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24D-070 (3)P. City of Northampton HB(100)/URA/ Massachusetts 0:00:00 Inspector of Buildings Map 24D Lot070 Zone Date issued 12/28/2010 Permit # BP -2011 -0581 Permit Fee$30.00 SIGN PERMIT Business STOP & SHOP Address 228 KING ST Applicant Installer AGNOLI SIGN CO INC Applicant Installer Address P O BOX 1055 Work Description REPLACE NON -ILLUM GAS CHANNEL LETTERS Estimated Cost $1500.00 Building Department Approval by: DEPARTMENT OF BUILDING INSPECTIONS- 212 Main Street • Municipal Huilding Northampton, MA 01060 Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee (Application to be filled out in ink or typewritten) Number ..................... TibJ of Xurt4amptan assar4usetts Plans must be filed with the Building Inspector before a permit will be granted. Erection ..................( L Alteration.. /) Repair .....................( ) Repainting ...............( ) Removal ..................( ) FEE........ PAGE........ PLOT....... Northampton, Mass. .......... ck(.... 1- U_,...20.t0 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ........ �. C�) .... �.. Sh. Q9 ................................ ............................... 1. Location, Street and No............ a.. QL .... y.i n�s.... 2. Owner's name ....., J }.0 .... ...., ,1�0Q ......... ............................... 11,,E .......................... 3. Owner's address .....ZIS5 ...... QJ�..Z:4.....m. ....GC�llp9.... 4. Maker's name ........................ v* C0.4 5. Maker's address ........................ 8► 6. Erector's name .................... MA• 0tJ6Jt-" N ........................................ 7 . Erector's address ....................................................................... ............................... The undersigned certifies that the above statements are true to he best of his knowledge and belief. A. (Signature of Owner or Ageni SIGN KIND OF SIGN Y.. (Designate) 1. Sign will be (check one) illuminated Non - illuminated ....... 2. Will sign obstruct a fire escape, window or door? Marquee ............... 3. Lower edge will be ...... ft ........ ins above the public way. Projecting .............. 4. Upper edge will be ...... ft ........ ins above the public way. Roof ..................... 5. Height . a..ft,. V�Jns Width .4.4.ft.. A.ins Temporary ......... 6. Face area 3a _ 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 street line. 10. Sign will project ..c .. ins beyond the street line. 11. Sign will extend ..6 ... ft .......ins above the building or pole. 12. Of what material will sign be constructed? Frame ..C.'AQ ............. Face.. 13. Estimated cost $.... >..5..0.c'....... The undersigned certifies that the above statements are true to he best of his knowledge and belief. A. (Signature of Owner or Ageni h g ows .tv� .t , A 1 to Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: '�' C. \C) O— otol Address: \ \b�Z"� .P I� i ill Telephone:_ 2. Owner of Property: Address: IaIM) a(Y1c c ( 'c" mo c' I elephone: I e) > - Ab U 3. Status of Applicant: _Owner Contract Purchaser _Lessee /Other(explain): 4. Job Location: y�� L Parcel ID: Zoning Map # Parcel # b - 4 d District(s) i-\fj (TO BT-FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: 0' \ " no 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) 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 Y"' IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: Enter: Boo j Page wa 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 10. Do any signs exist on the property? YES ✓ NO IF YES: Describe the size, type and location: Vbks:�) cs C'.a" Are there any proposed changes to, or additions of, signs intended for the property? YES ✓ NO IF YES: Describe the size, type and location: lie t 'k,2 CYx Z 'ia r Page 2 of 3 12. 11. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Buildinq Department. 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: C) APPLICANT'S p ( °> 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 Existing Proposed Required by Zonin Lot Size Frontage Front: Setbacks: Side: Rear: L: R: L: R: Building Height Bldg Square Footage % Open Space: (Lot area minus bldg and Paved 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. DATE: C) APPLICANT'S p ( °> 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 V) CL o 0 a w W L N N O : W W O W o z Z Z x N O Z O � W Q W Q M 2 V t CL Lu�- N W W J N J w Zw O Q J 2 U U LU LU LI) N zz - 0 0 N n L Q D Z ' n Z D n Z 2 L Y cx� 1 ao p n N Z w Z :�E 0 1 Q � v O V W Q L O w V V) N a< M O p 00 0 i O W Q w Q � O I m � Z 0 o w O N = M V j Z w LI.J N J N Q W 0 C'1 N ~ (�V C O N LL- v N ~ oo N � V v N `r O ~ ♦ ) V�' \V O '^ N V / ^� w O ' V/ LU Q V W N W 0 W N Ln U W Q W O] , 1 I D C) v to N - M CN - Ch x N x ^ M j x I x 10 x N N N N O w000Q U g.. LU 4.— 0 Z N p Ln � Lu `r O 0,5 af ♦ ) V�' \V O '^ N V / ^� w O ' V/ LU