32A-246 (4) File# BP-2021-1482
APPLICANT/CONTACT PERSON NORTHAMPTON CITY OF
ADDRESS/PHONE 210 Main Street NORTHAMPTON
PROPERTY LOCATION BRIDGE ST-LAMPRON PARK
MAP 32A PARCEL 246 001 ZONE URC(99)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIS
ENCLOSED REQUIRE I DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: NON ILLUMINATED GROUND 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 X Additional permits required(see below) *� / \
PLANNING BOARD PERMIT REQUIRED UNDER:§ 2S Q /,3 l CJ(LJ) C I1F 1 (n FIT)
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* x
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
• 6A )jai
Sig ture 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
,,, " ,t. Massachusetts k -
�� DEPARTMENT OF BUILDING INSPECTIONS'
212 Main StrecL • Municipal Building ",t ,.''
Northampton, MA 01060 fi� h ,..q .�
,'° - Application for a Perma to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number
D r.:, ust bfLuest.with the Building Inspector Erection (✓)
tle,i0 e__a perimLwiWl_We granted. Alteration ( ) ,
Repair ( )
Repainting ( )
JJRmoval ( )
FEE.Y PAGE. 3a PLOT .... ..
Northampton, Mass. —.lute 1 20.t1
Application for a permit to place or mainta n a sign or other advertising device, or marquee
BUSINESS NAME W0 rA 3 Net! 6.(LotC Ass .'t oci.0 0,,, Cw3NA)
Location, Street and No. ?re.n GA•r •
Owner's name wo✓&...3. .... o ....k ( f.••3K r szi, i)re all"`)
Owner's address . ' W A .$...N . trLo4._. OC•
Maker's name ...WZ.
Maker's address .. ......5�(v4 . 54- S ^ U , A.,
Erector's name
b 1 likes 4 v^�s ? 4�c. 3 bf
��'�S
Erector's address ...( ..S....... .. . ......... ... . ..................... ................ .
SIGN KIND OF SIGN
/ (Designate)
1. Sign will be (check one) illurrinated .. . ..)n-iiium_itaated V
2. Will sign obstruct a fire escape. window or door? T`b Marquee
Lower edge will be ft ...ins above the public nay. Projecting
Upper edge will be ft ...ins above the public way. Roof
Height 4, ft. ins Width ..1..ft D H,. Temporary
K . Face area ...l..sq. ft. Wall
7 Inner edge will be ins from the building or pole. Or
Ground . .✓ .......
Outer edge will be ins from the building or pcle.li(A- Other
Face of building or pole is ins back frc:rn the street line.O
.O. Sign wi,: project ins beyond the street line. PM-
. 1. Sign will extend ft ins above the i_uilding or poie.PIA
^:2. Of what material will sign be constructed? Frame ...Woo- Face L
13 Estimated cost $....11
The undersigned certifies that the above stater7ents are true 'o the best f his knowledge and belief.
• (Si. n ure of Owner or Agent)
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING (INFORMATION
PLEASE TYPE OR PRINT ALL re INFORM(ATIOON, - 1 • ,
1. Name of Applicant G + f e/ .?(C's' c-v..`7- ' W N7`k
Address: tic Zro-d4 c Si. -eiephone: if IS '.5713.'%59 7
2. Owner of Property: �.i-{�
Address: ,n ? . Si-f .,Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
/ther(explain) �.�o__,,• it4 4
U
4. Job Location: 1_,y.w•p,(Dv_\ PC'�L _
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE, BUILDING DEP/\RTMFNT)
5. Existing Use of Structure/Property: ' .,
5. DescrHof Proposed Use/Work/Project/Occupation: (Use addition: ='icets if necessary
(p.4 w�-d-v of. n(ay. r_ w-1:?`" `t 6 _ ,r i..) __ i
61\
P
444 -s r rt.t.... 4,4 atml.
2 A ch.,-a c_c� „,re vue.:4 4I csapeS
7. Attached Plans: ✓Sketch Plan Site Plan Engineered/Surveyed Plans
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 IV 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 V NO___
IF YES' Describe the size,type and location: (LJ(21c D%.L(, 'b 1Ja/w4,.1.,- kr' Si ONI
etanr10-1_1.. (CC 51: ic4.-* ) „Sr• QtArti...410.4_ ix-- s in0
Are there any proposed changes to,or additions of, signs intended for a property? YES NC
IF YES: Describe the rai.size,type and location: g � w G•� `'T`,
/:33._ -I L 4a....).14
/
0 r c._ QO 1".- .(4✓ .
2 of 3
11. ALL INFORMATIONBUSTBECOMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12. This column to be filled in
by
the
Buildir• De•artment.
Existing Proposed Required by
Zoning
Lot Size 1-atrbf-i/A-.
Frontage
Front:
Setbacks:(for sign)Side:
L: R: L: R:
Rear:
Building Height
Facade Square 1,-)x)
Footage
#of Parking Spaces
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 6/7/1,o 7, 1
APPLICANT'S SIGNATURE
1111111 -
NOTE:Issuance of a zoning permit does no:.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 #
Paw; 3 of 3
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