17C-260 (5) 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_,,L'(,_
IF YES, describe size, type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED ..NOW "
Lot '°g
Y_ r ��
Fr tape
Setbacks Front
Side L: R: L: R: -
Rear k
Building Height 41.
Building Square Footage
y.k
Open Space: (lot area
minus bmlding Fs paved parking r =
#of Parking Spaces
#of Loading Docks
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: Or,4. ft-7 4 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,
Historic and Architectural Boards,Department of Public Works and other applicable permit
granting authorities.
OOO.pdf
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i File No.
R - -
ME u
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Please type or print aH information and return this form to the Building
Inspector's Office with the $i 'filing fee (check or money order)payable to the
f City of Northampton.
1. Name of Applicant: ws"i �. c+
r
Address: / �, /°!i Y Telephone:
2. Owner of Property:_ C` +/% lu-' r re,
�j
Address: �j Or C 1 wil Telephone: -113 S 3 7 +:;-) �
3. Status of Applicant: Owner Contract Purchaser Lessee_Other (explain)
4. Job Location:
su
,k Sili5 x
. 5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
1
_ I S
! C
UV
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Findinngg ever been issued for/on the site?
NO DONT KNOW ✓ YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry 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 I 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)
File No �dsi�.�
Date j,F--j-�e
REGIST 't IPN OF HOME OFFICE OCCUPATION (§10.2 & 11- 11)
With the Building Inspector
LA, n
1. Name of Applicant: L4
r4 ,, fh 41114°,1 ��. 1j,J Fl, Telephone:
e
�l1--
2. Owneof r* T-5-roperty: (tv.A ✓ray
Address: �D �.ei1� 1,�Y, -�- Z�,�-11,4j,1�Telephone: 41 • " < �-- !
3 . Status of Applicant: Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map rrr Parcel r ,
Zoning District(s) (include overlays)
Street Address
5. Narrative Desc t on of Proposed Home Office: (Use_ additiona sheets
if necessary) f fi:
6. Is this a legal residential building? E 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? YES � N
10. Will there he 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 N
11. Will there be any outdoor storage of materials? YES N
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: G A"ei- 14, 0'&43 Applicant's Signature: aa
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: -
,3 -
Signature of Building Inspector Date
NOTE:izzuanoo of a permit doe:not roliovo an applicant's burden to comply wtth all Zoning requirements and obtain all roquired ponmits
from tho Board of Health,Conzorvatton Commission, Department of Public Works and otiler applicable permit granting authorities.
File#MP-2005-0052
APPLICANT/CONTACT PERSON COLLY CHRISTOPHER
ADDRESS/PHONE 72 NORTH MAIN ST (413)584-6676()
PROPERTY LOCATION 72 NORTH MAIN ST
MAP 17C PARCEL 260 001 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 CfA 29 7J
Typeof Construction: HOME OFF/OCC REG
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
ITIFJORMATION 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 Commissio
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.
72 NORTH MAIN ST MP-2005-0052
COMMONWEALTH OF MASSACHUSETTS
_ CITY OF NORTHAMPTON
GIS#: 1858
Map:
Block: .
Lot: 001 HOME
Permit: HOME OFFICE/OCC RE OFFICE/O C C RE G
Category: Home Office/Occ Registrat
Permit# MP-2005-0052 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2005-0617
Est.Cost: $0.00 Contractor: License:
Fee--. --7$15.00 Homeowner as Contractor
#of Fixtures. Owner: CHARRON DAVID
Applicant: COLLY CHRISTOPHER
AT: 72 NORTH MAIN ST
ISSUED ON: 22-Oct-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-2005-001358 19-Oct-04 92 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS*2004 Des Lauriers Municipal Solutions,Inc.