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32C-286 (6) 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. Ted- —7— to be filled i . by the Baildiag 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 &Paned Parking) # of Parking spaces f of Loading Docks Fill: {v01-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowl ge. /' " DME: APPLICANT'S SIGNATURE G NOTE: Ismijanoft of a zoning permit does not relieve an a iioant's urden to oompty Witte all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applionble permit granting authorities. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: ne: / 3 43�J 3 2. Owner of Property: Address: 4 / Ua�/'//;ZM s. l� /Vifr!I/h/'e�P lephone:__ /V/!3 -61#- 9.303 3. Status of Applicant: L-_�Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 11 ,+/�,qy,1 //!-- Parcel Id: Zoning Map# i Parcel# 84: District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) X 5. Existing Use of Structure/Property 0AA L 4, ' 6. Description of Proposed Use/Work/Project/ cupation: (Use additional sheets if necessary): G� 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 V 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) F a L L24 � Date Filed File No. 19_e11_/_,f REGISTRATION OF- HOMFE OFFICE/OCCUPATION (f;10 . 2 & 11. 11) With- *-he Building Inspector 1. Name of Applic nt: --�� - �� t��iect, Address: // �f / i/��5 �f Telephone: /f- 2. Owner of Property: Address : 1 elephone: j -- 3 . Status of Applicant:_4,�Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Map 13a &I Parcel r , Zoning District(s) (include overlays) Street Address 5. Narrative Description of Proposed Home Office: (Use additional sheets if necessary) Cz 6. Is this a legal residential building? YES NO 7 . Will there be an employe e/owner who doesn't live in the home YES �? 8. Will you ever see clients or customers at your site? YES NO How often purposes For what 9 . Will there be any signs for the Home Office? YES NO) 10 . W111 there be any goods sold from the premises of any 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 �TO 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 ENO 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-crimi 1 fines and criminal and civil actions - Date: Applicant's Signature: '` Q� 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: Issuanoo of a permtt does not roilovo an applicant's burden to compty wtth all zoning roqulroments and obtain all roquirod pormiLs from the Board of tioatth,Consorvatlon Commission, Dopartmont of Public Works and othor applicable pormtt granting authorities. File#MP-2004-0089 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 Buildin Permit Filled out Fee Paid 7:�� zAr- Typeof Construction: HOME OFFICE/OCCUPATION REGISTRATION-FARM/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 iF LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON ATION 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 ommission Signature of Building fficial 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. 114 WILLIAMS ST MP-2004-0089 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON !GIS#: 6729 Map-:­ 32C Block: 286 HOME Lot: 001 Permit: HOME- HO—ME OFFIC-E--/-O---C----C-­R-E---- -� OFFICE/OCCREG -- _Category: Home Office/Occ Registrati — Permit# IMP-2004-0089 H PERMISSION IS HEREBY GRANTED TO: Project# JS-1999-1342 i Est. Cost:— - License: Fee: $15.00 Horneovvner as Contractor 1 1#of Fixtures:'s:� STANISEWSKI JOHN J&SANDRA A Applicant: STANISEWSKI JOHN J&SANDRA A AT. 114 WILLIAMS ST ISSUED ON. 12-Feb-2004 AMENDED ON: EXPIRES ON. 01-Jan-2005 TO PERFORM THE FOLLOWING WORK.- HOME OFFICE/OCCUPATION REGISTRATION-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 Registration REC-2004-002251 03-Feb-04 7560/4213 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS@ 2004 Des Lauriers Municipal Solutions,Inc.