17A-248 (2) City of Northampton Massachusetts _. � pTO
Office of Planning and Development
City Hall • 210 Main Street
Northampton, MA 01060 • (413) 586-6950 SP 3 0 19
FAX(413) 586-3726
•Community and Economic Development
•Conservation•Historic Preservation DEPT OF BUILDING INSPEC
•Planning Board•Zoning Board of Appeals NORTHAMPTON MA O1GG
•Northampton Parking Commission
TO: Anthony Patillo, Building Inspector
RE: Permit application
FROM: Laura Krutzler, Board Secretary/OPD
DATE: 44-�C� ve, /q�
Would you please review and return the
enclosed application
before the Planning Boar
,A peals eeting scheduled for 04 7 so
that we can advise the Boards of any
concerns you may have.
`r
Thank you.
-THIS PLAT NOT FOR RECORDING PURPOSES-
78.3 '+
Plan Book 69
Page 50
Lot #22
_H o
_H
U -
N Cy
16
20 '
#98
77.9 ' + M
Lake Street
To: The Springfield Institution For Savings &
The Minnesota Title Insurance Co.
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING
MONUMENTATION, ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT
LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE
AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 250167
DATED: July 29, 1991 -NOTE-
THIS PLAT FOR SMORTGAGE LOAN PURPOSES ONLY
Q
SURVEYOR: AND DOES NOT CONSTITUTE A PROPERTY SURVEY
./�
-MORTGAGE LOAN INSPECTION PLAT-
14 of Northampton, Massachusetts
Prepared For
RICHARD
J. Edward M. & Anne M. Kocinski
r
w LABARGE,sFt Scale: 1 "=40 '
#34605
RICHARD J. LaBARGE SR.
Usuou REGISTERED PROFESSIONAL LAND SURVEYOR
(UNIT C-9) 1 STADLER STREET-BELCHERTOWN,MA 01007
�sSG 2 1941
;
�
Date File File No.
REGISTRATION OF HOME OFFICE/OCCUPATION (§10.2 & 11.11)
with the Building Inspector
1. Name of Applicant: M A>z FN T. bAOw 1`4
Address: 9$ LAKE' ST• FI.PMWC Telephone: 5$(, -C)901
2. Owner of Property: - 6ATnE AS A8OVIE
Address: Telephone:
3 . Status of Applicant: ➢C. Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map # 17A , Parcel # 2-4J3 ,
Zoning Districts) (include overlays) L4 AS
Street Address 618 LAY-6 ST - FLO FLEWC.G
5. Narrative Description of Proposed Home Office: (Use additional sheet:
if necessary) A Rc)OAA DN `M6 s040AJ 3 X1,.0092 Ole "Y
MbUS6 WktCA HA-1 AVEN GONVEn-E'b INM A-Aj heP'
6TU D I O
6. Is this a legal residential building? NO
7 . Will there be an employee/owner who doesn't live in the home YES NQ
8 . Will you ever see clients or customers at your site? YE NO
How often p - 3 G 1A ENTS (MONTH
For what purposes -M 56X My A<9TW0ILK-
9 . Will there be any signs for the Home Office? YES
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? NO
11. 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) ? <Zg NO
If NO explain:
13 . Attach Plans (if applicable)
14. Certification: I hereby certify that the information contained hereil
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-crimin fines ant
criminal and civil actions.
Date: 64, � C17 Applicant's Signature.
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWEI
Denied as presented---Reason:
Signature of Building Inspector Date
NOTE: lafuanoe of a permit does not relieve an applicant's burden to oompty with all zoning requirements and obtain all required permit
- from the Board of Health,Conservation Commission,Department of public Works and other applicable permit granting authorities.
10. Do any signs ebst on the property? YES NO X
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
n, Thin cols to be filled in
Q� by the Bedding Drpnrtmeat
Required i
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &Pared rarking)
# of 4Parking Spaces
# of Loading Docks
Fill:
4 vol-ume--& location)
13 . Certification: I hereby certify that the information co ined herein
is true and accurate to the best of my knowledge.
DANE: je -:F APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an pplfoanra b en to comp witlp•,a11
zoning requirements and obtain all required permits from the Board of Health. Conservntioc
Commission. Department of Public Works and other applicable permit granting authorities.
FILE #
I'
AIJu 2 7 199-
File No.
