29-530 (4) 10. Do any signs ebst 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:
II. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION
L u.��ed i A — 1 ��S i� �S ��� � �, . RU!2 J— � filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paced parking)
# of Parking Spaces
f of Loading Docks
Fill:
{vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: �/ /S� APPLICANT's SIGNATURE
NOTE: las anoa of is zoning permit does not relieve an applionnVe burden to oomph ith-all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applloable permit granting authorities.
FILE #
File No A
ZONING PERMIT APPLICATION (§I0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_ J)Qw
Address: i-m // Telephone:_LL
J Ili
2. Owner of Property: Da do �oSfGY�sa� s //MdThw,�
Address: 5"^e- 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 Resik�nG,I
6. Description of Proposed Use/Wo roject/Occup2tion: (Use additional sheets if ne ary): �^
eel _e U� ;i /b6fn as. oee d-rr
v� r
7. Attached Plans: Sketch Plan Sd:e 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/Vadance/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? NOX— DON'T KNOVV 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)
Date Fi
File No-9V 3
RE ISTRAT ME OFFICE/OCCUPATION (§10.2 & 11.11)
nF 4G Ns" h t e Building Inspector
lot 11
1. Name� 2ppiican Of `
. t-
Address: r
L Telephone-
p166
2. Owner of Property: J)gXW"
Address: T ephone: Je-%C_
3 . Status of Applicant:_X-Owner Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Map #X22?_, Parcel
'! Zoning District(s) (include overla:ys)�,(
Street Address
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary)_A RpQ,r, ;h hd4ps-e t
6. Is this a legal residential building? ` ' NO
_ 7 . Will there be an employee/owner who doesn't live in the home YES
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? YESO
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 ATO
11. Will there be any outdoor storage of materials? YES jr
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) ? �F� 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: l/ //,�/Q� Applicant's Signature:
-T
- - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
ZApproved as resented based on information resented
'presented/ p
APPROVAL EXPIRES ON DE ER 31 OF THIS YEAR AND MUST THEN BE RENEWED
Denied as ese ed- a
Signature of Buil ing Inspector Date
NOTE:Issuance of a permit door not relleve an appiicanre 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.
ile -2002-0063
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
Buildiny,Permit Filled out
Fee Paid
Typeof Construction: HOME OFF/OCC REG-COMPUTER CONSULTANT
New Construction
Non Structural interior renovations
Addition to Existing
Accessoty Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF MATION PRESENTED:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER : §
Intermediate Project : Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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 Com , on
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.
3 G RWGORY LANE MP-2002-0063
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIs#:' 5238
Map:
Block: HOME
Lot: n 0 i s
Permit HOME OFFICE/OCC R OFFICE/OCC REG
Category: Home Office/Oce Registr _
Permit# MP-2002-0063 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2002-0810
Est.Cost: Contractor: License:
Fee: $10.00 Homeowner as Contractor
of Fixtures: Owner: COSTERISAN DAWN&TIMOTHY ALLEN
Applicant: COSTERISAN DAWN&TIMOTHY ALLEN
AT. 32 GREGORY LANE
ISSUED ON: 29-Nov-2001 EXPIRES ON: 01-Jan-2002
TO PERFORM THE FOLLOWING WORK:
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-2002-001393 19-Nov-01 570 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2001 Des Lauriers Municipal Solutions,Inc.