HomeMy Public PortalAboutApplication Form PERMIT APPLICATION FORM
t5ao Planning Board and Zoning Board of Appeals
.c 149 Main Street
Watertown, MA 0247
(617) 972-6427
www.watertown-ma.gov
TO BE COMPLETED BY STAFF
Case Number: Notice to ADDlicant: An application may be denied for outstanding
taxes or charges to the Town (Watertown Ordinance, Chapter
❑ Fees received: XVII). Upon deeming the submittal complete,the application will Town Clerk Stamp
be stamped/filed at the Town Clerk's office by DCD&P Staff. Required
❑ Complete submittal: X Date:
Town Treasurer's Approval(As required by Ch.40,Section 57)
TO BE COMPLETED BY APPLICANT
Site Address: List application requests below:
195 Mt. Auburn Street Special Permit(SP) X Variance(V)
Watertown, MA Site Plan Review(SR) SP/SR
Parcel ID#s: 101810 Special Permit Finding(SPF)
For an amendment to previous relief,provide case#s:
Zoning District: SC SR(Site Plan Review)meeting date,if required:
Petitioner(s): Clark Elefteriadis / C&Z Realty Investors LLC Phone: 617 851-2641
Address: 456 Belmont Street, #8, Watertown, MA Email: clark(cDboston body.com
Signature(s): Date:
Owner(s): C&Z Realtv Investors LLC Phone: 617 851-2641
Address: 456 Belmont Street, #8, Watertown, MA Email: clark(obostonbody.com
Signature(s): Date:
Agent: Phone/Email:
Other Contacts: Phone/Email:
The Petitioner must be the fee simple owner or hold sufficient "interest"in the subject property (in which case evidence must be pro-
vided as to the nature of the property interest and the fee owner shall co-sign this application. For legal entities such as corporations,
LLC, etc, list the type and legal status of ownership, the name of trustees/off cer members, their affiliation and contact information..
NATURE OF REQUEST
Applicable Sections of Zoning Ordinance(Specify Section(s)of the ZONING ORDINANCE from which relief is sought):
Section 905 - Special Permit to convert existing single dwelling unit to two residential dwelling units (501(b)
and 5.01(c)).
Brief description of the project as it relates to the zoning relief requested—Include existing dimensions,proposed dimensions,
and any non-conformities that exist:
This is a request for a Special Permit to add a second residential dwelling unit to an existing approved single
dwelling unit and contain one existing approved office unit at the Premises. The project will retain one
office and create two residential units at the property. Two commercial uses will be discontinued.
THIS APPLICATION MUST BE SUBMITTED IN PERSON TO THE ZONING OFFICE
The ZONING ORDINANCE can be found online at:www.watertown-ma.gov
SUBMITTAL REQUIREMENTS -
❑ Signed Applications(3 original& 17 copies) ❑ Full Set of Plans,collated(20 Copies and PDF version)
1. Certified Plot Plan(for all applications)
El Written Supporting Statement(20 Copies) 2. Architectural Drawings(Floor,Elevations,etc.if applicable)
❑ Release/Indemnification Waiver(1 copy signed) 3. Grading/Drainage Plan(if applicable)
4. Roof Plan(if applicable)
❑ Newspaper Billing Authorization Form(1 copy signed) 5. Parking/Circulation Plan(if applicable)
❑ Any additional information relevant for review 6. Landscape Plan(if applicable)
7. Site Utility Plan(if applicable)
8. Lighting Plan(if applicable)
NOTE: THE APPLICATION WILL NOT BE CONSIDERED "COMPLETE" UNLESS ALL NECESSARY DOCUMENTS
ARE SUBMITTED.
FILL IN THE APPLICABLE PROJECT DATA BELOW
Data Required Existing Proposed Staff Comments
A. Use(Article V,WZO) mixed mixed
B. Dwelling Units 1 2
C. Lot Size 11,543 11,543
D. Front Yard Setback
E. Rear Yard Setback
F. Side Yard Setback(left)
G. Side Yard Setback(right)
H. Building Coverage
1. Impervious Coverage
J. Height/#of Stories 2.5 2.5
K. Lot Area per Unit
L. Gross Floor Area
M.Floor Area Ratio(FAR)
N. Open Space
O.Parking Spaces 8 7 (one shadow
Other data:
THIS APPLICATION MUST BE SUBMITTED IN PERSON TO THE ZONING OFFICE ON THE 2ND FLOOR
OF THE TOWN ADMINISTRATION BUILDING.
The ZONING ORDINANCE can be found online at:www.watertown-ma.eov
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Written Supporting Statement
Petition for Special Permit Finding(s) Sec. 4.06 (a) (project must meet the following criterion)
1. Is the proposed change substantially more detrimental than the existing non-conforming use, structure,or building to the
neighborhood?YES/NO, Explain why.
