17C-129 (11) 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 NO-X.
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To
LACK OF INFORMATION.
This coin to be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R•
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&pared parkingi
# 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 knowljv9e.
DATE: y/o3j q I APPLICANT's SIGNATURE L
. &&V-
NOTIE: lo-suano4b of a zoning permit does not relieve an applioant's burden mpiy wltl`X all
zoning requirements and obtain all required permits from the Board of He , Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
(l L
Li
Y e S d
` f
F ` Al1G 3 1999 �n a
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Nam �f e rof�Applicanl_t:
Address: 13 k Telephone:
2. Owner of Property: tt-
Address: Q�i� vl Tele hone:
sY ` "'�3. Status of Applicant: Owner Contract Purchas r Lessee
Other(explain): ,C Q I ..�
4. Job Location: �� t' Q k s� . k' 15a- ft ayo& , M , o<d(Q a-
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING D PARTMENT) 4191
5. Existing Use of Structure/Property e t✓�s ! Y k )(
a" �Akk I 6. Description of Proposed Yse ork/Pro* ct/Occupation: (Use additional sh ets if ne essary): `
USt>1 Srvv-( G-S � ir ar 1V010610 lS
k S tc (v, S Otf -e-s
� i ) C V) c beah wA Scn�rc�S
7. Attached Plans: Sketch Plan Site Plan Engle t red/Surveyed PI ns
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 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)
�5 In
Date d" z ' File No._
0 6_ 57
€DEFT,g " '01 HOME OFFICEIOCCUPATION (§10.2 & 11.11)
With the Building Inspector
1. Name of Ap li nt: n
Address:, r- Telephone:
2. Owner of Prope 1)it V1 �Q (2 (4, �-
t C)
Address: elephone:
3 . Status of Applicant: Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map # 17L, Parcel # ,
Zoning District(s) (include overlays)
Street Address
5. Narrative Description of Propo Home Office: (U e ad tional sheets
if ece sa ) US i riCS ed r- d- ,r'
i vi 5 S
U Un.v I t h 5;
saUrcr e a ta (L(OLK o n C
P s TPgy1<L y.
6. Is this a legal residential building. 4.ED 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? YESO
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
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) ? 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. _
Q
Date: 309 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:Issuance of a permit does not relleve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,conservation cornmisslon, Department of Public Works and other applicable permit granting authorities.
File#MP-2000-0015
APPLICANT/CONTACT PERSON GRIFFIN JOHN L
ADDRESS/PHONE 137 HIGH ST 584-2269
PROPERTY LOCATION 137 HIGH ST
MAP 17C PARCEL 129 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLS OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: HOME OFF/OCC REG-INTERNET
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 Ff)LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved 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 Comm'
Signature of itt i ding 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.
n
137 HIGH ST MP-2000-0015
COMMONWEALTH OF MASSACHUSETTS
s F
CITY OF NORTHAMPTON
r;
HOME
OFFICE/OCC REG
-
PERMISSIONIS HEREBY GRANTED TO:
+etc Contractor: License:
-
4Tt� : Owner: NORTHAMPTON CITY OF
Applicant: GRIFFIN JOHN L
AT: 137 HIGH ST
ISSUED ON.• 05-Aug-1999 EXPIRES ON. 01-Jan-2000
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG-INTERNET
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/Oce Registratio REC-2000-000302 03-Aug-99 5776 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®1998 Des Lauriers&Associates,Inc.