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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.