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25C-144 (5) 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 (l %,Vo— IF YES,describe size,type and location: VOCkII 40—j 0 Si'►--a °fit, ,, eve ivy - 11. ALL INFORKATXOM MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. ':his caZamm Co bs �ilZed is by >~rs BaiZdiag Apartmsat Required I Existing � Proposed By 21on€ng f 1 Lot size Frontage Setbacks 6 l - side L: • 1. l Iflf F - rear e Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved paryi_7�J # of Parking Spaces f of Loading Docks Fill: {vol-rime--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DA'Z'E: .�1 PPLICANT's SIGNATURE NOTE: Essusnoe =f a =onlng Fseretelt doe�s not rel ieve are�$€o�rst`� Erctrc€en So oarrsExEy v €t4 �€E tuning regLJlrementa emnd obtain ell recqufred perm€ts front thee Board of KaaEth, s±ores�r-e<�fEC�n Commlaslon. C3epsrtment of Public Works and outer mppl€omble permFt granting €muthorities. FILE # Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLY= ` TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address:,5-1 Q1C C.\.---k rA, S C' Telephone: 4 (3-J w,2- q 7---�. 2. Owner of Property:,7�rsrcLr , C� Address: J-1 (-Cil\�ar-ck 'Wee V- Telephone: 3. States of Applicant: V/'Owner Contrast Purchaser Lessee Other(explain): : 4. Job Location: 0 Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property iS t—-\X"o 6. Description of Proposed tJse/Wark/Project/Occupation: (Use additional sheets if necessary): �vUES� �y� lhclZr� C� �`ct 21 Vv1-, 2'-1 � � In)'�t ;'t;�v , CA V , ' t"'�^ � � � aC � �'��/ �_�' �'a �.\�-�'✓<c>--�t ire✓ T�'� �'J(YL'J4� tL-^�L�'}� � i�- r'r� �v1.1� 1 ,1n.3 "✓'.��- Vli' V`O"V\hG .J�'("�C�.' ©L" 4��t �Ju�''� 7. Attached Plans: Sketch Plan Site tan 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 eve�r/be n issued for/on the site? NO DON'T KNOW v YES IF YES date issued: IF YES: Was the permit recorded at the Regi of Deeds? NO DON'T KNOW 7 YES IF YES: enter Book Page and/or ocument# 9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOkAil 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) Date riled 4 File No REGISTR:P_TION O. 'H&Y-E OFFICEJOCCUPATION (§10.2 & II_ 11) With the Building Inspector 1_ Name of Applicant: Sara VN r Address: r-' �; c��} Telephone: 2. Owner of Property:�kjl.�C` ' I Can^`S �e�,��e�,� Address: 3'1 o f-2%_10 C9_ Telephone: 1413 3 . Status of Applicant:Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: clap Parcel Zoning Districts) (include overlays) Street Address 355-17 5. Narrative De riptlon of Proposed Home Office: (Use additional sheets- if necessaryp : a 4 b AAA, 17,\,\ G, l L 4C1 we HIG"A�,_- ,v,CAvCeZ c- VIA.�.Ql i P- p'*eA,.2 6- Is this a legal r esidential building? YES N 7- Will there be--a-n--employee/owner who doesn't �, live in one home YES N-O 8- Will _you -ever see clients or customers at your site? NO How often DC� !�A - -AeA Io For what purposes 7St^2rs `-' g. Will there be any 51g1 S for Re Home Off ice? k vi o%A oZ IN,0 10. Will there be any goods sold from the prenis_s Por ny sale of ��, - goods stored on premises, either retail- or wholesale, or any display of goods on premises? YES h70 11. Will there be any outdoor storage of ma ter ials? YES O 12 . Will your use be totally within a building and not cause any outward manifestation (including traffic generation; parking congestion, noise, air pollution, and raterials storage) ? YES NO If NO explain:wo y ► Ov-e-- ;,Sykk , Pj—LZ- -io 60- c..crc_c o-.N3 c� N vv"'kcQi`. 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: �l 15 07 T p Signature: rp licant s - - - - - - - - - -T21S SECTION FOR OF-FICITL USE ONLY:- - - - - - - - - Approved as presented/based on informmatior. presented APPROV7aL EXPIRES ON DECEhi ER 31 OF THIS Y.,-.p.: A.t,TD, MUST ` —aEN BE Pz_q HED Denied as presented---Reason: Signature of Building inspector Date NOTE:Izrlcnoo of it pa,^-ir doar not rotiovo an to com?ty vrU1 afi-or.Ing roquSraments and o_sir.sII ro-Ruircvl po.^rt s from Cho Fiord df floatth, CormQ vafhn Commission, DoparL-n©nt of Publlc.Worr._and othor zppficabla pomtt yrantJng author.:ios. File#MP-2007-0097 APPLICANT/CONTACT PERSON GETOFF SARAH B& ADDRESS/PHONE 37 ORCHARD ST (413)582-9982 Q 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-PSYCHOTHERAPY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildiniz Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRETED: Approved 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: //01-7 Finding Special Permit Variance* � f'g?�o�✓ 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 Commission Signature of Bkriding 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of Planning&Development for more information.