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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:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height
o
Bldg Square h'F is
Footage 1.7-C 54 r'5
% 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.
DATE: S) y 1 1 7 ,- 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
1. Name of Applicant: ktA Lt.)0 - L6 . c T _ 7U; F vO`
Address: 7 T ('z- 51 Ocf — C1-Y wY . Aik Telephone: L i I 3 ` CYY cZ /
2. Owner of Property: N ALL
Address: 2-`E. ; ./■) (V C t i y( `/3.. Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
= �Other(explain): S `
4. Job Location: k1/44 S - 1�L'1 j i'�ti�Z"N
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: c_ .1 rt
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary)
7. Attached Plans: LiSketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance /Finding ever been issued for /on the site?
NO DON'T KNOW ' YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: Enter: Book Page and/or Document #
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
IF YES: Has a permit been, or need to be, obtained from the Conservation Commission?
Needs to be obtained Obtained , Date issued
10. Do any signs exist on the property? YES NO
IF YES: Describe the size, type and location:
Are there any proposed changes to, or additions of, signs intended for the property? YES NO
IF YES: Describe the size, type and location: 3 01 ( )t. W k -- St (J' 41 L
Page 2 of 3
1
City of Northampton
- Massachusetts 4,.?y c 1
lit 3 P DEPARTMENT OF BUILDING INSPECTIONS az 1,,,
212 Main Street • Municipal Building �,,�
-a Northampton, MA tA.
INSPECTO R pplication a
Sign
for a Permit to Place or Maintain Si n
O
Or other Advertising Device, or Marquee 1/a 76 3
(Application to be filled out in ink or typewritten) Number ..
Plans must be filed with the Building Inspec or RECEVED Erection ( )
before a permit will be granted. Alteration ( )
MAR - 5 20IZ Repair ( )
Repainting ( )
Removal ( )
DEPT. OF BUILDING INSPECTIONS
N0RTHAPAPTON,MA01060 FEE PAGE PLOT
Northampton, Mass. 20
To the Building Commis loner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS N44E - f �= ` , '" ,r)(a - `1
1. Location, Stree$ and No. 2 AA ,1 N I '� 't--77L
2. Owner's name } �X '' p
3. Owner's addre s )_ SI p c-L ,- . `� �..' ,kkA
4. Maker's name . h RU!l..i. ?,.-t- S■ L
5. Maker's addres - 7 t OJ z Si 0 CYti∎ --t \:) Z A4:
6. Erector's name �--
7. Erector's address
SIGN KIND OF SIGN
(Designate)
1. Sign will be (ch ck one) illuminated Non - illuminated ..
2. Will sign obstru t a fire escape, window or door? ..1: .. Marquee
3. Lower edge wi( be .. g' ft ins above the public way. Projecting
4. Upper edge wil be r Z ft 0 ins above the public way. Roof
5. Height ft. ns Width ft,$ ..ins Temporary..
6. Face area / sq. ft. Wall
7. Inner edge will e - ins from the building or pole. Ground
8. Outer edge will be ins from the building or pole. Other
9. Face of buildin or pole is /® ias back from the street line.
10. Sign will projec - ins beyond the street line.
11. Sign will extend - ft " ins above the building or pole.
12. Of what materi I will sign be constructed? Frame 1°6 Face '" L� Q f L
13. Estimated cost $ Ca ` `
The undersigned ce that the above statements are true to the best of his knowledge and belief.
(Signature of Owner or Agent)
Page 1 of 3 I,
File # BP- 2012 -0763
APPLICANT /CONTA'T PERSON PORCUPINE SIGNS
ADDRESS /PHONE 78 CONZ ST ( #REAR) NORTHAMPTON (413) 584 -4501
PROPERTY LOCATION 24 MAIN ST - THE FOUNDRY
MAP 32A PARCEL 146 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled ut
Fee Paid 6301 - $36
Typeo Construction: I RECT NON -ILLUM WALL SIGN - THE FOUNDRY
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / lot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
V Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Pro ect: Site Plan AND /OR Special Permit With Site Plan
Major Pr 'ect: 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 Citt 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 fom Elm Street Commission _ Permit DPW Storm Water Management
Demolition Delay
,c;' - / 3 / 2 /1 - Z_
Signature of Building Official Date
Note: Issuance of a Zo permit does not relieve a applicant's burden to comply with all zoning
requirements and obtn all required permits from Board of Health, Conservation Commission, Department
of public works and oldher applicable permit granting authorities.
l
* Variances are grantedlonly to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
1
City of Northampton Map 32A Lot146 Zone
Massachusetts Date issued 3/12/2012 0:00:00
Inspector of Buildings Permit # BP -2012 -0763
Permit Fee$30.00
SIGN PERMIT
Business TH FOUNDRY
Address 2411IAIN ST - THE FOUNDRY
Applicant InstallerPORCUPINE SIGNS
Applicant Installer Address 78 CONZ ST ( #REAR)
Work Descr ption ERECT NON -ILLUM WALL SIGN - THE FOUNDRY
Estimated C,st $650.00
r
Building Department
Approval by: