Loading...
17D-008 (3) iiA 37 ` i9�9 "ju ocr 5199Q DEPT OF BUI DING 1',` c �---- �l - l - _/��� G►i==_-------------- o- ✓fir _ ,� 'x `!9!?% - ^ ` ��� � `�' i | | | � | ! ! / i | | | | | . | | / | LS s' OCT 51999 PT OF A'ti�� �1060rtl �9o00 y � 0 41 ri Q \p b h r d Q 3� z � �D 10. Do any signs exist on the property? YES ' NO t/ IF YES,describe size,type and location: i Are there any proposed changes to or additions of sins intended for the property?YES NO IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETI$D, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. xh.: coiw= to be filled in t by the Bmilding Department Required Existing Proposed By Zoning i Lot size C)t? Frontage Setbacks - U - side L: R: L: `�L/t R:- a 0�G a G - rear - Building height l t ��-- Bldg Square footage `J %Open Space: (Lot area minus bldg ( ) -- &paved ,parking) /, zo # of Parking Spaces f of Loading Docks Fill: {vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my know3edge� DATE. 1 0 , i APPLICANT's SlIGNATURE NOTE: lasuanoe �f a z-oning permit does not �elieve an mlVpl14c;aht16 burden to oompty wlt47, zoning requirements and obtain all required permits from the Board of Health. Conservai Commission. Department of Publio Works and other applioable permit granting authoritie FILE # File No. 1'20U PERMIT APPLICATION (§10 . 2) r X , E TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ""` Address: l7 L/�(Ii? (r_ C Telephone: 5 5-2(o-79 low I- 2. Owner of Property: L (.(*E Address: ,(Z+ I Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): /CC/U T/1 A}C T D 2 4. Job Location: , "/ Parcel Id: Zoning Map# P7 V Parcel#_ District(s): JC (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 56/ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 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 b een issued for/on the site? NO DON'T KNOW (/b 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 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) r i t File#MP-2000-0047 APPLICANT/CONTACT PERSON David Fortier ADDRESS/PHONE 32 Laurel St (413)586-8965 PROPERTY LOCATION 604 BRIDGE RD MAP 17D PARCEL 008 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO FILLED OUT _ d Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 28 X 40 DET GARAGE W/11 X 28 DOG PEN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan TII ,YOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD 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 C ssion oov" /^ ..- //A6 Signature of Building 00ial 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.