24C-005 (4) 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: .i
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colama to b. filled is
by the Building Departmeat
'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
&paged parking)
# of Parking spaces
it of Loading Docks
Fill:
{ vol -ume - -& location)
li
13. Certification: I hereby certify that the information contai ed herein
is true and accurate to the best of my knowledge.
DA'L'E: APPLICANT 'S SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an applicant's b en to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioable permit granting authorities.
FILE I
•
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: g•` C- h G reew� w 1404 G t 3 a L
i)o Lox
S dress: Telephone: '4t 3 _ 77 2.-Z, 3 y 0
2. Owner of Property: g-( (a) � g /IA ice)
�i i Address: 0 ° CoC, S o 4 y GrPe�.'�i elr� Oily-v 0 1, 3c�'Telephone:
3. Status of Applicant: ( """ Contract Purchaser Lessee
Other (explain):
4. Job Location: ag
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 4' s\"'tSSz1utnLA'e - r"."Q' e It u+ "/*/ NI -
v �� l'i ( to c Pc9v r+ . -0 6s, r eK p ou Lk` +o lae c..6 wi-st q c r
1
6. Description o Proposed Us -/Work/Project/Occupation: (Use additional sheets if necessary): i
Jo, d c J t � L • ty21 r j tlAt ti ce , c-1. -4 C.P lay ,(L i 0÷ �'' ^^ C il ( -Lel a S 7
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 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?/10 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)
F iled ' ' '' 91.0 /� o ' i v File No . I - -
LA REGr8 TION OF HOME OFFICE /OCCUPATION ( 510.2 & 11..11) -
With the Building Inspector
,r� i lAe ('off _gp-- -cant: KiU t'2.htiso.�-
Y 1t Andres 2-$J Qnst�.�t" 3 - Tel 4t 3- 77l -Z34 C,
•i l i 4-4 5 4h1. t KcY)c Vi y Grtth .n 1 3 c)
2. Owner of Property: K
Address: Telephone:
a\ ,,k o \is- i(io
3. Status of Applicant: Owne Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Nap , Parcel r ,
Zoning District(s) Inc ude overlays)
Street Address 2 rroS i" V-- o r . e y,
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) ? c1 c1- SY fr i vr.3i, p ro. L Lt.
6. Is this a legal residential building? WA Lit W>^ c NO
_ 7. Will there be an employee /owner who doesn't live in the home YES U
-- 8. Will you ever see clients or customers at your site? YES) NO
How often Cv -1 »- f re4 i i abo fr 1- 5 CAPl.^tf / I.% Lit v 0,4,1,e- eve-- v.-a_
For what purposes CovNS.i 1 k-e.li oh * /ot- ?S ci..p eYc i
itk 9. Will there be any signs for the Home O ffice? YES
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 T
11. Will there be any outdoor storage of materials? YES N
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) ? Y NO
If NO explain: ( e * w, el . %\1� -e a �r ¢Kiwy C�..A f a,�� a.� 12 p<,.,fln � tTaaej l
13. Attach Plans (if applicable) t'
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: /(Za' /O Applicant's Signature: I A
-------------- SECTION FOR OFFICIAL U S E 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
MOTE: Is-razz of a perry t doaz not roUovo e .n appltcant'a burden to comply with all zoning requirements and obtain all roqufred perm/LI
from the Board of Health. Consarratlon CornmiszIon, Department of Public Works and other applicable pormit granting a horftios.
✓\ MAy 1.4 "1. 1.4 "1. 4 i!e c, yvo► - ce%ia. /4 2+^A71c0 `�4t' ej Sav r ih'- f t ✓e' 1 1 Ow�^Pi
J
,,,s,A\ \I, 0-, -AA p �'.rC+^kl ��b bt - Qli 1. 141/4") e..rorli.r ;r; rtAkr a FP e9.. .
File # MP- 2011 -0041
APPLICANT /CONTACT PERSON GREENWALD RICKY
ADDRESS/PHONE P 0 BOX 544 (413) 722 -2340 0
PROPERTY LOCATION 285 PROSPECT ST
MWXYARCEL 005 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �i
Fee Paid Jo /� �7 6
Tvpeof Construction: HOME OFF /OCC - PSYCHOLOGIST
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 PRE TED:
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 U N D E R : § 350 t o i l
Finding Special Permit 1/ 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
V3
Signature o 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.