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31B-147 (3) APR-11-2007 07 :45 AM FRAZER SHIPMAN 413 773 8703 P. 03 Pad Vid Feaw - to P&A an h1fam iA rot=fts hwm to the St wdtzig upedaes�mra ie sm (chmkor money ardor)pAyvtblr to tW c,�y �rptaa Grc tie,, .k sot ,. AlaeartarAppl)r�nt Adcbr�' fie._ Y* ►*: z. Oww of �1e�,�;r• /0) d Grp, ��� IMYIMMArI ~"��Y Towphwa, -- -. _- $. Writ or Appekaft- Owor hftl1& lt,,,,,2L �ovw(explain). 4. 103 L.icown• �. um of 6. De�crlpdHn of�ropased�*t/woricJPr�joes�p�on: t��a K noc�wrya: T. A4[l OW P11m: 3kawft P1*i ��„ SfsSe Plan „r,,,, i�gtnararadlSvrra�ed PlMns ,,,_„�� IY e. Him a ~bw roved ftr/an the AW POD— 1 cPff w w..,-,.X 1F YM Waal On POMIt==W at"fto"07 DmW MO ..w»w...Y..... afON7 KMOW Yis YO: p1yw ODD)i Fega� ,. �d/pr Doaue rst f P.Dua the a*=Calln a bmck,"d wa1'ar Or1NrlLlNRlCli'l NO -4— AONT RfMM -- - YES IF VES'�=s Peewit bwn ar rs.e W as O"it"ftw tt a Coma emmWWWO N"dcu►br 4bt�1n1tC .�_ Olb�ek _ motes lssuedc (!'arrr+Gnu on Dow") w:lel oaamenalt't11N�+a4'1a�►�+> 4waAlwc!' r� >; �061�j CUT02CTI, Wd TT:PT 1009/0i/)t0 3 773 8703 P. 01 APR-11-2007 07 :47 AM FRAZER SHIPMAN 41aF�a DO t; Ott* X'3 .�Q. N?o onr tines must on fhe propsl't}� YES _ NC1�_.�„r, IF YES,dem►olba sits,bjpR and Women, Am#era any ptoposerd cWmU to or*dd>6otlat of fto int rWW for the prop4 Yr:S mo, IF M,desadM ems,MW and coat w,._ 11. ALI. .I�W"XU=CX MW BN 4OMl'lI D, or P&!lf. r CAC BE Aban ADS` ro LJ= Or r wwl=. Skis acsa,m qa L*r d ie em• Requirod Existing Pr+ap0esrd loy zonrng Lots Ire 1009 oft OWA iw d t /!�Irev r Frontage �► r- Setbaeka knot . side Lt,_•! _R• / L: �V -AtW b 4 rear 3 � Building height Bldg Square fpatage rt xQ fr (W area Anus ,bldg Ge/N 6gasyad parxise7} Y bp "/ S rr.SS trh pry T o a! Loading pack* Ngr Fills i V01a a-A location) A-P(2 4 e- '13, Cart-Lflcat,104s I hesreby' aartify that the Informattlon coot alned ha. olp is true and acc=mte to trho b"t of my ftowzadgee. iw1[iJ.IMr R NOT11 &.00wlna pa 0K.41600 hat rrll e" �i w"Doaft bu rd �iriYl�t mill mpning roqurra,marlem wind abW11 alll reg4trod p**-Ml�froe�t the WmOr-d Of H+wwrPSb. eyean>Xervb,womm Dommkonlo t. oveaetMollt of ruftD w Werr" #and *%her appIlow6Aft prermN VrwwKting nu2111art 04. Jazz ...,,,,,....., M... 4GCt 1Lr'ILBCCxb gVd T't��T LC)O2/+�'C1ti4 APR-11-2007 0- :44 AM FRAZER SHIPMAN 413 773 8703 P_ O2 Apr 10 0.7-O�:WO" c;raig Uerla rarine, Date x d !b D t Files 14a., I Wit2i the RU114img rzopact.ax . S' D Address: �4P cnee: + ownp.M of 1?rd axt 0 k%24 Addrao a phor,a s. susms o 1�ppl grit: Qwra rr cnrtxact u c a�a`� Lessee _.,.Other C axpl ain* /c � V r P t�1 �Fexcal Tdentitic tio,�= 1,-Ap q• Barking Diptrir-t(e) (inoludc 5varlays; U IC 8�'e.a•� As�clress (�' i C.�-�lL..��f'sz'�.�,. 43�"' 5. Narrative n?sc4 tion o� proposid So a office: lie Addit.:Local Inast0 o r 5- .re zr G. Tas this a legal xemidesntiaa 7avildLryg? 0 7. W411 thara who doesti t Zlv4 iz +tha bone Y a ?ill ycAa averse clients or c=tcmers at yc= s it&? � o rpr what puU-Ppsas . 9. will thara be emy gram • er es E=6 office? .. rrn t")c C' l©. 'Hill. there,be any goods sal.d f om the prenisas 'or any sales of 9045 stvxeec9 ors vrelmtsee.s, cither retail or wholeasal.e' or opy display of cibodas on pravlses? X � 24 mill that* be arq o%2tdoar atozasre Df .materials? 12 Wi.111 your %%se be totai2y within a btu,?ding and not reuse aty outward tnanifes:at.,crm (inelu9�rtq tx&t fit gaaPUa:.ion, F&=kiz1q =ncf'arstien, nciat3, air pollution, zna vatarial s staml*) ? I;u VC? If N4 s2pla,i,n: 13. Attacb ?Iaks (ice' a.PP •cabls) l,♦. Ctrt,ficetion: x 21 0-ay certify that the infarmiktfon cazitainad hareairt is t2'14 and sLc-d; xast',. .3 understand -that if any i rit or ormation is. increct•, my pe=it is ra'at11 and vcLd 4Lnd T may be Iiabia� for roan-cz:i=L1v :L tines and criza al Arid civij aa'tiozas. Da te: � � !! = ,.� boprov+sd a® 'prasarltad/brace 4 on in:eom ati.an pterse,nted ARV-2072z TP.l3d qbx DI* ?fax 3�. q? Ys YE)a M k7oz zz RZVMD nar�fa►d ss prea�t�tteid---Reason: , S gr�as A u g �:aa ,cctor Dsa -- NcM 1-2U n4o of x p+aeT"&glows not witwva en a pplua nce a"Sq%to SUR?tY Whk ati mn7"t raqutrom9nW Led obtain ate r.yl„tra�4,,amhr' hots9 ttta Iirya.reto4 HaatKtc.Oaprx■rr�ylioe:Go��cnssion,DafSwrt{aaett of PttNtloWarkx w++d mwvt wppftsabfa pwr+nh iMa�stittyt r�tthorEtlom. ��a� t�,axlas�xr �� zt��z L00&10'C16G File#MP-2007-0106 f APPLICANT/CONTACT PERSON CULLEN FRAZER SHIPMAN MD ADDRESS/PHONE 131 STATE ST (413) 768-8993 Q PROPERTY LO 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 REG 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 PNTED: 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: § , p� � �� ° occi 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 Co ssion 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.