Yes - See narrative
Petition for Special Perm it(s)/Amendment Sec. 9.05 (b) (project must meet all of the following criteria)
1. Is the subject site an appropriate location for such use, structure,and/or condition? YES/NO, Explain.
Yes - See narrative
2. Will the proposed use/structures adversely affect the neighborhood? YES/NO, Explain.
No - See narrative
3. Is there potential for nuisance or serious hazards to vehicle or pedestrians?YES/NO, Explain.
No - See narrative
4. Will adequate and appropriate facilities be provided for the proper operation of the proposed use? YES/NO, Explain.
Yes - See narrative
Petition for Varian ce(s)/Amendment Sec. 9.14(b) (project must meet all of the following criteria for a variance)
1. Is the variance being sought due to circumstances related to the soil conditions, shape, or topography of such land or structures,
and especially affecting such land or structures but not affecting generally the zoning district in which it is located? YES/NO,
Explain.
2. Would enforcement of the Zoning Ordinance involve substantial hardship,financial or other? YES/NO, Explain.
3. Would granting of the desired relief be a substantial detriment to the public good? YES/NO, Explain.
4. Would granting the desired relief nullify or substantially derogate from the intent of this Zoning Ordinance? YES/NO, Explain.
IF NEEDED, ATTACH ADDITIONAL SHEETS OF PAPER TO THIS APPLICATION
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ADDITIONAL SPACE FOR SUBMITTAL
THIS APPLICATION MUST BE SUBMITTED IN PERSON TO THE ZONING OFFICE ON THE 2ND FLOOR
OF THE TOWN ADMINISTRATION BUILDING.
The ZONING ORDINANCE can be found online at:www.watertown-ma.eov
4
153a
Permission to Inspect Premises With
' RELEASE, INDEMNIFICATION, AND WAIVER
For An Individual
I, Clark Elefteriadis of Watertown, MA and my successors and assigns, give and
extend to the Zoning Board of Appeals of Watertown and to the Town of Watertown, a municipality in the County of
Middlesex and the Commonwealth of Massachusetts, my express permission to come onto the premises owned by,
occupied by or under the control of the above named individual,to any member or agent of the Zoning Board of Appeals,
Planning Board or respective staff members of Watertown for the purpose of conducting an inspection of the premises
which has been brought to the attention of the Zoning Board of Appeals or Planning Board of Watertown as a result of the
petition that I have placed before it. The permission to conduct an inspection shall extend for the full time period during
which the petition before the respective Boards of Watertown is pending and any related period of decision. I hereby
forever discharge and release and will at all times, defend and save and hold harmless the Town of Watertown, the
members of the Zoning Board of Appeals and Planning Board, and any of the officers, employees, and agents of either
who direct or conduct said inspections from any and all claims, demands, civil action, suits, liabilities, judgments, or
damages of any kind, including but not limited to those for alleged trespass, invasion of privacy or warrantless search, an
any way arising out of any inspection by the Respective Board members or their agents or the Town's agents, and hereby
waive any and all claims that I may now have or may ever have against the Town or any of its officers, employees or
agents for such inspections except for such matters arising from gross negligence or willful misconduct of such parties,
which matters are not discharged,released or waived.
I further state that I carefully read the foregoing Permission with Release, Indemnification, and Waiver and know the
contents thereof, and I sign the same as my own free act.
In witness whereof,I have hereunto set my hand this day of March ,2019
Clark Elefteriadis, 456 Belmont St., #8, Watertown, MA
Signature Petitioner's Printed Name and Address
COMMONWEALTH OF MASSACHUSETTS - County of Middlesex, ss.
On this the day of March 2019 before me,
Day Month Year Name of Notary Public
Personally appeared:
Name(s)of Signer(s)
Proved to me through satisfactory evidence of identity,which was/were:
Description of Evidence of Identity
To be the person(s)whose name(s)was/were signed on the preceding or attached document in my presence,and who
swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her/their knowledge
and belief.
Signature of Notary Public
Printed Name of Notary
My Commission Expires
Place Notary Seal above
Rev 2/15 lcivetti zba
1630 TOWN OF WATERTOWN
Department of Community Development & Planning
r `:3 149 Main Street
Watertown, MA 02472
www.wateftown-ma.gov
Authorization Form
To: Legal Advertising Department
Community Newspapers (Watertown Tab)
From: Louise Civetti, Clerk 617-972-6427
Watertown Zoning Board of Appeals
RE: Billing Authorization Form
In accordance with Massachusetts General Laws (MGL), c. 40A, §11, which reads in part,
"Notice shall be given by publication in a newspaper of general circulation in the city or town once in each
of two successive weeks, the first publication to be not less than fourteen days before the day of the hearing...".
I hereby authorize Community Newspaper Companv/Gatehouse Media New Enqland
to bill me directly for the attached Legal Notice(s) to be published for two successive
weeks in the Watertown Tab on the following dates:
and
for the property located at: , Watertown, MA.
understand that Gatehouse Media may require prepayment for this ad.
Please print legibly
Bill To:
Address:
City/State/Zip:
Telephone:
Email:
Signature Date
3/06 Icivetti/applications/newspaper auth(revised 4-19-17)