17C-102 r r
10. Do any signs exist on the property? YES NO L�
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO V
IF YES, describe size, type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This cohmm reserved
for use by the Building
Department
EXISTING PROPOSED D
Lot Size
Frontage
}
Setbacks Front
Side L: R: L: R: ;
Rear x
Building Height
Building Square Footage
%Open Space: (lot areaEs
minus building Ft paved parking — - -
#of Parking Spaces
#of Loading Docks
Fill:
(volume Ft location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. ,�?
Date: 7 � /— 0 z1 Applicant's Signature -
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit
granting authorities.
OOO.pdf
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:R—o 13e4- E'_
Address: 3174-50/0 1;�Uf , t Telephone: S`�S'6' ;�lG t
2. Owner of Property:
Address: XJ'5171 ; n«l /22-e J:Le ecuc-e. Telephone:-5'- _a,10
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: JS— �/-7 0c it(C
-
�--�_ � �°` . ,..�-:^ter..��`i� �la ���.�,°€.��i:J��L�!'',�a►7�: �.H3,Y3[J���.. a;a�r��+-f »�;s z;?��_ -,
. 5. Existing Use of Structure/Property: f�n4 f_-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
IV#14
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW t--'" YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO �' DONT 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 Filed File No. --� �
REGISTRATION OF HOME OFFICE/OCCUPATION (f;10.2 & 11. 11)
t With the Budding Inspector
1_ Name of Applicant: �G� ( C��2� �-. _fAI/22 77-6- _
Address: S^ST7GS���v �t�� j-GGrter�iC e_ Telephone: 5 Z�
2- Owner of Property: ,Qy/3� �. • vr> ffr2t ey ,/ Cif_ 17_C_
Address: ZS' .krtSa,!v /�)4e_sQ&e- Telephone: _"-�,6
3 . Status of Applicant: �- owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map Parcel f,
Zoning Districts) (include overlays)/1�Qr
Street Address 5 0 v c G jai
S. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) 1,4*14c Si7�tAt�-b CLj,,,-SS %U c� .SIT ('lam T S ccJ
6. Is this a legal residential building? 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 (S
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? YES
11. Will there be any outdoor storage of materials? YES vT
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) ? E�' 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: Z/-/// 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 HUST THEN BE RENEWED
Denied as presented---Reason:
Signature of Building Inspector Date
NOTE: Issuance of a pecmtt does not relieve an applicant's burden to ComptY with all zoning requirements and obtain all roqulrod pormits
from the Board of Hoafth,Conservation Commission, Dopartmont of Public Woria and other applicable pormtt granting authorltlos.
s
File#MP-2004-0142
APPLICANT/CONTACT PERSON CHARETTE ROBERT L&SHIRLEY A
ADDRESS/PHONE 25 STILSON AVE (413)586-2109 Q
PROPERTY LOCATION 25 STILSON AVE
MAP 17C PARCEL 102 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid Sffi '�
T_ypeof Construction: HOME OFF/OCC REG-STAINED GLASS
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 FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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 Commission
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.
w
25 STILSON AVE MP-2004-0142
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
!GIS#: 1737
Map: 17C
Block: 102 HOME
Lot: 001
Permit: HOME OFFICE/OCC_RE OFFICE/OCC REG
Category: Home Office/Occ Registrat
Permit# MP-2004-0142 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2004.1500
Est. Cost: $0.00 Contractor: License:
Fee: $15.00 Homeowner as Contractor
L#of Fixtures: Owner: CHARETTE ROBERT L&SHIRLEY A
Applicant: CHARETTE ROBERT L&SHIRLEY A
AT. 25 STILSON AVE
ISSUED ON: 26-Apr-2004 AMENDED ON: EXPIRES ON. 01-Jan-2005
TO PERFORM THE FOLLOWING WORK.
HOME OFF/OCC REG-STAINED GLASS
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-2004-003284 21-Apr-04 1338 $15.00
212 Main Street,Phone:(413)587-1240,Faz:(413)587-1272
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.