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32C-112 (2) 10. Do any signs exist on the property? YES NO 4/ IF YES, describe size, type location:_ Are there any proposed changes to or additions of signs intended for the property? YES NO M' i nc IF YES, describe size, type and location: k Sm Si U yotL u.( Aa. e 11. Will the construction activity disturb (clearing, grading, excavation, or filling)over I acre or is it part of a common plan of development that will disturb over 1 acre? YES NO I/ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size voz/ill z 5y , c{. oft Frontage Setbacks Front Side L: R: L: R: L: R: Rear Building Height Building Square Footage lo %Open Space: (lot area minus building Et paved parking #of Parking Spaces #of Loading Docks Fill: (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 171 Zc I .Q Applicant's Signature : NOTE: Issuance 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, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:Documents FORMS'original'Build ing-Inspector Zoning-Pcrmit-Application-passive.doe 8i4 2004 File No. ZONING PERMIT APPLICAHON( 00.2) Please type or print all information and return this form to the Building Inspector's Office with the $15,filing,fee (check or money order)payable to the City ofNorthampton 1. Name of Applicant:_ QO21itn' Address: 1`-1 t Q 1 d S J A>� �"r- CC tl L Telephone:L�13 3(t 1-1 1-1 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser V Lessee Other(explain) 4. Job Location: . 3 5 M t wit, S e it l A r-ip Al Parcel Id: Zoning Map# Parcel# D#strict(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: fesicl'r1�-iF11, 4-w %agoij 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 1- A IA b J/ 1 1,11 -114‘s I roc)et-i Li S A Settx)) ka t reJl y u)k,A ko spews ] li4.6ft rtt4 RJ Amp. I w , i -6 e t(1e i-s Cr AM A ) 1(.14t. cp4r,st- --rtc4 t 4"4 & CP 6 I. (EQat�� awl CCoid Akt Z Wit • -04 Sl ccidn c' ka isdrr Fi*4 S d►�1�5&? ©� LI � 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans c"kk & $► 8. Has a Special Permit/Variance/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: ZFaun Continues On Other Side# W:Documents FORM S orieinatBuiidine-Inspector'Zonin Permit-_-Application-passive.doc S,4,2004 Ant • , --„..4i, 77,.._TLET-----7-777-7-77771E r;''- Date Filed File No. /"1 �j • L" - M MAY 2 0 2008 REGISTRATION OF SOME OFFICE/OCCUPATION (§10.2 & 11- 11) . (__.__ --- - h tjhe Building Inspector . ( Iti .i ,L' i n 1. Name- -o- Appli cant------ b 0 fcitLf,._ Address: %'`t1, Old S,,ryVdirt�;,nd eel) t�t��44f,e Telephone: .�y�3) 367 -5 �7 jI 2. Owner of Property: Address: Telephone: 3 . Status of Applicant: Owner / Contract Purchaser Lessee Other (=lain:: ) 4 . Parcel Identification: Map g , Parcel g Zoning District(s) (include overlays) Street Address 5. Narrative Description of Proposed Home Office: (Use additional sheets if necessary) / wr�4+ is 5 v ., , , C t .- __ f ,v K T A-ISV WOK+ .69 fee cire..t -i e-+ wt .4 ?s.(ha ,"rkJ7 ft- Jul- e if,,e. N-[rAIcy j DATA /r'rJdiv 4j- 4. iItKt eF Rartzr45 di' PTr, .0r_ . 6. Is t_his a legal residential building? V NO _ 7. Will there be. an employee/owner who doesn't live ?-n the home Y^ ev S. - Will you ever see clients or customers at your site? e. NO How often Ge,iit, A-tt 3 ctr l tJ t( ; ✓5'4-u1 ;i dt For what purposes s ft A—P,� 9. Will there be any sign t; .for the Home Office? ES 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 11. Will there be any outdoor storage of materials? YES 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) ? MEP, 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 i nfoLluation is incorrect, my permit is null and void and I may be liable for non-criminal fines and criminal and civil actions . '1:4-€ L ,1 O'_ Ai:Dame: 2r9� d Applicant's Signature: - - - - - - - - - THIS SECTION FOR OFFICIAT, USE ONLY: - - - - - - - - - Approved as presented/based on infoination presented APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST TEEN BE RENEWED Denied as presented---Reason: y 7 Signature of Building Inspector Date NOTE [z s of a paernr doez not rorlovo ztri apptiur.Z t burden to cop all zoning ri.,; trements and obtain ail roquirod aor-tl= froill t Q Board of i:aatth,Corso,-Jason Comri=cIon, Dopa^rnsilt of PubticWork: and other applicable pornit granting author`.ucs_ File#MP-2008-0080 APPLICANT/CONTACT PERSON GORFINE TETTY ADDRESS/PHONE 146 OLD SUNDERLAND RD (413)367-9874 0 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-PSYCHOTHERAPIST 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 ACTIO HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PREJS I'ED: 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: § 35-C) /O./2- coe ,,,,- 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 Commissi■ Permit DPW Storm Water Management • /7(2// Signature of Building 0 icial 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.