38B-0121 (2) File#MP-2000-0026
APPLICANT/CONTACT PERSON SHEARER DAVID W&ALICE M
ADDRESS/PHONE 160 SOUTH ST 584-9554
PROP ..,_ . , • ST
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FORM,F .L D OUT
Fee Paid 113 thcc
Building Permit Filled out
Fee Paid
Typeof Construction: ADD 2 X 24 TO EXISTING 8 X 24 PORCH
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:
Approved as presented/based on information presented.
,,/ Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
V/ Finding Required under: § 9y 3� ID w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
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 C 'ssion
/ '7Signature of Building icial 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.
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AUi 2 5 199q
File No. 1)6 0
140
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 0\i'((-1_ G,� �Y l c.N-cr`
Address:\(-)� S.-.. . (\ -.� 4� -N Telephone: J y - 1�S
2. Owner of Property:Ak ) -L_ �he— ��
Address:16`� -fit cI • Telephone: CI 5 S 1
3. Status of Applicant: V- Owner Contract Purchaser Lessee
Other(explain): c\
4. Job Location: «U E >.):i `- . / \Au��U r\ �,_ _.
Parcel Id: Zoning Map# J 8 Parcel# J=2 I District(s): ,‘liliv
(TO BE FILLED IN BY THE BUILDING DEPARTMENn
5. Existing Use of Structure/Property— v^\
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Thev't ;5 a ex;S T'N6, 6x 24 ?c2�f-I eN Ott E-A57 sloe AND w�
ti;INP -rt. MAKE Ir 8ia4E(Z- 1 )0x24 a 7i$ 11+ - --i5 ._r —
7. Attached Plans: Sketch Plan 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 PermitNariance/Finding ever been issued for/on the site?
NO )( DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO )( DON'T 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)
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:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colt to be filled in
by the Bni.lding Department
Required
Existing Proposed By Zoning
Lot size r°
Frontage 75
Setbacks - front 33 2-3 c>20
- side L: S R: L: .5 R:
- rear
d
Building height A+'P
fox 3ie _35
Bldg Square footage ArQrt,x 2u3z 30
%Open Space:
(Lot area minus bldg 5 U
&paved parking)
# of -Parking Spaces C L-
e of Loading Docks NcNL- ric��l;
Fill:
{vol-ume -& location) 1-‘(, k(7. ,N c.).:1/4-;
13 . Certification: I hereby certify that the information contained herein
is aa true and accurate to the best of my know edg .
DATE: C� 1 8- a APPLICANT's SIGNATURE ' 6 i
NOTE: Issuanoe of a zoning permit does not relieve an Splio s burden to oomply with all
zoning requirements and obtain all required permits f m the Board of Health, Conservation
Commission, Department of Publio Works and other piioable permit granting authorities.
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