17C-153 (4) 10. Do any signs ebst on the property? YES NO V
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 c02U= to be filled in
by the Bai2diag 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 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 my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applicable permit granting authorities,
FILE if
_A t
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �IIAJFOgp Y,4yZ
Address: L-7Z H!'7"/ �t Telephone: �bar' -`I.�z.-7
2. Owner of Property: L/�1�iTo�
Address: `rz, 7y �f Telephone: - fez 27
3. Status of Applicant: I Owner Contract Purchaser Lessee
Other(explain): Q
4. Job Location: 10;1L6 `Tf'cC /- �' `���1-1 ��✓'�
Parcel ld: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �AOil 1y1f
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
I,✓�L��I�I�L ('LE%r` �`'��`�t L jltfC- ✓YJ���t�ly ! Ti CC 7 cic� 1`7 c1 u� f ��it/'il
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 KNOWS i/ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW L,/ 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 V 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)
i
s i
Date Filed J ^1 2004- File No. D�Q
REGISTX,ATIQN, OF HOME OFFICE/OCCUPATION (510 . 2 & 11. 11)
Withh__ the Building Inspector
1. Name of Applicant /�tytt J K L"
Address: q2— 5 FIv✓Gylt r1fQ 0jC,4,4- Telephone:
2 . Owner of Property: �c �v✓ ( '
Address : "f Z Telephone: `f l
3 . Status of Applicant: (Owner Contract Purchaser Lessee
Other (explain: l )
4 . Parcel. Identification: Map u Parcel r
Zoning District(s) (include ov rlays) 04
Street Address X12 g1711 `7t, Flf7vc o/06 Z
S . Narrative Description o Proposed, Home Office: (Use additio 1 sheets
if necess ) Lip-►��1'1 ✓t q% ��¢�ia/�I✓� Ll� �G7 � �'�y� `G' ��C
it,. d� ik, Cd"/a.,Ti.- W,?Lccgy7
G . Is this a legal residential building? <�Y� NO
7 _ Will there be an employee/owner who doesn't live in the home YES&
S . Will you ever see clients or customers at your site? YE NO
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 (
11. Will there be any outdoor storage of materials? YES
12 . Will your use be totally within a building and not cause any
outward manif estati_on (including traffic generation, parking
congestion, noise, air pollution, and materials storage) ? ES 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 .
LJ
Date:_ ` i` %10 Applicant's Signature: 1�
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: lssuanoe of a permlt does not repave an applicant's burden to oompty with all zoning requirements and obtain all roqulrod Permits
from the Board of Hoalth,Conservation Commission, Dopartment of Public Works and othor applicable pormtt granting authoritios.
w
File#MP-2004-0072
APPLICANT/CONTACT PERSON KAYE SANFORD&MARY C DONOVAN
ADDRESS/PHONE 92 HIGH ST, 1 Q 586-4823 Q
PROPERTY LOCATION 92 HIGH ST
MAP 17C PARCEL 153 001 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
Typeof Construction: HOME OFF/OCC REG-FREELANCE SOFTWARE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory 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
INF9161ATION 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 ommission
le ,/-.50
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.
92 HIGH ST MP-2004-0072
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: T178�
�Map_ 17C
Block: 153 HOME
- -- -
Lot:
(Permit: HOME OFFICE/OCC_RE
Category iHome Office/Occ Registratj
Category: REG
-- ___
;Permit# MP-2oo4-0072_ _ ' PERMISSION IS HEREBY GRANTED TO:
Project# JS-2004-1049
Est.Cost: $0.00 Contractor: License:
Fee: �'$15A0 Homeowner as Contractor
r � -- — -
#of Fixturesa Owner: KAYE SANFORD&MARY C DONOVAN
--- ----- -- -
Applicant: KAYE SANFORD&MARY C DONOVAN
AT. 92 HIGH ST
ISSUED ON. 12-Jan-2004 AMENDED ON. EXPIRES ON. 01-Jan-2005
TO PERFORM THE FOLLOWING WORK.
HOME OFF/OCC REG-FREELANCE SOFTWARE
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-2004-002005 06-Jan-04 3894 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.