32A-144 (5) File fi BP-2016-1491 7 iLl ak
APPLICANT/CONTACT PERSON KINGSLEY ELECTRIC
ADDRESS/PHONE 28 GOVERNOR DR WESTFIELD (413)626-4120
PROPERTY LOCATION 32 MAIN ST
MAP 32A PARCEL 144 001 ZONE CB(1001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid C1-14 1606.3 '#/s/1
Building Permit Filled out
Fee Paid
Tyoeof Construction: ILLUMINATED WALL SIGN TO READ THEORY SKATE&SNOW
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 20854 A
3 sets of Plans/Plot Plan
THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION 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
Jr)lit'�/a-lay
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Sign. ae of Build`7JØ
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.
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S - DEPARTMENT OF BUILDING INSPECTIONS �T/.a
212 Main Street • Municipal Building L: +•
IF
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I - Northampton. MA 01060
INUI EcTOR Application fora Permit to Place or Maintain a Sign
_ �j
Or other Advertising Device, or Marquee r, 63 Y-//0O
(Appacatlon to be Ned out N inkor typewritten) Number ,n06-3
tom'"
plans must be tiled with the Building Inspector Erection ( )
Peeve apwmd will he°ranted, Alteration:. . ( )
Repair..... ( )
Repainting (.. )
Removal.. . . O
FEE ....:PAGE PLOT....
Northampton, Mass 20.;...
To the.Building Commissioner.
Application for a permit to,place or I�amtain a sign or other advertising device,or marquee
BUSINESS NAME .:. 12.. 2...0 . �4v . .S ,LJp -s:,-,fo.
1. Loc2 ation Street and No t(\ 4:A. Sl•-. fin.} ,tv 0r\ ~cv SZLA
2 Owner's name. . .. 4v7._ L.,AIn A "k l?rs ....1\4rt.:_..
3. Owners address
4 •, Makersnamee } tit. ..f�.. F'Gr^.4 i /I .
5. Maker's address Li -t T Sd.r.L.rxr ��.`S . Y(�1 t.{ ��/I
J:....: ..........
6. Erector's name >Y1,11 /,._ /C,2 A 1:..�..-
7. Eradtor'saddreas..,, . . . ...-ij or: :G.•
SIGN KIND OF SIGN
(Designate)
1. Sign:will be(chec(one) illuminated)"..Non-illuminated
2 Will sign obstruct a fire escape,window or door? .41.0. Marquee
3. Lower edge will be ft ins above thepublic way :: Projecting
4. Upper edge will be ft .....m4 above the public way. Roof
5. Height.. . ft.... .Ins Width L.4r.tt.... ms Temporary
6. Face area sq. ft. Wall
7. Inner edge will be......ins from the building or pole. Ground
8. Outer edge will be ins from the building or pole. Other
9. Face of building or pole is ins back from the Mr;-I i e.
10. Sign will project ins beyond the street line.
11. Sign will extend ft. .... ins above the building o I-.'
12 Of what material will sign be constructed? Frame 1 Face
13. Estimated cost $
The undersigned certifies that the above statements ar t�k' .I.est of his • tea�n�d��'b�el/ief.
alfarina.titp Rots
4i a r of Owner dr Agent) 3Q7if`
°Nile
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
JUN 14 ZONING PERMIT APPLICATION
I PLEASE TYPE OR PRINT ALL INFORMATION
DEPT OF - / � /7-
"'d
:
'
me ofA licant: `rQti � L. � �,ns C l h2-0I', . ^�
Address: O is St • / _ Telephone: N«• d� - 4,/6/
2. Owner of Property: I ` 1 LQ_ �4//vYA S CbAin S ui- :GkirT Sn�IS1. e�t )
Address: 2, Mq �r S/ LG Sj NGc,�iah Telephone: 3 - 527- 2960
3. Status of Applicant. Owner _Contract Purchaser (41 Lessee
Other(explain)_
4 Job Location: "l 2 M F . h S
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property. cia 1/4
6. Description of Proposed Use/Work/Project/Occupation. (Use additional sheets if necessary)
4
7. Attached Plans. Sketch Plan Site Pian Engineered/Surveyed Plans
8 Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW149 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? NO54° 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 T NO
IF YES: Describe the size,type and location: A r J / !. r 5t-r r(1.
Are there any proposed changes to,or additions of, signs intended for the property? YES ?° NO
IF YES: Descrithe size,type and location: (S 1Ce_ W rn e /5 r <H
�v\ v? Ours
Page 2,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
Frontage
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height
Bldg Square
Footage
% Open Space:
(Lot area minus bldg and
Paved parking)
#of Parking Spaces
#of Loading Docks
Fill: (volume&location) 77
13. Certification: I hereby certify that the information contained herein i1trbe and accurate to the best
of my knowledge.
DATE: / /C APPLICANT'S SIGNATURE •
/ ' Y%3- 2 - E‘�,p
NOTE: Issuance of a zoning permit does not relieve ad'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
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