16A-020 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 NC)
IF YES, describe size, type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TV
LACK OF INFORMATION.
This column to bet
by tbs Building IJ.pa t
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks ,front
- 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)
t-
,
13. Certification: I hereby certify that the information contained
is true and accurate to the best of my knowledge.
DATE i APPLICANT's SIGNATURE
NOTE: isstiahoe of a zoning permit does not relieve en applicants burden la oompy
zoning requirements and obtain all required permits from the Board of Health,
Commission, Department of Publio Works end other applioable permit granting eauthoritiou,
FILE
File No.
ZONING PERMIT APPLICATION (§10 . 2 )
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ; i rl 1 A t
Address: "i 0 L (fl1 L 41,,1; Telephone:_ 0 y r - 1)
�.__...
2. Owner of Prop}'rty: :5
=J`
Address: Telephone:
3. Status of Applicant: >( Owner Contract Purchaser Lessee
Other (explain):
4. Job Location: F \ 10_ i»A`T U i i- r1 L c L_ Z� S
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property L.:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Pans
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 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 DON'T KNOB;` 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)
yj n:/
4
•
- ' •Plitik$ •
Date Filed e••is�.•w
REGISTRATION OF HOME OFFICE /OCCUPATION ( §10.2 & 11.11)
With the Building Inspector
1. Name of Applicant: '1AIJP L COLt
Address: L {O�G F ((f-1,U Telephone .`) ` Coq. S ��
2. Owner of Property: S G Li:
Address: Telephone:
3. Status of Applicant: k Owner Contract Purchaser Lessee-
Other (F lain :
4. Parcel Identification: Map # i(� f� , Parcel #
Zoning District(s) (include overlays) _ _
Street Address c_ `� S I 4 GG.- j `-f-U(,, L f�li v!�`( 1, I
5.. Narrative Description of Proposed Home / Office: (Use additional sheets
if necessary) i UV(O ice � ��S i LIJ iu ) - M n V( L &)
) : --- 7)•OL • '5 t =5 S .Si e m •
'6. Is this a legal residential building? CES N_
.7. Will there be an employee /owner who doesn't live in the home YES NO
8. Will you ever see clients or customers at your site? YES NO
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 NO
12. Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking
congestion, noise, air pollution, and materials storage)? (YE,/ NO
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: f Applicant's Signature: �:_c &' (
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: -
Signature of Building Inspector Date
NOTE: issuanoa of a porm dons not relieve an applicant's burden to comply wtth all zoning requirements and obtain all required permits
from the Board of Iioatth. Conservation Commission, Department of Public Works and other applicable permit granting authorttles_
File # MP- 2003 -t ; )
APPLICANT /CONTACT PERSON COLE DIANA L
ADDRESS /PHONE 406 FAIRWAY VILLAGE
THIS SECTION FOR OFFICIAL USE ONLY'
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 9 3$/.0
Typeof Construction: HOME OFF /OCC REG - HANDMADE VIOLINS
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 w .. 0', 5 0. w) "._-_'
PLANNING BOARD PERMIT REQUIRED UNDER : §
Intermediate Project : Site Plan AND /OR Special Permit with Site Plan 5 ' 2- /
Major Project: Site Plan AND /OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § S ,. L - /O,/ occa o
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 Comj ssion
/ / /
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.