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23A-145 C IlrA t MantisGraphics Screenprinting • Embroidery • Signs • Graphic Design Florence Community Center Sign Proposal Imitation gold leaf lettering w/ black outline ` • A te '• J 144 Pine Street .,._. 0 FLORENCE COMMUNITY CENTER 96 "x,2 413- 587 -1157- 1 OD UBLE LINE TEXT 1.75" SINGLE LINE 3" ' DOUBLE LINE TEXT 1J5" lk 30 "x5.5" Tenant panels 2 sides ($125) 96"x 48 90" x 4"x 4" =w' �.r Construction materials: Aluminum posts Price: $1,750 Aluminum /plastic composite panels Initial tenant sign price: $75 pair 30" Concrete Vinyl lettering Stainless hardware Ground Level s�, 4 / . i '` wiiimmi - - i -�� +fi - - 4 ' , 4 4; f , 1 ° a �.a ; . c... a i ; " " , . ; ,a a "' '4 &. NeF 1 . �, a x , . , 5 , � . € ,,,.,', . .. �., dim/ hn . =F p , . =NOME =IMMO . I , , , . ...4iii M . A .. .. . Eli III Sri s . tlifht r / , , , ' fir �"� � 11. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. 12. This column to be filled in by the Building Department. Existing Proposed Required by Zoning Lot Size Frontage Front: ) 0 j ID Setbacks: Side: L: R: L: R: Rear: Budding Height Bldg Square Footage % Open Space: (Lot area minus bldg and • Paved parking) # of Parking Spaces # of Loading Docks Fill: (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge / 41 DATE: ' ` APPLICANT'S SIGNATURE NOTE: Issuance of a zoning permit does 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. FILE # Page 3 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 5V f M 1. Name of Applicant: FLc)( CO 1MM(tAIy 65/'r?T w /`76t4-T Address: I v in('E S Telephone:'[ f — 5 g 7- /3 ,73 2. Owner of Property: 1 wlig it a � 0 �iC roErr Address: r2 l a / 0 f 7 Telephone: 91 7 -/ 3 T3 3. Status of Applicant: Owner Contract Purchaser V Lessee _ Other(explain): n � /-� �1 4. Job Location: �-/ r7 V` (E I , , , t /1��� I C)6 a`_ Parcel ID: Zoning Map # Parcel # District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: ♦1 L L7 L:' 6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary) ri ci 1, fi(� Co l 42 p 1 ! �- conowN1 [/ 7. Attached Plans: I/ Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special PermitNariance /Finding ever been issued for /on the site? / NO DONT KNOW If YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: Enter. Book Page and/or Document # 9. Does the site contain a brook, body of water or wetlands? NO 7 DON'T KNOW YES IF YES: Has a permit been, or need to be, obtained from the Conservation Commission? Needs to be obtained Obtained 7—NO Date issued 10. Do any signs exist on the property? YES IF YES: Describe the size, type and location: 4 SM pit.L-- 1,06)DFnr '7 ,, 14/ X GP('TAU- Are there any proposed changes to, or additions of, signs intended for the property? YES V NO IF YES: Describe the size, type and location: II . L A 0 S If- 7 Loft V CZ O € f - --- 1 F ` 411 B� <<�-� s Ar?Vxz AL _'A" -r Fop- V A 2 / M f�v'L& AN t) EA/ WrDD S gZi Page 2 of 3 F ( ` EArc/ �( W W('t� AS pro s(7b E C Z:16 17 O ar7r(-62-- City of Northampton I �=*'� Massachusetts , '?` , ' 1 li a r `! DEPARTMENT OF BUILDING INSPECTIONS �' p \ -.* 212 Main Street • Municipal Building .t \ � R Application for a Permit to Place or Maintain a Sign � �� INSPECTOR pp on Or other Advertising Device, or Marquee (Application to be filled out in ink or typewritten) Number Plans must be filed with the Building Inspector Erection ( ) before a permit will be granted. Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) FEE PAGE PLOT Northampton, Mass. Q ` A kA64,51 20 14) To the Building Commissioner: Application for a permit to .1. or✓�C1 -,1� place or maintain a sign or other advertising device, or marquee. BUSINESS NAME fLO(2tCE (,)tA,Mu'N1- t�.�'..." uer 1. Location, Street and No. 14 PZ c j - / F e-"t d MA ...0.1.o6Q 2. Owner's name .... IV Oa (. H k'4 ... O A/.....g.,--.fit 40 al D .C.-- ( Owner's address .... /"A .. ,..l.Y.�l�'G�l'.'.� .� . ••.. 4. Maker's name 1 .A..6.5. /cS.p:p.v 5. Maker's address !... iotA` is / tbt/ t /1/1 A- ..0 O 7 6. Erector's name CS AS Pt .1 7. Erector's address .... A ... , ) SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ..1.. Non - illuminated 2. Will sign obstruct a fire escape, window or door? No Marquee 3. Lower edge will be ft ins above the public way. ^ Projecting 4. Upper edge will be ft in above the public way. N n Roof 5. Height ..1 .ft.5...ins Width Y .. ft ins Temporary 6. Face area .f P..sq. ft. Wall / 7. Inner edge will be ins from the building or pole. NIA Ground 1l 8. Outer edge will be ins from the building or pole. Other 9. Face of building or pole is ins back from the street line. Nkl- 10. Sign will project ins beyond the street line. OA 11. Sign will extend ft ins above the building or pole. a(A- ' AaP 11C q 12. Of what material will sign be constructed? Frame 61.VM�!V.U. ....... Face 13. Estimated cost $.5Q 4 RA ZC iw /a ALUItIV 0" F°STS The undersigned certifies that the above statements are tru- to the best of is knowledge and belief. (Signature of Owner or Agent) Page 1 of 3 File # BP- 2011 -0088 H !' _ � APPLICANT /CONTACT PERSON Mantis Graphics C ADDRESS /PHONE 1 Adams Street EASTHAMPTON (WoTENAN ANTS ? {{a •. PROPERTY LOCATION 140 PINE ST T t Ner MAST T I MAP 23A PARCEL 145 001 ZONE SI/URB(100)/ OcA3.>4 l p THIS SECTION FOR OFFICIAL USE ONLY: e ,l„ �1;R (J�' P PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee '.'� : gilding Permi Fee Paid 4 3 C. Tvpeof Construction: Sign New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition Delay Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information.