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32C-286 (5) a 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 colas to be fi.11&d in by tha Baildiay Diepnxtment 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 &Paned 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: APPLICANT's SIGNATURE G NOTE: Issue o of a zoning permit does not relieve an appiioant's urden to oom zoning requirements and obtain all re uired Pn ery o q permits ffrom the Boae-d of Health, Conservt�tion Commission. Department of Publio Works and other applionble permit granting authorities. FILE if File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION r 1. Name of Applicant: / iLi �G�uG � ;� Sea-26� Address: Telephoner 2. Owner of Property: 61D szs---' Address: Telephone: ��u 3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Job Location: S/ ,�tAc?- Parcel Id: Zoning Map#—J;�--- 14-_ Parcel# �S1 . _ District(s): I;e( (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property /�O✓���ia}� a� Cro� � 6. Description of Proposed,U�seMlork/Project/Occupation: (Uge additional sheets if necessa ): 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 KN0V%' t--' 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-.k--'1-1 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) !J Y Q Date Filed � s i File Nb.. ;1 a.' REGISTRATION OF ROME OFFICE/OCCdVAe, ON ( 3 jj 1022 & IL. 11)" Ln With the Building SX-C" 1 ,7 np� 1. Name of Applicant: ,1C{ J °F tLc�Gt2 Address : //G� (�/1//ins Telephone:� fl- 93 ;3 2. Owner of Property: Address : //,V Telephone: 3 . Status of Applicant: JC Owner contract Purchaser Lessee Other (explain: y 4 . Parcel Identification: leap ,3;7,C, Paz--cel F" Zoning District(s) (include overlays) ' -- __ Street Address j/v � y5f' G 1�hnfj X _-- 5. Narrative Description of Proposed Home Oficp-: (Use additional sheets if necessary) csr _� 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 NQa' How often For what purposes 9 . Will there be any signs for the Home Office? YES 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 o 11. Will there be any outdoor storage of materials? YES 2�0 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 . Date:_ Applicant's Signature: r�j�� �, „ 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 MOTE: lssuanoo of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all roquirod permits from tho Board of Health,Consorvatlon Commission, Departmont of Public Works and other applicable portrait granting authorltlos- File#MP-2003-0105 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 286 001 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 Typeof Construction: 2003 RENEWAL-HOME OFFICE/OCCUPATION REGISTRATION New Construction Non Structural interior renovations Addition to Existinp- Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF34RMATION 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 Stree mmission Z �o Signature of Building Official Dat 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-2003-0105 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON r 'Map: stock: HOME rLot: _ iP rmit: �HOMEOFFICE/OCC R� OFFICE/OCC REG -- F----- Category: Home Office/Occ Registr _ LPermit# NNW-2003-0105 - PERMISSION IS HEREBY GRANTED TO: Project 999-1342 Est.Cost:--" — Contractor: License: Fee: $10.00 Homeowner as Contractor j#of Fixtures:, Owner: STANISEWSKI JOHN J&SANDRA A Applicant: STANISEWSKI JOHN J&SANDRA A AT.- 114 WILLIAMS ST ISSUED ON. 05-Feb-2003 AMMENDED ON. EXPIRES ON.• 01-Jan-2004 TO PERFORM THE FOLLOWING WORK: 2003 RENEWAL-HOME OFFICE/OCCUPATION REGISTRATION 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-2003-002320 04-Feb-03 7274 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.