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' I I, 4 I 4 I a • i 1111 ,I, 11 ,, 1 I , i ., "„, , _J, _ , ,,. , ,,,,,,, ......, .....„...., ,.,,, first floor stair hole framing 1. Change carport to playroom. • All exterior walls: o KD 2x6 16" o/c o Sheathed with 1/2" CDX o Finished with stucco • All stud bays will be insulated with dense -pack cellulose • Interior wall faces will receive 1" foil -faced foam board o Total R -value 25+ • Interior finish will be %z" drywall • There will be 5 Kolbe & Kolbe low -E insulated windows o U -value 0.27 • 6' French doors will be reused from another location onsite o French doors have low -E insulated glass, U -value unknown 2. Reduce size and style of window on south side of sunroom to match dining room windows. • 2 Kolbe & Kolbe windows • U -value 0.27 3. Install skylight in 2 floor sitting areaat the top of the stairs. • 30 x 40 Velux skylight o Vented o Low -E glass o U -value 0.37 City of Northampton Massachusetts At f t q, ag DEPARTMENT OF BUILDING INSPECTIONS # • : m ¢ *. 4 212 Main Street • Municipal Building eb r C �° ,°✓' Northampton, MA 01060 - INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and /or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations =` Way 600 Washington Street Boston, MA 02111 '4 07 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual). �(' I S 0 t 'v SB V\ Address: 2.c 7 AA tsvc'hx J ��' . �-- �2 kf tr.k. if h(C� ' 0 )0 City /State /Zip: Phone #: 41 to 5 G 4 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees (full and/or part- time).* have hired the sub - contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling These sub - contractors have 8. ❑ Demolition hip and have no employees working for me in any capacity. employees and have workers' orkin g Y P h'• 9. FA Building Buildin addition [No workers' comp. insurance comp. insurance. required.] ui 5. (l We are a corporation and its 10. Electrical repairs or additions � 3. ❑ I am a homeowner doing all work officers have exercised their 11. aplumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub- contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State /Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c fy un • the pains and penalties of perjury that the information provided above is true and correct. J Si. ature: Date: Phone #: f 4 I r (9 S' Official use only. Do not write in this area, -to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: y ' ., SECTION 8 - CONSTRUCTION SERVICES = -`I e . 8.1 Licensed Construction Supe visor: NotApplicablle❑ Name of License Holder : 1 i t o 14A 5 O f C. S ` (. 15 License Number 25'7 (. t i v i ' � u - . ) . - c . . v .;: ' ,tic,, , 4- j 9 / ► 3 Address 0 10 J � f Expiration Date Sign tu Telephone '' 9 .R cjrsferem it ne: mpprovement, ontracto a: i x 2#; Not Applicable ❑ 1_,r aic • 1°7 1 543 Company Name Registration Number 7,S 7 .0 o tAt o• 5 0 e. 9_,t ' Lk.. J v -e : '.." 4 c` 2 7/I 4 Address 0)0S'4 Ex iratio ate Telephone ((R5 - A4g / SECTION 10 WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M GL c 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No ❑ 1 . � ' om . O w ner F xe nti The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall'be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 1.52 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature • c SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House n Addition 4 Replacemen endows Alteration(s) n Roofing I I Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [EJ Siding b1] Other [ID] Brief Description of Proposed , � t „ tot p4J 5 Work: C f Q t� l Ot a r Ol'3 -v ► 'V £ e o C � �a fit q C; c,.dd 2 5 Ilt.3 -t Alteration of existing bedroom Yes ' \ No Adding new bedroom Yes Attached Narrative Renovating unfinished basement Yes D( No Plans Attached Roll - Sheet s a if e�nr'I QUSe a�d,or additionyt0 "exist�n4 ou Ing comPl "e eAfiri of OI wimp: a. Use of building : One Family t Two Family Other ((' b. Number of rooms in each family unit: a Number of Bathrooms Z c. Is there a garage attached? LieS d. Proposed Square footage of new construction. 2.• Q Dimensions ) X 2 I e. Number of stories? II __ f. Method of heating? 