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WALZ, PE IORIN 20400 HALL RD 20400 HALL RD 10 ALAMO CT CLINTON TWP, MI 48038 CLINTON TWP, MI 48036 FLORENCE, MA 01062 PHONE: (586) 286-0410 (877) 218-8366 X287 1WN BY: DAM CENTOR81 DATE;11/02/04 1 SCALE: \ONE FAX: (586) 286-5409 LIC #34885-C M I � W 7 , M _ d J x a O � � N J Z C I C � N m 7 °z a _ > N m � �� ( > m a m Z r � 7 m uo ( oA M J � 0 —Il r- _ > Z W m rn � N , A Z m ALER: HOMECOMF 04-W14608 PH, ( _ TEMO SUNROOMS, INC. ROBERT A. WALZ, PE AORIN 20400 HALL RD 20400 HALL RD 10 ALAMO CT CLINTON TWP, M4 48038 CLINTON TWP, MI 4803E ! FLORENCE, MA 01062 PHONE: (586) 286-0410 (877) 218-8366 X287 AWN BY: DAIAD CENTORBI DATE:11/02/04 1 SCALE:PONE FAX: (586) 286-5409 LIC # 34885-C _ (Tl IT -i z D - I - 1D 1 --� \\ /i D � �o 1 78 �- r,aC zr� S° �g m0 r_ 2 $ oZ� '¢ gym �D2 ac c: on(D m O Z n 0 0 D W O N "PI zza zzitN �mm a�Cn n :ALERT HOM£COMF OW+608 PH. ( > _ TEMO SUNROOMS, INC. ROBERT A. WALZ, PE 'IORIN 20400 HALL RD 20400 HALL RD 10 ALAMO CT CLINTON TWP, MI 48038 CLINTON TWP, MI 48031 FLORENCE, MA 01062 PHONE: (586) 286-0410 (877) 218-8366 X287 ZANN BY:OAMD CENTORBI DATE:11/02/04 SCALE:P ONE FAX: (586) 286-5409 LIC # 34885-C i �L- .8-A9 .hAZt iONYAaMO{iq A J f7AM ttoii NMM .t-,02 9/X// Nouenr � �I b Z dW .h,tZ ierNmnaNUSao .hA6 .r,ee i 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE CONSUMER INFORMATION FORM-"SUNROOMS" gassachusetts State Building Code(780 CMR,Appendix J,Section J1.1.2.3.1) • The Massachusetts State Building Code(780 CMR)includes provisions to ensure that houses and house additions meet energy efficiency standards.This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner,constructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for"sunroom"additions to an existing house(780 CMR,Appendix J,Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a"sunroom"of any size,configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year-round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of"sunroom"structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house.In the selection and construction/installation of"sunrooms",included below is a non-required,open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a"sunroom".It is recommended that consumers carefully review these options with their designer,builder,or contractor,in order to minimize potential energy consumption and/or house discomfort issues. In addition,the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • ]Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods:Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code,Section J1.1.2.3.1,requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes"sunroom" additions to an existing residential building. In accordance with this requirement,the undersigned hereby acknowledges that she/he has read the information in this qo ment cor),orning sunroom comfort and energy conservation. a Signantre of Actual Building Owner Date r Print Name Address of Permitted Project Owner Address(if different than project location) Owner's telephone number 682.2 780 CMR-Sixth Edition 1119/01 f r NOV !�4 ome orfort F «C Statement of Agent Authorization I hereby designate and authorize Home Comfort Now, LLC to act in my behalf as my agent in the processing of all permit applications and to furnish, as requested, supplemental information in support of this application for the residence located at: j4j_4410 C97- FLO Meg- As legal property owner, I (we) accept the legally binding nature of this permit application and acknowledge the ultimate responsibility of the owner in executing the conditions of the approval. I also understand that this authorization does not transfer ultimate responsibility for the approval to the agent. ZZ Signabar of P�rgerty Dwner Date Signat of Property Owner Date Fir 1 HOME COMFORT NOW LLC { You've Waited Long Enough 1 NOV 10 2004 . ome 13 Highland Street•East Hartford,Connecticut 06108 l� co for 1-860-610-2025 1-877-SON RAYS(766 7297) email:save @homecomfortnow.com pFc*t�r plllt uc CT Lic.