25C-237 (2) 10. Do any signs exist on the propertY9 YES NO
AI+
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:
I1 . AIL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION-
Thli coluxffi to ba fillod in
by Lb- Ju11di__g
„Required i
Existing Proposed By Zoning
i Lot size a Sut�S J �L�
Frontage 6
b'
Setbacks - frnnt
- side i_: R: L: R:
- rear
Building height
Bldg Square footage )3
%Open Space:
(Lot area minus bldg
' &,paged parking1
# Pf Parking Spaces
of Loading Docks
Fill:
vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my kno ledge.
DATE: �� - APPLICANT's SIGNATURE
NOTE: Issuanoe of n zoning permit does not relieve an ap 1 ants "en to pty with fait
coning requlr @menta and obttain all required permits fro the 13oard of Heatth, Conservt2tion
Commission, Department of Public, Works and other ioabla permit granting authoritioa.
FILE If
WAR 2 51999 .:..�
No_
DEPT G INSPECTIONS File
V'401060
ZONING PEST APP_LI'CATXON (§10 . 2)
p F,�'A.SE TYPE OR P=T ALL SNFORMAT.TON
1. N 0a�ame of Applicant: � -
Address: Teleph ne:
i• Owner of Property:
Address: 11 Telephoner
,2. 1
3. Status of Applicant: Owner Contract Purchaser Lessee
�- Other(explain):
4- Job Location_ Z
Parcel id: Zoning Map# Parcel# of 3 District(s): -'
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property `
Desc iphon of ropose 4j ANt o rJUPr 1e-Voc cups c,: (Use additi^na! ee+ :f neceSS ):
c� � .
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 Depattment Files.
b- Has a Special PermitA/ariancelFinding ever been issued for/on the site?
NO DON`T KNOLN 1/ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT 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)
i
File#MP-1999-0102
APPLICANT/CONTACT PERSON PIERREPONT TERRI
ADDRESS/PHONE 49 FAIRVIEW ST 786-9046
PROPERTY LOCATION 201 BRIDGE ST
MAP 25C PARCEL 237 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
C—fzze ON INGF FILLED UT
e aid
Building Permit Filled out
Fee Paid
Typeof Construction: CONVERT TO HAIR SALON
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.
V<De ed 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
_L,,<V—ariance Required under: § '2—w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed S
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 ission
Signature of Building Offii ial 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.