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HomeMy WebLinkAbout066-06 TOWN . OF NANTUCKET BOARD OF APPEALS NANTUCKET, MASSACHUSETTS 02554 Date: d --I 0\ :::0 Hu nl C),~ = . 9u91 ~:~L ' MO(P N N 2d To: Parties in Interest and. Others concerned with the !~ -])eclsIou.QOf the BOARD OF APPEALS in the Application of ~e following: Application No.: O(f)~ -OcP Owner/Applicant: Lex) {IS'€. -\rnc.DON"> era If J Q3 lr12c;"tee Q-t'- IfrbCW! 29ml U121 <<r Trc..sr Enclosed is the Decision of the BOARD OF APPEALS which has' this day been filed in the office of the Nantucket Town Clerk. An Appeal from this Decision may be taken pursuant to Section 17 of Chapter 40A, Massachusetts General Laws. ~.Any action appealing the Decision must be brought by filing an complaint in court within TWENTY (20) days after this day's date. Notice of the action with a copy of the com~laint and certified copy of the necision must be given to the Town Clerk so as to be received within such TWENTY (20) days. ~CWQ t^XM ~ u. 05) Chairman cc: Town Clerk Planning Board ~uilding Commis~ioner " " PLEASE NOTE: MOST SPECIAL PERMITS AND VARIANCES HAVE A TIME LIMIT AND WILL EXPIRE IF NOT ACTED UPON ACCORDING" TO NANTUCKET ZONING' BY-LAW ~139-30I (SPECIAL PERMITS); ~139-32I (VARIANCES) ANY QUESTIONS, PLEASE CALL THE NANTUCKET ZONING BOARD OF APPEALS. 'IWft'OCKBT ZONING BOA:RD 01' APPEALS 2 Fairqrounds Road Nantucket, Massachusetts 02554 Assessor's Map 49, Parcel 184 9 Bayberry Lane, Siasconset Sconset Residential-2 Land Court Plan 32527-B Lot 3 Certificate of Title No. 14360 DECISION: 1. At a public hearing of the Nantucket Zoning Board of Appeals, on Friday, August 11, 2006, at 1:00 P.M., in the Conference Room, 2 Fairgrounds Road, Nantucket, Massachusetts, the Board made the following decision on the application of LOUISB MacDOUGALL, as Trustee of MacDOUGALL LIVING TRUST, c/o Reade, Gullicksen, Hanley & Gifford, LLP, Post Office Box 2669, Nantucket, Massachusetts 02584, File No. 066-06: 2. The Applicant is seeking relief by SPECIAL PERMIT under Nantucket Zoning By-law ~139-16.C(1), to reduce the required side yard setback from ten feet to five feet, in order to validate the siting of an addition that was constructed in 2005 onto the northerly side of an existing single-family dwelling. The new addition, about 9' x 9.5', is sited as close as about 9.0 feet from the northerly side yard lot line. The locus is nonconforming as to lot area, containing about 9,106 square feet, with the minimum lot area in this zoning district being 20,000 square feet. The locus and structures thereon are otherwise conforming to the dimensional requirements of the By-law. The locus is situated at 9 BAYBERRY LANE, SIASCONSBT, Land Court Plan 32527-B, Lot 3, is shown on Assessor's Map 49 as Parcel 184, and is in a Sconset Residential-2 zoning district. 3. Our decision is based upon the application and accompanying materials, and representations and testimony received at our public hearing. There was no Planning Board recommendation, on the basis that no matter of planning concern was presented. The owner of the immediately abutting property to the north of the locus at 91 Sankaty Road, appeared at the public hearing and spoke in favor of the granting of relief. One letter in support of the application was also received; no opposition was received, in person, through representatives, or in writing. 