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32C-158 (5) 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: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. TI-s col== to be fil.l.ed by the Building Depn nt Required i 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 &Paved parking) # 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: 1 10-& APPLICANT's SIGNATURE �\L NOTE: Issu n e of a zoning permit does not relieve an MPF7flUto nta burden to oomply wit4 all zoning requirements and obtain all required permits fro hel Board of Health, Conservtation Commission. Department of Publio Works and other appli abl permit granting authorities. FILE # f File No. i ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_ kr 9\ . J I�"Jp,; Address: 1.�c�ti s�� 11-t.,t'. Telephone:__.. 2. Owner of Property: 1L�oc1k S1A\��vh. Address: N . Telephone: 3. Status of Applicant: Owner Contract Purchaser__�ZLessee Other(explain): 4. Job Location: Parcel Id: Zoning Map#_ ,30 Parcel# District(s� _ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) _. .._,. 5. Existing Use of Structure/Property 6. Description of Proposed UseNVork/Project/Octcupabo�n: ((Use additional sheets if necessary): j/C(�7 G1n/1k/{]PCtl C'�r. L Zr a bCc].l�ll 5���wrs � 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 Permit/Variance/Finding erever been issued for/on the site? NO DON'T KNOW�i l( 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 KNOV, 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) s s e File No��o�^" Date Filed 7 2002 REGISTRATION OF HOME OFFICE/OCCUPATION (510.2 & 11.11) With the Building Inspector 1. Name of Applicant: pry_ �(`n. j ► Address: Telephone: �d6-j31e, 2. Owner of Property: 04?-C SA" ry n Address: y a •• y nJ,f: Ms 2Q. T plot• Telephone: S8.11- 419q 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Map # 67CZ-1 Parcel ' Zoning District(s) (include overlaysj���� Street Address 5. Narrative Description of Proposed Home Office: (Use additional sheets if necessary) To o pare{c P6,^ 2�ftQr,,eA `Cio�c�. L�s►r•�.. -I-t,4- s _\\ 6. Is this a legal residential building? YE 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? YES Q 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 0 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) ? YES 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: uv2 Applicant's Signature: — — — — — — — — — — — THIS SECTION FOR OFFICIAL USE ONL 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 requlred permits from the Board of Health,Conservation Commission,Department of public Works and other applicable permit granting authorities. File#MP-2002-0079 APPLICANT/CONTACT PERSON SULLIVAN JAMES M ADDRESS/PHONE 13 KINGSLEY AVE (413)586-5316 Q PROPERTY LOCATION 13 KINGSLEY AVE MAP 32C PARCEL 158 001 ZONE URC 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: HOME/OFF REG-INTERNET BUSINESS 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 INF94MATION PRESENTED: V 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 .ssion /o z o©.?_ 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. 13 KINGSLEY AVE MP-2002-0079 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON �GIS#: 6626 Map: Block: " ;Lot:_____ ool - HOME Permit: HOME OFFICE/OCC R OFFICE/OCC REG Category: Home Office/Occ Registr. — Permit# MP-2002-0079 PERMISSION IS HEREBY GRANTED TO: Project# JS-2002-0983 IEst. Cost: Contractor: License: L--- Fee: $10.00 Homeowner as Contractor �#F tares: _ Owner: SALLOOM ROGER W Applicant: SULLIVAN JAMES M AT: 13 KINGSLEY AVE ISSUED ON: 10-Jan-2002 EXPIRES ON: 01-Jan-2003 TO PERFORM THE FOLLOWING WORK: HOME/OFF REG-INTERNET BUSINESS 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-2002-001779 07-Jan-02 620 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2002 Des Lauriers Municipal Solutions,Inc.