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17C-051 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. 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 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 for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size Frontage Setbacks Front Side L: R: L: R: L R: Rear Building Height Building Square Footage % Open Space: (lot area minus building a paved parking # of Parking Spaces # of Loading Docks Fill: (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: ( ` C1 Applicants Signature , 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. W:\Documents\FORMS\originai \Building- Inspector\Zoning- Permit- Application - passive.doc 8/4/2004 s. I I Y File No. ZONING PERMIT APPLICATION (§1o.2) Please type or print all information and return this form to the wilding Inspector's Office with the $15 filing fee (check or money order) payable to the City Pi.A/\,-/-;',-1/-1 of Northampton 1. Name of Applicant: J pa i Ka l Address: 5 S 7 v ( ° t4 (L( !.3J 5 Telephone: J d ) 2. Owner of Property: d l f C` t.7� �'` Address: S G � w ' Telephone: 3, Status of Applicant: Owner V Contract Purchaser Lessee Other (explain) 4. Job Location: 567 S i a- cc—) ev r(( (1"7 ( f F/ Parcel Id: Zoning Map# Parcel# DistrIct(s): in Elm Street District In Central Bus D (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): 611c10 14)(1 e—VV'' g Q5f •LQS5 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special Per ' a 'ance /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 DONT KNOW YES IF YES: enter Book Page and /or Document # 9.Does the site contain a brook, body of water or wetlands? NO V 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) W: \Documents\FORMSIoriginal\Buil ding- Inspector\Zoning- Permit - Application- passive.doe 8/4/2004 t , iy3a.Sl Date Filed ;t� w =. e /p/a�9 - File No � REOISTRA ION__O _HOME OFFICE /OCCUPATION (§10.2 & 11-11) With the Building Inspector 1. Name` of Applicant: J ©aL T Vow y'YI Address: so S Flv reoCe Telephone: . /y / SS'S" y (� - 0 /U v - 2. Owner of Property: Jet, 1 C% a Address: so r f `�Z'f,� 1 1104' to ce 444 Telephone: / S 6s 3. Status of Applicant: � s vOwner Contract Purchaser Lessee Other (explain: 4. Parcel Identification: Map it , Parcel z Zoning District(s) (include - verlays) Street Address � / ,1.... ' 0 21" • 5. Narrative Description of Proposed Home Office: (Use additional sheets if necessary) I `!?CJ ocr` 51, h: cc 1/- Gi cr u3 Iii s 6. Is this a legal residential building? (YES) 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? NO How often / —e e ; For what purposes . 1 - ) A s1 -∎--4 V) 9. Will there be any Signs for the Home Office? YES 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 tag 11. Will there be any outdoor storage of materials? YES SO 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 infoLwati:on contained herein is true and accurate. I understand that if any infoLivation is incorrect, my peLUtit is null and void and I may be liable for non- criminal fines and criminal and civil actions_ mate: It (/ l 5 ( 0 Applicant's Signature: ,szo �•� THIS SECTION FOR OFFICIAI, ONT.Y: Approved as presented /based on information presented 7kPPROV7 E ON DECEHBER 31 uie THIS YE ? AITD MUST THEN BE RENEWED Denied as presented - -- Reason: _ - Signature of Building Inspector Date NOTE: Izr,.i:rzce of i porrntt does not roiiovo an app[Ica lt.'s bcrden to comply with all zoning ragdromonts a obtain all r oqutro porn from the Board of Hoatth, Consortatioo Cornr:*_rion, Dopartrnont of PubfcWorker and othor appticabia porriit granting authorttios. VIONsmossossmsramor....... File # MP -2010 -0029 APPLICANT /CONTACT PERSON KAUFMAN JODI & DAVID ADDRESS /PHONE 50 STRAWBERRY HILL (413) 585 -0340 O PROPERTY jt N t THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE (ZONING FO' ' ILLED OUT of ail Pi/ o Building Permit Filled out Fee Paid Typeof Construction: ZPA - HOME OFF /OCC REG - INDOOR SWIMMING LESSONS & WATER SAFETY 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 INFORMATION PRE TED: 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: § I %r• Finding Special Permit V 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 S t Commission Permit DPW Storm Water Management zC Signature of Building Official mate 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.