32A-122 (18) SEA' 19Q6 FILE I lJ f
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A9rLJCANT/CONTAQT PERSON: e --
ADDRESS/PHONE: ""'" O/e •1/4.5" — c,
PROPERTY LOC TION: �p 7 /� C • — ryt. Gv-e
MAP �, ? f PARCEL: L%2U��2� ZO (:
IBIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7()NT1NIG FORNT FT) (?TIT
Fee Paid ( iar
Rnilding Permit Filled not
Fee Paid
Type of Cnnctrnrtinn•
New ('nnctrnrtinn
Remodeling Tnterinr
Addition to FYicting
Arreccory Strnrture
Rnilding Plane Tnrinded•
owner/nrrupant Statement nr Licence#
3 Sete of Plane /Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented
/ Denied as presented:
Special Permit and/or Site Plan Req fired under: § 7 • 4 (f , (C) CI )
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservation Co ission
Signature of Building Inspec✓ Date
NOTE:Issuanos of a zoning permit does not relieve an applloant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works end other applioable permit granting authorities.
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File No.
SEN 7I' ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: JOHN t--UFFhl - ILUl4N 12.112DL,6 Ajte.f417F,GTS
Address:1 14•PLEASANT, PrOsAf-+E1'T, /Vv' . Telephone: 413 ' • ((1/3D
2. Owner of Property: HO (Z- /IMPTON COO Th' 'AN C
Address: 60-1 * Telephone: 4 4474
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain): A eicH(T
4. Street Address: ("7 f,
Parcel Id: Zoning Map# Parcel# 122 District(s): CGNTK-Att, 1505 .
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property e-OMME IA•t. ( iw ,11 • USL
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
GoNSTRUGTION bF EX-1ST INb 6ROUNP
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? IN PRoc> S
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) •
10. Do any signs exist on the property? YES / NO
IF YES, describe size,type and location: .XKj N& Bs4NIL -, tilicNP 7(S 5'I( t 136
PUIl,T IN VXtSTi•N& +-oC4&11ot.( NEW StbN To V,SS/.IlA l te-r-- 1 CA(.VfD
6IhN wtT /1/4/Virtic*464,4 ( SST'ANV f12AME.
Are there any proposed changes to or additions of signs intended for the property?YES ✓ NO
IF YES, describe size,type and location: Nem 'LAlzv ? l NTTO SI bN 844 104(...&-G(. ABov�
FtzONT) NPN fPpit o ► TZErr-S ON NOSH wMu, pws New T tl cnoNkL
S16NA(,B.
11. ALL INFORMATION MUST BE COMPTJ'TED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION. Nip,
This columm to be fi 7 ied in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - fnnt
- side L: R: L: R:
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- rear
Building height
Bldg Square footage
%Open Space: /
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the infors•_ . 'o .'ntained herein
is true and accurate to the best of my knowl=%ge .
.I DATE: Gj�j". ('Z� ' (,, APPLICANT'S SIGNATURE ``,mmos
NOTE: lssuanoe of a zoning permit does not relieve an a IR
•ant's burden to oompty with all
zoning requirements and obtain all required permits fro - Board of Health, Conservation
Commission, Department of Publio Works and other applio:ble permit granting authorities.
FILE i
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4 Erection________(
-:oto—re� Aleration.._ )
___._..----( )
r �,., Repair_---
Plahs must be filed with the Building Inspector, ( )
Repainting....._.___.( )
before a permit will be granted,
Removal....._......__.
Cf±±. ni N.art4an-tp-tan, 4aRa +
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE... .... PAGE PLOT
Northampton, Mass., SEEIT i3 199(6
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME (4011-111-NAMb14 ..t✓'AOPFi kriVe W—
....... .. ..
1. LOCATION, STREET and No. 0 I.1N16. 6-111 1
2. Owner's name.. .. .. .NTft�
...MeToN LooFERATruE......MWic
.. .................... ... .
3. Owner's address b7 KIN& ZIPt. j
4. Maker's name......_..._....��(ILS.... _ 2),ITINGQ. .....'._.... irQLAo14
5. Maker's address I 5HU1b56L4 ( 110. LEAfpZElT, q�,
6. Erector's name SlbMS OF Dt9Tit37f1Olsl
7. Erector's address. ._.
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated ✓ non-illuminated...._...... . (Designate)
2. Will sign obstruct a fire escape, window or door?...No.. Marquee
3. Lower edge will be.....1.'_....ft. ° ins. above the public way. Projecting._ _ ........._.............
4. Upper edge will be__13_.....ft. t0 ins. above the public way. Roof....._
5. Height.....24- ..ft.._....._.....ins. Width co ft._...D__ins. Temporary
6. Face area.. 24....�q. 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_.._.Q_.....ins. back from the street line
10. Sign will project.A+ _ins. beyond the street line. (61cuSTINL PF•0.1ECTS S4"
11. Sign will extend..._ 4 ft 0 ins. above the building or,pole.
12. Of what material will sign be constructed ? Frame.11 Yt"U PRINTED
13. Estimate cost le),oQO. ralbN
The undersigned certifies that the above statements are true t, 7!�
best of his knowledge and belief. 'I
ature of Owner or Agent)
r,OF R7 Vor der that this application may be accepted, the data ca led for above must be set forth
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