17C-178 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 cohvrm reserved
fay'use by the Building
D, a-tment
G PROPOSED BMW w
WON
Lot Size
Frontage
Setbacks Front
t
Side L: R: L: R:
Rear
Building Height r -
S
Building Square Footage
k
%Open Space: (tot area
minus bmlding E paved parking
#of Parking Spaces
#of Loading Docks
s
Fill:
(volume It location) -
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 0`/ Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply-Aith all zoning
requirements and obtain all required permits from the Board of Health,Conservation Commission,
EUstoric and Architectural Boards,Department of t ubiic Worts and other applicable permit
gz-anting authorities.
00D pdf
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File No.
Please type or print all information and return this form to the Building
1. Name of Applicant: Q'f K Q. C,,AA" 5,-%
Address: z3 ?1tdVV bobs Telephone: 5L—-519
2. Owner of Property: 5bim1°
Address: SGr-(\e— Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee- Other(explain)
4. Job Location: Vl:)L (005 bC CIA-lo,n-g
`, ti•r�z�-a'i�—=�a-r"'r-'t�as��'f3 �� '�'�h� —=��"2 =�. �--.._'a:-.�'�a
. 5.. Existing Use of Structure/Property: t omle .
6. Description of Proposed Use (Use additional sheets if necessary):
-4oy�n� 05=x:c mod- �rh i Sc3c T�r��1 Co
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 V YES IF YES, date issued:
IF YES: Was the permit recorded at the P.e.gistry 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)
INK
Date Filed
� + � File No_
j 1071 TT-77-
REGISTRATION OF HOM OF ICE/OCCUPATION (§10.2 & 11. 11)
e Euilding Inspector _
• ate (1 glPil'`�ircc{�j;` $ 1
V . n
1. Name of ''App.l-icant:
Address: 2,3 tMMOHNN NyE, Telephone:
2. Owner of Property: OC�0,,(
Address: 3 Telephone: 'S R y 2g l j
3 . Status of Applicant: V Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map Parcel r ,
Zoning District(s) (include overlays)
Street Address
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) cA4- �P � ��S Z-3 ?Nyy180iA,,- Ci.JE
6. Is this a legal residential building? YES NO
7. Will there be an employee/owner who doesn't live in the home YES NO
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 TO
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 T
11. Will there be any outdoor storage of .materials? YES r0
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.
Date:—..k9 7 9 to Applicant's Signature: I/' -41
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL EXPIRES ON DEC=ER .31 OF THIS YEAR AND HUST THEN BE RENEWED
Denied as presente --R ason:
Signature of Building Inspector Da e
HOTS 1—ance of a permit doe:not rotiove an appilcant's burden to comply wtth all zoning roqulrements and obtaln all required permits
from the 1304rd of lieatth,ConSQrVatiOn Commission, Department of Public Works and other applicable pormit granting authorities.
File#MP-2004-0183
APPLICANT/CONTACT PERSON GLIDDEN MARK A&SUSAN B
ADDRESS/PHONE 23 PLYMOUTH AVE (413)584-2519 Q
PROPERTY LOCATION 23 PLYMOUTH AVE
MAP 17C PARCEL 178 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid _
T_ypeof Construction: HOME OFF/OCC REG
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Buildin4 Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO,,FNATION 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
:�C-;z // /Z�
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.
, �► ~AV'E MP-2004-0183
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 1809
y k
Map
Block: HOME
Lot: 001
Permit: HOME OFFICE/OCC_RE OFFICE/O C C RE G
Category: Home Office/Occ Registrat _
Permit# MP-2004-0183 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2004-2012
Est.Cost: $0.00 Contractor: License:
Fee: $15.00 Homeowner as Contractor
#of Fixtures: Owner. GLIDDEN MARK A&SUSAN B
A4pplicant: GLIDDEN MARK A&SUSAN B
AT: 23 PLYMOUTH AVE
ISSUED ON. 02-Jul-2004 AMENDED ON. EXPIRES ON.- 01-Jan-2005
TO PERFORM THE FOLLOWING WORK:
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-2004-006111 30-Jun-04 1636 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.