32C-285 (4) MAY 61999
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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:
11 . 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
(Required I
Existing Proposed By Zoning
Lot size
j
Frontage
i ✓ �� D
Setbacks
- side L:-/ l R: 2 L:-/ % R:
- rear
Building height --
U
Bldg Square footage /mss
%Open Space:
(Lot area minus bldg
&paved parking\ C
# pf -Parking Spaces
# of 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. Y
DATE: �/J- 3 T q APPLICANT's SIGNATURE &;
NOTE: los an of a zoning permit does not relieve an applioants burden to oomply with $It
zoning requirements and obtain all required permits from the Board of Health, Conservatia
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
MAY61999
DEBT OF BUlf_;!ftf fNSPECTIONS
File No. 9
r,;; �r=, "1060
IILMW h u
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: &Ktt�—'ff -1 l � !ill
Address: 116 w j( a yns b Telephone: 1j()
2. Owner of Property: P l'lJ.lL � > ibll'ki
Address: ��� �J /I / �Ql/1'�1s Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map#'�O' Parcel# L'>?O District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property bokll W I Z/Y14
6. Description of Proposed UseAVork/Project/Occupation: (Use additional sheets if necessary):
dew t, lick va
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.
S. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNO AI 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 J 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)
File#MP-1999-0117
APPLICANT/CONTACT PERSON GIBLIN BERNADETTE
ADDRESS/PHONE 110 WILLIAMS ST 584-6175
PROPERTY LOCATION 110 WILLIAMS ST
MAP 32C PARCEL 285 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid /= g-,5
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 294 SQ FT DECK
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:
Approved as presented/based on information presented.
_LXenied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § q,,,, 1 ,,Q 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 Commissio
r
Signature o Building Of6A 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.