4. As presented by the Applicant, through counsel, the one- story addition consists of a new bathroom added to the northerly side of Applicant's dwelling. The architectural plans prepared by the Applicant himself and included with the building permit application materials submitted to the Building Department indicated that the intended setback on the northerly side of the structure was to be ten feet. However, Building Permit Application No. 93-05 (the "Permit") also incorrectly indicated 1 that the northerly setback was to be 18 feet after completion of the proj ect. The Historic District Commission ("HDC") approved plans (Certificate of Appropriateness No. 45,205) indicated that the addition was to be 9' x 9.5' in size, which would result in a noncomplying setback of nine feet from the northerly side yard lot line rather than the intended ten feet. Also included with the HDC approved plans was a site plan dated August 1, 19871 done by Charles W. Hart, registered land surveyor, which stated that the northerly side yard setback of the dwelling was 18 feet. This inconsistency was overlooked throughout the permit process and the Applicant received the Permit. Applicant constructed the addition as proposed under the duly issued Permit and received a "sign-off" from the HDC to validate that the addition was constructed per the plans approved. It was not until the Applicant sought the Certificate of Occupancy and a new "Building Location Plan", dated July 13, 2006 and done by the aforementioned surveyor, a reduced copy of which is attached hereto as Exhibit A, that the error was brought to light. 5. Applicant stated that under Zoning By-law S139-16.C(I), the Board of Appeals is empowered to grant relief by Special Permit to reduce the side or rear yard setback in the Residential-2 (including SR-2) zoning district from ten feet to five feet. No specific standard for the grant of this relief is contained in the Zoning By-law, and therefore the general special permit criterion that the relief is in harmony with the general purpose and intent of the Zoning By-law is applicable. In this instance, it is apparent that there would be little benefit from the removal of the structure's minimal encroachment upon the ten- foot side yard setback area, and the immediate abutter, who is the owner most affected by the placement of the addition, spoke strongly in favor of the application. 6. Accordingly, by UNANIMOUS vote, the Board of Appeals made the finding that the reduction in the northerly side yard setback area from ten feet to nine feet, only to the extent necessary to validate the siting of the existing structure, would be in harmony with the general purpose and intent of the Zoning By-law, and would not be substantially more detrimental to the neighborhood, and by the same UNANIMOUS vote GRANTED the requested relief by SPECIAL PERMIT under Zoning By-law ~139- 16.C(l), reducing the minimum required ten-foot northerly side yard setback to nine feet, to validate the siting of the existing structure only, based upon the following conditions: a. The siting of the structure shall be substantially as shown upon the Exhibit A plan; and b. No further construction may take place closer than ten feet from the northerly side lot line without further relief from the Board of Appeals. 