#HIC562214-MA Lic#138969- RI Lic.#17634 mr" : x %y ( f AGREEM UBMITTED - - HOME PHO WORK PHONE❑Mr. ❑Mrs. DATE STREET T CELL PHONE ❑Mr. ❑Mrs. CITY STA `�D ZIP P1 4 /O� BUYER EMAIL SUBMIT P In rte• . WE HEREBY SUBMIT SPECIFICATIONS FOR:(only check purchase items) YEAR HOME BUILT V PLEASE ALL SIZES K PAT!_SIZE � COLORS PERMIT ` _�ROJ WID TEARDOWN LYJ� ---❑ LY1rV b ROOF: WHITE SURVEY ❑ EXISTINGSLAB ❑ EMO FLOOR—���/ _ FASCIAfrRIM/FRAME: ❑WHITE MOVES FROSTWAL *If ❑ WOORDECK "r/_A- ❑BRONZE 4NDSTONE DRYERVENT ,/ ❑ PIERS-TO Cotle ❑ NEW A BSIZE_`�I°[ - ,T/� -- SPIGOT IS I ❑ INSULATION SKYLITES-no MIX ❑ WALLS _. _❑ ❑ TEMKOR MILCOR ❑ RQQF �_ IN FILL TO EXISTING CONDITIONS ❑ PRICING BREAK THRU t} ❑ �_ ekho DOOR TRANSOIv1S ❑ TOP STANDARD ELECTR IC - __ _.- 1---- --__._ „ STEP DOWN X114 ❑ DOOR ❑ LG. �p' ❑ BOTTOM ADDITIONAL ELECTRIC I �" FINISH BACK WALL �p ❑ --.--- — y�— - - ---- -- ___ SKIRTING s} CEILING FAN HOOKUP ---_ _ —._._— --❑ TRAP n -— -- STEPS-TO Code G� ROOFSTYLE _ (./�},[,bL N ELECTRIC RACEWAYS Erj _ WIDTHOFSTEPS !i - ❑ ❑ IG GLASS --_--s:J ((I ELECTRIC FIXTURES `` RAILING-To Code �! ❑ �•",�i❑ O WALL PROVIDED BY CUSTOMER ��j ❑ WALL 3-SEASON SCREENS ONLY 1-1 GLASS&SCREENS❑ IG GLASS 1 CASH❑ FINANCING OF❑ WALL SCREENS ONLY❑ GLASS&SCREENS Z/ WIS❑ MILLENIUM❑ ❑ SOLARIUM 3-SEASON GLASS&SCREEN❑ CONSERVATORY ❑ TOTAL PRICE: OTHER WORK: SERVICE -- WORK EXCLUDED-ELECTRICAL METER MOVE PAINTING,STAINING - M S,- - WE PROPOSE hereby to furnish material and labor complete in accordance with above specifications for the sum of: PAYMENT DOWN 45%REMEASURE J 45%DELIVERY UPON JOB COMPLETION INITIAL --- 0 -- AMOUNT QV 1Z '^ -- --- �J.�_!��5— _....... $1500 w/o electric BUYER AGREESTO PAY FOR JOB IN FULLATTIME OF CONSTRUCTION COMPLETION. $900 at room Comp REJECTION OFAGREEMENT Home Comfort Now LLC reserves the right to cancel this order if engineers and/or municipal codes decide the job as sold will not afford proper installation. __$600 at elec comp Authorized Signature - ___.__-_ _ Date Work scheduled to be started approximately 6-8 weeks after remeasure check and permit received. Home Comfort Now,LLC will not begin the work or order the jjnnaterial befq�e the third day following the signing of this Agreement,unless specified here-in writing. Home Comfort Now,LLC will begin the wo on or about lZ� 0'( (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by on (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. Y THIS IS A CONTRACT,NOTAN ESTIMATE. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEETHE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT.(SATURDAY IS A LEGAL BUSINESS DAY IN CONNECTICUT.)THIS SALE IS SUBJECT TO THE PROVISIONS OF THE HOME SOLICITATION SALES ACT AND THE HOME IMPROVEMENT ACT. THIS INSTRUMENT IS NOT NEGOTIABLE. Work will not begin until your right to cancel has expired and u have paid a deposit of dollars ($ ),unless this agreement provides oth i � Home Comfort Now LLC only. Signature of Home Comfort Now,LLC authorized representativ ltk� Rep.Reg.# 55/S?-/ Definitions:"Company"and/or"We"is defined as Home Comfort Now LLC of 13 Highland Street,East Hartford,Connecticut. "Buyer"and/or"You"is defined as the person or persons purchasing home improvement services from Company,according to the attached specifications. "Agreement" is defined as the within Contract,executed on the date hereof,together with the attached specification consisting of two(2)pages."Work to be Performed"is defined as the home improvement services to be provided to Owner by Company,asrmore fully set forth in the attached specifications. Signature of Buyer(s).