36-223 (7) 10. Do any signs e)dst 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 cola= tv 2:o
by the Building rxpns rsffiz t
Required
Existing Proposed By Zoning
Lot size 3�J
Frontage
Setbacks - frnnt 1
- side L: R: L: R:
i
- rears ----T
I
Building height
a�
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paged parkin 3)
# of Parking Spaces
f of Loading Docks
Fill:
{vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: 11SOuano4i of a zoning permit does not relieve an applioanYs Wurdan to comply wiui o
zoning requlrements and obtain all required permits from the Board of Health, Conservatia
Commisslon, Department of Public Works and other applloabla permit granting authorities.
FILE if
uU i 9 a) � j
File No./
.�
F_pT OF SUIT_"!P2G INSPECTIONS 0 ���
- �"h O1G6Q
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: W f T `e.�3c 2y LA*-'& Telephone: 9Z(=, 33 2`J
2. Owner of Property:
Address: Telephone:
i
3. Status of Applicant: ✓ Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: //�
Parcel Id: Zoning Map#_ (lJ Parcel#_ d 02 3 District(s):.
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �FL4�
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)- ,1
—/0 1jcA,,"W 0 Zvi' K i TZj-rG1U c tQTD l5X(-,71►J F&I P.( - - �ZO x 6 J
Ate►D kDD I ID 12--/ I�-j 5cI s IJ G- D C--G(C
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/Vahance/Finding ever been issued for/on the site?
NO DON'T' KNOl11--j/— 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 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-2000-0105
APPLIeXNT/CONTACT PERSON CLARKE ANTHONY S&MENKEL MARG
ADDRESS/PHONE 89 WINTERBERRY LANE (413)586-3329 Q
PROPERTY LOCATION 89 WINTERBERRY LANE
MAP 36 PARCEL 223 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
- ENCLOSED REQUIRED DATE
i ZONING FORM FILLED OUT
F Pe iae'd J�Oz /O —
Building Permit Filled out
Fee Paid
Typeof Construction: ADDITION WITHIN EXISTING FOOTPRINT OF DECK AREA
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildinp,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.
t-Denied 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: § _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
�ermit from Conser i n Commission `-
/ 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
of public works and other applicable permit granting authorities.