2 (BOA Decision No. 066-06) Dated: August ~~ 2006 Michael ~~ Burr Tuppe,i 3 ZONING CLASSIFICATION: . ,/R-;<,. tJlN. AREA: . . . . . . .;?a.o.~C};.4 MIN. FRONTAGE: . . . . . , . 70. . FRo,.IT YARD S.B.: . . . . . . ;3,q :r REAR " SlOE 5,B,: . . , . . ,/,Q rt; GROUND COVER (,;):. . , . 1-?..5.'}" EXISTING: ,. ~/9~ ~.s.E . ~/"h1K . . . . ~/. . . . . . . ./~ . . . . IJ r-- }{ ..sA/Y/<'ATY ~-- /?()AD , .' 7-S:8f' I I 1 - - -./, :I~ I:l 111'<\ l 1..I~f~ , . I \-- - - - - I I I I I ~ ~ I I I , / _/ ~ ,PAJV(/NC. G.c,= ;2 <J 1" ~ SJf (/' OOIYPA. -r/()/v 7'''f - /8::5 k/P ,., ;R,;:; t S ~A- ..s~BUCl{ J -STY W/F &<~<DE ' ., " , ," (). ()o.. ,i ~ ------- )... ~ ~ ~ ~ \) CJ --.: ~ B,(Y 't/INOOW _ /~.:t _ _ .sKe-~ G.C.~ ;<ozs.F.' PROFESSIONAL LAND SUR'@'OR THIS PLOT PlAN WAS PREPARED FOR THE: TOWN OF NANTUCKrr ButLD/NG DEPARTMENT ONLY AND SHOULD NOT BE CONSIDERED A PROPERTY LINE SURVEY. THIS PLAN SHOUlD J!QT BE USED TO ESTABUSH PROPERTY UNES. FENCES. HEDGES. OR ANY ANCfLlARY STRUCTURf:S ON THE PREMISES. THE PROPERTY UNES SHOWN RELY ON CURRENT DrrDS AND PLANS OF RECORD. THIS PLOT PlAN IS NOT A CERTIflCATION AS TO TITLr OR OWNERSHIP OF THE PROPERTY SHOWN. OWNERS Of ADJOINING PROPERTIES ARE SHOWN ACCORDING TO CURRENT ASSESSOR RECORDS. ASSESSOR MAP: . .7:'(. . PARCEL: . /8Y. C:\J08S\CW~8l.P / .2.g~ ..:Z .sTY ~/r PW~/Nc... G,~, = /,<.()/ ~ So If (FOWI<J?A rlOIf) , / ill , I ~l 7-9.77' 1"9 - /85 IV/'#" W,5.( S.X. lvA-U..iC.€ BUILDING LOCATION PLAN OF LAND IN NANTUCKET, MASS. SCALE: .1"-..20' DATE:;;rv.<.y /f'zGJc(. Owner: Af~ep<?~U~Y/;V~. TW..!s'T. , M'r.;3 Deed: ~~ /7:.;3'4, 9, . Plan~C-. :r~.j""'(?'7.-B Locua . 7',4-1)/~~Y MN~ . . , , CHARLES W. HART & ASSOCIATES, Ine, SANFORD BOAT BUILDING 49 SPARKS AVENUE NANTUCKET, MASS. 02~54 (508) 228-8910 H- / i"J--:JO NOT TO BE RECORDED. (,Q 7;<' 1 q,~, iT TOWN OF NANTUCKET ZONING BOARD OF APPEALS 2 FAIRGROUNDS ROAD NANTUCKET, MASSACHUSETTS 02554 PHONE 508-228-7215 FAX 508-228-7205 NOTICE A Public Hearing of the NANTUCKET ZONING BOARD OF APPEALS will be held at 1:00 P.M., FRIDAY, AUGUST 11,2006 in the Conference Room, 2 FAIRGROUNDS ROAD. FORMERLY KNOWN AS THE NANTUCKET ELECTRIC COMPANY BUILDING. WITH AN ENTRANCE FROM OLD SOUTH ROAD. FIRST RIGHT AFTER FAIRGROUNDS ROAD COMING FROM TOWN WITH ENTRANCE FROM THE FRONT OF THE BUILDING. Nantucket, Massachusetts, on the Application of the following: LOUISE MACDOUGALL AS TRUSTEE OF MACDOUGALL LMNG TRUST BOARD OF APPEALS FILE NO. 066-06 Applicant is seeking reliefby SPECIAL PERMIT under Nantucket Zoning By- law Section 139-16C(l) to reduce the required side yard setback from ten feet to five feet in order to validate the siting of an addition that was constructed in 2005 onto the northerly side of an existing single-family dwelling. The new about 9' x 9.5' addition is sited as close as about nine feet from the northerly side yard lot line. The property is nonconforming as to lot size with the lot having about 9,106 square feet of area in a district that requires a minimum lot size of 20,000 square