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29-542 (2) 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 N O_ V IF YES,describe size,type and location: 11. ALL INFORMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thin columm to be fi22ed it by the Building Department Required Existing Proposed By Zoning j Lot size I Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paned parkingi # of4Parking spaces f 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. DATE: 7`171.21JG I APPLICANT's SIGNATURE a"O� 1�� NOTE: Issuanoe of a zoning permit does not relieve applioanta burden to comply witfa�$ zoning requirements and obtain all required permits rom the Board of Health. Conservati, Commission. Department of Publio Works and other applicable permit granting authorities FILE # * Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: --I U'.�J �iR/7 F, ."XP�e4 Address: Sr-� /rla�ran /-I l/ J&f p/i r e , 114;4 Telephone: `/ o fo62 2. Owner of Property: q3"rir- �t tt r2o p Address: S� �/I�sQ�r ����. dle�cc-!/Li"� Telephoner i S? Y 3. Status of Applicant: Owner Contract Purchaser ✓Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# 6-:- �District(syaA (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property �°�lc(eIlfixe/ 6. Descripti n of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary): rd vccr cr c c- Wi c ate+ f:r p ,r r I 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 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_z- _--- 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) p tit? I*iled p9 / / e File No. 3 2 SAP 17 REGIST TI N OF HOME OFFICE/OCCUPATION (§10.2 & 11. 11) With the Building Inspector DEPT Of BUILDII C INSPECTIONS TI 1060 NS Address: .<-D iN0//41J k16 L Telephone: z 12 7 07- t- C,tO 2 2. Owner of Property: r , z � Telephone: 3 c ! o/Address: Sl- F S ' 0 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: 1 ) 4. Parcel Identification: Map id C� , Parcel d , Zoning District(s) (include overlays) Street Address S. Narrative Description of Proposed Home O fice: (Use additional sheets if necessary) t�c.� �a-t=ry �a�r C,.vL-ruR ' i--*"s c3 .+jo 6. Is this a legal residential building? YES NO 7. Will there be an employee/owner who doesn't live in the home YES OP 8. Will you ever see clients or customers at your site? 0 NO How often 7) ,( For what purpose6 Arc.4a cq�a -jrc,+. c/,t:3 9 . Will there be any signs or 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 wholesale, or any display of goods on premises? YES Q o 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) ? YES If NO explain: 'aL4,-6 srrz�T /"1Y UcturC — 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: �/2 101 Applicant I s Signature: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL SE ONLY: Approved as presented/based on information presented ,APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR MII THEN BE RENEWED ied as presented--- eason: Signature of B ing Inspector Date NOTE: issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authorities. File-2002-0036 I" 7PPLICANT/CONTACT PERSON KAPSTEN JONATHAN ADDRESS/PHONE 53 INDIAN HILL (413)587-0703 0 PROPERTY LOCATI ��iILL > 2 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: HOME OFF/OCC REG-ACUPUNCTURE TREATMENTS 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 � 5 Denied PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Ile. /0-== Finding Special Permit 11---' 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 CC a.� Signature of Buildinefficial 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.