ZONING PERMIT APPLICATION (§10. 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: M A IZ E:N T . B JZD W r'
Address: '18 LAKE ST o►2t:—rJ E Telephone: 58 6"090 l
2. Owner of Property: " SAME AS ArBO V E
Address: Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO E ILLED IN BY THE BUILDING DEPARTME
S. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
^ R7` 5TL1 D 10
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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW ,X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO X 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 # J v 1
APPICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP PARCEL: ZONE _ Z-f%? r-
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTF,T,FT)
]Ridlding Permit Fillt-d nut
Remodelin Interior
Addition In Fxistin2
3
i
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased on information presented
Denied as presented:
0 Chu
Special Permit and/or Site Plan Required under: § (�,/(� "� y`'0�5
PLANNING BOARD V ZONING BO RD Cu Ito�£ 'n
Received &Recorded at Re istry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation mission
Signature of Building Daie "
NOTE:issuanoe of a zoning permit does not relieve an appiioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Pubiio Works and other applloable permit granting authorities.
Signed Dated and Denied Zoning Permit Application
be in harmony with the general purpose and intent of the Ordinance:
As a homeowner, I heartily support the general purpose and intent of this
Ordinance, and appreciate the scrutiny with which home businesses are assessed
in our City. I am pleased to live in a primarily residential neighborhood (there is
a casket company at one end of Lake Street), and am proud of the aesthetic
appeal of our street. Although I am permitted to display a sign, I do not wish to
do so, out of concern that our street remain residential in appearance. In
addition, I will be seeing customers primarily off the premises for this same
reason. I sincerely care about preserving our neighborhood's charm and appeal,
and profoundly believe my art business will not disturb this in any way.
F. Explain how the requested use will promote City planning objectives to the extent possible
and will not adversely affect those objectives, defined in City master study plans adopted under
M.G.L. Chapter 41, Section 81-C and D.
I understand from the Northampton Office of Planning and Development that these
master study plans only concern the State Hospital grounds and downtown areas.
Because our house does not fall within these bounds, this question is not applicable.
Also submitted with application (not part of copies):
*Check for$120 made out to the City of Northampton
-Two Sets of Abutter's Mailing Labels
-Three Copies of the Certified Abutters List from the Assessor's Office
"8. The hours and frequency of deliveries of products and/or materials shall be
expressly stated in the Special Permit issued by the Zoning Board of Appeals."
Although I need to accommodate my potential customers hours as stated in question #7
above, I think that UPS and the post office only deliver packages from 9 a.m. to 5 p.m.,
Monday-Saturday.
"9. If said Home Occupation takes place in an accessory structure:
A. constructed prior to the date of the adoption of the Ordinance,then said
structure must conform to the setback requirements for accessory structures in
that District.
B. constructed after the adoption of this Ordinance,than said structure must
conform to the setbacks requirements for a principal structure in that District."
My business will not be located in an accessory structure, nor are we planning to
construct one.
"10. It shall produce no noise, obnoxious odors, vibrations, glare, fumes or electrical
interference which would be detectable to normal sensory perception beyond the lot
line."
Creating my art and operating my business will produce no detectable noise, obnoxious
odors,vibrations, glare,fumes or electrical interference.
"11. The portion of any structure utilized for a Home Occupation shall conform to all
applicable Fire, Building, Electrical, Plumbing and Health codes."
There will be no changes made in the existing structure or use of our house, which
already complies with these codes.
F. Explain why the requested use will:
not unduly impair the integrity or character of the district or adjoining zones:
I believe I have demonstrated in this application that my home business will not
disturb the integrity or character of the district or adjoining zones. There will be
no changes or alterations made to our building, and traffic will be limited to a
high estimate of 0-3 customers/month, as I've described. The residential
character and purpose of our home will be unchanged with this business
venture.
not be detrimental to the health, morals orgeneral welfare.
My business will pose no threats to the health, morals or general welfare of
Northampton, and if anything, will help to support the general welfare by
promoting small business.
in the occupation except members of the immediate family also residing in such
building."
As I've stated earlier in this application, I will be the person who operates this sole
proprietorship, and the house is my principal residence. I have no employees working
for me, either part-time or full-time, and no other person is engaged in the business.
"3. It must not occupy more than 40% of the gross combined floor area of the main
building, and the accessory structure (if such accessory structure is utilized for said
home occupation)."
I will be using two rooms in the house for the business: a studio on the second floor of
the house and a small office on the first floor of the house. There are three comparably
sized rooms on the second floor of our house (one of which is the studio) and on the
first floor is a diningroom, livingroom, kitchen, bathroom and a small office. The
basement is unfinished. The two combined rooms I intend to use for the business fall
well below the 40% limit of the Ordinance.
"4. One sign may be displayed advertising the Home Occupation provided:
A. it does not exceed one (1) square foot in area; and
B. it is attached to the structure next to or on the entryway for said Home
Occupation.
C. it is not illuminated."
I do not plan to display a sign on the premises.
"S. Goods may only be offered for sale from the premises if the Zoning Board of
Appeals expressly permits it in the issued Special Permit."
I am requesting that a permit be issued which allows me to sell my art to 0-3 customers
per month, as described in question #7. As I stated, I intend to sell the majority of my
artwork to clients at their place of business; however, I would like the flexibility to
accommodate those who wish to see a broader selection of work at my home studio on
an infrequent basis.
"6. All goods sold must be produced or manufactured on the premises."
All my art will be made in my home studio.
"7. The hours of operation shall be expressly stated in the Special Permit issued by
the Zoning Board of Appeals."
I would like to be permitted to see customers from 7 a.m. to 10 p.m. on weekdays and
weekends, to accommodate the schedules of my potential customers, whose retail
establishments are open Monday-Sunday, from 9 a.m. to 5 p.m. I would imagine that
they would come before or after their normal business hours, although they may wish
to see my studio during their business day as well.
to existing buildings: No changes or alterations are planned, other than
installing a business line.
other community assets in the area: Because there will be no visible signs of
a business, I do not anticipate any impact in this regard.
D. What measures are being taken that show the use will not overload the City's resources,
including:
water supply and distribution systems: There will be no change in use.
sanitary sewage and storm water collection and treatment systems: There will
be no change in use.
fire protection, streets and schools: There will be no change in use.
How will the proposed project mitigate any adverse impacts on the City's resources,
as listed above?
There will be no change in our use of these resources.
E. List the section(s) of the Zoning Ordinance that states what special regulations are required
for the proposed project (Accessory apartment, home occupation, accessory structure, etc.)
A Home Occupation Permit is required, according to the attached Zoning Permit
Application denial, under Sections 10.10 and 11.11 of the Zoning Ordinance Code, due
to the "sale of goods and customers in home."
How does the project meet the special requirements? (Use additional sheets if necessary):
I have already demonstrated how my request will comply with all the stipulations
outlined in ordinance 10.10 in this application (which reiterates the ordinance),
concerning the impact of this project on the neighborhood and community. I will
therefore respond to Ordinance 11.11, which deals specifically with Home Occupation
Special Permit Criteria, applicable portions of which are restated here in bold, followed
by my response:
"All Home Occupations (as defined in section 2.1) and Special Permits issued for
Home Occupations shall comply with the following:
1. It must be clearly incidental and secondary to the use of the building or property
for residential/dwelling purposes."
The purpose of locating this business on my premises is for convenience and to
minimize costs in the start up phase. Our home is our residence, and any business use
would be incidental to that main purpose.
"2. It must be conducted by the principal practitioner who occupies the main
building as his/her bonafide residence, with no more than one other person engaged
How will the project provide for:
surface water drainage: There will be no change in use.
sound and sight barriers: We have an existing 8' stockade-type fence which
divides our driveway from our neighbor's driveway, and which completely
screens all activity in either building from one another. Any customers coming
to our house would be effectively screened from our neighbors by this existing
fence (which we own).
the preservation of views, light and air. There will be no change in use.
B. How will the requested use promote the convenience and safety of pedestrian movement
within the site and on adjacent streets?
My proposed business will not impede pedestrian movement in any way within the site
or on adjacent streets.
How will the project minimize traffic impacts on the streets and roads in the area?
Our driveway is sufficient in size and length to contain the cars of customers and/or
mail trucks (it extends back into our property, where it is bordered the entire length by
a fence, and can fit approximately five cars).
Where is the location of driveway openings in relation to traffic and adjacent streets?
Our driveway opens onto the middle of Lake Street, and there will be no alterations
made to it.
What features have been incorporated into the design to allow for:
access by emergency vehicles: No changes or alterations are planned.
the safe and convenient arrangement of parking and loading spaces: Our
driveway provides excellent access to a mud room located in the rear of the
house, for loading and unloading artwork.
provisions for persons with disabilities: Our house is not wheelchair
accessible, and since no structural modifications are planned, I do not
believe that wheelchair accessibility is a requirement.
C. How will the proposed use promote a harmonious relationship of structures and open spaces
to:
the natural landscape: There will be no structural modifications to our house,
and we will not install any visible signs of a business on our property.