feet. The Locus and structures are otherwise conforming to the dimensional requirements of the Zoning By-law. The Premises is located at 9 BAYBERRY LANE, SIASCONSET, Assessor's Map 49, Parcel 184, Land Court Plan 32527-B, Lot 3. The property is zoned Sconset- Residential-2. THIS NOTICE IS AVAILABLE IN LARGE PRINT OR OTHER AL TERNA TIVE FORMATS. PLEASE CALL 508-228-7215 FOR FURTHER INFORMATION. NANTUCKET ZONING BOARD OF APPEALS 1 EAST CHESTNUT STREET NANTUCKET, MASSACHUSETTS 02554 CASE NO. ~06 FEE: $300.00 APPLICA TION FOR RELIEF Owner's name(s): Mailing address: Applicant's name(s): Mailing address: Locus address: Louise MacDou2all, as Trustee of MacDou2aU Livin2 Trust c/o Reade, Gullicksen, Hanlev & Gifford, LLP Same Land Court Plan: 6 Youn2's Way, Post Office Box 2669, Nantucket, Massachusetts 02584 9 Bavberry Lane, Siasconset Assessor's Map/Parcel: ~9-184{) 32527-B Lot No.: 3 -n ...' ..) Zoning District: SR-t~ 0\ Date lot acquired: 3/2/90 Cert. of Title: 14360 Uses on Lot - Commercial: None x Yes (describe) ~ -J I Residential: Number of dwellings ~ Duplex_Apartments _ Renta.'~Xtooms"J \. '~~.. Building Date(s): All pre-date 7/72? No or C ofO(sf!: Building Permit Nos: 4762-86 (dwellin2); 5008-86 (2ara2e); 93-05 (addition) Previous Zoning Board Application Nos.: State below or on a separate addendum specific relief sought (Special Permit, Variance, Appeal), Section of the Zoning By-law, and supporting details, grounds for grant of relief, listing any existing nonconformities: The applicant requests a Special Permit under Nantucket Zoning By-law ~l39- 16.C(1), to reduce the side yard setback from 10 feet to 5 feet as permitted in this zoning district, in order to validate the siting of an addition to the single-family dwelling upon the premises, which was inadvertently constructed with a setback of about 9.0 feet from the northerly side lot line. The locus is an undersized lot containing about 9,,106 square feet, in a district in which the minimum lot area is 20,000 square feet. The locus and the buildings thereon are in conformity with all other zoning requirements. I certify that the information contained herein is substantially complete and true to the best of my knowledge, under the pains d penalties of perjury. SIGNATURE: Applicant Attorney/Agent x (If not owner or own r's attorney, please enclose roof of agency to bring t s matter before the Board) -1 .( tI FOR ZBA; OFFICE USE Application received on:~'~::_V~Y: Complete: Need copies?: ~ Filed with Town Clerk:=4JZ~/O~)Planning B6ard: 1_/_ Buitifiiig Dept.:_' J-l- By!}) ()lJ Fee deposited with Town Treasnrerd,.1Z,(QdQ By: ill:: WaiVe~quested?: _Granted: --.!--.! Hearing notice posted with Town Clerk:-=V~ailed:~f{j 1 ~I&M:=l;~tJce& f/.JJC/tJ Hearing(s) held on:_I_I_ Opened on:~_I_ Continued to:~_I_ Withdrawn?:_/~_ DECISION DUE BY: 1 1 Made: 1 1 Filed wrrown Clerk: 1 1 Mailed: 1 1 --- --- --- --- DECISION APPEALED?:_I_I_ SUPERIOR COURT: LAND COURT Form 4/03/03 '" '" ..0 ;0 , 0 o I' I j I I I I "';t~~~l~t~t~ "::: fP- ~.. t :I,I~;L '~ih 6t> .000'86 N j/ ~! ! fi/T?YO(l) ~ l " Cl ;? ~ ~ ~~ ~ 0 '~jm' i'S lr~ ~ ~ > /. - - \ Sl'~\)Hl ~L[~}Ik( JO . q 1I1l0,)' .SSYW 'l"])I:'InlNYN ".1$ ,.,HlOlJ ;~~I SYOAlAatnS O~"""I OlYll$'3lM . SII]]NI3N] lYNOlSS1JOtid :JJ:tAflY7!uZfV .000'201 N _c~~ ':>NI 'SH3H.10H9 0131.:l0H:>S ~l" .