17C-265 (2) 10. Do any signs east 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.
This col— to be filled In
by the B=2d=q Departmczut
Required i
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
t of Loading Docks
Fill:
{volume--& 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: issuanoa of a zoning permit does not relieve an applioant's burden to comply Wit" all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applioeble permit granting authorities.
FILE if
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRSNT ALL INFORMATION
1. Name of Applicant: �,!_P.Lc�(q�P 144(P r
Address: 10q A), ALL :V dg,"-L Telephone: `C(3 --l(o
2. Owner of Property: jack(c,k
Address: a2q ANd lt? a . fs _Telephone: 'tl 3 2S3�3a�t5
3. Status of Applicant: Owner Contract Purchaser ✓ Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s): _
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)J
5. Existing Use of Structure/Property ('C 5 l p—o-
6. Desc iption of P oposed Use/Work/Project/ ccupatio t�se additional sheets if necessary):
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 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)
/J?�Gr2 File No. 4 3-
Date Tiled 0 r `..
REGISTRATION OF 11OME OFFICE/OCCUPATION (510 .2 & 11. 11)
With the Building Inspector
1. Name of Applicant:
Address: 0 (,j" Telephone: -
2 . Owner of Property: AC,M
Address: 37Y Ujdjje Telephone: q13 -253-;�O-7g
3 . Status of Applicant: Owner Contract Purchaser r/ Lessee
Other (explain: _ )
4 . Parcel Identification: Map � �C�, Parcel � S
016 ,
Zoning District(s) (include overlays� �
Street Address
5 . Narrative Descr 'ption of Propcsed Home office: ' (Use additional !eels
if necessary)
6 . Is this a legal residential building? YES NO
7 . Will there be an employee/owner who doesn't live in the home vT0
8 . Will you ever see clients or customers at your site? YES NO
How often
For. what purposes
9 . Will there be any signs for t]-le Home office? YES Q 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 O
11. Will there be any outdoor storage of materials? YES iv0
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) ? YES 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 .
rdl31Date: D2 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 relieve an applicant's burden to comply with all zoning requirements and obtain all required pormlts
from ttw Board of Health,Conservation Commission, Dopartmont of Public Works and othor applicable permit granting authorities_
File#MP-2003-0056
APPLICANT/CONTACT PERSON MILLER MELANIE
ADDRESS/PHONE 34 BLISS ST (413)584-9498 Q
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
Typeof 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF(*MATION 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 Co ion
Signature o wilding 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.
f
f
104 NORTH MAIN ST MP-2003-0056
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 1863
Map: -
�4
'Block: — HOME
'Lot: UC�1
Permit: HOME OFFICE/OCC R OFFICE/OCC REG
Category: Home Office/Occ Registr
Permit# MP-2003-0056 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2003-0607
Est. Cost:- j$0.00 Contractor: License:
,Fee: $10.00 Homeowner as Contractor
;#of Fixtures: Owner: COE NORMAN A&JACKLYN A
Applicant: MILLER MELANIE
AT: 104 NORTH MAIN ST
ISSUED ON: 15-Oct-2002 AMMENDED ON: EXPIRES ON: 01-Jan-2003
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/Occ Registratio REC-2003-001164 07-Oct-02 95 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2002 Des Landers Municipal Solutions,Inc.