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17B-006 (7) I I f 'I � 1 I , i — � j t IG loll - 7 11` I >1 i I r wk .1 e r , f 1 Q. Do any signs east 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 V l?O IF YES,describe size,type and location: A' 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CART BE DENIED DOB To LACK OF 1W-FORMATION. T1ais CO2== to t. fi 7 9.vT i by t;o Baiid-g Lrpartaaeat ('Required ExfSEiaty r1tfFvacu By Lcrt'ti'Eg i Lot size Frontage !I I Setbacks - front - side L: 5- R:60 L: S R. i - rear 9 r I 1 Building height Bldg Square footage %Open Space: lei(Lot area minus bldg q 5 1-5 &paved parking) # of -Parking Spaces #" of Loading Docks Fill: {vol-ime--& location) / I3 Certfcatan:T hereby-cerfiy-what the-in forma-tion contained herein is true and accurate to the best of my kno ledge. DATE: � I� t APPLICANT's SIGNATURE NOTE: dssu&no* of a zoning permit dyes not relieve an applioanrs burden to C14mpty moth .MH coning requirements send obtain ail required permits from the Mc4nrd of iiealt CoeYServ�stedc� Commission, Department of Public Works and other applloabie permit granting authorit€as. FILE # File N0.117ptoya ,ZONING PE=T APPLICATION (510 . 2) P F'A A TYPE OR PRSIrTT ALL =FOPMATION 1. Name of Applicant: Address: t--� F�(�( ,� y e Telephone: T -16' 2. Owner of Property: Address: Telephone: 3. Status of Applicant: V Owner Contract Purchaser Lessee Other(explain): 4_ Job Location: j2e f, Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property CAA 6. Description of Proposed Use/Work/Pro"ect/Occupation: (Use additi nal sheets if necessary): ins 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/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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-YESrhasa--per-mit-been-or need-to be obtaned from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) ` D _tee( FIyd (. File No - R GISTS=ON O� EOt`E OBF2CE jOCODIALION (610.2 & 11. 11} �r,nl With the Building Inspector 1 Nan,e of A2pli 6anat: AT- ss , �Tr j !� ( Telephone: -2- Or' of Property: Address: Telephone: 3 _ Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) _ a 4 . Parcel Identification: Map Parcel F , Zoning District(s) include overlays) Street Address S. Narrative Description of Proposed Nome Office: (Use additional sheets if necessa ) �VV Y Cn�- GY � f.� 4 V d 6_ Is this a legal residential building? YES NO l-1 r _ 7. Will there be.a ___employee/owner who doesn't. live in the home YES 8- - Will you ever see clients or customers at your site? YES NO How of ten - For what purpo es_ =. 9 . Wi 1 l there be any signs for the Home Office? of' NO �j10_ Wi 1l there be any goods sold from the premises or any sale oL J goods Stored On Dre ?SeS, either retail or wholesale, or any display of goods on premises? YE5 NO 11_ Will there be any outdoor storage of materials? YES NO 12 . Will your use be totally within a building and not cause any outward manifestation (including traffic generation, parkincy congestion, noise, air pollution, and materials storage) ? k,YE NO - if NO explain: 13 - Attach Plans (if applicable) 14- Certification: I hereby certify that the info ,ration 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_ Applicant's Signature: - - - - - - - -HIS SECTION FOR OFFICIPL IISE ONLY:- - - - - - - - - - Approved as presented/based on information. presented APPROV2.L EX:PiRES _ON_DECF-413-ER 31 OF THIS YEPR Ali HUST TEEN BE RENEW FM Denied as presented---Reason: _ Signature of Building Inspector Date NOTE: I--n—of a Permt-L dour not rciiove an appiic-nt's burden to compty w th all zoning rc-qulramenta and ot-.ain all roauirvd porn.".- from tiw 60--rd dt Hoatth.,Consarvatlon ComrnI_s1on, DoPartnt©nt of Pu5llcW0f-k,:and outer applicable Pormit granting authorYIos. File#MP-2008-0022 APPLICANT/CONTACT PERSON PAYNE ANDREW C& ADDRESS/PHONE 470 BRIDGE RD Q 584-1686 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 REG New Construction Non Structural interior renovations Addition to Existing Accessog Structure Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESRNTED: 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: Finding Special Permit 11� 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 Str Commission Signature of Buildin ffi 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of Planning&Development for more information.