17D-008 (3) iiA
37 ` i9�9
"ju ocr 5199Q
DEPT OF BUI DING 1',`
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OCT 51999
PT OF A'ti�� �1060rtl
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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.