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17C-249 (6) 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 aolw= to be filled X= by the Building Department Required 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 # of Loading Docks Fill: volume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my kn wledge. DATE: .2 0 O 1j APPLICANT's SIGNATURE Al. NOTE: lan an a of a zoning permit does not relieve an applioa is burd n to oomply wltla�all Czoning requirements and obtain all required permits from the on" of Health. Conservation ommission. Department of Publio Works and other appliomble permit granting authorities. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: AIMM 0\_' Address: lD [ 1�J• )"l(� 1 a'1 ,�"L. 1`�D��f�(P�1�lW, Telephone: 2. Owner of Property: Ayi(�rt\/U l on rlM Address: 104 yt s4 0r4i-,U_ OTelephone: 3. Status of Applicant: Owner Contract Purchaser V Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 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 ✓ 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) i Date Filed t File No. A /0� REGISTRATION OF HOME OFFICE/OCCUPATION 010. 2 & 11. 11) With the nBuilding Inspector I. Name of A plicant: j�01r Alan Address: � ( (yn w v, F o /��- Telephone: Gt( 3 SSG 'L G 2.6 utoZ a 2 . Owner of Property: _,�t ". W ctxV�a� Address : ta, (0vc�f�r 0-10�D Telephone: (o - O 1 3 . Status of Applicant: Owner CcntraC�. Purchaser __Lessee Other (explain: Parcel Identification: Map ��Pa__c:e1 �7 9, Zoning District(s) (include overlays) Street Address 5. Narrative Descri Etion of Pro posed Home O f i ce: (Use additional sheets if necessary) 6 . Is this a legal residential building? 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? YES Cam' How often For what purposes S . Will there be any signs for the Home Office? YES iv0 1.0 . 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 N 11. Will there be any outdoor storage of materials? YES 10 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) ? YES 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. Date: �p o`er U Applicant's Signature: c.• 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 MOTE: issuance of a po[tnit does not rollove an applicant's burdon to comply with all zoning roquirements and obtain all roquirod pormit3 from tho Board of Hoalth,Consorvatlon Commission, Dopartmont of Public Works and othor applicable portrait granting authoritios. -*File#MP-2003-0108 APPLICANT/CONTACT PERSON HOFMANN HILARY ADDRESS/PHONE 61 NORTH MAIN ST (413)586-6626 Q PROPERTY LOCATION 61 NORTH MAIN ST MAP 17C PARCEL 249 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST N ING FORM ILED OUT ENCLOSED REQUIRED DATE ONING FORM OUT Buildiniz Permit Filled out Fee Paid ,� Typeof Construction: HOME OFF/OCC REG-COMPUTER CONSULTING 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 FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Street Co ssion v L 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-2003-0108 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON !GIS#: 1848 Map: 1 HOME Lott:— 001 ;Permit: HOME OFFICE/OCC_R OFFICE/O C C RE G Category: Home Office/Occ Registr — Permit# _MP-2003-0108 _ PERMISSION IS HEREBY GRANTED TO: (Project# JS-2003-1107 ___-_ Est.Cost: � , Contractor: License: Fee: $10.00 Homeowner as Contractor #of Fixtures: Owner: CHURCH ANDREW Applicant: HOFMANN HILARY AT: 61 NORTH MAIN ST ISSUED ON: 13-Feb-2003 AMMENDED ON: EXPIRES ON: 01-Jan-2004 TO PERFORM THE FOLLOWING WORK: HOME OFF/OCC REG-COMPUTER CONSULTING 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-2003-002388 I I-Feb-03 361 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2003 Des Landers Municipal Solutions,Inc.