17C-029 (4) r
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 N®
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This aolua to be filled it
by the 8ailding 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
&pax•ed parking)
# of -Parking Spaces
# of Loading Docks
Fill:
vol-ume--& location)
13 . Certification: I hereby certify that the information coast i /e �h
is true and accurate to the best of my kedg
E `- ( 6-, c--�PLICANT's SIGNATURE '
NOTE: Issuance of a zoning permit does not relieve an' applioant's "rden to comply Witta au
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other appliombla p mit granting authorities.
FILE if
I
FEB 1 4 2000 !
File No.
V'^?;,,r
-WNING PERMIT APPLICATION (510 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: z=Alt QE
Address: ✓ Ci�� �� // L°Tel ephone:_ ���.� / d 70
2. Owner of Property:
P
Address: l ° es '
Telephone: 3
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: G��
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) _.,...
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Q' / �-� ��i�'✓i — �or`'l� LASe F
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 ✓` YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW �r f YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO—JZ—/ 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)
a ,
FEB 1 4
Date Fi ed File No.
f PT OF 8r AZZ WTIOE ORE OFFICE/OCCUPATION (§10.2 & 11.11)
the Building Inspector
1. Name of Applicant: c &t
Address: Z ' cl - Telephone: p
2. Owner of Proper y:
Address: e. Telephone: L? --
3 . Status of Applicant: Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map , Parcel
Zoning District(s) (include overlays)
Street Address
5. Narrative Descri ption of Propose (H me Office,:, (Use addit'onal sheets
if necessary) C/P�, - e
4VJ.-X/
6. Is this a legal residential building? YE NQ�
7 . Will there be an employee/owner who doesn't live in the home ES
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 Q
. 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 O,')
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 for non-jariminal fines and
criminal and civil actions.
Date: p -//—` c�c�(� Applicant's Signature:
THIS SECTION FOR OFFICI SE ONLY:
Approved as presented/based on information presented
APPROVAL EXPIRES ON DPEQVIMABER 31 OF THIS YEAR AND MUST THEN BE RENEWED
Denied as ese�t-ed-- " a o
Signature of Building Inspector Date
NOTE:Issuance of a permit does not rolleve.an applicant's burden to comply with all zoning requirements and obtain all required pertntL
from the Board of Health,conservation commission,Department of Public Works and other applicable permit granting authorities.
s
File#MP-2000-0121
APPLICANT/CONTACT PERSON POLLACK STAN
ADDRESS/PHONE 1 BARDWELL ST (413)585-9070 Q
PROPERTY LOCATION 1 BARDWELL ST
MAP 17C PARCEL 029 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: HOMTE OFF/OCC REG-HANDYMAN SERVICE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
TH OLLOWING 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 Corn ' s" n
Signature uilding 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.
t
I BARDWELL ST MP-2000-0121
COMMONWEALTH OF MASSACHUSETTS
_ CITY OF NORTHAMPTON
;GIs#: 1665
Map: ; 17C
Block: 029 HOME
Lot: 001
permit: I °ME°FFICE'°CC R OFFICE/OCC REG
Category: Home Office/Occ Registr 1 —
Per�#_ MP 200°-0121 -I PERMISSION IS HEREB Y GRANTED TO:
Pxoj `# JS-2000-1333. --i
IEst.Cost: � Contractor: License:
Fee: $14.04 Homeowner as Contractor
#of Fixtures: Owner: COVINGTON MIRIAM B
Applicant: POLLACK STAN
AT. 1 BARDWELL ST
ISSUED ON: 17-Feb-2000 EXPIRES ON. 01-Jan-2001
TO PERFORM THE FOLLOWING WORK:
HOME OFROCC REG-HANDYMAN SERVICE
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-2000-002360 16-Feb-00 1053 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS(k 1998 Des Lauriers&Associates,Inc.