25C-165 (3) 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 Colman to be filled in
by the Building Department
Required i
Existing Proposed By Zoning
��L t 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
# 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.
v APP
E: 3 3 etLICANT's SIGNATURE 4�va
NOTE: 1"u6ncAW of to zoning permit does not relieve an applioantl#jImurdan to oompty With-all
zoning requirements and obtain all required permits from the 136fird of Health, Conservation
Commission, Department of Publio Works and other appiioabla permit granting authorities.
FILE #
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 66n r C' AAayu Us
Address: 02D
D rdl,aYaL cT[• Telephone: 14(3- 582- b 3 gq
2. -10"wnerofProperty: UXSf l'o-k kf.&(±A D kP(0irLSgy\ Rea,( 65fa"(r,-
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser L-�Lessee
Other(explain):
Job Location: 20 0104ard c`T ree.' .
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property_ '3 yc'
6. ription of Proposed Us /Work/Project/Occupabon: (Use additional shpets if necessary):
V
7. N/Jkched 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 KNOVV�_ 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 DON'T KNOVV_�� 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. , acs
Date Filed 3 3 fl3 File No.. 3 70
REGISTRATION OF HOME OFFICE/OCCUPATION (§10 . 2 & 11. 119)
With th-e Building Inspector
1. Name of Applicant: Ca�inc mars aus
Address: 2,0 pr —Telephone:- $2,- 03 111
N°Y��a .� 51� Qea(t-4 C.lo 66insatl
2 . Owner of Property: S1
Address: elephone:
3 . Status of Applicant: owner Contract Purchaser ✓Lessee
other (explain: )
4 . Parcel Identification: Map A dSs -Varcel ®r-
Street Zoning District(s) (include overlays) U�Address
5 . Narrative DescriDtlon of Proposed Home Office: (Use additional sheets
if necessary) {r�TY1' _ OYC,M oolr"
Y'" 1 S
6. Is this a legal residential building? No
7 . Will there be an employee/owner who doesn't live in the home YES ro
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 4..0)
lo . 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
11. Will there be any outdoor storage of materials? YES vT0
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) ? NO
If NO explain:
13 - Attach Plans (if applicable) N
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: 313 03 Applicant's Signature: �aA4tt
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: fssuanoo of a pormtt doss not rollovo an applicant's burdon to comply V th all zoning roquiromonts and obtain all roquirod par mits
from tho Board of Hoaith,consorvatlon Commission, Dopartmont of Public Works and othor applicable pormit granung authorltlos.
• S
File#MP-2003-0119
APPLICANT/CONTACT PERSON MARSALIS CAROLYN
ADDRESS/PHONE 20 ORCHARD ST (413)582-0389 O
PROPERTY LOCATION 20 ORCHARD ST
MAP 25C PARCEL 165 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 777 �ff 70
Typeof Construction: HOME OFF/OCC REG-RECRUITING SERVICES
New Construction
Non Structural interior renovations
Addition to Existin
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE WLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF)WRMATION 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 Stree ommission
os
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.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact the Office of
Planning&Development for more information.
MP-2003-0119
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 4541
,Map: _
B -- - HOME
Lot: --_ 1
Permit: (HOME OFFICE/OCC R OFFICE/OCC REG
Category: Home Office/Occ Registr —
Permit# MP-2003-0119 PERMISSION IS HEREBY GRANTED TO:
Project# _ JS-2003-1182
Est.Cost: $0.00 Contractor: License:
Fee: $10.00 Homeowner as Contractor
L#of Fixtures:— Owner: BITTEL PETER J
Applicant: MARSALIS CAROLYN
AT. 20 ORCHARD ST
ISSUED ON. 07-Mar-2003 AMMENDED ON: EXPIRES ON. 01-Jan-2004
TO PERFORM THE FOLLOWING WORK.
HOME OFF/OCC REG-RECRUITING SERVICES
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-2003-002620 03-Mar-03 143 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.