17D-012 (20) 10. Do any signs exist on the property? YES__ NO
IF YES, describe size, type and location: 1/
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
1Z. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
i I
!Required
Existing Proposed By Zoning
I Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&pa parking)
# of _Parking Spaces
if o f Loading Docks
Fill:
_( volume -& location)
13. Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: / 1C)t3 f APPLICANT'S SIGNATURE
NOTE: Issuano0 cif a zoning permit do \\ it
9 P es not relieve an applioant's burden to odtnpty w, t? Il p
zoning requirements and obtain A ll required permits from the Board of Health, Conservation
CommisBion, Department of Publio Works and other applioable permit granting au thorities.
FIflF #
'3 99q '--) \ .
1 joUsl ‘ . .
_ 3/ i r !
101 pF VIllO 1ti R t) t,6 - --� Fi 1 e No . 1l1 f 1
� �F�� � +S I C1 r.I
ZONING PERMIT APPLICATION (10.2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: w��F,''■ Rco --- r4v
Address: t ? f s', -,, ,-7, ,/,_. 'F••(,,,v, Telephone: — • - i��°.' -L-
/ .7 I i ms ^ '.-C---
2. Owner of Property: / ? � ( `)/ /, /
) ,
' A. ,-' , f r ( .
Address: H - I 1 _tl �.��_ �, / Telephone: , t�
./
3. Status of Applicant: , Owner _Contract Purchaser Lessee
Other (explain)
R / / /
4 Job ) ocdf lorl �� i � -�/ _ / r� /J -� ) t f ! '� / ; iii -
Parcel Id: Zoning Map /1 0 Parcel# 0/ District(s):
/
- /
TO BE FILLER IN BY THE BUILDING DEPARTMENT),
r ,
5 Existing Use of Structure/Property r ',' , ;; .V� t; 1j �� j7-'
j
J
6. Description of Proposed UseANorkJProject/Occupation :..(Use additional sheets jf necessary):,
, I i ! } { fit , cJ , l.i,?i a ! ` 3f J ( i /f - " 1. � / Y , ^ f, /77 \ ,),? f i:% (/, /'��� 1
/--)
---, \.(.9 /\ ( - ; ") (::` a 4 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/Variance/Finding ever been issued for /on the site?
NO .A111., 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 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)
..,,, .....4b.
Date Filed y I �js''•„�
T ` a � File i l e No .
DEPT OF BUILDING INSPECTION
NORTHAIr4PT MA TION OF HOME OFFICE /OCCUPATION ( §10.2 & 11.11)
With the Buildin. Inspector k •
1. Name of Ap.li .nt: �� ,rt f� a'-' / / r V C`0
Address: • (-2-)2_ ��iUls71.� Telephone : _ �a
2. Owner of Proper ,y: A,,/ a (� AL t . (- ' ' /' 7
Address: C / r� . i� f - _.,,-
l 'r ' f.Pelephone: 4 ,i - . •
3. Status of Applicant _ Owner Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Map #/76, Parcel # /c9. , l
Zoning District (s) (include overlays) tee.-6 t,J
Street Address .: 77
5. Narrative Description of P Home Offce (Use additional sheets
if neq i //) '.), ��}( ��� r;';;-- })i �� 7- iY'/'-\ 7) 7 1,4 y/
l /) II i 'l ^ �_� / - - = 'Al - i ��ni / -t ' . /S' � — �►.osalat :'. �- � l� --,.. f , / , ;- y
6. Is this a legal residential building? ( YES NO
.7. Will there be an employee /owner who doesn't live in the home YES •'1O
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._'
10. Will there be any goods sold from the premises or any sale of
goods stored on premises, either retail or vholesale, or any
display of goods on premises? �-,( r � t ��( / =?��;I it - ,Jn S _ NO
11. Will there be any outdoor storage of jiaterials ?J (V -, YES CND
12. Will your use be totally within a building and not cau any
outward manifestation (including traffic generation, parking
congestion, noise, air pollution, and materials storage)? /YES NO
If NO explain:
13. Attach Plans (if applicable)
14. Certification: I hereby certify that the infoiivation contained herein
is true and accurate. I understand that if any information is incorrect,
my peimit is null and void and I may be liable for non - criminal fines and
criminal and civil actions. ,)
Date: d / ' Applicant's Signature: C • %�a-=' , -4
THIS SECTION FOR OFFI 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: issuance of a permit does not rollove an applicant's burden to comply with all zoning requirements and obtain all roqulrod permits
from the Board of Health, Conservation Commission, Dopa ertt of Public Works and othor applicable permit granUng authorities.
File # MP -1999 -0131
APPLICANT /CONTACT PERSON ROCASAH ELIZABETH
ADDRESS/PHONE 491 BRIDGE RD - #616 . 5 . 8 . § : .8- 2.8Fr
PROPERTY LOCATION 491 BRIDGE RD
MAP 17D PARCEL 012 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid / ()/ X S
Building Permit Filled out
Fee Paid
Typeof Construction: JEWELRY DISTRIBUTION HOME OFFICE
New Construction
Non Structural interior renovations
Addition to Existin
Accessory Structure
Building Plans Included: -
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Ap as -oved as presented/based on information presented.
Denied as presented:
1 Special Permit and/or Site Plan Required u § /f„ /) / / .1.- � -� y
, �- 6 : - y �,.-4. - -/
PLANNING BOARD ncle-• 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 Board of Health Well Water Potability Board of Health
Permit from Conservation =mission
- ,V, -- , :; / X , e ;:- ''' -L-?''/ ' ../
---------(":5: 64/7
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.