5 C C- C� kc k oc\ ..ir Fireplaces or Woodstoves Number of each ' g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction \,J 6 0 GI X i. Is construction within 100 ft. of wetlands? Yes +� No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade W (A k. Will building conform to the Building and Zoning regulations? '✓ Yes No . I. Septic Tank City Sewer \/ Private well City water Supply SECTION Ta .OVVNER.AUTHORIZATION, _,TO BE COMPLETED WHEN , OWNERS. AGENT OR CONTRACTOR, APPLIES FOR BUILDING PERMIT I, �ls V._ A s \ E , as Owner of the subject property hereby authorize 1 ` Y' S om S a (-\ to act . • •• b --.If, in all f atters relative to work authorized by this building permit application. oo C I 22— / 2a Signature of Owner Date 1 S 1 O t•'O 5 b (\ , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. j' 1 �('I 5 1 k 1 )1A 1 1 b Print Name i�• L� ;' 2 3 J _ Signature of 0 ff.: t Date • Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information b Existing Proposed Required by'Z'oni This column to be fi by +/ Building Department Lot Size j i Frontage I ' Setbacks Front ± ( 1 Side L:' ' R:' L: R:' I R I - 1�� 1 Building Height I # Bldg. Square Footage I 1 — 1 °lo 1 g Open Space Footage i i i i (Lot area minus bldg & paved t 1 1 parking) i I I I 1 . # of Parking Spaces , Fill: - ---�._._ ._.__W___ (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 0 YES 0 4` IF YES, date issued: i GI d'S IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book i Page: 1 and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: i D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO g ei IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. r T. �T %' D epartmeFlt k use�orl 's � --A - I . �- a t rmit, . ek , w 1 City of Northampton Status -of Pe ` ._� -- ' - 1,, , Building Department I; u e wa e ir°4 4 � 212 Main Street S ewer Septtc t€allablIl -1-''''''':', � � _____A w1N Z Room 100 et ail ®rt p _ rthampton, MA 01060 Two et s� „ q tr ctu—aI P arr DEPT. OF BUIL( *;•C, iNSP TaONS ` NORTHAMPTON, 587 - 1240 Fax 413 587 -1272 ,P1� a I ' = i . g 6 8'Pgei eti -. . ' .;,,, im 1 11; APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: '` • This section tc be completed . 6 afFice p wx: L t k • Y J f l .: y 5, •s.. M , „ ▪ i :^ x ` -7. ` ^y : u h am : :•. ^r 2 S . Lt Arc S'ne. / . S ET A ,te j , x 4 y ,ors; otfir. "„ f ' i " '4 ,`;`�a.:.'3 ;'a'�'S' l zone - x,z a , ezk Qverl'ay District s ro • ,, zp.n a e , , Elm S> ,District. , . " .... i C B District • a SECTION ' 2 - PROPERTY OW NERHIP /AUTH ED ORIZ 2.1 Owner of Record: Lc sE A • -s i CO sA r - tg.( ei2FscEntr ST s Weikiliii- 7 1 Name (Print) Cur nt Mailing Address: M d n 0 / K ) (3 � -Srl -- 819 /T �lJ Telephone Signature 2.2 Authorized Agent: 2. 5 9 ,/l.^ 151,1 G•, y k.-° t. i) • .r i 5 '(1 L 61/1/1 S 6 i`1 -t U e u^ -e ft ..2 '. U i 0 54 Name (Print) Current Mailing Address: Signatur Telephone SECTION 3 _ESTIMATED CONSTRUCTION COSTS ,, Item Estimated Cost (Dollars) to be Official Use. Only completed by permit applicant _. `, 1. Building 1 0o o (a) Building' Permit Fee 2. Electrical i SG O (b) Estimated Total Cost of I Construction from (6) 3. Plumbing I S 0 U Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 1 S, 00 0 Check Number 9 Ufa This Section For Official Use Only' Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings ' Date File # BP- 2012 -1040 APPLICANT /CONTACT PERSON KRIS THOMSON ADDRESS/PHONE 257 MONTAGUE RD LEVERETT (413) 549 -1027 Q PROPERTY LOCATION 28 ARLINGTON ST MAP 24C PARCEL 158 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid / 09 Typeof Construction: CONSTRUCT 10 X ■ PLAYROOM New Construction . , I b J/] 4 Non Structural interior renovations �l f1 Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 084152 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I NF 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 Commission _ Permit DPW Storm Water Management tem. lition Delay !S 3 / Y . e 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 Office of Planning & Development for more information. 28 ARLINGTON ST BP- 2012 -1040 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24C - 158 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2012 -1040 Project # JS- 2012- 001637 Est. Cost: $15000.00 Fee: $90.