17C-093 (2) -
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q - ✓�C��T AGE LOAN INSPECTION
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10. Do any signs ebst on the property? YES NO v
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES !C?-
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col.'� to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
C
I
/ 7
Frontage 137
Setbacks - frnnt 36
- side L: 5) R: L: R: I_R
- rear y
yi
Building height l
Bldg Square footage L9
%Open Space:
(Lot area minus bldg U 5
&Paved parking)
# of -Parking Spaces 3
t of Loading Docks O
i
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: /D ?��?[Ic� " APPLICANT's SIGNATURE / --
NOTE: lssuanoa of as zoning permit does not relieve an appiioanYs IL urden to ply vdrttFa~ell
zoning requirements and obtain all required permits from the Boa of Health. Consorvtstio q
Commission. Department of Publio Works and other applioable permit granting authorities.
FILE #
I
Fi 1 e No.?V'1 3�5
SON NG PERMIT APPLICATION (§10 . 2)
ocF ";'",'Fc'ices P E TYPE OR PRINT ALL INFORMATION
w na t ,a?;n±� laA O;iFG
1. Name of Applicant: I )C'H�q a ' �c� w z5r t-Z- 5
Address: (3 C0 C-q Es-rh/u- 7— S Telephone: 47"—q-1
2. Owner of Property: 12Z CJ`t/-1 ✓� i9 �% - �d s��
Address:-130 CS4c�75 7ruu T S-7-- Telephone: -6 y' - V/
3. Status of Applicant: ---�ZOwner Contract Purchaser Lessee
Other(explain):
4. Job Location: rL-C;"tiz1E57,ve-�
Parcel Id: Zoning Map# Parcel# District(s): /-/J)l
(TOD IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property SAN ce-`
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�.✓S;���,v-Tii7zJ OF— g
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: Goa
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 V 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-2003-0058
APPLICANT/CONTACT PERSON POWERS RICHARD T JR&PAMELA J
ADDRESS/PHONE 130 CHESTNUT ST (413) 584-4188 O
PROPERTY L ST."-..
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM LLED OUT
wilding Permit Filled out
Fee Paid
T_ypeof Construction:_ZPA-8'FENCE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory 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 PRE, , TED:
Approved fir//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: § (Cl,
G '/z.
Finding Special Permit 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 ElZStreet om mission
/0//
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.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of
Planning&Development for more information.