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17C-153 (4) 10. Do any signs ebst on the property? YES NO V 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 c02U= to be filled in by the Bai2diag 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 &paved parking) # 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 knowledge. DATE: APPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applicable permit granting authorities, FILE if _A t File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �IIAJFOgp Y,4yZ Address: L-7Z H!'7"/ �t Telephone: �bar' -`I.�z.-7 2. Owner of Property: L/�1�iTo� Address: `rz, 7y �f Telephone: - fez 27 3. Status of Applicant: I Owner Contract Purchaser Lessee Other(explain): Q 4. Job Location: 10;1L6 `Tf'cC /- �' `���1-1 ��✓'� Parcel ld: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property �AOil 1y1f 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): I,✓�L��I�I�L ('LE%r` �`'��`�t L jltfC- ✓YJ���t�ly ! Ti CC 7 cic� 1`7 c1 u� f ��it/'il 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 KNOWS i/ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW L,/ 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 V 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) i s i Date Filed J ^1 2004- File No. D�Q REGISTX,ATIQN, OF HOME OFFICE/OCCUPATION (510 . 2 & 11. 11) Withh__ the Building Inspector 1. Name of Applicant /�tytt J K L" Address: q2— 5 FIv✓Gylt r1fQ 0jC,4,4- Telephone: 2 . Owner of Property: �c �v✓ ( ' Address : "f Z Telephone: `f l 3 . Status of Applicant: (Owner Contract Purchaser Lessee Other (explain: l ) 4 . Parcel. Identification: Map u Parcel r Zoning District(s) (include ov rlays) 04 Street Address X12 g1711 `7t, Flf7vc o/06 Z S . Narrative Description o Proposed, Home Office: (Use additio 1 sheets if necess ) Lip-►��1'1 ✓t q% ��¢�ia/�I✓� Ll� �G7 � �'�y� `G' ��C it,. d� ik, Cd"/a.,Ti.- W,?Lccgy7 G . Is this a legal residential building? <�Y� NO 7 _ Will there be an employee/owner who doesn't live in the home YES& S . Will you ever see clients or customers at your site? YE NO How often For what purposes 9 . Will there be any signs for the Home Office? YES NO 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 manif estati_on (including traffic generation, parking congestion, noise, air pollution, and materials storage) ? ES 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 . LJ Date:_ ` i` %10 Applicant's Signature: 1� 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: lssuanoe of a permlt does not repave an applicant's burden to oompty with all zoning requirements and obtain all roqulrod Permits from the Board of Hoalth,Conservation Commission, Dopartment of Public Works and othor applicable pormtt granting authoritios. w File#MP-2004-0072 APPLICANT/CONTACT PERSON KAYE SANFORD&MARY C DONOVAN ADDRESS/PHONE 92 HIGH ST, 1 Q 586-4823 Q PROPERTY LOCATION 92 HIGH ST MAP 17C PARCEL 153 001 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 Typeof Construction: HOME OFF/OCC REG-FREELANCE SOFTWARE 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 INF9161ATION 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 Stre ommission le ,/-.50 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. 92 HIGH ST MP-2004-0072 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: T178� �Map_ 17C Block: 153 HOME - -- - Lot: (Permit: HOME OFFICE/OCC_RE Category iHome Office/Occ Registratj Category: REG -- ___ ;Permit# MP-2oo4-0072_ _ ' PERMISSION IS HEREBY GRANTED TO: Project# JS-2004-1049 Est.Cost: $0.00 Contractor: License: Fee: �'$15A0 Homeowner as Contractor r � -- — - #of Fixturesa Owner: KAYE SANFORD&MARY C DONOVAN --- ----- -- - Applicant: KAYE SANFORD&MARY C DONOVAN AT. 92 HIGH ST ISSUED ON. 12-Jan-2004 AMENDED ON. EXPIRES ON. 01-Jan-2005 TO PERFORM THE FOLLOWING WORK. HOME OFF/OCC REG-FREELANCE SOFTWARE 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-2004-002005 06-Jan-04 3894 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.