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32C-341 (2) 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. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXI[STING PROPOSED Lot Size Frontage Setbacks Front Side L: R: L: R: Rear f Building Height Building Square Footage Open Space: (tot area minus building Ft paved parking #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: �' Applicant's 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. OOO.pdf i I i File No. M r - , w MOR Please type or print all information and return this form to the Building Inspector's Office with the$15 filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: l�t,�(�,( ,C� c� i j/ 1`✓� Address: � � (sL � �Jl c� Telephone:_ V � y � f / 2. Owner of Property:-4h2 2a Address: Telephone: 5 + r- 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain) 4. Job Location: r0 LkJ"'S . 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): A 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding 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 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) 1 P119 Date Filed n) 0 AUG 1 File No. A 1 REGISTRATIOq O CCU ATION (§10.2 & 11_ 11) WiTH �y k84 ing I spector 1_ Name of A plican (' j � Address: ) Telephone: ^ S� 2_ Owner of Property: �� r Address: Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: !n 6"ha - 4 . Parcel Identification: Map JA�e_Parcel Zoning Districts (include overlays) Street Address 5. Narrative Description of Proposed Home Office: (Use additional beets if necessary) S j C' /'� r G2/7� < Y: 1" /ji A g)Yrr C! &r ( rer rY") G. Is this a legal residential building. YE ' NO 7_ Will there be an employee/owner who doesn't live in the home YES 0 8. Will you ever see clients or customers at your site? YES O How often For what purposes 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 NO 11. Will there be any outdoor storage of materials? YES 12 . Will your use be totally within a building and not cause any outward manifestation (including traffic generation, parkin 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. Date: � Applicant's Signatuzi�: THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND HUST THEN BE RENEWED Denied as presented---Reason: - Signature of Building Inspector Date MOTE: t:suanoo of it pecmtt doe:not relieve an applicant's burden to comply with all zoning requirements and obtain all roquirod pormlts from the Board of Hoatth,Conaorvatlon Commission, Dopamment of Public Works and ottior applicable pormit granting authorttlos. File#MP-2005-0026 APPLICANT/CONTACT PERSON STEINER REBECCA ADDRESS/PHONE 41 WILLIAMS ST 2RR (413)585-8255 Q PROPERTY LOCATION 41 WILLIAMS ST MAP 32C PARCEL 341 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid 77 — Typeof Construction: HOME OFF/OCC REG-DESIGN New Construction Non Structural interior renovations Addition to Existin¢ Accessory Structure - Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan i THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: THE 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 Commis Zoo Signature of Building Official Date Note:Issuance of a Zoning pernut 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. ;-4V 1AMS ST -- MP-2005-0026 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 10259 Map: Block: HOME �L t 001-- Permit: HOME OFFICE/OCC_RE OFFICE/OCC REG Category: Home Office/Occ Registrat Permit# MP-2005-0026 PERMISSION IS HEREBY GRANTED TO: Project# JS-2005-0210 r�Cost: Contractor: License: Fee: $15.00 Homeowner as Contractor #of Fixturesa Owner: WILLIAMS ST LAND TRUST Applicant: STEINER REBECCA AT. 41 WILLIAMS ST ISSUED ON. 24-Aug-2004 AMENDED ON: EXPIRES ON: 01-Jan-2005 TO PERFORM THE FOLLOWING WORK. HOME OFF/OCC REG-DESIGN 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-2005-000542 12-Aug-04 1517 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.