25C-191 (3) ---------------*--------**----------------------------------
•----------------------------------------------------------------------------------------------- ------------
Reference No: MP-1999-0008
...................................
Department'.
Building, Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
Zoning Permit Application REC-1999-000024
......................................................................................... .Paid in Full On:
..........
Paid By:
Gail Paddock Mon Jul 06,1998
......................................................................................... ......................................
Received By: Check No:
Linda Lapointe 672
......................................................................................... ..................•..•................
TREASURER'S COPY Amount: $5.00
..................
Reference No: MP-1999-0008
...................................
Department:
Building,Electrical &Mechanical Permits
........................................................................................
Fee Type: Receipt No:
Zoning Permit Application REC-1999-000024
......................................................................................... ...... ...............................
Paid By: Paid in Full On:
Gail Paddock Mon Jul 06,1998
......................................................................................... ...................Check Received By:
Linda Lapointe 672
........................................................................................ ......................................
Amount:
DEPARTMENT'S COPY $5.00
...........................
..................................................................................................................................................
...............................................................................................................................................................
Reference No: MP-1999-0008
...................................
Department:
Building,Electrical & Mechanical Permits
............................................................................. ..•••.••..•
Receipt No:
Fee Type:
Zoning Permit Application REC-1999-000024
............................... ......................................
..........................................................
Paid in Full On:
Paid By:
Gail Paddock
Mon Jul 06,1998.............••...•..........•..•.....
Received B
........................
y:............................... ................................
Check No:
Linda Lapointe 672......................................
.........................................................................................
CUSTOMER'S COPY Amount: $5.00
L.......................................................................................................................................
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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-IL
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colmm to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
700 51
Frontages
Setbacks - front 162 G
- side L:—/ R: L:_/ R:
- rear
Building height
Bldg Square footage 1 00
%Open Space:
(Lot area minus bldg
&paved parkingi V
# of Parking Spaces
of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true ,,and accurate to the best of my knowl,edge. ,i
DA'Z'E: 7 7 /'� . APPLICANT's SIGNATURE
NOTE: Iss ahoe of a zoning permit does not relieve an applioants burden to oomply miltlp,,.oll
zoning requirements and obtain all required permits from the Board of Health. Conservaation
Commission. Department of Publio Works and other applioable permit granting authorities.
FILE if
s 11 6 1'996
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 6 CLI,� Padd,,L-
Address: ��j �-t� c� h I G V1 r�l . Telephone:
2. Owner of Property: IMF
Address: V'� Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: '-5;76?
Parcel Id: Zoning Map# , J d Parcel#_ District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property A snn J
k�&YJ 4e `e 4
6. Description of Proposed Use/Work/Project/ cupafion: (Use additional sheets if necessary):
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 KNOtN/— /"�be_ YES IF YES,date issued:
IF YES: Was the permit recorded at the Reg' try 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>C— 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)
1
File#MP-1999-0008
APPLICANT/CONTACT PERSON Gail Paddock
ADDRESS/PHONE 31 Highland Ave (413) 582-1825 O
PROPERTY LOCATION 29 HIGHLAND AVE
MAP 25C PARCEL 191 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FO -FILLED OUT
ee Paid rte/
Buildin Permit Filled out
Fee Paid
!We of Construction:
New Construction
Non Structural interior renovations
Addition to Existing
AccessoKy Structure
Building Plans Included:
Owner/Occupant 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
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
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.