35-009 (2) MAY 1 1 2000
-AOW
DEFT Of SU0! INSR� PIONS
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10. Do any signs ebst on the property? YES NO _
IF YES,describe size,type and location:
Are thcre•.any proposed changes to or addition$of sign$intepdecl,,`tor property?YES NO
IF YES describe)size,type and location:
21. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colmm to bo filled is
by the Budding Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
IU U
Setbacks
- side L• R• L• R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking) �((
# of Parking Spaces (t4
#" of Loading Docks f
Fill:
{vol-ume -& location)
Ncil-c- )�oyc N Q�-
13 . Certification: I hereby certify that the information contned herein
is true and accurate to the best of my knowledge.
DAVE: �v _ APPLICANT's SIGNATURE /
NOTE: lea no of a zoning permit does not relieve an applloant - urden to oomply wlt!7 all
soniny uirements and obtain all required permits from the and of Health, Conservation
Commission, Department of Publio Works and other applios permit granting authorities.
FILE if
�tv �
MA � ' � I File No.
a
r
F?�om NG PERMIT APPLICATION (§10 . 2)
� PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: g��I ` Q7VS.Sa7,► /f i
Address: KN& Sy6ieeL
A04"Iephone: q� 3- M- 3
2. Owner L-mperty: r�cX ,`'lf�` tK � e, �f1-N A—&,-
Address: �,� (� �`F� S � L4 Telephone.
3. Status of Applicant: Owner Contract Purchaser Lessee
?� Other(explain): 4L�2�
4. Job Location:
Parcel Id: Zoning Map# Parcel# '<l District(s): S�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
c,"tiL-4- t
6. Description of Propose Use/Work/Project/Occ ation: (Use additional sheets'f necessary):
s
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 KNOkN__2 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 %)rook, body of water or wetlands? NO-1K_— DON'T KNO'A, 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)
File#MP-2000-0169
APPLICANT/CONTACT PERSON JONSSON TRYGGVI
ADDRESS/PHONE 88 KING ST (413)584-5555
PROPERTY LOCATION 35 WEST FARMS RD
MAP 35 PARCEL 008 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FO FILL D OUT
Building Permit Filled out
Fee Paid
Typeof Construction: ALLOW BUILDABLE LOT
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:
Approved as presented/based on information presented.
//Denied as presented: �t A«r— Go T
Special Permit and/or Site Plan Required under: § i
PLANNING BOARD ZONING BOARD S'4 FT
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: § 2 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 ommission Permit from CB Architec re Committee
z�a
Signature of Build Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
,yew, requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.