35-268 9 West Farms ZPA 2017-04-27N /CONTACT PERSON CARRIER PLBG & HTG
·i'-D,=-rHONE PO BOX365 (413) 527-8458
PROPERTY LOCATION 9 WEST FARMS RD
MAPJ5·PARCEL268 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
FUTURE RESIDENTIAL RENTAL SPACE ABOVE
New Construction·
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/ Plot Plan
REQUIRED DATE
GE USED FOR PLUMBING COMPANY WITH
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
__ Approved ____0'dditional permits required (see below) {ove,,, 'l,c,dO :s9
PLANNING BOARD PE:,:T REQUIRED UNDER: § S50 _. ut , ~ . , -.. . ·~ w5f
· ~P6cr M.:. f~fl.JAh \ 1
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan OVSR.LA<:f)
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 Commission ---____ PermitDPW Storm Water Management
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 ofMGL 40A. Contact the Office of
Planning & Development for more information.