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's building
��. City of Northampton
— ''p0. ,,, '.,
'e . =� 2 S "s.: S
�, Massachusetts ,* ._ '
�i t �: , o ' Z
1 a n y DEPARTMENT OF BUILDING INSPECTIONS , z
:,r 212 Main Street • Municipal Building `'x
6 Northampton, MA 01060 ,3 ' t
INSPECTOR Application for a Permit to Place or Maintain a Sign
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 (; 4 )
before a permit will be granted. Alteration (` )
Repair ( )
l ._, � j - Repainting ( )
Removal ( )
JUN 20!? FEE PAGE PLOT
I 32. A 12- 2'
°` Northampton, Mass. 20.....
"To1i Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME 4A„Z c" en '-'4.- " "e't Lecc v J n9 ST/212
1. Location, Street and No. 5 7 K / 1 4 ......
2. Owner's name 1-7 \A V I
� \ Y' 1C' i n Yt
3. Owner's address '. / 7 kti..14 5 ;..1V �.v 1 ,
4. Maker's name / � C � " / 4 I / I (C1 17-e S /
5. Maker's address 7 e 2 J f !l'14 / vt. GE. � . . 1 � J / / f t v t . 5 . ? . v . q 0 4 i `l c.0
6. Erector's name
- drt---L- .
7. Erector's address
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated .. .. Non - illuminated
2. Will sign obstruct a fire escape, window or door? ..< L 2 Marquee
3. Lower edge will be ft ins above the public way. Projecting
4. Upper edge will be ft ins above the public way. Roof
% 6 Face area,. q ft Width ft..Gr..ins �� � s j 1 �empora
) / [ Temporary
N
7. Inner edge will be ins from the ( building or pole. Ground
8. Outer edge will be . /Q..ins from the building or pole. Other
9. Face of building or pole is ins back from the street line.
10. Sign will project , :.ins beyond the street line.
11. Sign will extend .. '..ft .ins above the building or pole.
12. Of what material will sin be constructed? Frame ....Nt' Face ex ci
13. Estimated cost $ . `' do
The undersigned certifies that the above statements are true to the, best of his wledge and belief.
( I,
ig ture of Owner or Agent)
Page 1 of 3
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 a71 S 1 .S
Frontage
Front: �l f
Setbacks:
Side: L: oZ ` R:011 L: R:
Rear:
Building Height 020 I
Bldg Square
Footage g i sVO
% Open Space: ��
(Lot area minus bldg and
Paved parking)
# of Parking Spaces Y7
# 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: G - i:5'/ APPLICANT'S SIGNATURE .. L
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:
7 nt: y &A / 1 t t hY
�1 \
Address: [ K v s� N O�� 0on /0 Telephone: SW"' ( ''ti-
2. Owner of Property: JK.V. 'ttSGi/0 . - Fl Vin
Address: K\ , N r r f I A n nP -oY \ m A Telephone: JD q 1714 095g6 (6 nCW)
3. Status of Applicant: ✓Owner Contract Purchaser Lessee
_Other(explain):
4. Job Location: 5 7 ik% r S4 . iQ ® vs`� k■ampl
Parcel ID: Zoning Map # �3o9;A Parcel # /a`f District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property:x1
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
'CL U 144 114 rev( ( 0 -'- /• . -ers -4v 6 ci S
t7)eu -/,'4 ,
7. Attached Plans: 11 Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance /Finding ever been issued for /on the site?
NO DON'T KNOW YES Ni IF YES, date issued: 3.191%'--0
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: Enter: Book (pin Page 31r9-- and /or Document # m
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: v- 1tf6 /d t) S1A On 444 bSka1'.
Are there any proposed changes to, or additions of, signs intended for the property? YES Y NO
IF YES: Describe the size, type and location: WSW 6 titiv � t 1 `4mr1d'Gk, Qp J o)(. (. • o.5 4bk
L)t .A �e 4le84. o n -4ruc e-- 64..1)0 8�Dde C eAvD Cser✓ ?IC u?e)
Page 2 of 3
File # MP- 2012 -0138
APPLICANT /CONTACT PERSON KEITH BRICK DESIGN
ADDRESS/PHONE 7 VH T ^
� - D�(413) 519 -9390 () 9 E i 't :sr 0J: Q.( -1"41S Vu' Cc 0 \ 6 9 6
PROPERTY LOCATION 57 King Street
MAP 3' - PARCELI#1 ZONE SR/WSPII
3 P - 4 0 ` ''1 THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid i zof3 P'l� n °
Building Permit Filled out
Fee Paid
Typeof Construction: illuminated 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
INFO ATION 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 n (to l Z-'
ZONING BOARD PERMIT REQUIRED UNDER: §i- Or
e) /
Finding Special Permit r 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
Pe • fro 1 Street Commission Permit DPW Storm Water Management
Signature of Bui ding Offici� / Date
7/2.0h
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 the Office of
Planning & Development for more information.
57 KING ST MP- 2012 -0138
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: i 11662 �OatHAMN \
Map 32A ,,`„
Block: 124 ; ! ZONING PERMIT
Lot. 000
Permit: ZONING PERMIT APPLI ; r£ Z_ APP! 4ICATION PERMIT
Category: ISign
Permit # IMP-2012-0138 PERMISSION IS HEREBY GRANTED TO:
Project # IJS- 2012 - 001949
C ontractor: License:
Est. Cost Expires:
harg_-: $3 — — KEITH BRICK DESIGN
Fee Charged:!$30.00
Balance Due: $.00 Owner: FINN JACK V & PRISCILLA R
# of Fixtures: Applicant: FINN JACK V & PRISCILLA R
-
DigSafe # AT: 57 KING ST
I U seGroup
ConstClass
ISSUED ON: 23 -Jul -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ERECT ILLUM WALL SIGN - A2Z SCIENCE & LEARNING STORE
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC- 2012 - 006806 19- Jun -12 683 $30.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.
_ r