#7. Describe Proposed Work or Project:
I would like to establish an art business in my home, where I would produce artwork
and prepare it for shipping to galleries, gift shops and other retailers (I would ship it off
the premises at a business like Mail Boxes, Etc.). I would like to use a room on the
second floor of my house, which has been converted into an art studio, to produce and
package my artwork. A room on the first floor of my house that has a computer and
filing cabinets, would be my choice for conducting the "office" activities related to the
business. I do not plan to install outdoor signage, store materials in outbuildings on the
property, or show any other visible signs of a business being located on the property.
No physical modifications need to be made to the building, except for installing a
business phone line.
A Home Occupation permit was required for two reasons. The first was that I
indicated on my Zoning Permit Application that I would have 0-3 customers per month
visit my home. My intention is to sell my work primarily off the premises, at my
customers' retail establishments, by bringing samples to each customer. However, my
guess is that on some occasions, customers may wish to arrange a visit to my home
studio to see a broader selection of work from which to choose. I believe the estimate of
0-3 customers per month to be a high number.
Another reason a Home Occupation permit was required is that I indicated on my
Zoning Permit Application that my artwork would be sold from the premises. As I've
described above, I anticipate that the overwhelming majority of my sales will occur at
my customers' places of business, but I answered this question affirmatively on the
Zoning Permit Application to account for the rare instances when a buyer may wish to
visit my home studio to view a wider selection of work. For example, if a buyer were to
visit my home, and would like to purchase three of my photo transfer paintings to sell
in his or her store, I would like to offer the work for sale to them at that time. If the
amount were sufficiently small, they may wish to take it with them; of, if it is a larger
amount, have me deliver it to them at a later date. Again, I want to emphasize that I
view this to be rare occurrence.
8. Special Permit Approval Criteria. If any criteria does not apply, explain why.
A. How will the requested use protect premises against seriously detrimental uses?
As I stated in Question#7, there will be no outward signs of a business on our premises.
Inside and outside, there will be change in the use of our house that impacts on any of
these areas.
**PLEASE SEE ATTACHED FOR ANSWERS TO ALL QUESTIONS***
How does the project meet the special requirements? (Use additional
sheets if necessary)?
F. Explain why the requested use will:
not unduly impair the integrity or character of the district or
adjoining zones:
not be detrimental to the health, morals or general welfare:
be in harmony with the general purpose and intent of the
Ordinance:
G. Explain how the requested use will promote City planning objectives to the
extent possible and will not adversely effect those objectives, defined in City
master study plans adopted under M.G.L. Chapter 41, Section 81-C and D.
9. 1 certify that the information contained herein is true and accurate to the best of my
knowledge.I (or the landowner if I am not the landown gra t Zoni Board of Appeals
permission to enter the pr erty to review th'
Date: Applicants Signature:
Date: Owner's Signature:
(If not the same as applicant's)
i
4
**PLEASE SEE ATTACHED FOR ANSWERS TO ALL QUESTIONS***
provisions for persons with disabilities:
C. How will the proposed use promote a harmonious relationship of structures and
open spaces to:
the natural landscape:
to existing buildings:
other community assets in the area:
D. What measures are being taken that show the use will not overload the City's
resources, including:
water supply and distribution system:
sanitary sewage and storm water collection and treatment
systems:
fire protection, streets and schools:
How will the proposed project mitigate any adverse impacts on the City's
resources, as listed above?
E. List the section(s) of the Zoning Ordinance that states what special regulations
are required for the proposed project (Accessory apartment, home occupation,
accessory structure, etc.)
3
**PLEASE SEE ATTACHED FOR ANSWERS TO ALL QUESTIONS**
s. Special Permit Approval Criteria. If any permit criteria does not apply,
explain why.
A. How will the requested use protect adjoining premises against seriously
detrimental uses?
How will the project provide for:
surface water drainage:
sound and sight buffers:
the preservation of views, light and air:
B. How will the requested use promote the convenience and safety of pedestrian
movement within the site and on adjacent streets?
How will the project minimize traffic impacts on the streets and roads in the
area?
Where is the location of driveway openings in relation to traffic and
adjacent streets?
