18D-001 (4) File # BP- 2011 -0168
APPLICANT /CONTACT PERSON JSP /LAND DEVELOPMENT SERVICES INC
ADDRESS/PHONE 181 NOTRE DAME ST WESTFIELD (413) 564 -0404 O
PROPERTY LOCATION 188 NORTH KING ST
MAP 18D PARCEL 001 001 ZONE HB(100) / /WP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �d�
Fee Paid 3 S
Typeof Construction: RELOCATE SIGNS - JIFFY LUBE
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
INFOVIATION 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
Si Signature of Building Official ` t�
g g 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.
(lit of No-rill
, ,. ,,ts .. 'ic
' ilassarllusttts " ''` • ' '
n
,� , DEPARTMENT OF BUILDING INSPECTIONS' 1.
212 Main Street • Municipal Building `r ��
\
` ""'_'''.'" Northampton, MA 01060 N ,7
i hrc�or Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee p#
(Application to be f d� h _ �
( pp i illeaut in ink or.typewrittett, Number ....... ...
Plans must be filed with the Building Inspector • f __ -- Erection ( )
before a permit will be granted. Alteration ( )
1 2 5 2010 Repair ( )
L o � Repainting ( )
j \Removal ( )
� F� PAGE PLOT
`°"-�" Northampton, Mass. 20
-
To the Building Commissioner: - 54-1
6
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME --it tV'v L w c-
1. Location, Street and No. 1 1"0 -■ Y S 9 - ' ' la & 0
2. Owner's name .... Pob-epA-
3. Owner's address q3 (.)- B . a MM 9f ' CPI' v 1 kt M,1 c5f I a n
4. Maker's name tC Q Ci P LCt &C Otv-- loll hire r
l _ ► ]Nk1
5. Maker's address l o ( 6112 L p jl C1 ( 41 / 405 di
S ',U/ /3i4 t'
6. Erector's name .SS- 1 met ad-el er v e ror
7. Erector's address I ' I OA OM St • t S> > l- / mill
1,,„OL \it��t SIGN KIND OF SIGN
G�W`ti „ , 11 (Designate)
1. Sign will be (check one) illuminated Non - illuminated iJ
2. Will sign obstruct a fire escape, window or door? . Aft , 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 ft ins Width ft ins Temporary
6. Face area sq. ft . Wall .1/
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 ins beyond the street line.
11. Sign will extend ft ins above the building or pole. / i
12. Of what material will sign be constructed? Frame .../ d 4. , Face. /�$T��-
13. Estimated cost $
The undersigned certifies that the above statements are true to the best f his owl ge and belief.
ce.e., c, c.1"- j 0.
(Signatur of Owner or gent)
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: L � c k Q / 5 V T'f` f Lv
Address: 1 () (`j I\ F ��Y\ v � J • Telephone: •
2. Owner of Property: FL- R0 .4
Address: G 3 W • P 0 S` 1 • Spat) Telephone: 4/ 3 2 j q-- ?97/
�/
3. Status of Applicant: Owner Ct i' Contracct Lessee _ -
_Other(explain): Cti ►N/N4( `J r\J fat (fag- S� P 4G ikdc f vw�1 -^
4. Job Location: I ��j� � c +•
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: e �� I eSj►'
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
u° . ' 1C Jl /Ns' A/ .r. �N A.
%
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a /DON'T Speecial PermitNariance /Finding ever been issued for /on the site?
NO KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW f 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
10. Do any signs exist on the property? YES V NO
IF YES: / `,,
Describe the size, type and location: 2'' c Pt bvaf6 (.S> �l G
. 3 - sl y �
Leificoo fiN SI
Are there any proposed changes to, or additions of, signs intended for the property? YES NO V
IF YES: Describe the size, type and location:
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
Zoning
Lot Size /
Frontage -/
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height
Bldg Square tt��
Footage 1 ='c` g 3
% Open Space:
(Lot area minus bldg and %� , -t-
Paved parking) ,- e.�'' h
# of Parking Spaces
# of Loading Docks , /A
Fill: (volume & location) A
13. Certification: I hereby certify that the information contained herein is true and accurate to t best
of my knowledge.
DATE: (9/�'�l.2 APPLICANT'S SIGNATURE * e-)
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
Elevation A
s � ,
t
J jiffylube "
.
I J & d n i
4.
-
sm
W
0 kt y x ... v 9r M✓AN j
*wtx
c
c Details: FF56 -6 Custom mansard roof mounting and enclosure
eu
a (1) ET -C- Canopy
a
in
FO Approval Signature:
Date:
Store # Date:
k o pI 7325 Oak Ridge Hwy., Suite 200 • • 1164 07/06/10
� i Knoxville, TN 37931 ® • i jiff), I u b e Address D rawn by: Sheet No
VISUAL PRODUCTS Phone 865 - 693 - 2272 188 North King Street, Northampton, MA 01060 Allington 1
1 Elevation C
IL t
�, _
a � f
i
t
w d"J i�IutF w vF
• si
i
i
I I .,.. , Ky
0,... ., . 7,„.
.,
, i
0
{{ I , . _ ,,:.,
,.
i , 1, .,,,, ili . 7P it ;,,,,,,,r, ,,,,,,. I.,
'*. 4 : i'''
t.
(a = Details: RF36- Paint, WS36
Q.
N
FO Approval Signature:
Date:
jiff), Store # Date 7325 Oak Ridge Hwy., Suite 200 hp 1164 07/06/10
i Phone 865 693 -227 Knoxville, TN 37931 IJ C Address Drawn by Sheet No
VISUAL PRODUCTS 188 North King Street, Northampton, MA 01060 Allington 3
Elevation D
L
Q
t ° s ,.,..•..,w4 .�•.w^'..'" °ems
.✓ter
t ;/ *� j
v : ,.
K `
..
a :F
e
= Details: WS36
R3
a
a,
. 4-,
FO Approval Signature:
Date:
Ai r! Store ii Date:
4, ♦ 7325 Oak Ridge Hwy., Suite 200 jifflflube • 07/06/10
Knoxville, TN 37931 1164 Address D by: Sheet No
VISUAL PRODUCTS Phone 865 - 693 -2272 188 North King Street, Northampton, MA 01060 Allington 4 •