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25C-024 (4) 10. Do any signs exist on the property? YES NO�C 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. This colmm to be f111ed in lhY the Rnildino Department Required I // —I /- I -- Existing Proposed By Zoning Lot size Fronta Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg I &paved parking) I # 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: APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applioanYs burden to oom wit ~all zoning requirements and obtain all required P� h q permits from the Board of Health, Conservtstion Commission, Department of Publio Works and other applionble permit granting authorities. FILE # ]; 1 82000 EC File 8»o' � ,rrT UFDU� �� ���� �� �x � ���������� ���==� ==� ==�=���= « �r�� ~ �� PLEASE TYPE OR PRINT ALL INFORMATION \ 1. Name wKApplicant: Address:20, 2. Owner of Property: AddressTelephone: 5 ^/ 3. Ststmsw���ppDomnt ner _Con�aotPurchaser °~ Lessee Other(explain): 4. Job Location: W Kk)(J]�VA A& P%Y,4A-je-- 12rd Oaza-j Parcel Id: Zoning K8ap Oistrict(s (TO 8E F|LLEO |N BYTHE BUO-D|N{� OEPARTK�ENTT — 5. Existing Use ofShuubure/Pvopedy 11-A -LIIAC, G. Description of Proposed Ume8&ork/Pnojoobl}ouupoUon: (Use additional sheets if necessary): juooc 7. Attached Plans: Sketch Plan Site Plan Engineanod/Sunx»yadP|ons Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has o Special PermitNahanoo/Find{ng ever been issued for/on the site? NO DON'T NNO Vl' YES IF YES,date issued: [FYES: Was the permit recorded ot the Registry ofDeeds? / N OON7KNO �� YE IF YES: enter Book Page and/or Document g' Does the site contain a brook, body of water orwetlands? N DON'T KNOW YE IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs tobe obtained Obtained— .date issued: (FORM CONTINUES ON OTHER SIDE) ` A. ; Date F 1 DEC 1 8 2000 ` File No dN<: Q HYOME OFFICE/OCCUPATION 810. 2 & 11. 11) .ith the Building Inspector 1 . Name of Applicant: ! 51 ko Address : �;& Kbf�nn Telephone:__ , 2 . Owner of Property: 11n I G Address : /ig K)X'f y4; Ave-,e? Telephone: �/�C1 3 . Status of Applicant: Owner Contract Purchaser v� Lessee Other (explain: ) 4 . Parcel Identification: Map , Parcel Zoning District(s) (include overlays) Street Address W hb/� 62do &g, 5. Narrative Description of Proposed Home Office: (Use additional sheets if necessary) y 6 . Is this a legal residential building? Y£-S` NO 7 . Will there be an employee/owner who doesn' t live in the home YES NCT, 8 . Will you ever see clients or customers at your site? YES ie� How often For what purposes 9 . Will there be any signs for the Home Office? YES A-e, 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 Nee 11,., Will there be any outdoor storage of materials? YES NIP/ 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) ? A.Ln' 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 f ines and criminal and civil actions . Date: � � ((-� Applicant's Signature: THIS SECTION FOR OFFICIAL USE ONLY: 4., pproved as 'presented/based on information presented APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWED Denied as presented---Re n: - X/ Signature of Buil ng Inspector Date NOTE:issuance of a permit duos not rollovo an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of H"dth,Conservation co, ,mission, Dopartmont of Public Works and other applicabto permit granting authorities. File#MP-2001-0068 APPLICANT/CONTACT PERSON GILBURG AMY ADDRESS/PHONE 20 NORTHERN AVE (413)584-7642 Q PROPERTY LOCATION 20 NORTHERN AVE MAP 25C PARCEL 024 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid c Typeof Construction: HOME OFF/OCC REGISTRATION 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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved 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 Co ion Permit from CB Architecture Committee t L Z o�� Signature of Building Offteial 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. 20 NORTHERN AVE MP-2001-0068 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON ' ........; E 2W -` *0 HOME OFFICE/OCC REG PERMISSION IS HEREBY GRANTED TO: Est' opt Contractor: License: c (� Homeowner as Contractor Owner. LAFLEUR DONALD N&PATSY RUTH Applicant. GILBURG AMY AT. 20 NORTHERN AVE ISSUED ON. 27-Dec-2000 EXPIRES ON. 01-Jan-2002 TO PERFORM THE FOLLOWING WORK: HOME OFF/OCC REGISTRATION 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: Zoning Permit Application REC-2001-001705 19-Dec-00 315 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2000 Des Lauriers Municipal Solutions,Inc.