17C-099 r
s --
,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 INFOP.MATION MUST BE COMPLETED,or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This cohmm reserved
far use by the Bua ffng
Department
=TING PROPOSED
Size-
� �--
Frontage _
Setbacks Front - -
Side L: R. L: R: g
Fear
Building Height '
Building Square Footage
%Open Space: hot area
minus b[nlding rt paved parking - =
#of Parking Spaces
#of Loading Docks
FiIL-
(volume Ft location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: y Ipp licant's Signature cz
NOTE in
:Issuance of a zong permit does not reliev an applicant's burden to comply wit all zoning
requirements and obtain all required perms from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Wor'ks and other applicable permit
granting authorities.
000_Daf
.s
j
a
Fite No.
�0 ZY g
4
Please type or print all information and return this farm to the Building � -
- _
1. Name of Applicant:
Address: 34 J /`7ein Ir 16e t Telephone:
2. Owner of Property: c7 y
Address: 0 r v e—Y �� i Y`d l7Ct� P�-i , �� Telephone: �1 51��/ 257 -t I
3. Status of Applicant:: Owner Contract Purchaser Lessee- X Other(explain)
4. Job Location: �7 Jt�/��rn >'1�'� lJ- r-a ,C 2 —
MM
. 5. Existing Use of Structure/Property: Izi /
5. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
We cto
h��,1se
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 YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Pa. and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO X 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' MAY - 3 2004 ' File No. -
REGISTRATION OF HOME IOFFICEjOCCUPATION (§10.2 & 11.11)
With th0_ Building Inspector -
1. Name of P plicant: Q� W m
Address: �a `j ikstyn !Plo✓tVAC_t.. Telephone. —
2. Owner of Property: SOynri 'Resi-
Address: ,fir ,rye "1.r,�+M Telephone: t}� - ;•} - aq .l
3 . Status of Applicant: Owner Contract Purchaser X Lessee
Other (explain: )
4 . Parcel Identification: Map Parcel J` ,
Zoning District(s) (i elude overlays)
Street Address
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) Inc�,r _ t'n�k,o\(f 5C0t_, ICA
5o Icy �-o Coca 1 � �
G. Is this a legal residential building? Y S 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
How often
For what purposes
9 . Will there be any signs for the Home Office? YES W
10. Will there he any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or an
display of goods on premises? NO
11. Will there be any outdoor storage of materials? ES
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) ? CES 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 fines and
criminal and civil actions.
Date: P_pplicant's Signature.
/kpproved THIS SECTION FOR OFFICIAL IISE ONLY:
as 'presented/based on information presented
APPROVAL, EXPIRES ON DECEMBER .31 OF THIS YEAR AND MUST THEN BE RENEWED
Denied as presen d---Reason:
Signature of Building Inspector Date
NOTE (zzuanco d a permtt doe:not relieve an appiicant'a burden to comptY with all zoning requirements and obialn all roquirod pormlts
from the Board of Hoaith,Conscrvatlon Commission, Department of Public Wait:and othor applicable pormtt granting authoritios.
File#MF-200410149
APPLICANT/CONTACT PERSON MCBATH TAMMI
ADDRESS/PHONE 39 STILSON AVE (413)584-5862()
PROPERTY LOCATION 39 STILSON AVE
MAP 17C PARCEL 099 001 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
T_ypeof Construction: HOME OFF/OCC REG-BAKERY
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
INFORMATION PRESFtXTED:
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: § '/a./2—
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 mmission
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.
File#MP 2004-0x49
APPLICANT/CONTACT PERSON MCBATH TAMMI
ADDRESS/PHONE 39 STILSON AVE (413)584-5862()
PROPERTY LOCATION 39 STILSON AVE
MAP 17C PARCEL 099 001 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:_HOME OFF/OCC REG-BAKERY
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 Commis'
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.
39 STILSON AVE MP-2004-0149
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: X1734
Map: 17C �Block: 099 099 HOME
Lor 001 _
Permit: HOME OFFICE/OCC_RE OFFICE/OCC REG
Category: Home Office/Occ Registrat! _
Permit# MP-2004-0149 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2004-1615
(Est.Cost: $0.00 Contractor: License:
e: $15.00 ,Homeowner as Contractor
Wti,of Fixtures: _ Owner: REGISH JOHN P
Applicant: MCBATH TAMMI
AT. 39 STILSON AVE
ISSUED ON. 01-Jun-2004 AMENDED ON. EXPIRES ON. 01-Jan-2005
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG-BAKERY
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-2004-004116 05-May-04 249 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.