17C-265 X
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 N
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
ThI= cols to be filled
by the Building Department
Required I
Existing Proposed By Zoning
L e
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parking)
# of -Parking Spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I here y certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 3 Z� G PLICANT's SIGNATURE ~
NOTE: Issuan a of a zoning permit does not relieve an plioant'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 mppllonble permit granting authorities.
FILE #
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1-1. Name of Applicant: .lye a<til
Ad/dress: L4 A/ �iE .� ,S� ���n'XCe Aelephone:_
�1. Owner of Property:�Qc%�y
Address: Telephone: 2' -5 a 7£(
3. Status of Applicant: Owner Contract Purchaser 41"" Lessee
/ Other(explain):
.-' Job Location: _T`� fli a « /�� ��d!
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
�//5. Existing Use of Structure/Property 4-j dXke-,
"/6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
r7ry M LA-j.f �) Tom✓ �� V f S t,
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 KNOVV�� 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? NOX-- DON'T KN0111'_ 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)
A I a
1 �
Date filed 0
4.
� 0U 0 Z W File No.
REGISTRATION--OF HOME OFFICE/OCCUPATION (§10 . 2 & 11. 11)
with 'the Building Inspector
1. Name of Applicant: [ad l �Ltf_
Address: p ClQ)6 Z Telephone: _5V49- L(N I
2 . owner of P -off erty: Cl 1urA,.�--
Address : Telephone: S3 -3o
3 . Status of Applicant: Owner Contract Purchaser Lessee
other (explain:
4 . Parcel Identification: Map r Parcel "
Zoning District(s) (include overlays)
Street Address
5. Narrative Description of Proposed Home Office: (Us additional sheets
if_rnecessa )_ cwt n� ,I� Lc� r
6 . Is this a legal residential building? YES NO
7 . Will there be an employee/owner who doesn't live in the home YES eO
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 2�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 E>
11. Will there be any outdoor storage of materials? YES vO
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) ? CS j NO
If NO explain:
13 . Attach Plans (if applicable)
14 . Certification: I hereby cert _fy 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 .
Dater 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: Issuanoo of it permit does not rollovo an applicant's burden to comply wfth all zoning roqulromonts and obtain all roqulrod porrnits
from tfw Board of lioalth,Conservation Commission, Dopartmont of Public Works and othor applicable pormit granting authorltios_
- w
File#MP-2003-0134
APPLICANT/CONTACT PERSON MILLER MELANIE
ADDRESS/PHONE 104 NORTH MAIN ST (413)584-9498()
PROPERTY LOCATION 104 NORTH MAIN ST
MAP 17C PARCEL 265 001 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-PET SITTING BUSINESS
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 F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
THE
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 C ssion
Signature o Building Of al 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.
5 MP-2003-0134
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
�GIS#: X1863
Mock: --1 HOME
Lot: 1
Pmt HOM_E OFF_IC E_lOCC_i
R E_M
OFFICE/OCC REG
iCategory. Home Ofice/Occ Rg
--- — -
Pro ect
Permit## NIP-2003-0134 _ PERMISSION IS HEREBY GRANTED TO:
� 'JS 2003-0607
— -- -- - -
jContractor: License:
rst. Cost: _
Fee: $10.00 1Homeowner as Contractor
#of Fixture JOwner: COE NORMAN A&JACKLYN A
Applicant: MILLER MELANIE
AT: 104 NORTH MAIN ST
ISSUED ON: 27-Mar-2003 AMENDED ON. EXPIRES ON. 01-Jan-2004
TO PERFORM THE FOLLOWING WORK.
HOME OFF/OCC REG-PET SITTING BUSINESS
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 Registration REC-2003-002813 20-Mar-03 103 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.