35-276 (2) 10. Do any signs ebst on the property? YES NO t/
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.
Thia —I== to be filled in
by the Building D.P. nt
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 par king%
# 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 knowled e
D 's
DATE: � —2���G 3 APPLICANT SIGNATURE �
NOTE: Issuanoa of a zoning permit does not relieve an appiioa burden to comply wltb oil
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: /� 4
Address: ,7g ���L{/2- �/- Telephone: 22 z ` S 1�` 7 `�'
2. Owner of Property: ��?
Address:_ 7 GyvG�'� G�f �� � /� Telephone: yZ-?`
3. Status of Applicant: , Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
BE FILLEDD IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Worr/k/Project/Occupation: (Use additional sheets if necessary):
/ d rG�dC r f( G? %✓Id� °! f^G'Lc Cr'C5-
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 11� 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 KN01N t- ~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)
. Y�iLlw
1 f
e No.
Date filed File .
""-I� dIBTRAT Q}I+i OF HOME OFFICE/OCCUPATION (510 . 2 & 11. 11)
With the Building Inspector
2 8 2003
MAR
1." Name of Applicant; ��hZ
Telephone:
Oc� a t, "�5erty: ' nd l _ _ �i/� ' 1-
Address : 4vlyi� . �.2 /'_ - ���z Telephone: ��/? 3 ?- `ll
r /Lc
3 . Status of Applicant: V Owner Contr<.ct Purchaser Lessee
Other (explain: _ )
4 - Parcel Identification: Map Parcel FJa ,
Zoning District(s) (include overlays)
Street Address
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) t? - G' Sc°.- r� ss. Inc; �� ri��. �C
Ydl ta�l.ct �1 !�<
6 . Is this a legal residential building? 40
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 NO
How often
For what purposes
9 . Will there be any signs for the Home Office? YES�'F�O
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 �T
11. Will there be any outdoor storage of materials? YES ''
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: Z �a--3 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 TREN BE RENEWED
Denied as presented---Reason:
Signature of Building Inspector Date
NOTE: issuance of it pormtt does not roliovo an appllcant'a burdon to comply with all zoning roqutromonts and obtain all roquirod permits
from the Board of Hoalth,Consorvatlon Commission, Dopartmont of Public Works and otlior appiicablo pormit granung authoritios.
File#MP-2003-0139
APPLICANT/CONTACT PERSON DELAMATER RONALD J&LINDA J
ADDRESS/PHONE 78 WOODLAND DR
PROPERTY LOCATION 78 WOODLAND DR
MAP 35 PARCEL 276 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid
Typeof Construction: HOME OFF/OCC REG-SIGNAGE PRODUCTS
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 FPLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
1NFfiMMATION 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.
es t
MP-2003-0139
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 10651
Map:
Block: HOME
Lot: 001
Permit: HOME OFFICE/OCC_RE 1
OFFICE/OCC RE V
Category: Home Office,/Occ Registrat _
Permit# MP-2003-0139
-� -- - - -- - PERMISSION IS HEREBY GRANTED TO:
Project# JS-2003-1313
Est Cost: I$0.00 - Contractor: License:
Fee. $10.00 Homeowner as Contractor
#of Fixtures: J Owner: DELAMATER RONALD J&LINDA J
Applicant: DELAMATER RONALD J&LINDA J
AT: 78 WOODLAND DR
ISSUED ON: 08-Apr-2003 AMENDED ON: EXPIRES ON: 01-Jan-2004
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG- SIGNAGE PRODUCTS
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-2003-002906 01-Apr-03 1494 $10.00
212 Main Street,Phone:(413)587-1240,Faz:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.