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29-191 (2) • s , w City of Northampton, Massachusetts Office of Planning and Development s City Hall • 210 Main Street Northampton, MA 01060 • (413) 586-6950 .., d� FAX (413) 586-3726 FAT or •Community and Economic Development """"" �t •Conservation•Historic Preservation •Planning Board•Zoning Board of Appeals • Northampton Parking Commission TO: Anthony Patillo, Building Inspector RE: Permit application FROM: Laura Krutzler, Board Secretary/OPD DATE: �i7e,�. a�� IKr Would you please review and return the CO v �Cr 1v. �4cK V application enclosed F, /5� ```' pp before th lanning Boar oning Board of Appeals meeting scheduled for ,w so that we can advise the Boards of any concerns you may have. Thank you. r Y f o�IttAMp�O .� y r 3 �1 5 �asartcflnsctts m DEPARTMENT OP BUII-.DrNG INSPECTI(:)NS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFTDAVTT (licensee/permittee) with a principal place of business/resideuce at: (stm�t/ci ty/s�taie/a p do hereby certify, under the pains and penalties of peoury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job. {Insurance Company) (Policy Number) (Expiration Date) (� I am a sole proprietor`gener trot r homeowner(circle one) and have hired the contractors listed below who ve or worker's compensation policies: (Name of Contractor) (Insurancc Company/Policy Numbcr) (Fxpiratioa Date) (Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date) (Name of Contractor) (Lasuranc_— Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (anach additional sheet ifneccnxry to iod informshoa putaining to all ooah ccon) (Yf Z am a sole proprietor and have no one working for me. ( ) X am a home owner performing all the work myself. NOTE:plcase be aware that tvhilo homeavners wvo aaplay persons to do makicti tic,,coastmu oa'or rrpair work on a dwelling of not morn than for oo units is which the bomoov n resides oc oa the grounds appueze thecdo are cot gaoaally ooarrdacd to be employes under the worictz'z comperuatioa Act(GL152,ss 1(5)),application by a boatcowocr for a Gccnse cc permd tray evidence the legit dxbn of en employee under tbo Worfrcea Coaipoosdioa AcL I undavAnd dud.a copy of this ru cmeai may be forwarded to tlso Dcgartm a of Industrial AceidcoN omoe of Insurarroo for dw oovaage veific stioa aid that failure to acatre covcrw under saciioa 25A of MGL I n can lead to tba imposition of airmail peteltica eomisdag of a foe bf up to S 1,500.00 aalloc kvrisoizaicnt of tip to one year and civil panHia is the form of a Stop Work Order aad a f=o(5100.0(3*day agn instme—, Signed this 3rvK day of��� 1997 For i�tmr�s.luaooaly Permit Number 3vi2p Lot# Sim o i c 't#:ce > > Z r-, C', Z > Zoning y-lq I Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS- g5r-,e- 3 1 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location /d 421�,e .4qxlj1 Lot No. 2. Owner's name Address svf)-�e� 3. Builder's name Address 2�� f12---- Mass.Construction Supervisor's License No. C102- Expiration Date /* 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars— Size 10. Method of heating--*- 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated Cost:- ry The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Sig?iZ e�of responsible app,icani Remarks 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 MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colr= to be filled in by the Building Dcpartment i lRequired Existing Proposed By Zoning I Lot size ' 46 /� �'� QJ Jpr' '-o Frontage Setbacks - side R:'` ' L:-'SS R: /9 - rear /ill 3o Building height Bldg Square footage %Open Space: ,o 3�C)(Lot area minus bldg �� &paged parkin; U Li y R '3 7 # of Parking Spaces #` of Loading Docks _ Fill: _(volume--& location) l 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: - APPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not relieve an appiioant's burden to comply wit4 .pU zoning requirements and obtain ail required permits from the Board of Health. Conservntior, Commission. Department of Public Works and other applicable permit granting authorities. FILE ,> a C� e <. DEC 3 1991 File No./�&D e q i ZONING. PERMIT .APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: &L< [fir_: L. 12LLrl' C_14U _y(,QZ_714 Addre V6- ,/'V fZ'f� TeIephone:� 2. Owner of Property: G✓_6- 2_ Z82z� Address: 42-7,e: E��{FI�I/���� c�i�65 Telephone: _m/—7X6 f 3. Status of Applicant: Owner Contract Purchaser__Lessee Other(explain): 4. Job Location: 4a2 a6t:X' FA?11" &o-IPE� Parcel Id: Zoning Map# � Parcel# J7I _ District(s):� �� (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: X 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW X 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 _ DON'T KNOW X 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 # k 4 ClF� 199r APPLICANT/CONTACT PERSON: ADDRESSIPHONE: L2(� Ny PROPERTY LOCATION: �?�� MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONTNG FORM MLEI) 0111 Fee pqid Ne3,y Construction Rprnndelin2 Interior �T J o7 J c% �- Additinn to Rxictin Pment a 75 THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: v d Approved as presented based on information presented (� Denied as presented: �\ S ecial Permit and/or Site P equired under: §10.l0� is PLANNING BOA ZONING BOARD 60 Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: §_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-Bd of Health Well Water Potability-Bd Health it fro Coq;ery n ion Signature of Buildin ector Date NOTE:lsnuanoo of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain ali required permits from the Board of Health, Conservation Commisslon, Department of Publio Works and other applioable permit granting authorltles. f . . f Check off all that apply to the project: use of a common driveway for access to more than one business use of an existing side street use of a looped service road 2. Does the project require more than one driveway cut? �•/NO YES(if yes,explain why)_ 3. Are edestrian,bicycle and vehicular traffic separated on-site? YES NO(if no,explain why)_ For projects that require Intermediate Site Plan Approval, ONLY , sign application and end here. 9. I certify that the information contained herein is true and accurate to the best of my knowledge. The undersigned owner(s) Planning Board permission to enter the property to review this application. Date: S' Applicants Signature: Date:1171, Owner's Signature of same as applic ) For projects that require a Special Permit or which are a major project, applicants must also complete the following page. 4 4y C. How will the proposed use promote a harmonious relationship of structures and open spaces to: the natural landscape: NAA T to existing buildings: fil�Q If I other community assets in the area: D. What measures are being taken that show the use will not overload the City's resources,including: water supply and distribution system:_� _� ��_ sanitary sewage and storm water collection and treatment systems: �� fire protection,streets and schools: How will the proposed project mitigate any adverse impacts on the City's resources,as listed above? T E. List the section(s)of the Zoning Ordinance that states what special regulations are required for the proposed project (flag lot,common drive,lot size averaging,etc.) How does the project meet the special requirements?(Use additional sheets if necessary)? F. State how the project meets the following technical performance standards: 1. Curb cuts are minimized:/J/ 3 8. Site Plan and Special Permit Approval Criteria.(If any permit criteria does not apply,explain why) Use additional sheets if necessary. Assistance for completing this information is available through the Office of Planning&Development. A. How will the requested use protect adjoining premises against seriously detrimental uses? N/r9 How will the project provide for: surface water drainage: �{ y fJ�AG/ j� ✓ ®FCC Bd9AG�4?��UPr 7b &Y:s '4WQpy� sound and sight buffers: the preservation of views,tight and air. N B. How will the requested use promote the convenience and safety of pedestrian movement within the site and on adjacent streets? How will the project minimize traffic impacts on the streets and roads in the area? ,H IA T Where is the location of driveway openings in relation to traffic and adjacent streets? What features have been incorporated into the design to allow for: access by emergency vehicles: 141.4 the safe and convenient arrangement of parking and loading spaces: provisions for persons with disabilities: 2 ' y' " . CITY OF NORTHA ������11 PLANNING BOARD APPLICA , F040 2 8 M Type of Pro�ec�,r.: .�.�..�..• --�_ x SIT. PLAN APPROVAL; Itttetl[pedEafe<l�>f0aeet(S4fe....... } 1Vla,or Project( itielt'ian Specialerm�t} . DR ff SPECIAL PERMIT: �� InteruxMIA—;1E'rolectEwlth Site Plap Approval] MajorP%lect( ePlanSpecialPermitj Permit tsrequested under Zoning Chdinanceectton: Pg 1. Applicant's Name: lflg< aL<C plm CD/�S ULT/0�1 Address: aslr I/�� —41/ lfa2 Telephone: 2. Parcel Identification: Zoning Map#� Parcel# /?