32C-130 (17) 10. Do any signs ebst on the property? YES NO 7
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO_X
IF YES, describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Tni: Col— to be filled i,
by the Bailding nepartm.t
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side
L: R: L: R: i
- rear
Building height
Bldg Square footage
t
%Open Space:
(Lotarea minus bldg
&paved parking}
# of Parking Spaces --
e of Loading Docks
Fill: 1
{
vol-ume -& location)
i
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know Odge.
DATE:AL (�C�
APPLICANT'S SIGNATURE
NOTE: Issuanoe of in zoning permit does not relieve fi n s bu d o mply wltFr�a
zoning requirements and obtain all required permits from the Board of Health, Conserv4mti,
Commisslon, Department of Public Works and other applicable permit granting authoritiou,
FILE #
2 8 2000
File No '
1 N" N`P CTIONS
PERMIT APPLIGAT'ION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name' of Applicant: v i
l � �U 5
Address: t C J V"Z � , d' Telephone: 5 9 S ` O i
2. Owner of Property: 5-�eD ke- -A B cc)�✓ ^ _
Address: t CO Z 5,f. '4 Telephone: 5 �y
3. Status of Applicant: Owner Contract Purchaser x Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map#�v Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property G'' c UeAc-
6. Descdpti n of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�U 5 Ljc?v r cr--.c� r'L[=G7!�5. �Wl c�l� i ►'�v �j
O
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 Permit/Variance/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 DON'T 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 KNOVV 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)
Date F 'i: ed dl I(' 7 Q ���� j 1� file No ja
} TRATION' OF' HOME OFFICE/OCCUPATION (§10 . 2 & 11. 11)
Ruth the Building Inspector
1 . Name of Applicant: J �/
Address : �(r-} Telephone:
2 . Owner of Property :
Address : �{ Cnvt-.L - Telephone: 1560 -t,(�.$
3 . Status of Applicant : Owner Contract Purchaser X Lessee
Other (explain:
4 . Parcel Identification : Map aC„ Parcel
Zoning District(s) ( include overlays)
Street Address
5 . Narrative Description of Proposed Home Office : (Use additional sheet
if necessary) 5.,�,JA
C C�' .11. , � 't. lL C.,ii� Y� r C_ 7 "-i.' Svi�:•� 1l an Ile -t L -
(J -
6 . Is this a legal residential building? Y1;-S I c
7 . Will there be an employee/owner who doesn' t live in the home YES 6G
8 . Will you ever see clients `e? Y E S
or customers at your sit C
How often
For what purposes
9 . 1'7i11 there be any signs for the Hone Office? YES C
10 . Wi 11 there be any goods sold fro:, the premises or any sale of
- goods stored on premises , either retail or wholesale , or any
display of goods on premises? LIE-
11- _;��
° Will there be any outdoor storage of materials? YES CC'
12 . Will your use be totally within a building and not cause any
outward manifestation ( including traffic generation, par}=g
congestion, noise , air pollution, and materials storage) ? YES tC
If NO explain:
13 . Attach Plans ( if applicable)
14 . Certification: I hereby certify that the information contained here
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 an
criminal and civil actions .
Date: App 1 icant' s S ignature:
THIS SECTION FOR OFFICIAL USE ONLY:
Fen ved as presented/based on information presented
OVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWE
d as resented---Rea
Signatu e of Bull ing Inspector Date
NOTE: tssuanoo of a porrntt dooz not rotlovo an appllcant'a burdon to comply with all zoning roqulromonts and obtaln all roqulrod porn,
from tho Board o4 Hoatth,Consorvatlon Commisslon, Dopartmont of Public Works and ottior appltcablo pormtt granting nuthorltlos.
File#MP-2001-0023
APPLICANT/CONTACT PERSON RUSSELL DAVID
ADDRESS/PHONE 74 CONZ ST#2 (413)585-8018 Q
PROPERTY LOCATION 74 CONZ ST
MAP 32C PARCEL 130 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: HOME OFF/OCC-ECOMMERCE 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:
/Ap'proved as presented/based on information presented.
✓ Denied as presented: /
V Special Permit and/or Site Plan Required under: J 017�PLANNING BOARD _ 1�ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § 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 Commission Permit from CB Architecture Committee
Signature of Buildin 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.