31B-267 File # MP- 2011 -0065
APPLICANT /CONTACT PERSON Thomas Douglas
,111"" ADDRESS/PHONE 196 PLEASANT ST (413) 585 -0641
PROPERTY LOCATIONENTER ST
MAP 31B PARCEL 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
G�O�NING FORM�LLED OUT // )t/t-5— ENCLOSED REQUIRED DATE
��L ,
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- MULTI FAMILY TO COMMERCIAL USE
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 PRESrENTED:
Approved L" 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
Reg .561134CA.
ZONING BOARD PERMIT REQUIRED UNDER: § 35o ' Di !J 4 (L e 0,1-:
i�A ra A N c.;,<
Finding Special Permit Variance* KOKRTLI A�c�S
Received & Recorded at Registry of Deeds Proof Enclosed A!.1 A tAie`I
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 t/ Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
(''`'"° /72.e//i
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
40/ 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.
A
File # MP- 2011 -0065
APPLICANT /CONTACT PERSON Thomas Douglas
ADDRESS/PHONE 196 PLEASANT ST (413) 585 -0641
•
PROPERTY LOCATION 59 CENTER ST
MAP 31B PARCEL 267 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
\ZONING FORM F LED OUT
r ee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- MULTI FAMILY TO COMMERCIAL USE
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 L/ 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 SO - arl L� D (M 6NS f 0 (1- g{f�(L SET EM C-
Finding Special Permit Variance* V O Pfd C t `,
AG (ATS f )- AL C-C
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
l 22 if
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.