/ Zoning District: Street Address: �0�7 Wpr-- ' &1*1 �E 3. Status of Applicant: Owner, /, Contract Purchaser; Lessee Other(explain) 4. Property Owner:!`1,1116flaK /n�iCiQ �-�s Address: 12.7���T'��1 l Telephone: �O -7 9 5. Describe Proposed Work/Project (Use additional sheets if necessary): ******************************************************************************************** Has the following information been included in the application? <�✓ Site/Plot Plan List of requested waivers fee _� 2 sets of labels(supplied b3t the Assessor's Office) x44s Signed dated and denied Zoning Permit Application —!F� Three(3)copies of the Certified Abutters List from Assessors'Office. 1 Pursuant to Massachusetts General Laws (MGL), Chapter 40A, Section 11, no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the City Clerk that twenty days have elapsed after the decision has been filed, or if such an appeal has been filed that it has been dismissed or denied, is recorded in the Hampshire County registry of Deeds or Land Court, as applicable and indexed under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such recording or registering shall be paid by the owner or applicant. It is the owner or applicant's responsibility to pick up the certified decision from the City Clerk and record it at the Registry of Deeds. The Northampton Planning Board hereby certifies that a Special Permit with Site Plan Approval has been GRANTED and that copies of this decision and all plans referred to in it have been filed with the Planning Board and the City Clerk. Pursuant to Massachusetts General Laws, Chapter 40A, Section 15, notice is hereby given that his decision is filed with the Northampton City Clerk on the date below. If anyone wishes to appeal this action, an appeal must be filed pursuant to MGL Chapter 40A, Section 17, with the Hampshire County Superior Court or the Northampton District Court and notice of said appeal filed with the City Clerk within twenty days (20) of the date that this decision was filed with the City Clerk. Applicant: Rick Dec Fine Construction - 127 Deerfield Drive DECISION DATE: February 12, 1998 DECISION FILED WITH THE CITY CLERK: March 3, 1998 w Attachment A SECTION 16.7 Uses by Special Permit: n approving the Special Permit with Site Plan Approval, the Planning Board found: 2. The Special Permit may be issued because the application includes: B. Drainage recharge features and provisions to prevent loss of recharge. The requested use provides for recharge of precipitation by allowing water to pass through the deck to open ground below, and the only additional impervious surface will be the square footage displaced by the deck's piers. L # r , C. The requested use will promote a harmonious relationship of structures and open spaces to the natural landscape, existing buildings and other community assets in the area because it is a relatively small addition to an existing structure. D. The requested use will not impact City services. E. The requested use meets all special regulations set forth in the Zoning Ordinance at Section 10.11(6)(A-F) and Section 16.7. (See Attachment A.) F. The requested use bears a positive relationship to the public; convenience or welfare, and the use will not unduly impair the integrity of character of the district or adjoining zones. The use will not be detrimental to the health, morals, or general welfare, and the use shall be in harmony with the general purpose and intent of the Ordinance. G. The requested use will promote City planning objectives to the extent possible and will not adversely affect those objectives. In addition, in reviewing the Site Plan submitted with the Special Permit, the Planning Board found that the application complied with the following technical performance standards: 1. No new curb cuts are requested. 