38-050 (38) File#MP-2003-0012
APPLICANT/CONTACT PERSON Pearson Enterprises,Inc.
ADDRESS/PHONE 123 Park Avenue (413) 737-2689 Q
ST
f"IR0r
M4i' 8 PtRCEI @S '` t ' ' r
THIS SECTION FOR OFFIOAL USE ONLY:
PERMIT APPLICATION'CHECKLIST
ENCLOSED REQUIRED DATE
NING FORM FILLED OUT
Building Permit Filled out
Fee Paid 'L
T_ypeof Construction: ZPA- 80A00 SO FT BLDG-KOLLMORGEN
New Construction
Non Structural interior renovations
Addition to Existing
AccessoEy Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRENTED:
Approved V Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
sir.� 09
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: §',
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 ssion
8 2 CAO
Signature of Building ficial 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.
ktJ ( OC/ «
JUL 2 2��2 Fi1e No.
DEP?OF BUILDINGINSPECggW G PERMIT APPLICATION (§10 . 2)
NORT AtijPTON,M.A 01.. `'� ,
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_
Address: IZ3-4dr- &c ,tQe jWe,t ��ie� k oobq Telephoner 4 l�� ` 334 - ZL69
2. Owner of Property: 1_��ts�^� u e,�,-f C�cc�
Address:I I�Sl�l r-�+^P � d Z10ya Telephone:
3. Status of Applicant: _Owner Contract PurchaserLessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# �$ Parcel#_ IS tf District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
e d 1 l
6. Description of Proposed UsVNVork/Project/Occupatiop: (Use add''onal sheets if necessary):
/\
tUL4 A I6� ALV T�
U� C'oo 5;:7 t l l.'t l"` ilk R" 6-4-ec- lh'-c ) QDD
7. Attached Plans: Sketch Plan �I 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?
I`10_�_ DON'T KNOItif_ 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? NOy DON'T KNON; YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained _,date issued:
(FORM CONTINUE$ON OTHER SIDE)
i
I
I
10. Do any signs ebst 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 ✓ RO _
IF YES,describe size,type and location: It"_
accAltw� \�, cQp �� c�rQ e
11. ALL .INFORMAT.ZON ,BUST BE COMPLETED, or PERMIT CAN BE DEMXFD DUE TO
LACK OF INFORMATION.
This cola to be filled in
by the Bnildiny D-p--rat
Required I
Existing Proposed By Zoning
Lot size
Frontage � 4 60
Setbacks O
- side L: R: L: ��` R: Ire` 0
- rear
Building height �� r
Bldg Square footage
%Open Space:
(Lot area minus bldg I
&Paved parking) b �
# of Parking Spaces IIS s � e>1
t of Loading Docks
Fill: 1_1bC -
1 vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is trueandaccurate to the best of my knowledge.
DATE: 2-1 '2407APPLICANT's SIGNATURE r
NOTE: Ise a o0 of a zoning permit does not relieve an applioant's burden to oor ply witFtVaU
zoning ulrements and obtain all required Permits from the Board of Health, onservation
Commission, Department of Pubiio Works and other applioable permit granting authorities.
FILE #