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KRIS THOMSON 084152 Lot Size(sq. ft.): 12501.72 Owner: SANDERS ERIC H & LISE A Zoning: URB(100)/ Applicant: KRIS THOMSON AT: 28 ARLINGTON ST Applicant Address: Phone: Insurance: 257 MONTAGUE RD (413) 549 -1027 0 LEVERETTMA01054 ISSUED ON: 6/1/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 10 X 21 PLAYROOM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 6/1/2012 0:00:00 $90.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner RECEr E b_ 2 5 2012 ,p File No. ` ®J /3 J DEP - A ,..zy pmt k a a r " .�';. rr T`r . � e ,PE. : f.IT z` = PLI �3,A.T. O, , USAcO2 , ,. ' fn 3 , Please type or print all information and return this form to the Building Inspector's Office with the $15filing fee (check or money order) payable to the City of Northampton 1 . Name of Applicant: k‹.r l 5 Crl/4 S6 F') • . Addressl-57 ...fi1O3'Lkp,5 &e a L.e,v ,rte Telephone: ( 648 r i 2. Owner of Property: i S e C r i G SO._ In G�R.�" S Address: I C rc , SC -V- ti"_ S� /\JDr(X 1 Telephone: <1 7 ` 0 --- 7 C i 9 7 3. Status of Applicant: Owner Contract Purchaser Lessee_ Other (explain) C o t„t✓c.),e_ t"c.„-. 4. Jszb Location: 21 A r \ i err. - th tA st kl n \4- k c 1( b 7"k �+�+w a „,gq _;� "Pd ?:� TN'�a^ � �3_ '� ��&. ",�e t 5� r� T �^"-3' 'r _ � a�,,, & �3i --. c* `ivy ' 4 � �� 8 � ' z ��`'�r � ,�s ��n �� ,�r».; -��a�r � � �� ;"��' 7�� ::°z L '" � � r $ ! e onin _'�: ' `nP" t r - v arcel s 1 ist ti0 ' 3 i' ��i a � 4 ��a«.,e� tP �,'�"`F� � ,.,' - � „L d g z� .x.� ss F� 3 ., ,�.Ct.�� 3 k t�, g'3 ""� ,� i z z.. s� n .,c � 'r» a - - - - - 3 'BSY m' E X ' ' o b L 5 V . a� 3 k ; �i + "' . A S tree District , In Central Busines fl a ti I Elm istrict s # l IR (T BE FILLED `IN Brt tE.BUIL K:G, DEPARTMENT ,.„ f , . 5. Existing Use of Structure /Property: H.S 1 /1 ,.Q V\ C 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): 1 s6 2 --i -vz_ ---0 0 r i vt i b — k o u s e c ,t.s J n Iri o 4 L-K Ck. //\ .• •e. k e - ■ Ai - ri- ' - t - ' : - , 0 4 N r •wi l ` fI, /7 • 7. Attached Plans: Sketch Plan k Site Plan Engineered /Surveyed Plans 8. Has a Special Permit /Varianc Finding ev r been issued for /on the site? NO DONT KNOW YES IF YES, date issued: J C I ZO S 1 20 0 1 IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW C YES IF YES: enter Book Page - - and/or Document 9.Does the site contain a brook, body of water or wetlands? NO DONT 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) W:\Documents\FORMS\ori nai\Ftuiidine_rn act \Zonino_Permit_A iication_passive doc 8/4/2004 gi p _. gp.. r ¢ • a . • • • • • • • i i 5� ' 1111111111111111111111111111111/111 "'t """ ii1111ii• IfiIIIIIIIIIIIIIi 1~ ii�ii iiiii� t. rilt�S , - a S • 1 . • • \ • r. { . -� 11 • on. + Reg • • • • k • • • • • A j f J f .1 . . • . .� ft CO-19 11.1-'°5 .. ) G' (( • • I _ , . rit---- �i 1- ___ ..,., ., ,,, ______ , , . , t.,. ..., . . , ....„ . . ... .., 1 . " :I . . . . . . t 1-0.01-6.. , , ............. ,, , . ,, I.. •• , , . ,1 .:----- 1 ,_..1 i'.., T1 iiisiminse • ,, .. i. ., i II L ... , ,. 1.. . , . .. ., , . - 4..... J F {......_ sDa]j •� ,, .1. � Vim,.. ....,......., 'w..�w�s.�.�.�as...e1 � t t _ . r • . .. . ......._, ` wren ........- ..»......... «. .... -. _.- » -... • s _. — i § .. ii L ti, - xti � .. ma c±/ r I. I' f _:, f '1 r I . ,t_ l �• i._ •i i ce _ � l I t • i • t • • • y _�..� i • • • .L , s i f i r t ,,.. 1 ;_ •..._,c), 7 . .-:. 1 • M n— _cw•sss- _ t; aw ,aa•s a.•a..• A ..,.�.,MISH..... • .. , :nosi,+ac nvvmro .KhVS. -• `•' • • i tt .. .314 �?tMk/t.,,,, W YtieP .. v.stoinar.¢metmbtf,terf*••? , ...s4. ..r,._.,,,,,,,,,. ,,,A;i�AMM^ / Ill F SS44 , y t 7, \ \i, ' c . . r }i 4 • , . ,. . , )(�+ !r i b- a ! )n w l f ( 1 tit ) t'� s r lIPI1 Pli , 4 j' 44/1/ 1 ,k ♦ t / 1 t - J 1 } 4 1 1 , P. t 1 �. 1 R.Ii /e IN File # MP- 2012 -0131 APPLICANT /CONTACT PERSON KRIS THOMSON ADDRESS/PHONE 257 MONTAGUE RD (413) 549 -1027 0 PROPERTY LOCATION 28 ARLINGTON ST MAP 24C PARCEL 158 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT fige Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA - 2ND FLR ADDITION 21 X 21 MSTR BEDRM 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 INFORMATION 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: § 350 3 (A) ( Finding V 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 Commission Permit DPW Storm Water Management 431 / 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.