BP-45070r - PHASE 1
SITE STATISTICS
1. LOCUS IS MAP 13 LOT 13-5
u i = 2 ZONING _ 'STt-B' (SINGLE RESIDENCE 'B' DISTRICT) Y.
MIN. LOT AREA
(SEE IBA DECISION OF CAY/100S-35) w 4 o z
♦'g # I -N/� @(^. '3 - 3. SITE AREA 3.66 Ac (159,A30 st) �i a 4
F ! 13) 1 - 2 4. MPXMUM LOT C04ERAGE SOR � � ny z z � � � o 1
R+ d 7 8 Rm, t9
511E LOT CpVERAfE k' n
.EASING PROPOSED -
AREA % LOT COVERAGE AREA % LOT COVERAGE
BUILDING 0 J. 0% 32,590 e.t. 20.a%
(FFF0RIYLIEWALI(S0
" PORCH, DECK)sf. 0% 13,111 sE 1459 u
TOTAL 0 sf. FIX 5%701 sf. 349% 0 4 8 8
S. BUILDING SETBAC%S (VARIANCE):
R la D o
p
RIGHT CF WAY = 30 3T
SIDEYARD 10' 10'
fTiS g
/ REPR YARD 30 30'
BE .:
1 N TWEEN UNIT$ 20 2lY .�
MAAMUM HOgIT Di BDII➢fNGS = 35'
21 STONEq"HIYO'!
WALL BEG 0
ak e9IWNG BASN I. A6y.=
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n ( /�1p �� /._ VA/ RETAWIN6� TO
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% SFEED LIMIT TO REMAIN 3D 31 1'c"A2
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GRAPHIC SCALE 3503 NO. 103D06
DW NO.
( IN PEWI) �C 1.1 A
SECTION 8 {NSPECTOR'S REVIEW/C,OMMENTS " �...,
,. �"
SPECIAL PERMIT (Per 780 CMR 111.13)
.. .....,., r„ i.r;�Tn,...T W X_ NnleT_T�R ANC:iF,R�ARi.T. -
1. bate plan reviewed:
2. DENIED (see project review worksheet):
Date:
3. HOLD
Date:
Reason:
4. HOLD subject to Zoning Board of Appeals action:
Date:
I
Comments:
Sgature: r
Date: 2' U
I
Inspectors n
r
S CTION -'APPLICANT NOTIFICA710N
ly
Applicant infor d of above: D fe: „'?° °� Time(
Clerk: /—,-J
Comments:
SECTION 10'- OFFICEAN"SPECTOR'S NOTES.
Less Application Fee: $25.00
Remaining Balance: $ L-
Total Permit Fee: $
Other $ Amount $
(�
TOTAL FEE: Q 0 Gross Area - New Construction total.sq. ft
d
Gross Area - Alteration total sq. ft.
Permit Issued fo
I
_ ION 11-= ADDITIONAL" COMMENTS/SKETCHES
I,
xG l�7
�1 = 7
I
`
0 CONSTRUCTION PLANS LI SITE PLAN LJ ENERGY REPORT
RSSiDE�ITiAL
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED'AGENT - `
2.1 Owner Record:
V-41 0--eua, -�t' Cc
2 z �3 "0 ,'2 z r~
IVAOck- 06 "76D
M-�
Name (print)
Contact Address Phone Number
2.2 Authorized Agent: /
�� 2 <� ��/'�Cc
Name (print)
Contact Address Phone Number
,SECTION 3 =CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable ❑
���' 4.5 14C C'�'`�
License Number: � � 06 fe -3`
Licensed Construction Supervisor:
Address: ��ei 1v
`
Expiration Date:
Signature: Telephone: 7F/-76'0 -000 r
3.2 Registered Home Improvement Contractor:
Not Applicable ❑
Are you a Home Improvement Contractor subject to (780 CMR-6)? ❑ Yes ❑ No
If No, go to the next section!
Are you claming exemption from the requirements? ❑ Yes ❑ No
If Yes, submit the required affidavit!
Company Name:
Registration Number (if none, state "none"):
Address:
Signature: Telephone:
Expiration Date:
3.3 For Residential Remodel Work Only
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND:
OUESTIONS OR COMPLAINTS call or write:
Home Improvement Contractors Registration, One Ashburton Place - Room 1301, Boston, MA 02108, 617-727-8598
❑ 1 am a Homeowner performing all the work myself.
Owners Name (print):
Signature:
By signing the above, the homeowner acknowledges that there will be no eligibility to the Guaranty Fund
Date:
3.4 Homeowner Exemption - One & Two Family Only
FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
109.1.1 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0, effective July 1, 1982, no individual
shall be engaged in directly supervising persons engaged in construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of buildings
or structures, unless he or she is licensed in accordance with the rules and regulations promulgated by the BBRS entitled Rules and Regulations for Licensing Construction
Supervisors.
Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a Homeowner
engages a person(s) for hire to do such work, that such Homeowner shall act as supervisor.
Fos the purposes of this section only, a "Homeowner" is defined as follows: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than
one home in a two-year period shall not be considered a Homeowner.
If you are applying under this section sign below:
Signature:
Your signature carries certain responsibilities, including but not necessarily limited to, general liability