�`_; ,�•y-' ;����1�,y^<' )��t`"'(,L Y t; -------------------------------------------- NOTICE OF CANCELLATION Date of Transaction to—.7/-0� YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED.IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETURN OR DISPOSE OF THE GOODS WITHOUT ANY OBLIGATIONS UNDER THIS CONTRACT.TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE OR SEND A TELEGRAM TO: HOME COMFORT NOW LLC, at 13 Highland Street, East Hartford, Connecticut 06108. NO LATER THAN MIDNIGHT OF_ `6'0�&7-0 fF' Datel I HEREBY CANCEL THIS TRANSACTION Date (RI nrer's Rinnati Ira1 ¢�tnNMp�, $ �f ljl�assxchuseffs s6 _ DEPARTMENT OF BUILDING INSPECTIONS /= INSPECTOR 212 Main Street • Municipal Building Nortluwpton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to act as 1-11s/her construction sup.:-,'isor. The state defines "Homeowner" as, "Person(s) who owns a parcel on which he/she resides or intends to be, a one or"two fami1 dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and 0gulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection.:The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing& gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location r — `e Crit of Porillalil}itoll - — j A � E �Za7aRCliasclta' _ —" - "— _. 4 DEPARTMENT OP DUILDD,,'C INSPPCr101.'s 212 Main Strcet ' Municipal Building Northampton, Mass. 01060 I, WORKER'S C01II'1✓NSAIION CNSUTANCF A=AVIT` (li ccvs.^c/pctm�tftx) %1.9th a principal place of business residence at: J (phonc') (succaci ty lsl alcra p) do hereby certify, under die.pa_ins and penalties of pefiury, :hat ( ) I am an employer providing the Following .vorkcr's coinocnsaoo, cove age Ior my emplovees worarlgon this job: (Insw-� Cocr*m,) (Polio: Nun"bu) (r:p ruoa D2c�) ( ) I am a sole proorietor, general contractor or homeowner (ccie one) and have hired tree contractors listed below vq;a have the foil vimi g worker's pal±cies: ('Name of Coa!:-aaor1 ouci NILIM=rT) (t:?:�lidL•Q�1�11C) (Name of Coatrcior) (La-7w-anc:. Co moan-vRaJc; Ntinc_r) (Lx-pir-.6on Date) (Name of COIIIl3C(0,) (lnsliraac: Comnan)-RaUq- N,,mlu) (Expir,:dos Date) (Name of Contraeior) (Iusuran(-- Comcz_ay/Pobcy Numb`r) t'Expi-adoa Date) . (ama,dl--d:.-occl bcd,ilacc�ry to c�U<3--iarormaloc Pc-Ln.inins to all or=-- -O.:) . { ) I am-a sole proprietor and bave no one working for me. ( ) I am.a home owner perfon=' all the work myself NOTE:ply be---m Lb v.U-c bamcaµvcn wto C% plvy pe=o w d,r � cs raoa r re,au� ric a-j.d•—JL--g of ca mar tti.n d roc=tr in which the bomoo+vncc rand,a as the vvuLo r.7p�the- L-c ax C=.a—1ty em d.--ui to lac cizployc-r 11 c the..z�- —..;on Act(GIU132.sr 1(3)),=pplicatioa by fcr c lice_a pamrt rt_y--id—tbc lcgsl n:^,^of ea erployet under tiro Worica a Coosgom.lioa AcL I—4--d tea a copy oCthia m..y bo fora utded to th<Dcpartaxa!of inaaaYiial nando�i Orfioe oC 4rur.000 for the covQrx�c v+cif csiioe AM Qt_t L•ittat to soczrrc lcovcra.se under=e oa 13A of 1.(oL 131 Qa led to the i.�—of ai-i - Pcaatli, norm:mg of a free of up to s i}Oo.00 ar.s-mxpriyo®r of up to ooc yrar Lod aNit pcadlja in t5c form of a SsoP Work Ord= d a fun of S 100.00 a day tptin:a t>x For fq.rtm •t u.c an7y o Pcrmil NUM Lot I Si cure of e - SECTION 8-CONSTRUCTION SERVICES •t ' 8.1 Licensed Construction Supervisor: G� , / / J Not Applicable( ❑�} { Name of License Holder 3 (,C71'�YC��c +�(� O""�� J i cs " ! License Number Address Expiate _ (x"60 �7V-f 7 Signature Telephone 9°�Re s(ere Efoine lm roveirrenf CoRtra± o `' _ Not Applicable ❑ CoF'h6any Name Registration? um Address // Expiration ate Telephon �fPf;�y7�•-��'�i SECTION 10-WORKERS'COMPENSATION INSURANCE AFEIDAV(t(M.G.L.c.;1"52,,§"25C(6)): Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts - as supervisor.CMR 780, Sixth Edition Section 1083.