29-124 Date Filed DEC ! F i1a Nor
REGISTRATION OF HOME OFFICE/OCCUPATT ON (§10.2 & 11.11)'
With the Building Tnsp ;ct�rx i
1. Name of Applicant: 0
Address: 413 Q Telephone: 9
2. Owner of Property:
Address: 3 Telephone: -
3 . Status of Applicant: v Owner Contract Purchaser Lessee--
Other (explain:
4. Parcel Identification: Map §,X� Parcel
Zoning District(s) (include overlays)
Street Address
5.- Narrative Description of Proposed Home Offic - (Use additional sheets
if ecessary)
r
6. Is this a legal residential building? YES NO
�J
7. Will there be an employee/owner who doesn't live in the home YES CI`3dl
S. Will you ever see clients or customers at your site? YES O~
How often
For what purposes
9_ Will there be any signs for the Home.Office? YES NO D
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
11. Will there be any outdoor storage of materials? YES NOZ
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,j 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: // �� i'� Applicant's Signature,.
- - - - - - - - - - - - - - - - - - -= - - - - - - - - - -
THIS SECTION FOR OFFICIAL -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. issuance of a permit does not retieve.an applicant's burden to comply with all Zoning requirements and obtain all required pertntts
from the 130ard of Health,Conservation Commission,Department of Public Works and other applkabta permit granting authorities-
r +
File#MP-2004-0061
APPLICANT/CONTACT PERSON LIND JOHN V
ADDRESS/PHONE 433 RYAN RD (413)584-9353 Q
PROPERTY LOCATION 433 RYAN RD
MAP 29 PARCEL 124 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid ff 1115-
Typeof Construction: HOME OFF/OCC REG
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildiniz Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF 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 Co ssion
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.
« .x
433 RYAN RD MP-2004-0061
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#_ 4849 -�
Map: 29 -
BI°�k: �4 HOME
- - -- --
Lot
001
Permit: HOME OFFICE/OCC_RE OFFICE/OC C RE G
Category: (Home Office/Occ Registrat
Permit# 'MP-2004-0061 — PERMISSION IS HEREBY GRANTED TO:
J
Pro ect# 1JS 2004-0929
— - - —_ - i Contractor: License:
Est. Cost. $0.00 _
Fee: $15.00 Homeowner as Contractor
#ofFixtures:i, Towner: LIND JOHN V
Applicant: LIND JOHN V
AT: 433 RYAN RD
ISSUED ON: 09-Dec-2003 AMENDED ON: EXPIRES ON: 01-Jan-2005
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG
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-2004-001749 03-Dec-03 118 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.