23B-003 15 SUMNER Cover05/04/20
X
Fi le # B P-2 02 0-108 2
AP PL! A NT/CONTA T PER ON BRAM UCC I CONSTRUCT! N
ADDR ESS/PHON E 17 MT WARN R RO HADLEY (4 13) 22 1-3942
PR O PERTY LOCATI ON 15 SU MN ER A V E
MAP 23 B PAR CEL 00 3 001 ZO N E URB(IOO}/
TH I
DATE
ZON I NG FO RM FI LLED OUT
Fee Paid
Build in Pennit Fi l led out
Fee Paid
TypeofConstruction : RENO K ITC H EN AND 2N
12X l 2 D EC K
N ew Construction
Non Structural interior reno va ti ons
Addit ion to Ex istin g
Accessory Structure
B uild in o Pl ans In cl ud ed :
Owner/ Statement or License I I 0834
3 sets of Plans / Plot Plan
T H E FO L LOWI NG ACTION H A BEEN TA K EN ON T HI AP PLI CATI ON BA E D O N
I N FORM ATION PR E ENTED:
__ Approved __ Additional permits r eq uired (see bel ow)
PLAN NI NG BOA RD PE RMIT R EQ U IRED UN D ER :§ __________ _
In ter med iate Proj ect: ___ Si le Plan AND/O R ____ Spec ial Permit With Site Plan
Major Project : Site Plan AND/O R pec i al Penni! With Si te Pl an
Z O N I NG BO A RD PER M I T R EQ UIRED NDE R: § ________ _
Fi nding, _____ _ Spec ial Pem1it _______ V ar ianc e* ___ _
___ Rece ived & Recorded at Regis try of Deeds Proof Enclosed ____ _
___ Ot her Perm its Required :
___ C urb ut from DPW ___ Water Ava i labi lity ___ Sewe r Availabi lity
___ ep tic Approval Board o r Hea lth ____ We l l Water Potability Board of Hea lth
___ Perm it from Co nse rvation Comm issio n ___ Permit from CB Architecture ommittee
___ Penn il from El m Stree l Co mmi ss ion
___ Demolition Delay
ignature of Bui lding O f1icia l
____ Permit DPW 1orm W ater Manage ment
Date
Note: I s uan ce o fa Zo nin g pe rm it does no t re li c ca a ppli ca nt 's burd e n to co mpl wi th all zon in g
req uire me nt s a nd obta in a ll required pe rmit s fr o m Boa rd o f Hea lth , Co nserva ti o n Commi s ion, De pa rtm ent
o f public works a nd oth e r appli ca bl e pe rmit g ra ntin g a utho rities.
* V ariances are grant ed only to those applica nt s who mee t th e t rict standard s of MGL 40A. ont ac t Office of
Pl anning & Development for more informat i on.
XXXXXXXXXXXXXXXDOES NOT INCLUDE DECK