23C-104 103 BLISS ST MP-2003-0031
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
�GIS#: 10946
Map: fr
,Block: _ HOME
Clot: ;001
'Permit: HOME OFFICE/OCC R OFFICE/OCC REG
;Category: Home Office/Occ Registr Permit# MP-2003-0031 PERMISSION IS HEREBY GRANTED TO:
'Project# 1JS-2000-2082
Est. Cost: Contractor: License:
,Fee: $10.00 Homeowner as Contractor
#of Fixtures:1 Owner: John Zieminski
Applicant: TRUSLOW L ALEXIS
AT: 103 BLISS ST
ISSUED ON: 22-Aug-2002 AMMENDED ON: EXPIRES ON: 01-Jan-2003
TO PERFORM THE FOLLOWING WORK:
TELEPHONE AND COMPUTER BASED HOME BUSINESS-NO CLIENTS TO HOME OFFICE
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-2003-000601 22-Aug-02 2407 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2002 Des Lauriers Municipal Solutions,Inc.
a
File#MP-2003-0031
APPLICANT/CONTACT PERSON L.ALEXIS TRUSLOW
ADDRESS/PHONE 103 BLISS STREET (413)584-0025 ()
PROPERTY LOCATION 103 BLISS ST
MAP 23C PARCEL 104 001 ZONE URA WSP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out C7.�/��n Al
Fee Paid "J ,l SLh
Typeof Construction: TELEPHONE AND COMPUTER BASED HOME BUSINESS-NO CLIENTS TO HOME
OFFICE
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
INFOJNIATION PRESENTED:
//pproved 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 Stree ommission
.,......----- ,6 /,,'� L 2 do 2.--
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.
WODate Filed $/2_1/0,A , E _ �� File No.O .
REGISTRATION OF HI OFFICE/OCCUPATII §10 . 2 & 11. 11)
Witt ►4 litIGiNitgaigsp. , o
1. Name of Applicant:
L. gLx s i osld�
� ���� .
Address: 0 cf iU' . 0
Telephone: 5-kg-00.7 S
Ftbcen roba-a40 •
2 . Owner of Property: Sa.me o-ho Address: Telephone:
3 . Status of Applicant: Owner _ Contract Purchaser Lessee
Other (explain:
4 . Parcel Identification: Map ? , Parcel x
Zoning District(s) (include overlays)
Street Address
5. Narrative Description of Proposed Home Office: (Use additional sheets
i necessary) ieehOne L:bnlot,c74ar ./used home 6usiness_ AJ cli s
4he home
6 . Is this a legal residential building? NO
. 7 . 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 NO
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 ,`TO
11. Will there be any outdoor storage of materials? YES MD
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) ? 4110 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 penult is null and void and I may be liable for non-criminal fines and
criminal and civil actions.
Date: sA I /pa Applicant's Signatur
THIS SECTION FOR OFFICIAL IISE 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 relieve 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.
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: L s4-k_US /ra5/o tJ
Address: /03 s 5- , Toren c' M A4-0/C6..q Telephone: 5N'-O°: S
2. Owner of Property: so_.me
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: /63 f'/i 55 S4. Aoreh cp fyi 0io
Parcel Id: Zoning Map# Parcel# District(s): _w
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property ce s
6. Des .ption of Pro•osed Use/Work/Project/Occupation: (Use additional shee if necessary):
/c o fe 'o . _ -r .ase,(' One o, Y)ess_
4 him e C > c Q .
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 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)
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 columm to be filled i
by the Building 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:
{volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 5'z i!U a APPLICANT's SIGNATURE /�,_
NOTE: las anon of a zoning permit does not relieve an applicant`s burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioabie permit granting authorities.
FILE if