----------r- r J.Dl:wl.l.N'tN.!O NMQJ. ]HJ. .:10 S"O..l3IlIWO~M .~y L-toto ~.2 .6\- .l.HHS ns 1,\1 91 .tS ':1" 0'<: " -\- '01 '01 -- -- - .--.--.....-.. ..... -'" '-I........,. - .I. .lJ.J..l\.(:.l.UJ.\,,; IV~ap Ci1gc 1 Vl.G Town of Nantucket Web GIS / " I ~ /f Ji',\ \ ./ \ Prop ID Address Owner Sale Date Sale Price Book/Page Lot Size 515ft 49 184 9 BAYBERRY SIAS LN MACDOUGALL LOUISE TR MACDOUGALL UVING TRUST 495 VALLEY CLUB RD SANTA BARBARA, CA 93108 03/02/1990 $0 C0014/360 0.21 acres NOT A LEGAL For general reference caveats which must be considered when using this data are available from the Nantucket GIS Coordinator. Town of Nantucket, Mass Map Composed http://host.appgeo.com/nantucketmaJPrintableMap.aspx?Preserve:::::: Width&Map Width::::::345... 7/19/2006 ......., .......... -.... .a. '"-....--.....-.. .... -- ---- .... .&..&.&.-.&__.&- .........-t' Prop ID Address Owner Sale Date Sale Price Book/Page Lot Size ........0""... ""'...... Town of Nantucket Web GIS 49 184 9 BAYBERRY SIAS LN MACDOUGALL LOUISE TR MACDOUGALL LIVING TRUST 495 VALLEY CLUB RD SANTA BARBARA, CA 93108 03/02/1990 $0 C0014/ 360 0.21 acres NOT A LEGAL DOCUMENT For reference Important caveats which must be considered when using this data are available from the Nantucket Coordinator. Town of Nantucket, Mass Map Composed http://host.appgeo.comfnantucketma/PrintableMap.aspx?Preserve= Width&Map Width=216... 7/19/2006 i. , - .. 9 3- oS- . . . '" RECEIVED ' , BUilDING PERMIT NUMBER . . .- . ",.:.'1" '. I I JAN 2 I 2005 APPUCAnON FOR i BUILDING PERMIT " ~ In s.ct~.1. 2. 3.~,._and 5 IMPoRTANT - A~ to 1. OWNERS NAME (print): /II~~.4~ ~ ~1:~.! ~ LOCATION l.a$I , fil'Sl iddIe Ini1ial ,. OF ? ~G-~>- /.JJfI'e - .:v~Sat!AAl'Sfir - BUILDING No, Sire ;' /'f" A$sessor's Map No. ~? Assessor's Parcel No. .. ., 2. TYPE AND COST OF BUILDING. All ...pllcent15 camplete P.rta A-E A. TYPE OF IMPROVEMENT B. OWNERSHIP D. DIMENSIONS a New Soilding ~rivate Dimensions 01 Stf'Ueture ~dditjOn OPubtic First Roor Area: .,,-J.q X 9~ ~l1erallon Second floor Area: a Repair, replacEllTltlOt C,COST Third Floor Area: o Demolition TOTAl COST OF IMPROVEMENT Total Floor Area: a MOlfing ~Je~" Full Cellar Area: E, PROPOSED USE Residential Detail scope of work by floor & provide the ril'ane Family sQUate footage. ~ e;W~ I /N.s~ ~(JW'~O o StUdio o Two or more famity . Enter ~lVNrr. ~~~p.il~~n~ number of tAnits o Hotel. Motel, Dormitory AI4 -fj "'.I.111f rl'111rltt91't?:J W~NDt:J"'> enter number of units o Second Dwelling a Gamge o Pool o Other. Speelfy . 3. SELECTED CHARACTER.STICS OF BUU.DING f:or new buildings 4Vld .odiMOl'I$, compIotG Parts D-N for DemoIillon coniDiete Cllllv Pan 1. for all oUlers SkiD to 4. F PRINCIPLE TYPE OF FRAME H. TYPE OF SEWAGE DISPOSAL K, ACCESSORY HEAT SOURCE fit'Wood frame ta!PubliC No, 01 firElJ)laces o Other - Specify Q Private (septic lanl<, etc.) No, of Wood Stoves Other: I. TYPE OF WATER SUPPLY (3, PRINCIPlE TYPE OF HEATING Gf'PUbtic DGM o Electricity o Private (well) L RESIDENTIAL BUILDINGS 00i! a Heat Pump J. SMOKE DETECTORS Number of Bedrooms o Other - Specify No. 01 Detectors N.