32A-153 (17) �~
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10. Do any signs exist on the property'? YES NO
IF YES, describe size,type and location: Z il `- ��`'S � �' S►Z `
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location: 2 12 WZ' v�'4�L S kw
11. ALL INFORMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colas= to be filled in
by the Dmilding Depar=ent
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage �--
�I
%Open Space:
(Lot area minus bldg
&paired 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.
D21TE: 6 •(, u 1 APPLICANT's SIGNATURE
NOTE: Issunnoe of a zoning permit does not relieve an applioants burden to oomply With all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
FILE if
Fi 1 e No
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL =ORMATION
1. Name of Applicant: `f�^ ` ct Lzrvr
Address: 00&( Telephone: QN y I
2. Owner of Property:
Address: 13"1 Telephone: Sib•s6 i
3. Status of Applicant: Owner Contract Purchaser Lessee
✓Other(explain):
4. Job Location: 2-6, S?(Zo=�Z� �- �U,�TrE � 6 ,C—
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 2C
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/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:
(FORM CONTINUES ON OTHER SIDE)
s ` No—�f r
( )
Alteration':._.._...........( )
Repair....._...._...._------------ )
Plans must be filed with the Building Inspector, Repainting....................( )
bcforz a mit will be grar.te ', Removal.........................( )
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in inlc or typewritten) 7
Northampton, 1`Iass....................................................................19............
To the Building Commissioner:
Application fora permit to place or maintain a sign or other ad\crtisinl* device, or marquee.
BUSINESS NAME.---
...
................
1. LOCATION, STREET and No. .................................................................-............... ' ...............................................................
2. Owner's name..........-�M` -(l-t'hZ'--.. !- 5 �...........................................................................................................................................
3. Owner's address......................L `1.....�.aac!+ 5�.. ..-......!Uu- y�;w
1i ...._......_.........................................._.......
4. Maker's name............. IJvrtc.- �.lr� _......-.__........
5. Maker's address..............77�f...... z -.......�2 ....... . ......-.. ..-.. .--
........
6. E'rector's name ... .... ... _... ..... _.
r. Erectors 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
Projecting.................................
3- Lower edge will be....._�.�0.......ft. ..................ins. above the public Wad .
Roof.................................................
4. Upper- edge will be.....1Z.....ft. ..................ins. above the public way
Temporary.........................
0. Height.........2----ft...................ins. Width....I.?-.....ft............_..--.ins.
6. Face area..... ......sq. ft.
Ground........................................
7. Inner edge will be..... ......ins from the building or pole.
Other........ ...........
.........._.... _
8. Outer edge will be–...".........ins. from the building or pole.
9. Face of building or pole ......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 materi a l will sign be constructed ? Frame......... �...__........ Face......................_....... .----._. ....
13. Estimate cost....�C�!� �
The undersigned certifies that the above statements are true to the
best of his knowledge and belief.
(Signature ail Owlnl w Abrni)
NOTE: In order that thia application may be accepted, the data called for above must be set forul
CLEARLY and FULLY.
A
File#BP-2004-1210
APPLICANT/CONTACT PERSON Porcupine Signs
ADDRESS/PHONE 78 CONZ ST(#REAR) NORTHAMPTON (413) 584-4501
PROPERTY LOCATION 10 STRONG AVE
MAP 32A PARCEL 153 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT 2 X 12 NON-ILLUM FRONT WALL SIGN-NEW YORK SHOP EXCHANGE
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
INF ATION PRESENTED:
Approved Additional pen-nits 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 Co ssion
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.
City of Northampton Map 32A Lot153 Zone CB
Massachusetts Date issued 6/8/04 0:00:00
Inspector of Buildings Permit # BP-2004-1210
Permit Fee$30.00
SIGN PERMIT
Business NEW YORK SHOP EXCHANGE
Address 10 STRONG AVE
Applicant Installer Porcupine Signs
Applicant Installer Address 78 CONZ ST (#REAR)
Work Description ERECT 2 X 12 NON-ILLUM FRONT WALL SIGN
- NEW YORK SHOP EXCHANGE
Estimated Cost $600.00
Building Department
Approval by: