18D-055 /.0491 Lt _Id Of )( 5
. . 4ft
•
•
•
•
•
,PaCY bE/
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 /2 i x 5 /= cc , S X /0 i /0 % or/eS5'
Footage 3o0 s n - 02S St9 FT � Sd Pr a r (
% 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: l Iii' // APPLICANT'S SIGNATURE %1L _ v d���)�.
if
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
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: A ! . , / s
"A1 / � >
Address: l ... , B' Q,01.1 Telephone: , - 26 G
� 33 -
2. Owner of Property: 4 i, . .'-
J
Address: b& * 1,,a'Y ) l - C7 v--- Telephone:
3. Status of Applicant Owner Contract Purchaser Lessee
VOther(explain): 7 4 1 6 YY\ A kL rZ---
4. Job Location: 1 �� A (Da,'yv ..e, _ cace •
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: Q 1 Cs? / / 1�. PA. =-5L1 ek.,0
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary)
4 id &GO 7 0e)i — gielt (POlt tt-A4 ) 6
7. Attached Plans: V Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance /Fi ing 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 DONT 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
10. Do any signs exist on the property? YES NO
IF YES: Describe the size, type and location:
Are there any proposed changes to, or additions of, signs intended for the property? YES 1 -'' .7.. ;1O
IF YES: Describe the size, type and location: (Th,
Ada( J�1K I ,-N --- ‘ 5-
/
Page 2 of 3
City of Northampton
o n r w ,
Massachusetts •.
§ `„ fgt
m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 , PP.
SPE Application for a Permit to Place or Maintain a Sign
Pp n � g
Or other Advertising Device, or Marquee � 7
• • • to be filled -outk or typewritten) Number
CEVED
Plans must be filed with the Build • I . . ector Erection ( a permit will be granted. Alteration -( )
4 2012 Repair ( )
Repainting ( )
Removal ( )
• OF BUILDING INSPECTIONS
NORTHAMPTON MA 01060 FEE PAGE PLOT
Northampton, Mass. .../ ! 7 20//
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME ........ . ..6 a E Z ` I�' SS
1. Location, Street and No. ...... .g1 ....- /r.�'�(1.O:V�.....(4.
2. Owner's name 1 :..011...... S X.l - c :1
LI
3. Owner's address i A 0. (
4. Maker's name Fe . .EOM S L &..tS
5. Maker's address 3 V' O tAacil•
6. Erector's name
7. Erector's address
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non - illuminated
2. Will sign obstruct a fire escape, window or door? ...MO Marquee
3. Lower edge will be /1 ns above the public way. Projecting
4. Upper edge will be eft. -ins above the public way. Roof
5. Height ft.l .ins Width . f . Pft Fins Temporary
6. Face area .c....sq. ft. Wall
7. Inner edge will be —ins from the building or pole. Ground
8. Outer edge will be f ins from the building or pole. Other
9. Face of building or Role 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 po n
12. Of what material will sign be constructed? Frame ..... LU. Face f4Uj. k1 U RA
13. Estimated cost $
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
(Signature of Ownoor Agent)
Page 1 of 3
File # BP- 2012 -0627
APPLICANT /CONTACT PERSON FERGUSON SIGNS
ADDRESS/PHONE 3 RAILROAD ST HADLEY (413) 586 -8462
PROPERTY LOCATION 139A DAMON RD
MAP 18D PARCEL 055 001 ZONE GB(100)/URA/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �OZ1� 3v —'
Fee Paid
Tvpeof Construction: ERECT NON -ILLUM ROOF SIGN - TIGER PRESS
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
INFORMATION 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
1
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 Map 18D Lot055 Zone GB(100)/URA/
Massachusetts Date issued 1/6/2012 0:00:00
Inspector of Buildings Permit # BP- 2012 -0627
Permit Fee$30.00
SIGN PERMIT
Business TIGER PRESS
Address 139A DAMON RD
Applicant InstallerFERGUSON SIGNS
Applicant Installer Address 3 RAILROAD ST
Work Description ERECT NON -ILLUM ROOF SIGN - TIGER PRESS
Estimated Cost
Building Department
Approval by: