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16A-002 City of Northampton Map 16A Lot002 Zone HB /SR/URA/URB Massachusetts Date issued 4/15/20110:00:00 Inspector of Buildings Permit # BP -2011 -0824 Permit Fee$30.00 SIGN PERMIT Business Address 300 NORTH MAIN ST Applicant Installer FERGUSON SIGNS Applicant Installer Address 3 RAILROAD ST Work Description ERECT GROUND SIGN - LOOK PARK Estimated Cost $3800.00 Building Department Approval by: File # BP- 2011 -0824 APPLICANT /CONTACT PERSON FERGUSON SIGNS ADDRESS /PHONE 3 RAILROAD ST HADLEY (413) 586 -8462 PROPERTY LOCATION 300 NORTH MAIN ST MAP 16A PARCEL 002 001 ZONE HB /SR/URA/URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid Typeof Construction: ERECT GROUND SIGN - LOOK PARK New Construction Non Structural interior renovations Addition to Existin 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 INFFRMATION 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 Demolition Delay 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. City of Northampton M Massachusetts S c?{ DSF11RT1=NT OF BUILDXATO INSFSCTIONS h7 4) re Main Street • Municipal Building Northampton, MA 01060 W i INSPECTOR Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee (Application to be tilled out In ink or typewritten) Number ..................... Plans must be filed with the Building Inspector Erection .................. ( Vr before a pe rmit will be grante d. Alteration .................( ) RE E IVED Repair .....................( ) Repainting ...............( ) Removal ..................( ) FEE........ PAGE........ PLOT....... oFeuRow+a Northampton, Mass ...I.� ...............20 1 Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ........L—®o 1 P q RL K ................................................................ ............................... 1. Location, Street and No....... .a ....1 ......1.!... O— kAA_.. :.......................... 2. Owner's name ........ ..............*"Ul Cam.......... �.l�l.............. 3. Owner's address ....... ....: /�... S.1. : .................... ............................... 4. Maker's name ....... .............. ..........................�.... 5. Maker's address ...... �Y 4X... .......AZ .... .. P..... T 2 6. Erector's name ....... .............................................................................. 7. Erector's address ......................................... ............................... ................ SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non- illumin ted 2. Will sign obstruct a fire escape, window or door? ...N. Z Marquee ............... 3. Lower edge will be ..? .ft ....4..ins above the public way. Projecting .............. 4. Upper edge will be �.. in above the public way. Roof ..................... 5. Height. t,a ft ..ins Width .. ft..O.ins Temporary ............. 6. Face area .a ` ..sq. ft. ('/ ` x Wall ..................... 7. Inner edge will be . ®..ins from the building or pole. Ground ......1�' .... 8. Outer edge will be . e ...ins from the building or pole. Other ................... 9. Face of building or pole is qP! � back from the street line. 10. Sign will project .......ins beyond the street line. 11. Sign will extend . A.1 ... Q.ins above the building or pole. 12. Of what material will si n be constructed? Frame ..... :W. AO� .... Face ... WDO-t,, ....... 3 13. Estimated cost $......�*L040 -ITo The undersigned certifies that the above statements are true to the best of his k owledge and belief. .............. �4 ... (Signature of Owner Agent) Page 1 of 3 a Lim THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION I. Name of Applicant: Address: Telephone: ��- .-L x 2. Owner of Property: �- e ' Address: �`�`> L Telephone: 3. Status of Applicant: Owner s Co t ntract Purchaser Lessee Z <,, ther(explain): ( M A �- 4. Job Location: Parcel ID: Zoning Map # Parcel # District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: P / #L K_ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) ti r� 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 DONT 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 DONT 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 IF YES: Describe the size, type and location: Are there any proposed changes to, or additions of, signs intended for the property? YES NO IF YES: Describe the size, type and cation: LAS& 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 Zonin Lot Size Frontage Front: Setbacks: Side: L: R• L' R• Rear: Height � � Footage Mo &f) FT Z x % 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: T ` ! / APPLICANT'S SIGNATUR 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 ,r X92 .. -mar -- � -. � 7 _...__. =, � m A a ' MP fi e Arni w 'mod,.: '��� • < M7 R { F t , .. _.._.__... -.-�. �+�^�^�����'^^^�� — - •rte+* -- "sue` r � , Ilk .. s ; v ° �. , v . ,.. x „ a: