38B-040 UNIT 8A e4 File,#MP-2004-0123
APPLICANT/CONTACT PERSON MARSTON ROBERT E
ADDRESS/PHONE 167 SOUTH ST-8A Q 584-0506 0
PROPERTY LOCATION 167 SOUTH ST-8A
MAP 38B PARCEL 040 008 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out / ? f//�
Fee Paid /l�J e �/ ✓
Typeof Construction: HOME OFF/OCC REG-JEWLERY
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
INFQRMATION 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 C•mmission
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.
Date Filed 11// i r-. .+ File No. 3
REGISTRATION OF E E= OFFICE/QCCUPATION (§10. 2 & 11. 11)
with h Bsiricf Yng Inspector
1. Name of Applicant: C • 4 Y 1 ny S
Address: ) L 5 nc(1. -s r- 647 81). Telephone: L 3 5'p, ci DSO
•
2. Owner of Property: 4)a r l 5T i -h-Te ri_se S
Address: /►J)31w 5i /tipRS'\r. 1cx,r.,{)jatin Telephone: 7 J s�� 6e7y �
3 . Status of Applicant: Owner Contract Purchaser j/ Lessee
Other (explain:
4 . Parcel Identification: Map # 3I ,/7 Parcel s 0
Zoning District(s (inclde eve 1 ys) a/L6--4
Street Address 16 Q
5. Narrative Description of proposed Home Office: (Use additional sheets
if necessary) t.. ef cepink ,N ne' Qom,,,
6_ Is this a legal residential building? mo NO
. 7. Will there be an employee/owner who doesn't live in the home YES Na.)
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? YES NO
10. 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
11. Will there be any outdoor storage of materials? YES TO
12 . Will your use be totally within a building and not cause any ,
outward manifestation (including traffic generation, parkin
congestion, noise, air pollution, and materials storage) ? im NO
If NO explain:
13 . Attach Plans (if appl-icabley
14 . Certification: I hereby certify that the information containd herein
is true and accurate. I understand that if any information is i correct,
my permit is null and void and I may be liable for non-criminal fines and
criminal and civil actions .
Date: 1 /i10 1( Applicant's Signature: A9�
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:
,14/4:71
Signatur o •
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 uthorttlos.