24C-046 (5) File#MP-2002-0041
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P 0 Box 60627 (413)584-7522
PROPERTY LOCATION 345 ELM ST
MAP 24C PARCEL 046 001 ZONE URA HD
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
e IaidG FOR M F LLE� T
Building Permit Filled out
Fee Paid
Typeof Construction: ZONING -CONSTRUCT 2 CAR GARAGE W/DESIGN CHANGES TO A GABLE ROOF
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 Denied
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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
V----1:ermit from Elm Street C ission
Vr '77L�/
Signature of Build' 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.
•r
SEP 2 6 2001 j //��
File No. NP-ca -t/
PT R INSPECTION
OENoTKAMPTON,MAOI ,r
G PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: V A(( .-`,1f,�j>�,C--><n^,y�-}�Lrncr�� 1 v 0Jc r ,-f�c t
� ��7 Address:
P9 Ai3 12 T 0(3 mq � Telephone: 1�� Y-7-56/
*5�
2. Owner of Property: 7/C2.<tv-Ci �` 6J y '1 &Uwf s
Address: 3t/) r/rt„s/ !� �' Telephone: 5f-S� �73 t
3. Status of Applicant: Owner
Contract Purchaser Lessee
r/Other(explain): (O )}(f}t,/V
4. Job Location: S401
Parcel Id: Zoning Map# Parcel# / District(s): �//!� /JCL
(TO BE FILLED IN BY THE BUILDING� DEPARTMENT)
5. Existing Use of Structure/Property .,�), 3 /�� l>17Y1• /1 -
6. Desc tion of Pro osed Use/Work/Project/Occupation: (Use additional sheets if necessary):
vrl .1-w CA/ G t t9 G E w( 1 c CJ J vt c,11 f2 t+5cI
tjt4t7E rv07" ,p i f r (e v(4•`Ls `/ 4c i " /
,Fvvt /710 To 6 .•, k_ F- uJL' C/I/e3o.uc4 , x-49/ d �5
�ol/ C woad - C/�ti-"��/ d!`s ,p/ °rs /,v 6�rfr
7. Attach d PI s: Sketch Plan Site Plan Engineered/Surveyed
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever 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 03( N'T/k OW _ YES
IF YES: enter Book / /` Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO 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)
10. Do any signs exist on the property? YES NO
IF YES, describe size,type and location:
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
LACK OF INFORMATION.
This colt= to be filled ii.
by the Building Departaent
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# of Loading Docks `
Fill:
volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge .
DATE: 9-d - v APPLICANT's SIGNATURE Wli
NOTE: Issuanoe of a zoning permit does not relieve an applies s burden to oompty with u
zoning requirements end obtain all required permits from the Board of Health, Conservt,t:
Commisslon, Department of Public. Works and other applioable permit granting authorities*,
FILE #