&& Number of Bathrooms Full I Partial =-=-.1 See Plan for Location t Nl;",,) "? J- ~ 3. Continued M. ENERGY CONSERVATION Type Thickness R Value Foundation Or Floor insulatIOn ~rz:. - 8+1.~ .h Wall Insulation ~ 8~.z ~ /? CAiling Of Roof Insulation ~S7' .4~ ~ ~ Window Glazing: Insulated Glass Double Glass__ Storm OooI's: Insulated Ye& tP No Weatherstrlpped: Yes __ No Percentage of Window Area to Wall Area: N. STRUCTURAL CHARACTERISTICS OF BUILDING Applicant is required to wbmlt complete structural framing plans with application due 10 the complexity 01 the stn.icture. if the following information"> in$ufficient fot proper plan review. Foundation .Y4r~/t1'4 Footing size: "11" ~ Footing reinforcing: Wan material: jj M ~;tItW Wan thicknoos: 8v Wall height: b *- .-:,-, Wall reinforcing: Pier or column size: ~-tl Pier or column spa<:ing: Pier or column loot1n9 size: ~ Pier or column reinforcing: No. of crawl space vents: Z Crawl space: liJ'Full o Partial FAAUtNG: Main Canying members: Size: ~. Support Spacing: First FIoof Framing Joist size: e" 10. Maximum Span: 1'...4 II Maximum $pacing: III '(:Ie:. SQcood Floor Framing Joi$t size: ~ Maximum Span: Maximum Spacing: Ceiling framing Joist size: Max.imum Span~ Maximum Spacing; ~y" 'f'(, Maximum Spacing: I ~~~G- .. Roof Framing Joist size: Maximum Span: Roof Truss Applicant must submil design cak;ulations for all wood truSSf)S stamped by a Registered Professional Engineer. SKETCH OF PROPOSED WORK (minor projects) ,c ..' . NOTES AND DATE iFor DeDartment u__. FEE CALCULATIONS 1 r .. ((...0 ., I '- t...v- M....J P fOO'" 't. 1-s- J 1-'S. ..'''' ~.-. .. """ .-;1. ..,.... 4. ZONING COMPLIANCE To be compeeted by aU appIicant$ App~cant is reqllited to oobinit a regIStered plot plan with application. showing location 01 all structures. Zoning District: r:r - 2- - Total Land Area: ~/~u't" :,p Frontage on 51Ieet: /2/~ I Lot No.~ 3 Plan Book No, and Page: land Court Plan No.: ;..,,t.. 3> 2 "$ ;2'1- CJ. Date Lot Purchased: C,A~- /?J!J~ Certificate No.: IIS'lie, tV.IU. .,,~ rr) Name of Previous OWner. SUBDIVISION INFORMATION NalOO Qf Owner: Dale of Plan Approval: TIME SHARING Type of Approval: ANR AR INFORMATION Planning Board File No.: Is there a declaration of Covenants and Restrlction5 of Is the Subdivision subject to a Covenant YES NO Interval Ownership noted on Is a Release required: YES NO your Title 01' Deed? Has Plan been filed with the RegistrY of Deeds? YES NO It YES: Plan Book and Page No,: Date Yes_ No_ DIMENSIONS Distance from Propet1y tines: FRONT ti~1 REAR /? LEFT / J!I. RIGHT /7 Distance between Principal and Secondary Dwelling: WoIII (12ft. mininlttm) I'd I Height of structure above lirlish grade: N "19' ' E i I'~' s ,,~" W Number of oft-street parking spaces: Enclosed / On-site / - GROUND COVER Principal Dwelling: 4~ SecOl'ldary Dwelling: I, "'",;..:t. Adelltlon: JM..g Total: SF. Gar.: ~"?;' Allowable:6~ SF. AccesiOry BYilding; ~r e;1J' '*~ SWimming Pool: other: /J#f~O~ //,~) , MISCELLANEOUS Was a request to "DetermIne AppIicabifity of the Protection Act' filed with the Nantucket COI'lservalloo Commlttee1 YES ~ NO ,/. If answered YES, include .Order of Conditions" with application. What date was the "OrcMiJr of Conditionsn with application. What date was the "Order of Conditiontf filed with Ute Regietry of