What features have been incorporated into the design to allow for:
access by emergency vehicles:
the safe and convenient arrangement of parking and loading spaces
2
CITY OF NORTHAMPTON
ZONING BOARD OF APPEALS APPLICATION FOR:
1. Type of Project: j
X SPECIAL PERMIT:
X Home Occupation
Accessory Apartment
Historical Association/Society,et al
Sign
`Attaching Accessory Structure to Principal Building
2 Permit is requested under Zoning Ordinance:Section 10 . 10 Pg 1 Or 4 - 104
11. '11 11-19 11-21
3. Applicant's Name: Maren T Brown
Address: 98 Lake St. Florence Telephone: 586-0901
4. Parcel Identification: Zoning Map# h Par*# 248 Zofaipg District: URB
Street Address: 98 Lake Street:- Florlinge., P1A 01062-1321
5. Status of Applicant: X Owner; Contract Purchaser; Lessee
Other (explain)
6. Property Owner: —same as above—
Address: Telephone:
7. Describe Proposed Work/Project (Use additional sheets if necessary):
Please see attached
*****k***k k*k k k k k k***k*k**k***k****k**k*****k k**********k*******k**k**********
Has the following information been included in the application? /
✓ Site/Plot Plan /V/A List of requested waivers ✓ fee($120.00)
✓ 2 sets of labels (supplied by the Assessor's Office)
✓ Signed dated and denied Zoning Permit Application
✓ Three(3)copies of the Certified Abutters List from Assessors' Office.
1
Zoning Board of Appeals Application
for Maren Brown
Requesting a Home Occupation Permit to establish an art business in her
home located ' hw *°Frence, Massachusetts
September 26, 1997
Date File 2 File No.
REGISTRATION OF HOME OFFICE/OCCUPATION (§10.2 & 11.11)
With the Building Inspector
1. Name of Applicant: MA1ZeW T. &F-0WP'-4
Address: q13 LA K6' ST. Ft,O F-E-NC,E —Telephone: 59t, -0901
2 . Owner of Property: - 6A-mg AS lac 3,OV f- -
Address: Telephone:
3 . Status of Applicant: y%- Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map 7 A , Parcel
Zoning District(s) (include overlays) U R3
Street Address 61,8 LA)Y-E ST , F L.0 R-E7NC;10
5. Narrative Description of Proposed Home Office: (Use additional sheet:
if necessary) A pj?0)4 A ON `1tilE 5 60)V O VL60 - Ole Ay
1A0 uS6 W k tCA H&S Bit CoN VEXfib I» A-Y%J her
STL+010
6. Is this a legal residential building? < NO
7 . Will there be an employee/owner who doesn't live in the home YES Q
8 . Will you ever see clients or customers at your site? YE NO
How often O - 3 G w e-NTS /MONTH
For what purposes -tb Se-E My Acip-TWog K-
9 . Will there be any signs for the Home Office? YES Q
lo. 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? � NO
11. 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 hereii
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-crimin fines an(
criminal and civil actions.
Date: Ot / C17 Applicant's Signature:
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWEI
Denied as presented---Reason:
Signature of Building Inspector Date
NOTE: Issuance of a permit does not relleve an applicant's burden to comply with all zoning requirements and obtain all required permit
from the Board of Health,Conservatton Commission,Department of Public Works and other applicable permit granting authorities.
10. Do any signs exist on the property? YES NO X
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X
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
O('C, by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &paved parking)
of Parking spaces
f %f Loading Docks
Fill:
4 vol-ume--& location)
13 . Certification: I hereby certify that the information co ined herein
1
is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an pplioant's b den to oomp, witf)1,,�11-
z9ning requirements and obtain all required permits from the Board of Health, Coneervtstion
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
IV ` 2 71991
Fi 1 e No. J�
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: M A IZ E N T. B kO W r4
Address: q8 I.A1=E !,T. PL-0 rz kF- I(_E Telephone: 596-0101
2. Owner of Property: — SAME AS h5a V IF
Address: Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel#d�T District(s):
(TO E ILLED IN BY THE BUILDING DEPARTME
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
A R1' STtA D 10
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 KNOINf .X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO X 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)
FIDE # 9 6 14
9 y'
AUG 7 IN
APP ICANT/CONTACT PERSON:
ADD,RESS/PHONE:
PROPERTY LOCATION:
C��!�
MAP PARCEL: ZONE
THIS SECTION FOR_OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLQSED,REQUIRED DATE
Rifflr1ing Permit Filled nilt-
Type of Constniction-
Tnelyided-
a
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION'
Approved as presentedfbased on information presented
Denied as presented: 000",_ p N
Special Permit and/or Site Plan Required under: § d�-1°05
/4 PLA.NNINGBOARD ZONINGBOXRD n .
how
Received & Recorded at Regi'stry�of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservation mission
Signature of Building Date
NOTE:lasuanoe of a zoning permit does not relieve nn applicant's burden to comply with all
zoning requirements and obtain ell required permits from the Board of Health, Conservation
Commisaion, Department of Public Works and other applicable permit granting authoritles.