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38A-086 (2) V , File#MP-2004-0151 APPLICANT/CONTACT PERSON Community Builders,Inc. ADDRESS/PHONE 322 Main Street ()737-0207 Q PROPERTY LOCATION PRINCE ST LOT A MAP 31 C PARCEL 017 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM ILLED OUT /V`-- Building Permit Filled out Fee Paid Typeof Construction: ZPA-REMOVE PARKING LOT&REPLACE W/4 NEW APARTMENT BLDGS 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 ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PNTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § l 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 Pennit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission /,�;Xooc/ 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. File No. �� Please type or print all informatiori and return this dorm to the Building Inspector's Office with the$i 5 filingr fee (check or money order),payable to the City ofNorthcmW ton a 1. blame of Applicant: -r_ - X'D )r Address: �,5 QLr,-4 C.Fr%-r-'pt �L=A Telephone: /.5-7.b7-0?- ©`T H65P!i hl. H tt.t. UPi�lit-►l, !._L_.G � 2. Owner of Property- Address: roperty Address: c �• Sr—t_ , . !� r i 3 Telephone: o 3. Status of Applicant Owner t Contract Purchaser Lessee- Other(explain) 4. Job Location: i9:� ,— . 5. Existing.Use of Structure/Properly: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 1- r 1 (') . fel-hG CIS W f"rH T=Ch0j`- T-� �`�!. lb%J -tJ�t-1 cr t r'v-c'Jtf'tr5 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans __!L___ 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued:&i�f. 14 E a a', IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW _X ^ YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO` DONT 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) APR ' J r r 10. Do.any signs exist 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: H a.`►f�r e ��? c' r�+c-t chi G,-r (sem .��a.,-i 1 11. ALL INFORMATION MUST BE COMPLETED,or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This cohmm reserved for use by the Building Deparbrient TRZMy iG FRorosm), _ .. : Lot Size .. Frontage Setbacks Front Side L: R: O C: R: Rear i :s ;� -•: ,. ZID Building Height 36 Building Square Footage t �Tt9Tn L� 1 Open Space: not area `, minus buiL&rkg& u. #of Parking Spacescr #of Loading Docks w° C7 D - Fill: >r (volume Ft location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature t]& NOTE:Issumcdof a ning permit does not relieve an applicant's burden to p with all zoning requirements and obtain all required permits from the Board of Health,Co ervation Commission, Historic and Architectural Boards,Department of Public Work and other applicable permit granting authorities. 000.pdf I I