17C-196 (5) 10. Do any signs exist on the property YES NO `
IF YES,describe size,type and location: 43 .3 O L.-I ce,r,F 1") rU S t N(5 5 l 6/y
fiv 2 EA- L-0 AA M-F C C ATI— 5 l_ l I-E CyU
f7eoNf- of B u L L Di
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location: Acpj> St6IJ i D6—OT-1 F y I L?6 r,PA IE
C0NSIST�&>I- w1T)i 6WSr71-),5
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colu= to be filled in
by Lb. Building Ik'partmeat
(Required
Existing Proposed By Zoning
Lot--size rz-go A 1 1 ov�"3 S64 FT; NO
512E
c.a•1A NCa E
1vNE
NO
Frontage JaAt►Z1� UP To e�k�aG E
r't l-r;. PA-1_)F
Setbacks P fA 0 A046.e
N�k N L9 C tt,a+j 6E
- side L: R: L: R:
- rear
Building height r r: No
CHAtlElrc
Bldg Square footage No
cr`}0,0GF
%Open Space:
\3U
(Lot area minus bldg (� /
' &paged parL.ing) G++�4n1GE
# pf -Parking Spaces No `•
G►.}�n161=
e of Loading Docks NO c HA-tI&E
Fill: � NO
-{voI-ume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: qJ-3D 1 R $ APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an appiioants burden to comply witty .all
zoning requiraments and obtain nil required permits from the Board of Health, Conservtation
Commission, Department of Public Works and other applionble permit granting authorities.
FILE #
i -
SEP Z 9 X998 /�PQ
File No.
0E T``t ti!)i C1 G i 'r
PERMIT APPLICATSON ( 10 . 2)
pLF.A SE TYPE OR PRSNT ALL INFORMATION
1. Name of Applicant: Lk5A S01-DP+' 0
Address: 4.5 111(41-11-AO D AqF- Telephone: 785- 5 as
%. Owner of Property: (z �(Z (: A L-k
Address: 41 ��% r`1 T f-�a2EiJG*, MATeiephone:
)t ob a
3. Status of Applicant: Owner Contract Purchaser VLessee
Other (explain):_
4. Job Location: �5 LAAt1j IS T- F L-0ZC- /Jf FZ M14- 010(o2,
c o ennt a s � a L.t
Parcel id: Zoning Map#_ Parcel# L� District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property 1-bfZPt6.r / U,3nRX -a WEE
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
F2 F,PAR A-TZ drJ / B"1 tJ4 OP DOC 8 1 S G v 1 r6 i v R, n C rr41 L/
W140LESALS OFF PRICM►Se-5
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 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 y/ 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)
Fi'g#MP„1999-0040
APPLICANT/CONTACT PERSON Lisa Soldato
ADDRESSIPHONE 65 Highland Ave (413)785-52210
PROPERTY LOCATION 45 MAIN ST
MAP 17C PARCEL 196 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSE REQUIRED DATE
ZONING FO LLED OUT . 1�
ee al
Buildin Permit Filled out
Fee Paid
Type of Construction:
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure -
Building Plans Included•
Owner/Occupant Statement or License# __
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased on information presented.
Denied as presented: �,�.,J(a Se,'6(
§ Z � t U. J 0) Cam. 1 I
Special Permit and/or Site Plan Required under-. .� �
PLANNING BOARD ZONING BOARD �J J
Received&Recorded at Registry 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 Board of Health Well Water Potability Board of Health
Permit from Conservation Commission
Signature of Buildin fficial % 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.