31B-260 (11) • FILE # 9 C 1_ w '- `#
A
I
APPLICANT/CONTACT PERSON: k,t_ti
F 2 C/u�ll�
ADDRESS/PHONE:
PROPERTY LOCATION: /�� t/ iy'�-C ( Y
MAP ,J/3 PARCEL: ZONE (.73
TIES SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
,�/ /,l ,./ ENCLOSED REQUIRED DATE
7,ONTNG FORM FITJ.ED OTTTV 7�'d.�jG fGi!'I�lLJ � the�'i,
Fee Paid Ok' — 3" 6 `I l/
Building Permit Filled nut
Fee Paid
Type of Cnnctructinn•
New Cnnstrurtinn
Remodeling Interior
Addition to Existing
Accessory Structure
Ruilriing Plane Incluided•
Owner/Occupant Statement nr Licence #
3 Sets of Plane / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented
xDenied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
k Finding Required under: § w/ZONING BOARD OF APPEALS C ;t tjrl +c,
`3`J
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-Bd of Health Well Water Potability-Bd Health
Permit from Conservati Commiss' n
2-/j/&?
Signature of Building or Date
NOTE: Issuenoe of a zoning permit does not relieve en applioent's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other epplioable permit granting authorities.
DEG1 11996
d!
Date Filed File No.
REGISTRATION OF HOME OFFICE/OCCUPATION (§10.2 & 11.11)
W//itt the Building Inspector
•
1. Name of Ap li ant: /fa �• fh 'V7
Address: i oJg 'Tp Telephone: -SO 6'
2. Owner of Property: D v > AN 'S
Address: /' PT Telephone:
3. Status of Applicant: Owner Contract Purchaser X Lessee
Other (explain: )
4. Parcel Identification: Map #3 17 , Parcel #0-a,.
Zoning District(s) ( include qverlays) L.
Street Address it L / 2 C6-i/ - , e_fj-fAher - r-b4
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) P._, eorrir ktme rrg -Tv i',Pk iZ- 3,-, c6 AIIIIN m41,171,111.
qv rl/-5! 3 P`- -vA/1 T fit; .
6. Is this a legal residential building? NO
. 7. Will there be an employee/owner who doesn't live in the home NO
- 8. Will you ever see clients or customers at your site? S) NO
How often 0,Q(0
For what purposes /,.ci u'N�LLt).1-/D7l
9 . Will there be any signs for the Home Office? 9 NO
10. Will there be any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or any
display of goods on premises? YES .N
11. Will there be any outdoor storage of materials? YES O
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) ? qv NO
If NO explain:
13 . Attach Plans (if applicable)
14. Certification: I hereby certify that the information contained herein
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 and
criminal and civil actions.
Date: 11 G 96 Applicant's Si nature: f
U' illjr4.
- - - - - - - - - -T-I- -E-T-O- Foil -OFFICIAL-U-E-ONLY:- - - - - - - - - -
Approved as presented/based on information presented
APPROVAL EXPIRES ON DEC ER 31 OF THIS YEAR AND MUST THEN BE RENEWED
Denied as presented--- so : iOn - hG
-''r��
jz/s'
Signature of Buie- ng Inspector Date
NOTE: Issuance of a permit doss not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
WI 11
I r. _
I ' i ' File No. 9?I /99 /
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �I�� US VLC IC / P ��. ��VLIP �ND0-v; 6;v ���1,(,/T�)
Address: )6 CW1E2 ava.,-- r' v '7j/I Telephone: `f 1.3 - 6 -S06 6
rid 02. Owner of Property: 16(1)tiv5 I
�y ' Telephone: t/l5 Sk C,—��
Address: p � �� SJ • -�I�u��/�lc'� c
3. Status of Applicant: Owner Contract Purchaser X Lessee
Other(explain): �r
4. Job Location: lb CYO/. �A �'rr�-i Aidr' �A mil' NI
Parcel Id: Zoning Map# 315 Parcel# a2 k0 District(s): (,.17
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �l NrPL-I How F O/ /e�_
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
I x US - - I sr c' it ((fp t; 1 c7✓trc- ( )
�I►, '( i�► Z (V141kivlrrA I IVV f Af V/ rr7rA S
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 k 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 X 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:
pry i T 014--7), UJ ;T-i• &i L 6->A(C- i p&-Gi ep
inlZ'ett it,1Jii4r4 - I\'` 4CIbtt
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.
This corm to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 5ti 32 342rf N F_
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height .
Bldg Square footage
E
%Open Space:
(Lot area minus bldg
&paved parking)
of _Parking Spaces ,,
#� of Loading Docks
Fill:
(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
r- is true� " and accurate to the best of my know e ge.
DATE: /li (Q 96 APPLICANT'S SIGNATURE N . • '
NOTE: Issu noef
of
a zoning permit does not repave an applioanYs burden to oompty wittt,at
zoning requ rements and obtain all required permits from the Board of Health, Conservatio
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
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