25A-144 10. Do any signs ebst on the property? YES NO A'
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO-,X_.
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
T2d& C01=M to be filled in
by the Banding Aepdr®eat
Required I
Existing Proposed By Zoning
`Lot.size
Frontage
Setbacks
- side L R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&Paved 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: A.PPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an appiioants burden to oom Wit
zoning requirements and obtain all required PIY ail
q permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applionble permit granting authorities.
FILE if
® E C E
AUG - 6 2001 File No.
DEPT OF BUILDING INSPECTIOYP O �Lr NG PERMIT APPLICATION (§10 . 2)
NORTHAMPTON,MA 01060 •E,n SE TYPE OR PRIMT AL.L INFORMATION
1. Name of Applicant: Dawn JC*K.
Address: fCs Telephone: S'�rfa - 1515
2. Owner of Property: i4o`s s JA4 k.s-y�t, rT�
Address:/ft Telephone: -59
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain):_ Pc_vr+-
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �lc-, a..�
6. Description of Proposed Use/Wort/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/Variance/Finding ever been issued for/on the site?
NO_ DON'T KNOW 'Ir 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 a( 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
Date WIG - 2001 File No.
EG H E OFFICE/OCCUPATION (510.2 & 11.11)10 DEPT OF 9UiLDING INSP 0t060 ith the Building Inspector
N0RjHAMp70N,MA
1. Name of Applicant: &4W-"n A'nAGw.
Address: /6 QQfes je-# 2t4 Y. ,B Telephone: `l8
2. Owner of Property: J"600 s S lca44A.4
Address: /ft oejoCye eat, Telephone:
3 . Status of Applicant: Owner Contract Purchaser Lessee
X Other (explain: cnf' )
4. Parcel Identification: Map # , Parcel # /ql ,
Zoning District(s) (include overlays)
Street Address
5. Narrative Description of Proposed Home office: (Use additional sheets
if necessary) CA-z -Z,-,
U �
6. Is this a legal residential building? NO
7. Will there be an employee/owner who doesn't live in the home YES [N
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 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 gNO 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) ? 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.
Date: I Z1 o l 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 THEN; BE RENEWED
Denied as presented---Reason:
Signature of Building Inspector Date
NOTE:issuance of a permit does not relieve an applicant's burdon to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission.Department of Public Works and other applicable permit granting authorities.
File#MP-2002-0018
APPLICANT/CONTACT PERSON JENNER DAWN
ADDRESS/PHONE 16 BATES ST APT B (413) 586-1515()
PROPERTY LOCATION 16 BATES ST
MAP 25A PARCEL 144 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out JV J01 4A
Fee Paid
Tvpeof Construction: HOME OFF/OCC REG-GREETING CARDS ON COMPUTER
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 FOLLOWING ACTION HAS BEEN TA IC 1:N ON THIS APPLICATION BASED ON
INFOJkMATION PRESENTED:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan Olt Special Permit and Site Plan
ZONING BOARD PERMIT REQ U IRE 1) UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW _ �'.ter Availability Sewer Availability
Septic Approval Board of Ilea It I1 Well Water Potability Board of Health
;`P $it>ft�m Consexv�ttotz
5;.on Permit from CB Architecture Committee
Permit from Elm Street onunis-ioi�
Signature of Builoi Official Date
Note: Issuance of a Zoning permit does not + ':�c N c 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 pe . .1t ,,!.luting authorities.
*Variances are granted only to those applic„r,! \N ljo meet the strict standards of MGL 40A.Contact the Office of
Planning&Development for more information.
16 BATES ST MP-2002-0018
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
8
a
HOME
OFFICE/OCC REG
tegrxynB afflcelOcc Regtsix —
Permit#� MP„2002-OOY
PraJect-� JS 2002-026
PERMISSION IS HEREBY GRANTED TO:
Cost Contractor: License:
Homeowner as Contractor
#of Fixt `os.
Owner: HARDER JASON C&STEPHANIE
Applicant: JENNER DAWN
AT: 16 BATES ST
ISSUED ON: 09-Aug-2001 EXPIRES ON: 01-Jan-2002
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG-GREETING CARDS ON COMPUTER
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-2002-000357 06-Aug-01 251 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2001 Des Lauriers Municipal Solutions,Inc.