25C-024 (3) 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.
This —7— to be fiil.ed Ss:
by the Banding Depar�ent
Required
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
&Pai,ed 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.
D70E: �'�� 03 APPLICANT's SIGNATURE z!�d
NOTE: Issuanoe of a zoning permit does not relieve an appnoanYs en to oomply Wltlx all
zoning requirements and obtain all required permits from the Boa of Health, Conservation
ComR7isslon, Department of Publio Works and other applionble permit granting authorities.
s
r FILE # y
�1
s
q �h
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ai r-T c,- p\AC,
Address:..-'.L_ No AVj21 N'A�A, IM 0v0 C,,U Telephone:_ Z- (a
2. Owner of Property:
Address:,40 Telephone: 4+,� - 5 01 'k
3. Status of Applicant: Owner Contract Purchaser-K--1 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 vt cQ
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
h(i wte (iZt(0 . eCC)dUct-s so\tl o �4 oy"l;(t.a-- Vjo r ys��yu�o�s c�� ����V�� 7s--
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 KNCAN � YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW `.2 _ 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 KNOV., 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)
e
r
�o croos
u 5� s
6VT oj,\i Ve
WulAel UO"f~"-
File No. � v`
Date Fi lqa
iREG STRATION .OF ,1dME 'OFFICE/OCCUPATION (§10. 2 & 11. 11)
t-fi t114 Building Inspector
1. Name of` 7 pplicant IG ra
Address: 1� Nof:%S(n Ave 6) 'Jron 0, .2t0 c) Telephone:
2. Owner of Property: �', l�rv�•i W �`�vl
Address: aO Np(}i\,D(rn &e tip ' LY\,,YiA 0,%C) (po Telephone: K13 - 5�5 _y171
3 . Status of Applicant: Owner Contract Purchaser Lessee
Other (explain, 77,,�� �f )
4 . Parcel Identification: Map p ob-01 Parcel
Zoning District(s) (include overlays)
Street Address
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) f 6e + C.'Ceeje- VrA-v,-c,uS W CAvkcdCYc t,e j
tTF4N1S_�S o�2 ��ncr��, And Sh-fk _ 1--'Irerns 4-0 6e So\6 on wek s".k2sC.tno CPC- "y
G�Ji1___S r.fir) d� JGu�oy� SIaYh._.Vhj(.2 ap<,d S 4-;.l(k he &i-.,Olaun d hom2 09; cn
VI17 rc <' �DYYlflYS a �j Si�C _ -_P4Vl,WS
6 . Is this a legal residential building? YE NO
7 . Will there be an employee/owner who doesn't live in the home YES N'Z)
8 . Will you ever see clients or customers at your site? YES
How often _
For what purposes
9 . Will there be any signs for the Home office? YES ,O
lo . 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? f lveAf) 0 110
11. Will there be any outdoor storage of materials? YES T
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) ? C 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: ( /� 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 prese d---Reason:
Signature of Building Inspector Date
NOTE: issuanoo of a permit doe:not roliovo an applicant's burdon to comply with all zoning roquiremonts and obtain all r". ulrod pormits
from tho l3oard of Hoalth,Conservation Commission, Departmont of Public Works-..nd othpr+-piicable pormit granting authoritios_
File#MP-2004-0002
APPLICANT/CONTACT PERSON MACKAY TARA
ADDRESS/PHONE 18 NORTHERN AVE (413)584-7302()
PROPERTY LOCATION 18 NORTHERN AVE
MAP 25C PARCEL 024 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: HOME OFF/OCC REG
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 TAKEN ON THIS APPLICATION BASED ON
INF(*MATION 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 Commission
r���Z7 Z-.
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.
w
MP-2004-0002
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 14411
Map:
Block HOME
Lot:
Permit; HOME OFFICE/OCC RE OFFICE/O C C RE G
Category: Home Office/Occ Registrat _
Permit# MP-2004-0002 PERMISSION IS HEREBY GRANTED TO:
Project.# JS-2004-0046.
Est.Cost: Contractor: License:
Fee: $15.00 Homeowner as Contractor
#of Fixtures: Owner: WILSON KEITH P&AMY L
Applicant: MACKAY TARA
AT: 18 NORTHERN AVE
ISSUED ON: 10-Jul-2003 AMENDED ON: EXPIRES ON: 01-Jan-2004
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-2004-000067 08-Jul-03 137 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.