37-022 (2) , ,VIn
Date Filed 3. 5a c?
ell&
File No. �/
a3
REGISTRATION OF HOME OFFICE/OCCUPATION (§10.2 & 1l. 1 V :1 �.5?)
With the Building Inspector y Gg
1. Name of A lieant- z III f1 R1 11i S 1 ¢ 0 1,
Address: 2_ {Y)Ov.�1-(41/4 L-RUREL. 4\k W Telephone: LA 13 1 .,._V(c -'d29
2. Owner of Property: F-...-`oAN R , i1 rri-- I�iS r
Address:,-541y) (}5 fl Telephone: �" }� 1./ --1---.T7;
3 . Status of Applicant: /Owner Contract Purchaser Lessee
Other (explain: )
4 . Parcel Identification: Map g3-7 , Parcel �a--;QOM---
Zoning District(s) (include overlays) v
Street Address 1. (Y)D0 Q-114-1A/ L- .31- ,L P4,17(4 . VICE A'1 J GLLA2-
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) Pk S;Wt2 1AUG_. piAj utre,l_ltp'"y'" 6 oS i ,S`�
SF L J. 1 k) Ci--- '5 l LK PI N n `---S1 i._..VE r ' P C --\-4/4A L�A
6. Is this a legal residential building? YES NO
. 7. Will there be an employee/owner who doesn't live in the home YES NO
8 . Will you ever see clients or customers at your site? YES 0
How often
For what purposes
9 . Will there be any signs for the Home Office? YES CTO
10. Will there be any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or any
ad—.7s13-1-5.7y—Fa goods on premises? 411W NO
11. Will there be any outdoor storage of materials? YES
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) ? YYEEE NO
If NO explain:
13 . Attach Plans (if applicable) ,
14 . Certification: I hereby certify that the infoiniation contained herein
is true and accurate. I understand that if any infoLUtation is incorrect,
. my permit is null and void and I may be liable for non-criminal fines and
criminal and civil actions.
i
Date: 3)�D/aLl Applicant's Signature: S ---. ),}a� 2S
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL .EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE REN.EvfED
Denied as presented---Rson:
.''''''' ' . '*' ..- '.,°;''''7 ■■kr 4.I' l'ill a e
Signature of B!f •ing Inspe '':r Date //
NOTE: irsuanca of a permit doe:not relieve an applicant's burden to comply with all zoning requirements and obtain ail roquirod pormits
from the Board of Hoatth•Consorvation Commission, Department of Public Works and other applicable pormit granting authoritios_
File#MP-2004-0124 044.2— 00
APPLICANT/CONTACT PERSON MARTINS SUSAN R
ADDRESS/PHONE 600 FLORENCE RD #2 Q 586-8779 Q
PROPERTY LOCATION 600 FLORENCE RD-2 MT LAUREL PATH
MAP 37 PARCEL 022 002 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 1 i 6 4' isJ5 —
Typeof Construction: HOME OFF/OCC REG-INTERNET SALES
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 PRES1ATED:
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: § �• /7i
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 eet Commission
e zoo
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.