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City of Northampton
HOME BUSINESS APPLICATION
(To be used when seeing clients etc)
Applicant Name: 4 L 1CS�
Applicant Address: Ol ����� �tr � 0 � ✓�r) /�
Applicant Email: "� �� t����� Cam'► PHONE:
ADDRESS of Home Business: 0
S <� �� JL
ASSESSOR ID of Business- Map: ✓ Lot:
DESCRIBE WHERE AND WHAT PORTION OF RESIDENCE Business will Occupy:
I rooN, i� SPG� �Fio�- L?air/}�Q'1f'
EXPLAIN WORK. Detail nature of Home Business including type of business: 5 +S 4 r'G„-,�k 14o rvn
Vii/ acs h h �I� r?
ex_ud 13 vK,h tyl o'W l e z 0 44, ofi ce
ho-y'j m4n- �► ri 7 S�"I -1�'ti, C�C-, i�%ilI ��l< <r 1 S C_-t
pf hays ��i�� !�!�/ oli s✓���•'S !�� v,�ha /l ear, ►� 1 �-�'� P �F /J
HOURS Your Business will operate: '
DAYS PER WEEK: S� al'''e
HOW MANY CLIENTS Seen per week: y
ANY EMPLOYEES who are not a resident of the home? �
How many on-site parking spaces are available in addition to personal vehicle spaces:
Will the owner of the home business occupy the main residential building as his/her bona fide
residence? yes
Please attach diagram of the parcel with driveway access and parking areas shown. Also Attach Google
Earth or other aerial photo image of street with parcel identified.
Application Approved
Application Requires Permit from the Zoning Board of Appeals
Signed: Date:
City of Northampton Building Commissioner
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 off signs intended for the property? YES NO_�_
IF YES, describe size, type and location: N18
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO _�_ N)(h
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
N� Sep for use by the Building
De artment
EXISTING PROPOSED REQUIRED BY
Lot Size ZONING
Frontage
Setbacks Front
Side L: R: L: N R: I(//I� L: R:
Rear' /
Building Height
NA
Building Square Footage
NIP
%Open Space: (lot area
minus building 8t paved rn
parking
#of Parking Spaces
a NJ
#of Loading Docks
N
Fill:
(volume 8t location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
nAK iq I i
Date: 1/193//S Applicant's Signature J-0 0�,4, /hv?h S,-, L/CSW
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with 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.
i
W:\Documents\FORMS\original\Building-InspectorVon ing-Permit-Application-passive.doc 8/4/2004
PERMIT"PLICA TION 01 o.2)
DEPT.CF
Please type or print all information and return this form to the Building
Inspector's Office with the $30fl1ingfee (check or money order)payable to the
City ofNorthampton
1. Name of Applicant:
— Owner oProperty:.
Address: Telephone:
]' Status of Applicant: Owner —[ontract Pu/chase/ Lessee Other (explain)
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: home ��'Jaffl
h. Description
'Prkvc,Vc c§tk�vz pqd�u of �� I D c I t6tsA-o+ iD c x ce-e d S I fs g� ,,ee I—V\—5t 1))
7. Attached Plans: Sketch plan Site Plan ` Engineered/Surveyed ,^"", _��/��—_ '
O. Has o Special Pennit/Yaranoe/Finding ever been issued for/on the site?
N0 DONTKNOVY YES |F YES, date issued: af�
�/` '
IF YES: YYao�hepenni� necovdeda� theRe�i��ryc� Deedo! �^�°
' //
NO DON'T KNOW YES __----__' 5ev/L-
IF YES: enter Book Page and/or Document " - —
� ---------- ----------
9.Does the site contain a brook' body of water orwetlands? NO d DON'T KNOW YES
IF YES, has permit been orneed to be obtained from the Conservation Commission? N\/\ Cewrs /``'
Needs to be obtained Obtained ' date issued:
'
(Form Continues nn Other Side)
W\mmumvom\Foxwymr.gimxmu.m.*g-m,=ecwr\Zmimg-pomit-App]/:ati^n-pasmvu.doe ow000*
File 4 MP-2016-0056
APPLICANT/CONTACT PERSON HARRISON JENNIFER
ADDRESS/PHONE 81 PARSONS ST (413)341-5912 Q
PROPERTY LOCATION 81 PARSONS ST
MAP 25C PARCEL 175 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildine Permit Filled out
Fee Paid
Tkpeof Construction: ZPA- PSYCHOTHERAPY PRACTICE
New Construction
Non Structural interior renovations
Addition to Existinz
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
INFO 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 Commission Permit DPW Storm Water Management
f� j
Signature of Buil in 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.
81 PARSONS ST MP-2016-0056
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
pis#: E4551
'Map: "�25C
Block: - ]1 -- - ' ZONING PERMIT
Lot: 001
Permit:
I NPERMIT APPLI
Cate g o ry Zoon.ng Pe1 -
1 APPLICATION PERMIT
IPer tnit# --2016-0056 PERMISSION IS HEREBY GRANTED TO:
— -
�Project# JS-2016-001410
Est. Cost: ,Contractor: License: Expires:
- 1
Fee Charged.$30.00 Homeowner as Contractor
Balance Due:$.00 Owner: FEENEY PAMELA C&CLAIRE ALLEN C/O WENDY B ROBINSON
#of Fixtures l Applicant: HARRISON JENNIFER
Digsafe# - AT. 81 PARSONS ST
onstC!UseGroClup
ass
ISSUED ON: 04-Jan-2016 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK.
ZPA-PSYCHOTHERAPYPRACTICE
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:
Zoning Permit Application REC-2016-003020 28-Dec-15 436 $30.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMSO 2016 Des Lauriers Municipal Solutions,Inc.