32C-286 (3) ntQCKW
V E ?
Dat File No.
2Q01
RATION OF OME OFFICE/OCCUPATION (510.2 & 11. 11)
Ai h the Building Inspector
INSPECTIONS
1 . ze,/ 6- " Telephone:
2 . Owner of Property: _d
IVAIC-
Ad : zllz,�,aj Telephone:
3 . Status of Applicant: )< Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map Parcel iZSJ
Zoning District(s) (include overlays)
Street Address ,),// 5 's 1111'r e�
5 . Narrative Description of Proposed, Home Office: (Use additional sheets
if necessary)
6 . Is this a legal residential building? C YE NO
7 . Will there be an employee/owner who doesn't live in the home YES NO
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 2�T0
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 NS2,
11i, Will there be any outdoor storage of materials? YES NO
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) ? YE 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 .
f
Date:_ �� g�[, 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: Iszuanoo of a purmtt does not rollovo.an appllcant'a burden to comply with all zoning requirements and obtain all roqulrod per nits
from the Board of H"th,Consorvatlon Cornntlsslon, DoPartmom of Public Works and other applicable permit granting authorities.
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.
This column to be filled in
by the Building Department
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:
(vol.-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE:_ �4ftmzoning APPLICANT'S SIGNATURE
NOTE: Iss a permit does not relieve an , "i
pplioanYs burden to comply wlthl .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 #
D
EC V E
JAN 2 9 W Fi1e No.
DEP10F BUILDING INS IN PERMIT APPLICATION (§10 . 2)
NORTHAMPTON,MA 01060 E TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /s
Address: // 4C1-� Telephone: ibj- �.:3d
2. Owner of Property:
Address:_. .,�„L Telephone:_ �5a a
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: ,-6 a tx-Q-
Parcel Id: Zoning Map# .3'�k(L Parcel# vZ District(s): LC ILL
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ��t
6. Description of Proposed Use/Work/Project/Occupabon:. (Use additional sheets if necessary):
e
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 PermitA/ariance/Finding ever been issued for/on the site?
NO DON'T KNOWS ✓ 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 i/ 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)
File#MP-2001-0081
APPLICANT/CONTACT PERSON STANISEWSKI JOHN J&SANDRA A
ADDRESS/PHONE 114 WILLIAMS ST (413)584-8303 Q
PROPERTY LOCATION 114 WILLIAMS ST
MAP 32C PARCEL 286 ZONE URC
THIS SECTION FO&.OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: HOME OFFICE/OCCUPATION REGISTRATIO -RENEWAL ARM/TRUCKING
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:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § _w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § _w/ZONING BOARD OF APPEALS
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 Co ission Permit from CB Architecture Co ittee
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.
114 WILLIAMS ST MP-2001-0081
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
m
HOME
lbm-Ait W` ' ° OFFICE/OCC REG
lcrxaleJXcc Re=is
tr Pern* PERMISSION IS HEREB Y GRANTED TO:
Contractor: License:
Fce X10 Homeowner as Contractor
#pffixtures, Owner: STANISEWSKI JOHN J&SANDRA A
Applicant: STANISEWSKI JOHN J&SANDRA A
AT. 114 WILLIAMS ST
ISSUED ON. 01-Feb-2001 EXPIRES ON: 01-Jan-2002
TO PERFORM THE FOLLOWING WORK.
HOME OFFICE/OCCUPATION REGISTRATION-RENEWAL FARM/TRUCKING 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-2001-001997 29-Jan-01 3837 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2001 Des Lauriers Municipal Solutions,Inc.