37-065 (12) File#MP-2000-0012
APPLICANT/CONTACT PERSON CHICOINECORBIN
ADDRESS/PHONE 116 OLIVER ST 529-9053
PROPERTY LOCATION FLORENCE RD
MAP 37 PARCEL 065 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY_i
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONINFO• sL. s OUT
Fee Paid Fa7P
Building Permit Filled out
Fee Paid
Tvpeof construction: DIVIDE INTO 2 BUILDABLE LOTS
New Construction
Non Structural interior renovations
Addition to Foisting
Accessory Stmctpro
BuildingPlans Included:
Owner/Statement or License
3 sets of Plans/Piot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
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 Cot from DPW Water Availability _T Sewer Availability
Septic Approval Board of Health Well
/Water
Potability Board of Health ,{�
1, Permit from Conservation Commission // /t/v J<. goy /l ush) e
j7#147 ÷C'Ctert 249"h
Signature of Builfficial 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.
'11'13- 1501V E
inQ1 3 � I File No 1 o t
WIT tNI,LV,� jl{y PERMIT APPLICATION (510 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_„/ iAt G
r'PP ,G1/Ae
Address: .' /�tyakr . Ce- Telephone: 6 r05.- j
2. Owner of Property: JU,ilin 6,tie f ... ._
Address: (/F. Telephone:
3. Status of Applicant:` Owner Contract Purchaser Lessee
,9—Other(explain): ,r • , ,.a
PF.• be d Ldar
4. Job Location; // �.(fZ��
!�
Parcel Id: Zoning Map# 3 / Parcel# iG?"� District(s): �J
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6, Description of Proposed UseNY�o" rkiProjectlOccupation: (Use additional sheets if necessary):
T /Unyq
,,/A Z,kp , e / h u - 'f 4 / "pe:�
etc yo are Ta.c..ij, )1 /2rntery /)ema✓ions 0cif .)( ?m'
L4. , i . / 4 /t eMa _AJ ,
7. Attached Plans: _ -t. Sketch Plan,/ Site Plan Engineered/Surveyed Pians
Answers to the toaowing 2 questions may be obtained by checking with the Building Dept or Planning Department Fires.
8. Has a Special Permit/Variance/Finding ever been issued (or%on the site?
NO X , DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book_ Page andtor Document#
9. Does the site contain a brook,body of water or wetlands? NO DON'T KNOW N( YES
IF YES,has a permit been or need to be obtained (torn the Conservation Commission?
Needs to be obtained_ Obtained ,date issued:
7 Gua /J/�,./ ,yam (FORM CONTINUES ON OTHER SIDE)t /
F//__ r�' tYtp. I lb Ar }'1' -in ea G k, 7ect Corn/ On 'oh t/f
1 &hir'c N Le !"ie l,kc. y,/a5 Sv ct Gait' kki k /n a Sin*it Sox-,i,
/Mby /o - C Fere 0uess
70. Do any signs exist on the property? YES NO44?_,,,
IF YES,describe size,type and location: Q s ,
Are there any proposed changes to or additions of signs intended for the property?YES NO A.
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Shia coiam m ha filled in
by the Build-Lag Department
Required
Existing Proposed By Zoning
Lot size $, 7 Atn> 33 z.r, r'+`' f ;hrw 30 UDC)
Frontage a , , /2 5-
Setbacks - frnnt , JZ'
- side L: R:^ L: R: tie)
- rear
/
Building height t ) Sory' 3 5
Bldg Square footage c2C
'1 Open Space:
(Lot area minus bldg 2C}
&pe.ved perking)
# of Parking Spaces
# of Loading Docks a
Fill:
(volume-& location)
•
1
13 . Certification: I hereby certify that the information contained herein
4 is true and accurate to the best of my knowllj/ejdge
DATE: T ty- /7 —j4 f rl APPLICANT's SIGNATURE
NOTE: lasts not of a zoning permit does not relieve on app pants burden to comply with el
zoning requirements and obtain all required permits from the Board of Health. Coinaervatic
Commission, Department of Public. Works and other applioable permit granting authorities.
FILE
. I6,1/41 co✓E CoPy 5-02l�c
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t 276 ft total ( 138 each ] t,.,. 51200 +/-
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