25C-067 (2) 9
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 —2== to be filled i11
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 parkingi
# of Parking spaces
#rof Loading Docks
Fill:
4vo1-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl
DATE: a' APPLICANT'S SIGNATURE ._
NOTE: lanuanoe of a zoning permit does not relieve an applioan s burden to ly with
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Wor" and other applicable permit granting authorities.
FILE #
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE- OR PRINT ALL INFORMATION
1. Name of Applicant: MU
3 5� x/536
Address: �4 �L�/�111�- f��i�� . AVADL� Telephone:
2. Owner of Property: e ('7
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser—i—Lessee
Other(explain):
4. Job Location: C;O
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property }�}
v
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW_j 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)
Date FiledQ Q� ' � �� `{ File No:
REC.IS`l'RATI.6N -oz; 1101SE OFFICE/OCCUPATION (§10 . 2 & 11. 11)
TF7it.h -.he Building Inspector
1. Nagle of Address: n'Sz }(J�-' I'el.epl)one :--- __ql
2 . Owner of
Address: — — -- -- —Telephone:_ --
3 . Status of Applicant: 0-„'ner _ contract Purchaser J Lessec
0 th e L-
; parce.l_ Tdentlf lcdtJ-on : I'iap n� 9,412 Pal:Cel t�
Zoning [)istrict (`>) ( in cluc ovc.-lays
Street Addess
r
5 . Narrative DescrlptloiI Of proposed HolIle Oi ,-ce: (Us(-- ,ddJ tJ ohal Sl7eet5
if necessary) .��
6 . Is this a legal resi-dential building? YL i 0
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
10 . Will there be any goods sold from the premises or any sale of
goods stored on premises , either retai.1 or wholesale, or any
display of goods on premises? YES 70-
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, parking
congestion, noise, air pollution, and materials storage) ? ES 1O
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: I , �L _ 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: tssuanoo of a pocmlt do-as not rollovo an applicant's burdon to comply with all zoning roqulrnmonts and obtain all roquirod pormit3
from Uio E3oard of Hoalth,Consorvation Commisslon, Dopartmont of Public Works and othor applicablo pocmlt granting authorltlos.
File#NIP-2003-0094
APPLICANT/CONTACT PERSON CUTLER NOAH
ADDRESS/PHONE 20 DAY AVE (413)585-8536 Q
PROPERTY LOCATION 20 DAY AVE
MAP 25C PARCEL 067 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid 0�
T3Meof Construction: HOME OFF/OCC REG-INTERNET BUSINESS
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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 Stre Commission
Signature of Building Official Dat
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.
20 DAY AVE MP-2003-0094
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
LGIS#_ 445.3
M - HOME
- -
�Lot:------
_-
jPermit: HOME OFFICE/OCC_R OFFICE/OCC REG
jCategory: Home Office/Occ R_egistr _
Permit# MP-2003-0094 PERMISSION IS HEREBY GRANTED TO:
(Project# JS-2003-1030
;Est.Cost: $0.00 ~� Contractor: License:
Fee: $10.00 Homeowner as Contractor
1#of Fixtures: J Owner: ALLEN P GEOFFREY
Applicant: CUTLER NOAH
AT.• 20 DAY AVE
ISSUED ON. 22-Jan-2003 AMMENDED ON. EXPIRES ON. 01-Jan-2004
TO PERFORM THE FOLLOWING WORK:
HOME OFF/OCC REG-INTERNET 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-2003-002154 10-Jan-03 571 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.