HomeMy Public PortalAboutApplication FormPERMIT APPLICATION FORM
Planning Board and Zoning Board of Appeal
149 Main Street
Watertown, MA 0247
(617) 972-6427
www.watertown-ma.gov
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TO BE COMPLETED BY STAFF
1;0BD
Case Nun)ber: Notice to Applicant: An application may be denied for outstandi'
Z/9- ,e,496/„) �� S)13 taxes or charges to the Town (Watertown Ordinance, Chapter
❑ Fees received: XVII). Upon deeming the submittal complete, the application will
be stain )ed/filed at jhe'ottp Clerk's office by DCD&PStaff.
Date:
To Tred urer's Approval (As required by Ch. 40, Section 57,
0 Complete submittal:
TO BE COMPLETED BY APPLICANT
141\-1tJ1A
Town n Clerk Sunup
Required
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Site Address: 1 L1 L nc (At-, S 'e c t
List application requests below:
Special Permit (SP)
Site Plan Review (SR)
Special Permit Finding (SPF)
For an amendment to previous relief,
SR (Site Plan Review) meeting date,
-
Variance V)
SP/SR r—
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Parcel ID #s: tZu k t l 042 ?c . 20 to
lark (n - +Pio" eD,k, 2.3-i Plan -I
provide
if required:
case #s:
Zoning District: Sc„.
Petitioner(s): 12)Q.0.,,,,, e_. S`A,-.r\e<t�-e- Phone: S")t-1-(_ 4 ao,. o- ci p
Address: PO ex. rr goo 122.‘i �ctm6rikS� MA 021`40 Email: e..1223e rn e , Co rr-t
Signature(s): , Date:
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Owner(s): Or\ne.._ Sc.),-.. r‘ Lt Phone:
Address: Email: cam- � n 1223 C•a goy. , t.or -
Signature(s): {' S Date: c&i , Li- 20 .O 39 p
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/officer members, their affiliation and contact information..
NATURE OF REQUEST
Applicable Sections of Zoning Ordinance (Specify Section(s) of the ZONING ORDINANCE,f om which relief is sought): `- (Xe TU its b l t --"t c ✓I. e.k k S (-14 c jVGt" caul, r o ri 0-3 SL FCLL 42r )
S �C3wc:t 7
Brief description of the project as it relates to the zoning relief requested —Include existing dimensions, proposed dimensions,
and any non -conformities that exist:
De..r e,1 t 4%. C, -t -rte Q A C y \ ks„.,Q cr. CC:ng (-� C'%,: l Cl
01. (NUN) rr (xrC \ Acs) k tr, C t'r�, t,�c rna X m01
Nr)(3-.c k: n !� l I fi t_ i) QI Zt:.) l l s rcel'ui; try
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THIS APPLICATION MUST BE SUBMITTED IN PERSON TO THE ZONING OFFICE
The ZONING ORDINANCE can be found online at: www.+vaterto++irma.gov
SUBMITTAL REQUIREMENTS
❑ Signed Applications (3 original & 17 copies)
D Written Supporting Statement (20 Copies)
O Release/Indemnification Waiver (1 copy signed)
O Newspaper Billing Authorization Form (1 copy signe
O Any additional information relevant for review
NOTE: THE APPLICATION WILL NOT BE CO
ARE SUBMITTED.
FILL IN THE APPLICABLE PROJ
lieFull Set of Plans, collated (20 Copies and PDF version)
Certified Plot Plan (for all applications)
Architectural Drawings (Floor, Elevations, etc. if applicable)
3. Grading/Drainage Plan (if applicable)
4. Roof Plan (if applicable)
5. Parking/Circulation Plan (if applicable)
6. Landscape Plan (if applicable)
7. Site Utility Plan (if applicable)
8. Lighting Plan (if applicable)
SIDERED "COMPLETE" UNLESS ALL NECESSARY DOCUMENTS
T DATA BELOW
Data Requil- Existing Proposed Staff Comments
A. Use (Article V, WZO)
B. Dwelling Units
C. Lot Size
D. Front Yard Setback
E. Rear Yard Setback
F. Side Yard Setb (left)
G. Side Yar. - back (right)
H. Building Coverage
1. Impervious Coverage
J. Height/# of Stories
K. Lot Area per Unit
L. Gross Floor Area
M. Floor Area Ratio (FAR)
N. Open Space
O. Parking Spaces
Other data:
9. y I
(5, 9 I
c),` I
i 3 O t
&)
Q b , 9 1,
R 5
5 %
THIS APPLICATION MUST BE SUBMITTED IN PERSON TO THE ZONING OFFICE ON THE 2ND FLOOR
OF THE TOWN ADMINISTRATION BUILDING.
The ZONING ORDINANCE can he found online at: 1%ww.walertoonrma.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? YESO Explain why. {nt,v�°f ec@ S ucAu e_ 4 s c ..s.�r -?- M o n • C ur=t(ll"r.A in n ka-
lUe_ i7 ,.n.Lojr tL sk.c.Ci `1 cArk S --t e-he-eic A ' 15 I tt PrUr n N -s' -c-- stn -Si -e._0_ b `l i fYvm
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Petition for Special Permit(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,'
2. Will the proposed use/structures adversely affect the neighborhood? YES/NO, Explain.
3. Is there potential for nuisance or serious hazards to vehicle or pedestrians? YES/NO, Explain.
4. Will adequate and appropriate facilities be provided for the proper operation of the proposed use? YES/NO, Explain.
Petition for Variance(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 1oc t6d? 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,stbstantially 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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