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17C-099 (2) ,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 IF YES, describe size, type and location: 11. ALL INFOP.MATION MUST BE COMPLETED, or PEP.MIT CAN BE DENIED DUE M LACK OF INFOMATION This cohnim reserved for use by fee BuUffing Depcalment TJ-NEs PROPOSED TAtSize Frontage _ .Setbacks Front Side L: R: L: Pear Building Height - Building Square Footage ° %0 p en Space: (lot area micas bwlding rz paved parking -- #of parking Spaces #of Loading Docks Fill: , (volume ft Location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. !?ate: �/ �' `t �'C plicanf's Sigc►atur " P NOTE:Issuance of a zoning,permit does not reli an applicant's biarden to comply-Adth all zoning requirements and obtain all rewired;'_ fi vin the Board of Health,Conservation Commission, Enstoric and Architectural Boards,Department of Public I.Vorii s and other applicable permit ranting,authorities. . DDO_ndf i i i 1 i ? File No. G Please type or prhat aH informaEtion and ream this form to the Ruildino, _ _ 1. Name of Applicant: i�G1? et Address: 3 4 Jr/��G�'l 7 �� Telephone: 2_ Owner of Property: (70 Address: 11 0<iy'e—Y ��t`r l7Ct�Cf'�i , �rI Telephone: 41-5 'S?< 2941 I 3. Status of Applicant:: Owner Contract Purchaser Lessee X Other (explain) 4. Sob Location: 5: Existing Use of Structure/Proper�y: � z 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): whore, :52,- Af bC,g, We c IL 7. Attached Plans: Sketch Plan Site Plan Enm-veered/Surveyed Plans 8_ Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT 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 x DONT KNOW YES IF YES, has a permit been or need to be obtained from she Conservation Commission? Needs to be obtained Obtained date issued: (Form Continues On Other Side) Date Filed",, - 3 2004 ' File No. REGISTRATIQI7---1F HOME ;!OFFICE IOCCUPATION (§10.2 & 11- 11) th4# Building Inspector - i. Name of P. plicant: 0� SW�Q.k, �am� S EQ�2.Ir�-1 Address: 5a V:Loren[2 Telephone. '-}13 -St?'t- g8Coa 2. oumer of Property: Sov-+n rZeeiB1�• Address: i ,f- �,n � C Telephone: 413 - `>v` - ; CiLPI 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4. Parcel Identification: Map 1'r Parcel r , Zoning District(s) (i clude overlays) Street Address 5. Narrative Description of Proposed Home Office: (Use additional sheets if necessary) Tom► homt.. �� ho\e1L ► � - =` �S - �o�yfc� 6. Is this a legal residential building? Y S NO 7. Will there be an employee/owner who doesn't live in the home YES 8. - Will you ever see clients or customers at your site? YES How often For what purposes 9. Will there be any signs for the Home Office? YES ©O 10. Will there be any goods sold from the premises or any sale of goods stored on premises, either retail- or wholesale, or any display of goods on premises? 0). NO ii. Will there be any outdoor storage of materials? YES .12 . Will your use be totally within a building and not cause any outward manifestation (including traffic generation, parking congestion, noise, air pollution, and materials storage) ? ES NO If NO explain: 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: 4'ZZ t� Applicant's Signature: C '► `7 • ��"V THIS SECTION FOR OFFICIAL-USE�ONLY: Approved as "presented/based on information. presented APPROYA-L EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWED Denied as presented---Reason: - Signature of Building Inspector Date NOTE lrsuanco of it permit do-oz not rotiovo an appiicarws burden to comply with all zoning roquiroments and obtain all roqulrod pormltz from tha Board of Moatth,Consorvatlon commission, Dopartmont of Public Works and othor applicable por-mit granting authorltios. File#MP-2004-0149 APPLICANT/CONTACT PERSON MCBATH TAMMI ADDRESS/PHONE 39 STILSON AVE (413)584-5862() PROPERTY LOCATION 39 STILSON AVE MAP 17C PARCEL 099 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_vpeof Construction: HOME OFF/OCC REG-BAKERY 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 PRESENTED: 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: § 0./12— Finding Special Permit L"", 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 Street mmission LOa 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.