35-115 (5) t
i
zs
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
f
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
t
LACK OF INFORMATION.
Thi: columa to be filled in
by the Bnilding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
r
Building height
Bldg Square S footage
9 �
%Open Space:
(Lotarea minus bldg
&paved parking)
# f Parking Spaces
f %f Loading Docks
Fill:
_(vol-ume-4 location)
1
13 . Certification: I hereb y certify r t a rein
y h t the information contained he
is true and accurate to the best of my knowledge.
_1
DATE: APPLICANT`s SIGNATURE
?" NOTE: lea anoe of a zoning permit does not relieve an appli is burden to oompty witf�,,elt-
zoning requirements and obtain all required permits from t oaard of Health, Conservation
Commission, Department of Publio Works and other applioniela permit granting authorities.
FILE #
I 6 Ur
J1� I 1997
d
File No. l
a ll
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
40" Name of Applicant:
Address: Telephone: C/C/6`7
F/0 2 Eivc Ej o/U*D.
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: t/Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# 6-,-2/ Parcel# �� District(s):
(1"O BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property &22—e==
6. Description of .Proposed Use/Work/Project/Occupation: (Usq additional sheets if necessary): r
S ic'kmIwbb rz Si=--zV/CE GC�h>r >� l/'V
�Or E< D oorz �b —'Doo2 , ovri OR +-r,& 2�i �isv4 /Q�SO /L%/7kiiv
1/ 170 IVE C4 NS 414 62"Pe/e- &J U oe
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 b 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__.K_ 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)
lvJ r'P'1 FILE #
619A f
APPLICANT/CONTACT PERSON:
-° ADDRESS/PHONE:
PROPERTY L CATION: ') ''7 'n— • —
MAP PARCEL: f/ ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK UT APPLICATION CHECKLIST
�. ENCLOSED REQUIRED DATE
ZONING E( M OUT
Fee PAid -el 7
'Ridifling Permit Filled Mit
F Paid
Type of Constnirtion-
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved 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-Bd of Health Well Water Potability-Bd Health
Permit from Conservation Commission
Signature of Building Inspector Date
NOTE:Issuanoa of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public), Works and other appiioable permit granting authorities.
1 61997 •
Date Filed .AI. ' File No.
REII'ET�r6 'RATYON OF HOME OFFICE/OCCUPATION (§10.2 & 11.11)
-
with the Building Inspector
1. Name of Applicant:
Address: )7 p sj- (�/Fi2i 2w Telephone:
0/06.,-
2. Owner of Property:
` Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Map # O� , Parcel
Zoning District(s) (include overlaysl
Street Address '7°J
5. Narrative Description of Proposed Home Offi e: (Use additional sheets
if necessary) /4,-/n
D a
6. Is this a legal residential building? YE
7. Will there be an employee/owner who doesn't live in the home YES
8. Will you ever see clients or customers at your site? YES O
How often
For what purposes
9 . Will there be any signs for the Home Office? NO
10. Will there be any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or an
display of goods on premises?
11. Will there be any outdoor storage of materials? YES
12. Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parkinZ;�N congestion, noise, air pollution, and materials storage) ? O
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: 7///(/Z Applicant's signature:
- - - - - Z - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL IISE- Y.
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: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation commission,Department of Public Works and other applicable permit granting authorities.