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23A-111 (8) City of Northampton Map:Lot 23A-111-001 Massachusetts Date issued 03/22/2024 Inspector of Buildings Permit # BP-2024-0292 Permit Fee $60.00 SIGN PERMIT Business Address 2 MAIN ST Applicant Installer CHUCK'S SIGN CO Applicant Installer Address 658 FULLER RD, CHICOPEE, MA 01020 Work Description NON-ILLUMINATED WALL SIGN - VALLEY KIDS PEDIATRIC Estimated Cost $750 Building Department Approval by: Z-o, File #BP-2024-0292 APPLICANT/CONTACT PERSON:CHUCK'S SIGN CO 658 FULLER RD CHICOPEE,MA 01020(413)592-3710 PROPERTY LOCATION 2 MAIN ST MAP:LOT 23A-111-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $60.00 Type of Construction: NON-ILLUMINATED WALL SIGN - VALLEY KIDS PEDIATRIC New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: t/ Approved Additional permits required(see below) For all projects that need additional reviews Ei as checked below,please see the Office of Planning& Sustainabilitv Permit page or scan here • y 4} PLANNING BOARD PERMIT REQUIRED UNDER:§ ;I• t Ott .. 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 Demolition Delay 3- 2/ -Zo zv 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. 0 City of Northampton joatr„, -- 0...,p!�' - , Massachusetts: t *. ' A-. _ DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 frkii Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee 6,- a- (Appozoie.([y`s'lys' ;fold..out in ink or typewritten) Number f Plans must be filed with the Building Inspect9r -.0_ILJ' Erection OO before a permit will be granted MAR 1 Alteration ( ) 5 7�02Q Repainting ( ) 9 moval ( ) 'Q, ��nrn��'"�rn1Spr:-- EE PAGE PLOT OtP �� r:, ^�a oi oc�s Nodharripton, Mass. 3./...t 3.......2021 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME N(CA\ e'l lC '). Qe.Ssk-Oe6C 1. Location. Street and No. a pn o.-....S:!1.4JZ-, t F bent `I , l 1c 01Q ba 2. Owner's name a(Sci) 2S61u 2- 3. Owner's address 4. Maker's name Ch (• s....S.15Y\ CP . 5. Maker's address 65 0 .\\QI ^` �..l.�l( / (YAP O)C�)6 6. Erector's name S0. G.5 ivw2_1 7. Erector's address 5.A.t^1.L c'-5 ,.Wta( SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non-illuminated .X.. 2. Will sign obstruct a fire escape, window or door? .. ..O.. Marquee 3. Lower edge will be .!:1..ft ins above the public way. Projecting 4. Upper edge will be ..7..ft. in above the public way. Roof 5. Height ..3...ft ins Width ft. -Tins Temporary 6. Face area 1315 sq.ft. Wall 1< 7. Inner edge will be ins from the building or pole. Ground 8. Outer edge will be insrom the building or pole. Other 9. Face of building or pole is ilts.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. �VC 12. Of what material will sign be constructed? Frame Face 13. Estimated cost $ 7 5 u The undersigned certifies that the above statements are true toe e b t of 's knowledge and belief. (Signature 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 Frontage Front: Setbacks:(for sign)Side: L: R: L: R: Rear: Building Height Facade Square 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: 4 371 3l - ,9y APPLICANT'S SIGNATURE 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 1 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING (INFORMATION PLEASE TYPE OR PRINT ALL INFORMATION x,( c 1. Name of Applicant: kl, S J 19Y a Address: (�5$ c;UACL( o CV (C)(a OP Telephone: 9 5 - 7 1,` 3?I 2. Owner of Property: 1-6.5e 1Oe5c . . Address: Telephone: 3. Status of Applicant: _Owner Contract Purchaser Lessee x