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25C-067 (2) 9 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 —2== to be filled i11 by the Building Department Required I 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 &Paved parkingi # of Parking spaces #rof Loading Docks Fill: 4vo1-ume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowl DATE: a' APPLICANT'S SIGNATURE ._ NOTE: lanuanoe of a zoning permit does not relieve an applioan s burden to ly with zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Wor" and other applicable permit granting authorities. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE- OR PRINT ALL INFORMATION 1. Name of Applicant: MU 3 5� x/536 Address: �4 �L�/�111�- f��i�� . AVADL� Telephone: 2. Owner of Property: e ('7 Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser—i—Lessee Other(explain): 4. Job Location: C;O Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property }�} v 6. Description of Proposed Use/Work/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/Variance/Finding ever been issued for/on the site? NO DON'T KNOW_j 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 i 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) Date FiledQ Q� ' � �� `{ File No: REC.IS`l'RATI.6N -oz; 1101SE OFFICE/OCCUPATION (§10 . 2 & 11. 11) TF7it.h -.he Building Inspector 1. Nagle of Address: n'Sz }(J�-' I'el.epl)one :--- __ql 2 . Owner of Address: — — -- -- —Telephone:_ -- 3 . Status of Applicant: 0-„'ner _ contract Purchaser J Lessec 0 th e L- ; parce.l_ Tdentlf lcdtJ-on : I'iap n� 9,41­2 Pal:Cel t� Zoning [)istrict (`>) ( in cluc ovc.-lays Street Addess r 5 . Narrative DescrlptloiI Of proposed HolIle Oi ,-ce: (Us(-- ,ddJ tJ ohal Sl7eet5 if necessary) .�� 6 . Is this a legal resi-dential building? YL i 0 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 How often For what purposes 9 . Will there be any signs for the Home Office? YES 10 . Will there be any goods sold from the premises or any sale of goods stored on premises , either retai.1 or wholesale, or any display of goods on premises? YES 70- 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) ? ES 1O 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 , �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: tssuanoo of a pocmlt do-as not rollovo an applicant's burdon to comply with all zoning roqulrnmonts and obtain all roquirod pormit3 from Uio E3oard of Hoalth,Consorvation Commisslon, Dopartmont of Public Works and othor applicablo pocmlt granting authorltlos. File#NIP-2003-0094 APPLICANT/CONTACT PERSON CUTLER NOAH ADDRESS/PHONE 20 DAY AVE (413)585-8536 Q PROPERTY LOCATION 20 DAY AVE MAP 25C PARCEL 067 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid 0� T3Meof Construction: HOME OFF/OCC REG-INTERNET BUSINESS New Construction Non Structural interior renovations Addition to Existing Accesso1y 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 ATION 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 Stre Commission Signature of Building Official Dat 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. 20 DAY AVE MP-2003-0094 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON LGIS#_ 445.3 M - HOME - - �Lot:------ _- jPermit: HOME OFFICE/OCC_R OFFICE/OCC REG jCategory: Home Office/Occ R_egistr _ Permit# MP-2003-0094 PERMISSION IS HEREBY GRANTED TO: (Project# JS-2003-1030 ;Est.Cost: $0.00 ~� Contractor: License: Fee: $10.00 Homeowner as Contractor 1#of Fixtures: J Owner: ALLEN P GEOFFREY Applicant: CUTLER NOAH AT.• 20 DAY AVE ISSUED ON. 22-Jan-2003 AMMENDED ON. EXPIRES ON. 01-Jan-2004 TO PERFORM THE FOLLOWING WORK: HOME OFF/OCC REG-INTERNET BUSINESS 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-2003-002154 10-Jan-03 571 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.