2. Pedestrian,bicycle and vehicular traffic are separated on-site. No conditions were imposed upon the project. JT City of Northampton, Massachusetts MAR 3 �nAMp Office of Planning and Development ONTO City Hall • 210 Main Street Northampton-, MA 01060 • (413) 586-6950 FAX (413) 586-3726 w • Conservation Commission• Historical Commission `s s* Housing Partnership • Parking Commission UST, • Planning Board•Zoning Board of Appeals DECISION OF NORTHAMPTON PLANNING BOARD APPLICANT: Rick Dec Fine Construction ADDRESS: 25 Kensington Avenue Northampton, MA 01060 OWNER: Walter Morrey ADDRESS: 127 Deerfield Drive Northampton,MA 01060 RE LAND OR BUILDINGS IN NORTHAMPTON AT: 127 Deerfield Drive MAP AND PARCEL NUMBERS: MAP#29 PARCEL#191 At a meeting conducted on February 12, 1998, the Northampton Planning Board unanimously voted 5:0 to grant the request of Rick Dec Fine Construction for a SPECIAL PERMIT with Site Plan Approval under the provisions of Section 16.7, 16.9, 10.10 and 10.11 in the Northampton Zoning Ordinance to construct a deck(exceed 15% lot coverage) in a Water fupply Protection District at 127 Deerfield Drive. Planning Board Members present and voting were: Chair Andrew Crystal, Vice Chair Daniel J. Yacuzzo, Kenneth Jodrie, Val Romano (7:17 p.m.) and Associate Member Sanford Weil, Jr. In Granting the Special Permit with Site Plan Approval, the Planning Board found: A. The requested use protects adjoining premises against seriously detrimental uses because the additional accessory structure is relatively small and complies with all other applicable zoning regulations, except for amount of lot coverage. B. The requested use will promote the convenience and safety of vehicular and pedestrian movement within the site and on adjacent streets and minimize traffic impacts on the streets and roads in the area because it will have no effect on existing traffic or pedestrian movement. ORIGINAL PRINTED ON RECYCLED PAPER > 2 a .•-` 3 z m > _ � o Z rn -� m a p/ Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. </ Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot No. 2. Owner's name WAr�G/r;C_ /�/� y Address /077 l.�t ��1/ �'l1� �l 3. Builder's name /t 1C/6 V& F('f�E G�}�(,�� Address a�SS�/ l/��T� oo�YK, /V 7d/)p Mass.Construction Superv' is Licen No. Expiration Date 1131 4. Addition ,> ,1 5. Alteration 6. New Porch 7. Is existing building to be demolished? 110 8. Repair after the fire 9. Garage — No.of cars Size 10. Method of heating 11. Distance to lot lines mioiz (ODD 4 12. Type of roof 13. Siding house 14. Estimated cost:- © The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Sl atu responsible app ica'M Remarks AkANA '. W 2 71998 _._m a 1-MAR-1998 09:42:33 Hampshire County Registry of Deeds Receipt No: 77369 Marianne L. Donohue, Register of Deeds 33 King Street Northampton. MA 01060-3298 Name: RICK DEC FINE CONSTRUCTION Addr: 25 KENSINGTON AVENUE NORTHAMPTON, MA 01060 Receipt Type: OR Payment Total Pages: 0005 Fees Taxes Fee: ; 11.00 Cash: ; 11.00 ; 0.00 Tax: ; 0.00 Check: ; 0.00 ; 0.00 Misc: ; 0.00 Charge:; 0.00 Charge Code: Comment: SPECIAL PERMIT FILING-127 DEERFIELD DRIVE Receipted By: BETH Status: PAID DOCUMENTS: 980006901 to 980006901 ----------------------------------------------------------------------------------------------------------------------------------- ype Page Doc Mref Consider; Record Fee Excise Tax Stat Misc Fee Record Date Documents« Book/No/Page Status --- ---- --- ---- ----------- ----------- ----------- ---- ----------- ---------------- ------ -------------- ------ IS3 005 0001 0000 0.00 11.00 0.00 0.00 27-MAR-1998 09:42 980006901 OR /5328/0323 INIT Page 0001 of 0001 . .. > j T 1, Z rn � O � M Zoning —! q/ Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. I,rIV-!ZLL— Alterations NORTHAMPTON, MASS. L/�-� �� 3 —1912 Additions APPLICATION FOR PERMIT TO ALTER Repair a l / Garage 1. Location Ia �f� � Lot No. 2. Owner's name �/��/�� frlCj �/ Address 3. Builder's name Z �r/� /ff �O/!1� d� Address.°����/`�S✓� TG/� Mass.Construction Supervisor's License No. Q 6/C.s75- _Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished?,/J/) 8. Repair after the fire 9. Garage _ No.of cars_ Size 10. Method of heating 11. Distance to lot lines 12. Type of roof _ 13. Siding house 14. Estimated cost- *e7-79 The undersigned certifies that the above statements are true to the best of his. knowledge and belief. $ig ure of responsible app scant Remarks s f• �� . �C 3 �1 � �asascftnsctia of DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSVRANa, AFFIDAVIT with a principal place of business/residence at: A�i �"��i/ —� (strret/city/staff zip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (F_xpiradon Date) V I am a sole proprietor'-g-ever ctor or homeowner(circle one) and have hired the contractors listed below who lave llowing worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compaay/Pohcy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Numlx:r) (Expiration Date) (attach additiooa!�oei ifnoccss=ry eo inc]ude inr«mi2ioo pataiaing to dll oocrtrndnrs) (t� I ant a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be avrAm tbat wbilo hoaxowncn wbo cmploy pcxsam to do�Rn .