28-071 r JUN 3 01999
Date 114d File No. - �v
''OF ;HOME OFFICE/OCCUPATION (§10.2 & 11.11)
"with the Building Inspector
1. Name of Applicant:
Address: - Telephone: S7Z, - cjj
2 . Owner of Property: S cl vet„t_.
Address: Telephone:
3 . Status of Applicant:XOwner Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Map i c�Z , Parcel # ,
Zoning District(s) (include overlays)
Street Address E fV,e
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) �-irtr c° Li r au us i t�s ovt
O cwt Ajn r, 11+e. p t
6. Is this a legal residential building? NO
7 . Will there be an employee/owner who doesn't live in the home YES 0
8 . 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
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 NO
11. 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) ? 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.
1
Date: ,- �— Applicant's Signature: i`
THIS SECTION FOR OFFICIAL USE ONLY:
1/Approved as presented/based on information p resented
APPROVAL EXPIRES ON DE ER 31 OF THIS YEAR AND MUST THEN BE RENEWED
Denied as rese ted-- ason:
Signature of Building Inspector Da e
NOTE:Issuance of a permit does not rolleve nn applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Hea-fth,Conservation Cornrnlsslon,Department of public Works and other applicable permit granting authorities.
e . M
10 Do any signs exist on the property? YES NO_X _
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
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space: _
(Lot area minus bldg
&paved park.Ln9i
# of Parking Spaces
# 'of Loading Docks
Fill:
4 volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my kna) c,,g e.
D ATE: >% - C APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioanYs burden to oomply With $li
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
t
SIN 3 01999
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: :A4 S
Address:_ -� Telephone: '�� y�
Ly
2. Owner of Property: Ca %M
Address: Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain): \
4. Job Location:
Parcel Id: Zoning Map# Parcel# _ District(s):_ �
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property
6. Description of Proposed Use/1Nork/Project/Occupation: (Use additional sheets if necessary):
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/Vadance/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 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-1999-0139
APPLICANT/CONTACT PERSON LAFLAMME THOMAS&LINDA
ADDRESS/PHONE 163 SYLVESTER RD 582-9127
PROPERTY LOCATION 163 SYLVESTER RD
MAP 28 PARCEL 071 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY: '
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OU
Fee Paid n r'
Building Permit Filled out -
Fee Paid
Typeof Construction L
New Construction
Non Structural interior renovations
Addition to Existina
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:
L--,,1!Cpproved 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 ssion
'2
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.
163 SYLVESTER RD MP-1999-0139
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
8%d � 001 EHOME
t: tioi
Permit � PFIC�D C OFFICE/OCC REG
CaWgory Hai elf3c Registr _
Pmt,,# PERMISSION IS HEREBY GRANTED TO:
, ,, Contractor: License:
Fee: C1Q;s
Owner: LAFLAMME THOMAS&LINDA
Applicant: LAFLAMME THOMAS&LINDA
AT. 163 SYLVESTER RD
ISSUED ON. O1-Jul-1999 EXPIRES ON.- 01-Jan-2000
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG-COMPUTER SOFTWARE
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-1999-003437 30-Jun-99 679 $5.00
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212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®1998 Des Landers&Associates,Inc.
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