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r i SECTION 5-DESCRIPTION OF PROPOSED WORK(check all-applicable) New House ❑ Addition /�. Replacement Windows Alteration(s) ❑ Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding[0] Other4O Brief Descriptioo of Proposed I, J Work: —Erer 6L I7✓( r!v S iJlt✓U - �� G2 /t �'t `�J� � ' �/ Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.rf F eW l�ouse<tnca o ddj Wh WOcR ff ct hoi sxncr 4corr�l iet tt�e folio lnu: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. 1. Septic Tank City Sewer Private well City water Supply SECTION Ta-OWNER AUTHORIZATION-'TO BE COMPLETED WHEN OWNERS AGENT OR-CONTRACTOR APPLIES FOR BUILDING"PERMIT as Owner of the subject property w hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L:! R: Rear = q � Building Height = E � _ i f Bldg. Square Footage Open Space Footage �-- % (Lot area minus bldg&paved —� � — parking) r^ #of Parking Spaces Fill: I, (volume I&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? N0 0 DONT KNOW YES 0 IF YES, date issued:` IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW YES 0 IF YES: enter Book ; Page; and/or Document U B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: j D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,a vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q ,. NO t IF YES,then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton S : Building Department 212 Main Street Room 100 V t r ell� varlebtTity� Northampton; MA 01060 Fid�a Se s aStr rat, laris� phone 413-587-1240 Fax 413-587-1272 PttitSitefan .y ' w k P° Q e�t�s11�Ctfy APPLICATION TO CONSTRUCT,ALTER, PAIR,RENOVA _ EMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE,-INFORMATION 1.1 Property Address: Q i This:section to be competed by office I Q �/�/y1(] �f �ap Lot Unit O�rerlay D�str�ct stn CB Distract SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED A EI 2.1 Owner of Record: --~ Name(Print) Curren*jilgg Ad�cgss;, r Telephone Signature 2.2 Authorized A ent: Name(Print Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item ~ Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building �-� ('��) (a)Building Permit Fee 2. Electrical (b)Estimated,Total Cost of Construction from_,6 3. Plumbing Building,Permit Fee. 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only ,Date Building Permit Number. Issued: Signature: Building Commissioner/inspector of Buildings Date •. i File#BP-2005-0578 APPLICANT/CONTACT PERSON SUNROOM DESIGN CO LLC ADDRESS/PHONE 13 HIGHLAND ST EAST HARTFORD (860)610-2025 PROPERTY LOCATION 10 ALAMO CT MAP 29 PARCEL 126 001 ZONE URA 4 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: CONSTRUCT 14 X 16 SUNROOM ON SLAB New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 082905 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9104ATION PRESENTED: _IZApproved 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: § 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 Co ssion Signature of Building O ficial 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 Office of Planning&Development for more information. .............. ................ 4PE Vol maw A Emma �7v 1,4 p., _-A 5 O�,�X?l`�R Toy w; 0 0 In-1110% zooy_ S G 'too ­0 AM A VOW TIS WN vow A-Q -Mom " 'Na, F1 49, _Off ;WNW 01 k Qg mom Ax STAW—M—M. 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