= o=stry on or repair work on a dvml ing of not morn than tbma visit:is wbieh the homoowna resides of on the grouac45 appurtenant tbad.o arc oot gaxmny ooandercd to be employw cadet tba vmdccr a oomp=aticcx Act(GL152,ss 1(5)),sppUc&don by a homcowocr for a Gecux cc permit may evidmoe tho legal ctatui of an employer underdw Wockeez Cornpcmation Ad.. I undav-=d thst a oopy of this rtai�may be f«-werded to tho DopwumoQ of 1—hi ial Ar idcn&Offi o of Iawrwco for tho coverage vcnficsuoa sad that faAu a t.o aca=oovcrago uodcr soctioa 25 A of MOL 152 caa lead to tbd ia>pos—of criminal Peal ' oomisIIag of a•fine bf up to 51,500.00 and/or b=prisoamcnt of tip to one year avd civil pcmllin in the focm of a Stop Work order and a fins o(5100.00 a day t&CmI mo. Signed this 3• day of 199 [MM44 p:zane�al tr,e o� it Number Tot# __--_- Sipahur o i c >� 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 colu= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side 1-:t16' R:.;LO-" L: S"f R: �1�1 - rear rah` js"LO 3b Building height Bldg Square footage %Open Space: (Lot area minus bldg j� ��0 &paved parking) U # of Parking spaces r -- # of Loading Docks Fill: -(volume--& location) 13 . Certification: I hereby certify that the information contained herein .a is true and accurate to the best of my knowledge. DATE: - APPLICANT's SIGNATURE NOTE: lasuanoe of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health. Conservt2tion Commission, Department of Publio Works and other applloable permit granting authorities. FILE # z �..._v: UFC 3 1997 File No./ (�'_3e ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: &rl<� x� E1i11)e4 6/J5T (/0 2 Jz) / V /� � Telephoner �3��Address:dz o_'nb � 2. Owner of Property: 6_�_ Address: /o2Zg,f ��.�f'� C�/��� Telephone: 3. Status of Applicant: Owner Contract Purchaser _Lessee Other(explain): y� 4. Job Location: X�2 bK6e1fr?1, ,,,-r�KII ' Parcel Id: Zoning Map# Parcel#Z9_ District(s):�f�LQ� (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5, Existing Use of Structure/PropertySi'•�1'�f✓c�� 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Aw Z��Ic 7. Attached Plans: 'X 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW X 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 DON'T KNOW X 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) 963069 ­711 FILE # DEC 3 1997 - APPLICANT/CONTACT PERSON: 63�J _DDRESS/PHONE: 0?�— , PROPERTY LOCATION: MAP O7 �_ PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM VH.T,FD OUT Fee Pgid Euildin2 Permit Filled rillf Tyne of Ccillstniction- Jo7 J" 2- a 7� THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM s Approved as presented based on information presented XDenied as presented: X S ecial Permit and/or Site Pla equired under: §10,10, 10.( . t ((P.9 CZ PLANNING BOARD ZONING BOARD �S') Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under: § 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-Bd of Health Well Water Potability-Bd Health dniotp Con gery n ion Signature of BuildingegTector Date NOTE: Issuanoa of n zoning permit does not relieve'nn applioant's burden to oompty with ail zoning requirements and obtain all required permitis from the Board of Health, Conservation Commisslon, Department of Publio Works and other applioable- permit granting authorttles. 3 FILE # - 2 7 1996 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP PARCEL: %% ZONE 2 THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MJ,ED OUT Fee pflid Fee Pgid .2-' & Addition to Existing Accessory Structurf. i s — 1/ FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPILICATIW Approved as presentedfbased on information presented Denied as pit-esented: ,pecial Permit and/or Site Required under: § _ PLANNING BOARD _ZONING BOARD _Received & Recorded at Registry of Deeds Proof Enclosed�3 __Finding Required under: § _ iv/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-Bd of Health Well Water Potability-Bd Health Permit from Conservation Co ission Signature of Building Insp Da e NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commisslon, Department of Publio Works and other applicable permit granting authoritles. On 00 N � N �p Gy C��D 'x0 ►ri Q. C/) AD CCDD N 0 I O d o cD a� cD Q. �� n ct �—+ r-n n Y b ' CL P (D 0 y Uq r, N 11j C I=. � p � = n Oq 0 mom s CD O 0 ° CAD n N O �4 CA V1 (� o aq as = o o " 0 5 w [17 5 5 5 0 0 -d v� aq 00 cr b� 5° vq qQ CX Q T T � o° tz UQ o 3 b c 4t: N v' ° z b �