17D-012 (22) •
tex
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 colmmn to be filled in
by the Building Department
Required
\,, Existing Proposed By Zoning
L s iz
rontage
etbacks Jrnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of - Parking Spaces
it 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 knowle•- -.
DATE: i / / APPLICANT 's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioane burden to oomply with .all
zoning requirements and obtain all required permits from the Bo rd of Health, Conservation
Commission, Deportment of Publio Works and other applioable permit granting authorities.
FILE if
`� E L� �
Fi le No. 1 I ✓�� Ot F. � � ; PERMIT APPLICATION ( §10.
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 1 -61 -AtJS RIL.L_
Address: 4'I 1 $[.IAC PvAA APT =a 1l I Telephone: • 5 RC.? -1 1 Col
2. Owner of Property: 1 Pkr`l2T AtTc
Address: I t ',tztm ', Telephone: 4 -11 2 , • cj 84 .1 Sgt
3. Status of Applicant: Owner Contract Purchaser K_ Lessee
Other (explain):
4. Job Location: }I Sett: C.E 6+ O Ace-r II Fwg rt-E Mik 0 to6Z
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property / F01
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
lytCiaitiZ DtCI tTik (\ri PgioDJCTt orJ
G�wSPuTG� P A C.,c esa Le S .
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 t.7 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)
rl e sled d' p File No. /7„2..__
RE lOF HOME OFFICE /OCCUPATION ( 510.2 & 11.11)
With the Building Inspector
�' ONS
�,'.
,• k�i%i',. O INSPECT( ant :
.10 P . b, rdi Telephone:
n Lo gic -i• • Mit otofoZ
2. Owner of Property: ��' IGArpv4 APPte-Tek ,
Address: Leh Q�f)G� (Z.o�p p`( --Frt� Telephone: fi c5,-1 . 7<a r-,
3. Status of Applicant: Owner Contract Purchaser '( Lessee
Other (explain:
4. Parcel Identification: Map f , Parcel f
Zoning District(s) (include overlays)
Street Address yo► ��', E. '{?---oAtj APT. - 7i1
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) �tGITA - t � �rzC �}/�r.�C on c,n •tar - [1}-
CTAAFS - AcG' r ► s .
6. Is this a legal residential building? ES NO
.7. Will there be an employee /owner who doesn't live in the home YES NO
8. Will you ever see clients or customers at your site? YES NO
How often
For what purposes
9. Will there be any signs for the Home Office? YES 70
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 NO
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)? ari, 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: t 7 ' 1 / °1 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: iasuanoo of a permit does not rollovo an appllcant'a burdon to comply with all zoning requirements and obtain all required pormtts
from the Board of Health, Conservation Commission, Dopartmorrt of Public Works and other applicable permit granting authorities.
•
File # MP- 2001 -0072
APPLICANT /CONTACT PERSON AVERILL PETER
ADDRESS/PHONE 491 BRIDGE RD #711 (413) 586 -7161 0
PROPERTY LOCATION 491 BRIDGE RD - #711
MAP 17D PARCEL 012 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 c22 s/en
Typeof Construction: HOME OFF /OCC REG - DIGITAL ARCHIVING WITH COMPUTER
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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w /ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w /ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
BOXPLQ g, Well Water Potability Board of Health
i ,. 5
Permit from Conservation C ission Permit from CB Architecture Committee
Signature of Building icial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
ri requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
49 B1�IDGE RD - #711 MP- 2001 -0072
COMMONWEALTH O F MASSACHUSETTS
CITY OF NORTHAMPTON
OSf
4.,
'� � ZONING PERMIT
� � A APPLICATION PERMIT
MP � 4) 07
00 1t 19 , ' PE RM ISSI ON IS HEREBY GRANTED TO:
C License:
x `„ Homeowner as Contractor
Owner: NORTHAMPTON MEAD OWBROOK ASSOC
Applican AVERILL PETER
AT: 491 BRIDGE RD - #711
ISSU ON: 11- Jan - 2001 EXPIRES ON: 01-Jan- 2002
TO PERFORM THE FOLLOWING WORK:
HOM OFF /OCC REG - D IGITAL ARC HIVING WITH CO M PU TER
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: Ch eck • No Amou nt:
Zoning Perm App lication REC- 2001 - 001848 09 -Jan-01 271 $10.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272
GeoTMS® 2001 Des Lauriers Municipal Solutions, Inc.