17A-141 (2) 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._._V
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- 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 m+roable ge.
DA1"E:j� i1 r�CpQ APPLICANT'S SIGN
AT --
NOTE: lasuano@�of a zoning permit does not relievnt's burden t mply with all
zoning requirements and obtain all required perm Board of Health, Conservation
Commission, Department of Publio Works and oth permit granting authorities.
FILE #
V
I
. �_. `` "
JUL 1820M
UN
File No.
DEPT Of 2011- NG INSPECTIONS
PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: c'
Address: 61 'YI, I�IWb c3'1 r 1�10b Telephone:
2. Owner of Property:
Address: �- t MF-- Telephoner � ^ Q50
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: /
Parcel Id: Zoning Map# ` Parcel# ( District(s):
(TO BE FILLED IN BY THE HILDING DEPARTMENIT
5. Existing Use of Structure/Property_ 65�
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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW 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 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)
FS-MM File No. bl f
StATION OF HOME OFFICE/OCCUPATION (510 . 2 & 11. 113
DEPT OF BUILD!NG INSPEC 1 s
-- With the Building Inspector
1 . Name of Applicant:
' 5rD Sj��105
Address : Telep one: -
2 . Owner of Property:_,
Address : 5T - FA Telephone
3 . Status of Applicant:--ZOwner __Contract Purchaser Lessee
Other (explain:_ ) -
4 . Parcel Identification: Map Parcel ,
Zoning District(s) (inclu e overlays)
Street Address_
5 . Narrative Description o Proposed Home Office: (Use ad itional sheets
if necessa } _ 1 Oak
- ' - -�- - -� 4 -5- --
6 . Is this a legal residential. building? YES NO
7 . Will there be an employee/owner .;rho doesn' t live in the home YES N
8 . Will you ever see clients or customers at your site? YES J"O
How often
For what purposes
9 . Will there be any signs for the iotae Office? YES t;0
l0 . Will there be any goods sold 1ro-1 the premises or any sale of
goods stored on premises , either retail or wholesale , or any
display of goods on pi_-emises? YES
11 Will there be any outdoor storage of materials? YES iv0
12 . Will your use be totally wit'tni_n a building and not cause any
outward manifestation ( including traffic generation, parking
congestion, noise, air pollution, and materials storage) ? QE 2vo
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:js IWQ Applicant's Signature:
THIS SECTION FOR OFFICIAL US NLY:
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: lcsuarwo of a permit doa=not rollovo an applicant,a burden to comply with all zoning roqulromonts and obtaln all required penults
from tho Board of Haolth,Cori—vatlon Commission, Dopartrnord of public Worka and other applicable permit granting authorities.
File#MP-2001-0012
APPLICANT/CONTACT PERSON HALPERN JULIAN
ADDRESS/PHONE 211 CHESTNUT ST (413)584-0560 Q
PROPERTY LOCATION 211 CHESTNUT ST
MAP 17A PARCEL 141 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
lypeof Construction: HOME OFF/OCC REG-STEELHEAD STUDIOS-DECORATIVE METAL WORK
New Construction
Non Structural interior renovations
Addition to Existing
AccessoKy Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE 179CLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved 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 ion Permit from CB Architecture Committee
,
Z ZooU
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.
r h
211 CHESTNUT ST MP-2001-0012
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
�yyy 35
ru ?F I
HOME
OFFICE/OCC REG
PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
Homeowner as Contractor
Owner: JOHNSON SCOTT A&KATHERINE A
Applicant: HALPERN JULIAN
AT: 211 CHESTNUT ST
ISSUED ON.• 20-Jul-2000 EXPIRES ON. 01-Jan-2001
TO PERFORM THE FOLLOWING WORK.•
HOME OFF/OCC REG-STEELHEAD STUDIOS-DECORATIVE METAL WORK
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-2001-000160 18-Jul-00 229 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2000 Des Landers Municipal Solutions,Inc.