17D-073 (5) 10. Do any signs e)dst 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:
i1. ALL INFORMATION MUST BE COMPLE'T`ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This 001w= to ba fiI2ed is
by the D iiedmg Drpaztment
Required I
Existing Proposed By Zoning
Lot size �L 17 0
Frontage
Setbacks frnnt
- side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
it of Loading Docks
Fill:
{Vol-ume•-& location)
13 . Certification: I hereby certify that the .nformatfon contained herein
is true and accurate to the best of my owledge.
DATE: Nk APPLICANT's SIGNATURE 4 G'�
d6@8 not rL[IQVO ae' p e t`!s as on taa oo P WMA all
MOTE: i"u6n a of m zoning pe(t mjr q
toning requirements and obtaf tl requl"d piermits f"nn ' he Board of Hoalth, C. seirvtktion
Commission, Department n"t Pafr.�. .a•_.a-► -- -=i--
File No.
ZONING PERMIT APP.LIOA.TX ON (,§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
�t
1. Name of Applicant
Address: 30 :9 -�-;T rly' YC e Telephone: f� '/2- 04
T
2. Owner of Property: ID�u�j &5 __"
Address: .3 S7— 'Cfhtc _Telephone: 7-41�2 C
3. Status of Applicant: Y _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 30 ( (8'ytlCg--
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property C C'—
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 PermitNadance/Finding ever been issued for/on the site?
NO DONT KNO4M__�___^ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON?KNOW 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)
77
"',tip _ //►V"
Date Filed
File No ; 6 5 __
REGISTRATION OF, H,bkE OFFICE/OCCUPATION (§10.2 & 11. 11)
A_i th=-the 'Building Inspector .
1. Name of Applicant: Dzp� l&S
Address: D i4 T el Telephone: ;j�J-fja4�
r
2_ Owner of Property:
Address.: R,'q k 5 Fl6i-,e yc f Telephone: 5W?
3. Status of Applicant: TCOwner Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Map ®r ITT) , Parcel r '03 ,
Zoning Districts) (include overlays)
Street Address 30 S i El.a-re t�(Ce
5. Narrative Description of Proposed Home office: (Use additional sheets
if necessary)
L4
6. Is this a legal residential building? NO
7. Will there be.._.an__empl.oyee/owner who doesn't live in the home YES
8.. , Will you ever see clients or customers at your site? NO
How often
For what purposes jn�j ,- r �i0-6 9. Will there be any Sig s for 'the Hole Off ice? YES
10. Will there be any goods--� �,ises or any sale of
goods stored on prep ear i h r e ait Qr kholesale, or any
,,
display of goods on prl�==___ ----7!1 YES
11. Will there be any outd-66r storage of ma*ials? YES
12. Will your use be totally a2{ ild�4�, and not cause any
outward manifestatioYi (including traffic 4.eneration; parking
congestion, noise, air Lal•.1ut_on, -andj+nat�rials storage) ? YE NO
If NO explain: i DE 0� S ,
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: IaL7 LVi Applicant's Signature:—i
THIS SECTION FOR OFFICIAL II6E ONLY:
Approved as 'presented/based on information bresente' d
APPROVAL EXPIRES ON DECEHBER 31 OF THIS YEAR AND HUST THEN BE RENEWED
Denied as presented---Reason_-
Signature of Building Inspector Date
NOTE tr-u anoo a4 a oormtt doer n^d sett.,..,. .n .,.,tr.-_.ntr I-. a_
File#MP-2007-0052
APPLICANT/CONTACT PERSON WHEAT DOUGLAS J&AMY E SELDON
ADDRESS/PHONE 30 HIGH ST (413) 587-4206 Q
PROPERTY LOCATION 30 HIGH ST
MAP 17D PARCEL 073 001 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
Typeof Construction: HOME OFF/OCC REG-FINANCIAL PLANNING
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 AC N HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRE NTED:
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: § 110112-
Finding Special Permit 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 Co on
Z
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.