Deeds? Is the property IocaCed wilhin a Flood tlaurd dlstrlct? YES NO r Was a Variance Of Special Permit granted by the Board o' Appeals? YES NO ./ II answ&red YES, What oate was the decision filed wfth 1M Town Cl9l1<? FOR ZONING OfFICER Minimum lot Size: Ground Cover Ratio: Frontage on St,eel: Side and Rear Setback; Front Yard: Secondary Dwellin9. approval Additional Comments: Board of Appeals lot Rel&ase Form - .': APPROVED ~ - ~ - : Date: 1~t.lt \~ \ Zoning Officef ~_L 5. .IDENTIFICATION . To be completed by .U appUcants Me.lng address. Number, $\reet, City and state ~ ~." cu. :'J ZipC0d9 Telephone No. '1. Ovyner or ~~S6ee .9~ 8PIJ 2. Contractor Date 3. ... .Cootact Person '-' If/I?X ~f#~ ..,. Dale /-Z#~ Worl<6 Compensation Insur8I1Ce Certificar" or AffidaVit must be submitted with thi$ application. I hereby cer1ify that the proposed work is authorized by the owner 0' record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all appliceble taws 01 this jurlsdcticn. . S~alure of applicant ~ Address ~,4; ~e1ephone' Print name ~ DO NOT WRITE BELOW THIS LINE ., ~. PlAN REVIEW RECORD. For Office Use ,. P.Jans Review Re<JUIred : HISTORIC DISTRICTS COMMISSION u\l... .q~ 1.c:> ~ It ..2.\. 0 ~ SEPTIC ..SEWER . . . WATER Wl;ll COMPLETION REPORT .. CONSf:;RVATION COMMISSION ... , ... FIAE CHIEF ',.. QVER-THE-F10AD (Board ot Selectmen) : .OOAD OPENING PERMIT (DPW) .' PLUMBING .ELECTAfCAl 7. VALIDATION FOR DEPARTMENT USE ONLY .B.uildiog Permit Is&ued ~J9/e,~- . Use Grot.tp Buildi. ~ ~ peml~ee r.5 /.v Occupancy Load Census No. ..~ ~ '1 Approved by: pal4il of lssvance of CertificatfJ of OccupatlCy ~ 134}- , Building Cemrw\ie$i9Aef \ . ..~ ~~Af4"',I( _ D.\TlI88UiO: \ IOMIfWIlohlll8TORlC I>MIITNCT ~ ,,,~.....,.. ........,.,. ClR11PICATE OF ~ ,........ .... M ..... ....... ....In IIIIIItIQ llUII! OR IlA(lIt H<{IlD pIIldt ... ...... HlA ' IfOTI: . III ......... --...... .. .. .......... III ..... willi ... .. ........... ~ ~ .........., .. ..... ~ to ......1tlIl lit .".... ......._............. ........11I...... Ill.. ~ ....... .1IlII...............,.. HOC. lI\it " a _"'** ID-.M .. IlIIIIt lit... (M '" ~ An ......... .. ....,.,.. III _ at. ~ ., ~_ ...... CIwp\III_ If .. AcII I'!wGIww or......, 1ft, lOr ~__.......... _1IIl.......... ....jIlllIIIDeI..... -..-<111'IIO 1M..........".,.. JlMt....,.,..... TIle ~ " .... _....,... flora... or _. No ftuClure .,.. ... '-' ... ~ ........ ........ mar ImiltId!I ...... or ~ llt ~ CER'IV'lCATI! 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SEE AITACHED PAGES I c:~nif)- ~hJllhc rorcgoin& i~ a li~l or penor\$ who'lft owners of .bu~ine properw. OWMn of . lll'1d dirc:tlly oppO$ht on U1Y public or priV&II: $,.rc:e:t Or way;'lnd a'but'lc:n of Ihe abulttrl U'\<l all Other land .l)wnC($ wi~hin )00 feet o( tl'lc property line Qf owner', property, ,II 'I they lppC:Lf on the rnoSl recent applicable: Ill( li$1 ('M .O.L c. 40A, Sc:c:tion II Zoninl Code Chapter 1)9 5eclion l )9.290 (2) ~./~ (J[;E- . (l ,;(()() b .~ · ~il..~ ASSESSOR'S QFFlCE Town ofNlntuc:w Cl Z ~~ 00 H ~ ..:IE-< rz:I 00:': ~U rz:ID ~~ ~ ... z ~ z z ~ OJ ,., ,., ,., 01 ~ tIl tIl tIl tIl tIl 111 0 Cl ..; ..; ..; ..; ..; '" .~ .. H ~ H H Cl ~ ~ H H ... 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