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38A-001 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 IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to bet filled in by the Building Department Required Existing Proposed By Zoning of size Frontage Setbacks frnnfi - side L: R: L: _ R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces it 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. D PE: e 7 l b APPLICANT'S SIGNATURE �. �� NOTE: iss ano of a` zoning permit does not relieve an applio - nVs bu en to ,fti all zoning requirements and obtain all required permits from th = Board ' Health, onservetion Commission, Department of Public Works and other applicable permit granting I - uthorities. FILE # File No. ZONING PERMIT APPLICATION ( §10.2) PLEASE E TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: i\AA ft-1 1 C &V J- Q.Y1VLt , Address: 3 g Ru let 1W-f- ect. ! . NtA d'Lr Telephone: (GE 1b 413. 3 20 . 7 25 2. Owner of Property: La Sa. ,t7 Address: ? 8 Jr4 ?it: (2t . Telephone 'C. i) 4 13.. 5'3 7 . aofo 3. Status of Applicant: Owner Contract Purchaser 4 Lessee Other (explain): 4. Job Location: (Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) t 5. E ' xisting Use of Structure/Property 6t��Q r 'i E�� pct e� S (. rnusl n1e.s6 • Sole (►(b prie, - 6 ' I S©1 tvic _L 5L+ at t ►%1 , ' 6. Description of Proposed Use/Work/PrQject/Occuu,ppation: (Use additional she�ets�if essary) necessary) Witt s.e� 2- S 5t t.) e.AATS a w�e-k- . ir- _ � u 5 V,.- W rlt( V 5 a.tncc laInst) a&c.. caS t t� also eet;1 ' - R w V in 5 % 61140.,r; 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 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 and /or Document # 9. Does the site contain a brook, body of water or wetlands? NO \/ DONT 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) �- -/5 � -:I�� Date Filed _:a'� File No _ "Pie / y A PR 2 REGISTRATTO I 7 0 ��� OME—OFFICE /OCCUPATION ( §lo . & 11-11 ) With the ;Building Inspector . 1. Name of Applicant: r4- , A A '.0 I r Address: 3$ &5r i-. t+ . ii iu„ • Tel phone: '1(3. 3Z0.7825 2. Owner of ' Propert : - :N2. a. S &S50 . Address: 3 $' lR,V S fY+ . . Te leph? 5e : i/ i 3 . a r 3 - 7. 2,p (o 1 3. Status of Applicant: Owner Contract Purchaser Lessee , Other (explain: • ) 4) Parcel Identification: Map t , Parcel r , Zoning Districts) (include overlays) Street Address - • 5. Narrative Description of Pro•osed Home Office: ( (Use additional sheets - if necessary) �a . "Tu 4-o rt n . _ 54' .q2K{" ttA 1,014 61;d fah a • a-t� • b y E c k i ' n tor' i - o L rstle.slr s . • 6. Is this a legal residential building ?. Mb NO . __7. Will there be an Pmployee /owner who doesn't live in the home NO 8_, Will you ever see clients or customers at your site? ® NO How often Z -- 3 - f"ttme5 a t 12..k For what purposes i vt - o t -- r i l 9. Will there be any Signs for e Home Office? . . YES (Ir0 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 estl 11. Will there be any outdoor storage of materials? YES a) 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)? ilin 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: ` girt. I a. M 2-0 ( D Applicant's Signature : f _ � �`_ _ THIS SECTION FOR OFFICIAL USE ONL : a Approved as presented /based on information presented APPROVAL .EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWED Denied as presented - -- Reason: - • .3 _ Signature of Building Inspector Date NOTE tzrranco of a permit does not rottovo an applicant's bcrdon to comply with a II zoning roqutramantz and obtain all roquirod parmR2 from tho 'E,aard of Haatih, Gons•rvation Commission, Dopartrnorrt of Public Works and other appilcable pormtt grar.ting authorities. File # MP- 2010 -0074 APPLICANT /CONTACT PERSON JENNINGS MARYANN ADDRESS/PHONE 38 BURTS PIT RD (413) 320 -7825 () PR PERTY LOCA` ON 3$ PIT RA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ,q� Fee Paid I�/ 0 Ofk G Typeof Construction: HOME OFF /OCC - TUTORING & EDITING 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 AC ION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P ENTED: 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: § 3 / 0 "/0 .' g' me 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 Commission Permit DPW Storm Water Management off—. if/ et-. — W a, /e) 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.