17C-070 (6) 10. Do any signs exist 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
77ds cohmm reserved
for use by the Building
Deparhment
EXISTING PROPOSED
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: `
Rear
r g r
Building Height
Building Square Footage w
Open Space: (lot area t
minus building It paved parking f
#of Parking Spaces
#of Loading Docks
Fill:
(volume It location)
12. Certification: I hereby certify that the information contained herein is true d accurate to the best of
my knowledge.
4 Applicant's Signature
Date: pp g
NOTE:Issuance o a zoning permit does not relieve an applicant's burden co ply with all zoning
requirements and obtain all required permits from the Board of He ,C reservation Commission,
Historic and Architectural Boards,Department of Public Works and o er pplicable permit
granting authorities.
OOO.pdf
i
i
i
i •
i
File No.
Please type or print all information and return this form to the Building
Inspector's Office with the $15,filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: A,
Address: ' �P S�I�►1L 1 �I L ► Telephone: 4 1?2
2. Owner of Property: }
Address: Telephone:
3. Status of Applicant O�wneer� Contract Purchaser Lessee Other(explain)
4. Job Location:
Slow
offi
. 5. Existing Use of Structure/Property: 614N C
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
l>v1cul 0,
7. Attache Sans: Sketch Plan Site Plan Engineered/Surveyed Plans
S
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO NT KNOW j' YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ONT K ON W\ YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands NCO 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)
r---__..�. .._. .....--.....�_� ,
Date Filed P,IC - ? _ = File No.
REQI-.PTRATION OF ROM OFFICEIOCCUPATION (§10.2 & 11. 11)
Fl th t�e Building Inspector
1. Name of Applicant: wi;L
Address: Telephone:
Telephoner
5 5 �
n-
2- Owner of Property:
Address: Telephone:
3 . Status of Applicant: Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map " Parcel
Zoning District(s) (include overlays)
Street Address q CA46 IN11 �21:
5. Narrative Descr4z ion o�f Proposed Home Office: (Use ad itional sheets
if necessarX) ry C 4� �y'„ ' �:. \, �uslv*!�� -
6. Is this a legal residential building? EESSS 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 (f O CO
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 retail or wholesale, or any
display of goods on premises? i &EP
11. Will there be any outdoor storage of materials? C((�SiC�lc��
12 . Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking
congestion, noise, air pollution, end mater' als storage) ? YES NO "
If NO explain: �/LAt( ar(Cic-IG-c'Ai` 04 r e%_ � [--,q
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.
i
Date: Gr 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 RUST THEN BE RENEWED
Denied as presented---Reason: -
i . -
Signature of Building Inspector Date
NOTE.issuanoo of a pormit dooz not rollovo an appilcant's burdon to comptY with all zoning roqulroments and obtain all roquired pormits
from the Board of Hoatth,conservation commisslon, Dopartmont of Public Works and othor applicable pormit granung authoritlos.
File#MP-2005-0073
APPLICANT/CONTACT PERSON Edwin Olander
ADDRESS/PHONE P O BOX 60284 (413)695-5580 Q
PROPERTY LOCATION 97 CHESTNUT ST
MAP 17C PARCEL 070 001 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
T_ypeof Construction: 2005 RENEWAL-HOME OFF/OCC REG
New Construction
Non Structural interior renovations
Addition to Existin�.
Accessory Structur.�
Building Plans Included•
Owner/Statement ,r License
3 sets of Plans/Plcl Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESi:,�TED:
Approved '.itional permits required(see below)
PLANNING BOA P!)PERMIT REQUIRED UNDER: §
Intermediate Proj: Site Plan AND/OR Special Permit with Site Plan
Major Proje,:is Site Plan AND/OR Special Permit with Site Plan
ZONING BOAR 1 L 1611T REQUIRED UNDER: §
Finding - Special Permit Variance*
R v ed&Recorded at Registry of Deeds Proof Enclosed
Other Permits Rey red:
Curb C.!� ", ' Water Availability Sewer Availability
Septic An, �val Boar,l of Health Well Water Potability Board of Health
Permit 1 s %n'ion Commission Permit from CB Architecture Committee
Permit,". f"�n Strc.t Co tion
Signature of Building Date
Note:Issuance of a Z� i yes not relieve a applicant's burden to comply with all zoning
requirements and obi;: ;:y u i r.I permits from Board of Health,Conservation Commission,Department
of public works and o;.. permit granting authorities.
*Variances are granted hplicants who meet the strict standards of MGL 40A.Contact the Office of
Planning&Developer,. ormation.
97 CHESTNUT ST MP-2005-0073
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIs#: 1705
Map: 17C
Block: 074 HOME
Lot: 001
Permit; HOME OFFICE/OCC RE OFFICE/OCC REG
Category: Home Office/Occ Registrat' —
Permit# MP-2005-0073 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2005-0866 _
Est.Cost: $0.00 Contractor: License:
Fee: $15.00 Homeowner as Contractor
#of Fixtures: Owner: Edwin Olander
Applicant: Edwin Olander
AT. 97 CHESTNUT ST
ISSUED ON. 10-Dec-2004 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
2005 RENEWAL-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-2005-001852 07-Dec-04 2154 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.