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25C-124 (4) 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 NCB IF YES,describe size,type and location: I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To LACK OF INFORMATION. This C01== to be tilled i by the Btaild=g Departaarst Required I Existing Proposed By Zoning I Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area 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 kno 1e ge. DATE: Z log APPLICANT's SIGNATURE _ % NOTE: lss anoe of as zoning permit does not relieve an applicant's burden to comply it zoning requirements and obtain all required PIY ., h io q permits from the Board of Health. Conservt�tion Commission. Department of Publio Works and other appliomble permit granting authorities. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_ KU lrc, h -C�IIS Address: ho •Z Telephone: 2. Owner of Property: n mo of S�j )M c;n Anot r- h ,-k Address: 2� Z 43 n".54-A-t, _ -ems Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 2- 1 L !3r A Z-- Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) _ 5. Existing Use of Structure/Property. � �--ct'r�-I r l� c N-1-e. 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW 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 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 FillI ScP 2 4 2003 File No Rr�GIS OM OFFICE/OCCUPATION (510. 2 & 11. 11) DEP1©F BUILDINGINSPE h t e Building Inspector NoM�MMN,MA 01 1. Name of Applicant: mar, n Address : Z r1 I'el.ephone: - U 2 . Owner Of Pr perty: ne,0 On I-Ir C�CC S mp Ul In Address : 2--)2— j � ---Telephone: 6113 3 . Status of Applicant: Owner Contract Purchaser t--�Lessee Other (ex-plain: 4 . Parcel Identification: map p Q? !, Parcel Zoning District(s) (include overlays) or, Street Address-2-12- j��;� 5"t(° �I ✓ °'` S . Narrative Description of Proposed Home Office: (Use additional sheets if necessar &Ly--'��+ YI {PVI �•�}--(��1' �_ h0(!t, _ -�X 6 . Is this a legal residential building? YE NO 7 . Will there be an employee/owner who doesn't live in the home Y ,S NO 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 iv0 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? YES NO 1.1 . Will there be any outdoor storage of materi als? 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 e)-plain: 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 IG 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 THEN BE RENEWED Denied as presented---Reason: - Signature of Building Inspector Date NOTE: issuanoa of a pormit does not rollovo an applicant's burdon to comply with all zoning roquiromonts and obtain all roqulrod pormlts from t io Board of Hoaltti,Conservation commission, Dopartmont of Public Wotics and otfior applicable pormit granting authoritlos. File#MP-2004-0033 APPLICANT/CONTACT PERSON ELLIS KARIN ADDRESS/PHONE 212 BRIDGE ST#2 (413) 585-0912 Q PROPERTY LOCATION 212 BRIDGE ST MAP 25C PARCEL 124 001 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 Typeof Construction: HOME OFF/OCC REG-SALES 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 WLLOWING 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 Street Co Sion 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. 1 MBE ST, . MP-2004-0033 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 4504 ;Map: - t' Block HOME f Lot: _ 001. - - lPermit: HOME OFFICE/OCC_RE OFFICE/OCC REG 'Category: Home-Office/Occ Registrat — ,Permit# MP-2004-0033 PERMISSION IS HEREBY GRANTED TO: Project# JS-2004-0488 E' st. Cost: Contractor: License: Fee: $15.00 Homeowner as Contractor #of Fixtures: Owner: SHULMAN NAMOMI A& Applicant: ELLIS KARIN AT: 212 BRIDGE ST ISSUED ON: 29-Sep-2003 AMENDED ON: EXPIRES ON. 01-Jan-2004 TO PERFORM THE FOLLOWING WORK: HOME OFF/OCC REG-SALES 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-2004-000953 24-Sep-03 124 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2003 Des Lauriers Municipal Solutions,Inc. 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 —1=a to be filled 2L by the Building Department 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 &paced parkingi # of -Parking spaces f of 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 know ge' DATE: � Dz APPLICANT's SIGNATURE NOTE: l"uanoe of a zoning permit does not r elreve an a plioan s burden to comply wlth .all zoning requirements and obtain all required permits from the Board of Health. Conservtotion Commission. Department of Publio Works and other applionbie permit granting authorities. FILE if File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE -OR PRINT ALL INFORMATION 1. Name of Applicant: 1IVt►��h 1—�L�L 5 Ao Address: G 5 eleph e: 1 SC�� - `j 2- 2. Owner of Property: (; r�l h V I I��1 Q' C Address: Z 12 1'?. 1��� ,S �`. Telephone: q13 0'-7 ) 2— 3. Status of Applicant: Owner Contract Purchaser 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_ --!-WO � - 6. Descriptio of Proposed UseMork/Project/gccupabon: (Use additional shee if ne essary): no M� c-cam / S I-eS i��e-P - --� Ve 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 V 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#v 9. Does the site contain a brook, body of water or wetlands? NO 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) �Ya3—r i i OLJ Date Filed File REGISTRATION OF HOME OFFICE/OCCUPAT�j L§V2C64 & 11.11) With the Building :Insp`���or LuU 1. Name of A plicant: 1rt 1 Address : ell 1_7 _ el e lone; i�4 .. Sa Gi�� Z- 2. Owner of Property: V 1 {7 Address : �-� 2- 1 G1 <. Y°t �'- -t'-r Telephone: `±, 3 '20 x}71 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification : Map F Parcel r Zoning District(s) (include overlays) Street Address 5. Narrative Description of Proposed Home office: (Use additional sheets if necessary) S A I--' S 6. Is this a legal residential building? YE NO 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 (IO 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 NO 11. Will there be any outdoor storage of materials? YES NO 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 fob non-criminal fines and criminal and civil actions _ Date: Applicant's Signature: THIS SECTION FOR OFFICIAL IISE 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: Issuanoe of a permlt does not rollovo an applicant's burden to comply with all zoning requirements and obtain all roqulrod pormlts from ttw l3card of Hoan,conservation commission, Dopartment of Public Works and other applicable permit granting authoritios. File#MP-2004-0074 APPLICANT/CONTACT PERSON ELLIS KARIN ADDRESS/PHONE 212 BRIDGE ST#2 (413) 585-0912 Q PROPERTY LOCATION 212 BRIDGE ST MAP 25C PARCEL 124 001 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: 2004 RENEWAL-HOME OFF/OCC REG-SALES -_ 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 INF9KMATION 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 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. 212 BRIDGE ST MP-2004-0074 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON IGIS#: 4504 Map: 25C ! -- - 124 HOME Lot: i0o1 e 'HOME i OCsa OF` IC`/O C C— R E G Category: Home OfeOccReg itrt! Permit �M? 2004-0074 - ___ PERMISSION IS HEREBY GRANTED TO: 'Project# �JS-2004-0488 -- Contractor: License: Est Cost: Fee: $.p0 - - Homeowner as Contractor -- - - - #of Fixtures.) --7,Owner: SHULMAN NAMOMI A& - - Applicant: ELLIS KARIN AT. 212 BRIDGE ST ISSUED ON. 20-Jan-2004 AMENDED ON. EXPIRES ON. 01-Jan-2005 TO PERFORM THE FOLLOWING WORK. 2004 RENEWAL-HOME OFF/OCC REG-SALES 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-2004-002034 08-Jan-04 101 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.