24A-079 -
File#MP-2004-0125
APPLICANT/CONTACT PERSON STEINER LORI
ADDRESS/PHONE 18 RIDGEWOOD TERR (413)584-2219 O
PROPERTY LOCATION 18 RIDGEWOOD TERR
MAP 24A PARCEL 079 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid d5,02Pi/U`—`
Typeof Construction: HOME OFF/OCC REG-CONSULTING BUSINESS
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
INF9RMATION PRESENTED:
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: §
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
71//cse,
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.
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D'aei.le File No p-
F R ISTR ION OF HOME OFFICE/OCCUPATION (510. 2 & 11. 11)
PJiI �' With the Building Inspector
1. Name'-af Applica t: 1.0lP_[ �T -till efe._,-
Address /nr�� Telephone: .564/-o /ci
2 Owner of Property: ,4 .41'y)irg
Address: Telephone:
3 . Status of Applicant: caner Contract Purchaser Lessee
Other (explain: )
.4 . Parcel Identification: Map # 074 4 Parcel f Y
Zoning District(s) (include overlays) 4644_,
Street Address
•
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) 7J p b one C�.kid co of peL e,e to rc'X
7 - lj
6. Is this a legal residential building? YES NO
. 7 . Will there be an employee/owner who doesn't live in the home YES O`
8 . Will you ever see clients or customers at your site? YES NO
How often ,
For what purposes
9 . Will there be any signs for the Home Office? YES NO
10. Will there be any goods sold from the premises or any sale of
goods stored on premises , either retail or wholesale, or any
display of goods on premises? YES TO
11. Will there be any outdoor storage of materials? YES NO'
12 . Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking _
congestion, noise, air pollution, and materials storage) ? CYE_,NO
If NO explain:
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: - 4- 3-)L Applicant's Signature: "- w S _ , '
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL E IRES ON DE�,:� I ER 31 OF THIS YEAR AND MUST THEN BE RENEF.IED
Dense e ed_�='l s,,;. — -
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Signature of Building Inspector Date Z
NOTE Issuance of a permit does not relieve an applicant's burden to comply with all zonln requirements and obtain all roquirod permits
' 1
from the Board of Health,Conservation Commission, Department of Public Works and othe applicable permit granting authorities.