PERMIT APPLICATION (y10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: (9,4 a Address: ///2� Saovitt c f A 71- q Telephone: '/i 5X6 P 2. Owner of Property: /\/�1'f-L,p.„ r f Ni 7 S Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: j 562-u,a5 L Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Ptf 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): if t i t Z h 7 g S•L2r-►e✓1 c— lit Ov► r, -P- ;c Cc7ri 1 C P �r�vi Le--7,,orytfir 7' ('1-r,-7/7 r✓i S/ ✓re 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 PermitNariance/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 KNOV " 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. 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 17— IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Padding Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of -Parking Spaces #- of Loading Docks Fill: {vol-ume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate,— the best of my knowledge. DATE: / 2 .7 ) APPLICANT'S NOTE: Issue oa of KZ(9) permit does not relieve atw-alpplioanrs burden to oorti w zonin P� �.������-- fi requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiloable permit granting authorities. FILE I