29-530 (2) 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 —I— to be fillad in
by tha Bcildi.ng Deepartment
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved park.ingi
# of -Parking Spaces
f 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: APPLICANT's SIGNATURE
NOTE: lanuanoe of a zoning permit does not relieve an applioant's burden to oomply rvito all
zoning requiraments and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applicable permit granting authorities.
FILE #
File No.
ZONING PERMIT APPLICATION (§I0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: U Akeln
Address: Telephone:
2. Owner of Property:
Address: Soo-tl Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 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 frorn the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
,
nn
Date Filed �.�n� ? 'nO, J File No.
ti
REGISTRATI,ON . OF' ROME OFFICE/OCCI7PATION (§10 . 2 & 11. 11)
With the Building Inspector
1. Name of Applicant: _--
Address: &N __----Telephone:
2 . Owner of Property: CAAAM ! /�►I( T
Address: ¢_ ___ Telephone:
3 . Status of Applicant:A_Owner contract Purchaser Lessee
Other (explain:___
4 . Parcel Identification: Map x Parcel x ,
Zoning District(s) (include overlays)
Street Address c OrA 4&* .; —_
5 . Narrative Description o Prop ed Dome Of:fic (Use a ditiona' siiee��
if necessary) d�Sy��'�
®lore,, —--
6. Is this a legal residential building? NO
7 . Will there be an employee/owner who doesn't live in the home YES 4LID
S . 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 T
10 . Will there be any goods sold rrcr th- ?., emises or 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 �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) ? E , 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: � // 0 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: lasuanoo of a permit does not rollove an applicant's burdon to oompfy with ail zoning requirements and obtain ail roquirod pormits
from the Board of Hoalth,consorvation Commission, Departmont of Public Works and other applicable permit granting authorities.
`w
File#MP-2003-0097
APPLICANT/CONTACT PERSON COSTERISAN DAWN&TIMOTHY ALLEN
ADDRESS/PHONE 32 GREGORY LANE (413)585-8268 Q
PROPERTY LOCATION 32 GREGORY LANE
MAP 29 PARCEL 530 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T_ypeof Construction: *RENEWAL HOME OFF/OCC REG-COMPUTER CONSULTANT
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
INFO IATION 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 Co ssion
L LO0
Signature o 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.
` MP-2003-0097
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: - 5238
!Map: ------
,,Bloc
t- HOME
Lot: 001
Pemut: HOME OFFICE/OCC R OFFICE/OCC REG
'Pe —
Category: Home Office/Occ Registr _
Pemut#__ MP-2003-0097 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2002-0810
CEst. Cost:
- — -- Contractor: License:
CFee: $10.00 Homeowner as Contractor
#of Fixtures:'' Owner: COSTERISAN DAWN&TIMOTHY ALLEN
Applicant: COSTERISAN DAWN&TIMOTHY ALLEN
AT: 32 GREGORY LANE
ISSUED ON: 24-Jan-2003 AMMENDED ON: EXPIRES ON: 01-Jan-2004
TO PERFORM THE FOLLOWING WORK:
*RENEWAL HOME OFF/OCC REG-COMPUTER CONSULTANT
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-2003-002220 21-Jan-03 924 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.