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32C-286 (3) ntQCKW V E ? Dat File No. 2Q01 RATION OF OME OFFICE/OCCUPATION (510.2 & 11. 11) Ai h the Building Inspector INSPECTIONS 1 . ze,/ 6- " Telephone: 2 . Owner of Property: _d IVAIC- Ad : zllz,�,aj Telephone: 3 . Status of Applicant: )< Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Map Parcel iZSJ Zoning District(s) (include overlays) Street Address ,),// 5 's 1111'r e� 5 . Narrative Description of Proposed, Home Office: (Use additional sheets if necessary) 6 . Is this a legal residential building? C YE NO 7 . Will there be an employee/owner who doesn't live in the home YES NO 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 the Home Office? YES 2�T0 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 NS2, 11i, Will there be any outdoor storage of materials? YES NO 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) ? YE 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 . f Date:_ �� g�[, 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: Iszuanoo of a purmtt does not rollovo.an appllcant'a burden to comply with all zoning requirements and obtain all roqulrod per nits from the Board of H"th,Consorvatlon Cornntlsslon, DoPartmom of Public Works and other applicable permit granting authorities. 10. Do any signs ebst 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 column to be filled in by the Building Department Required I Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of -Parking spaces f of Loading Docks Fill: (vol.-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE:_ �4ftmzoning APPLICANT'S SIGNATURE NOTE: Iss a permit does not relieve an , "i pplioanYs burden to comply wlthl .all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE # D EC V E JAN 2 9 W Fi1e No. DEP10F BUILDING INS IN PERMIT APPLICATION (§10 . 2) NORTHAMPTON,MA 01060 E TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: /s Address: // 4C1-� Telephone: ibj- �.:3d 2. Owner of Property: Address:_. .,�„L Telephone:_ �5a a 3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Job Location: ,-6 a tx-Q- Parcel Id: Zoning Map# .3'�k(L Parcel# vZ District(s): LC ILL (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property ��t 6. Description of Proposed Use/Work/Project/Occupabon:. (Use additional sheets if necessary): e 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 PermitA/ariance/Finding ever been issued for/on the site? NO DON'T KNOWS ✓ 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 i/ 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) File#MP-2001-0081 APPLICANT/CONTACT PERSON STANISEWSKI JOHN J&SANDRA A ADDRESS/PHONE 114 WILLIAMS ST (413)584-8303 Q PROPERTY LOCATION 114 WILLIAMS ST MAP 32C PARCEL 286 ZONE URC THIS SECTION FO&.OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: HOME OFFICE/OCCUPATION REGISTRATIO -RENEWAL ARM/TRUCKING 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: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § _w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § _w/ZONING BOARD OF APPEALS 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 Co ission Permit from CB Architecture Co ittee 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. 114 WILLIAMS ST MP-2001-0081 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON m HOME lbm-Ait W` ' ° OFFICE/OCC REG lcrxaleJXcc Re=is tr Pern* PERMISSION IS HEREB Y GRANTED TO: Contractor: License: Fce X10 Homeowner as Contractor #pffixtures, Owner: STANISEWSKI JOHN J&SANDRA A Applicant: STANISEWSKI JOHN J&SANDRA A AT. 114 WILLIAMS ST ISSUED ON. 01-Feb-2001 EXPIRES ON: 01-Jan-2002 TO PERFORM THE FOLLOWING WORK. HOME OFFICE/OCCUPATION REGISTRATION-RENEWAL FARM/TRUCKING 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-2001-001997 29-Jan-01 3837 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2001 Des Lauriers Municipal Solutions,Inc.