Other(explain): Jet j1\ NoO.X ! ( 'IyAka4/( 4. Job Location: 2 O.;n S. v cr (J / tly\Af\ Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: C ' cAGA 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) N p W S r h Cam( Sk ' &Lc 4J 60 I 7. Attached Plans: \ 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 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 x 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: S l (/1[y' S 6(\ `.f U iv Are there any proposed changes to, or additions of,signs intended for the property? YES NO IF YES: Describe the size,type and location: Page 2of3 1-EL, MA 01020 ( CHUCK'S SIGN CO. 413.592 3710RIDchuckssigns@gmail.com DESIGN PROOF JOB# JOB NAME Valley Kids Pediatric TYPE DATE 3/13/24 CONTACT NAME Joe Deschene PHONE*(774)644-3043 EMAIL jndescheneOsimail.com SITE LOCATION 2 Main Street, Florence, MA 01062 m New Customer ❑ Existing Customer -_ III Mil _ � T J .,,, - 00e . , _ _ :.' I.- ff;;) - ;= Ars? VALLEY KIDS .. .. ...= PEDIATRIC --_i- I `, c.------ DENTISTRY — • ,I _ 4 55.00 is d ;!rr '4'- — rik___ f �. 4i: F. — �� ♦ ♦ ♦ ♦ ♦ ♦,♦' . oQ .'• •• ♦. .,\v.v.*v.v.!" Pp; t ♦♦♦♦♦♦♦♦*�♦••♦♦♦♦♦♦♦♦♦♦♦♦ Job Details 36" h x 55"L routed PVC sign w/Valley Kids graphics mounted to wall 13.75 sq ft ❑ ❑ Please Note:This design and drawing submitted for your review and approval is the exclusive property of Chuck's Sign Co.It may not be reproduced,copied,exhibited or utilized for any purpose,in part or whole by any individual without written consent of Chuck's Sign Co. I C H U C K'S SIGN 658 FULLER RD. CHICOPEE, MA 01020 CO. 413.592.3710 1 chuckssigns@gmail.com DESIGN PROOF JOB# _ __- JOB NAME Valley Kids Pediatric TYPE DATE 3/13/24 CONTACT NAME Joe Deschene PHONE#(774)644-3043 EMAIL jndeschene( gmail.com SITE LOCATION 2 Main Street, Florence, MA 01062 I New Customer ❑ Existing Customer s _ -'.. L___ CrININIMMI11111111 , b. i 1 i �. �aea= VALLEY`IDB .. .. 'i 4. PEDIATRIC ' ' ' DENTISTRY A , 55,00 in I . . _____._ 4 -Wit*-ti..*: 11:4411 1..''I'14til -- _ 4-7 1. ^rg ;. • 1.. ! r ♦•♦ ♦ ♦ ♦ ♦•♦ ♦•♦ ♦•♦ 11 iiik,1. . .,s:..•.•,:••:.•,.. ... ' ,, ♦.♦ •.••4; , ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ • , •• • • ❖* r•+.• • posed x,Y' xfsiing '" Job Details 36" h x 55"L routed PVC sign w/Valley Kids graphics mounted to wall 13.75 sq ft ❑ ❑ Please Note:This design and drawing submitted for your review and approval is the exclusive property of Chuck's Sign Co.It may not be reproduced,copied,exhibited or utilized for any purpose,in part or whole by any individual without written consent of Chuck's Sign Co. nCHUCK'S S'V CO 658 FULLER RD.C ckssigEE,@Mg ail. o DESIGN PROOF I e 413.544.3710 l chuckssigns@gmail.com mail.com JOB# JOB NAME Valley Kids Pediatric TYPE DATE 3/13/24 CONTACT NAME Joe Deschene PHONE#1774) 644-3043 EMAILjndeschene@gmail.com SITE LOCATION 2 Main Street, Florence, MA 01062 m New Customer ❑ Existing Customer j .?"7- -----. tp-\__, __, VALLEY ICID8 PEDIATRIC 36.00-m �. _ DENTISTRY .----- r, Itvli*,111 55.00 in ----1/ , 14 ..� a..�— y.- „ .,, + ;fir.;. , . ., _ _ , ,►�• ♦,'♦*i+♦~♦•.�+*�♦•♦•*♦'�• i r ^^ r ^fr '•��♦•♦•♦♦;•*•••♦♦••.♦.• • e posed Job Details 36" h x 55"L routed PVC sign w/Valley Kids graphics mounted to wall 13.75 sq ft 0 El Please Note:This design and drawing submitted for your review and approval is the exclusive property of Chuck's Sign Co.It may not be reproduced,copied,exhibited or utilized for any purpose,in part or whole by any individual without written consent of Chuck's Sign Co.