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32A-042 (2) 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 ■ L) x 75/ Frontage 5 Front: Setbacks: Side: L: R: L: R: Rear: Building Height -3 6 Bldg Square 7 Footage (` 5 % Open Space: (Lot area minus bldg and Ai /A Paved parking) A7/76' '1VE / # of Parking Spaces NIA !!! /4 (11 J /A # of Loading Docks 7 NA N A O Fill: (volume & location) A1/71 (J /A 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. i - } ` i DATE: a 3 1 �T APPLICANT'S SIGNATU '4 6r 4 8 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 Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMA ON 1. Name of Applica t: r � 0 {l SSa�2 /-Yar Iva Address: ,i' ) 6 Pow W L Telephone: 2 /) " 2. Owner of Property: /, perty: /v3120 / 2 al y Address: / 3 �( �Ov U r/ Ai( ! , /� / " T Telephone: // 7 / -7 5 - 7,3 -) 3. Status of Applicant: Owner Contract Purchaser XLessee Other(explain): n, 4. Job Location: ill . fr 6 Parcel ID: Zoning Map # Parcel # District(s) (TO BE FILLED IN BY THE BUILDING DEPAR MENT) 5. Existing Use of Structure /Property: r5eStri Ur q(;2 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) . . 1 i 6 ; ' / // b'5 SI' • , ; �a i,? / // `') eu) Pile s{94, 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 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 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: / 17 JI J U ` 005 S 1517 )<d y Cj . . ;wy to - Are there any proposed changes to, or additions of, signs intended for the property? YES_ . NO IF YE : Describe the size, type and location: t 1/ _ 1r .. 1 0 A 1 a it 4 Q > i ., . t. r l it - f Sliv1 S 1 r..0 l FEB { 3 2 @iit I f Nurtt�ttmptan ,� . r ' v 1 _ OF BUILDING INSPECTIONS 'r ttssarliusrtis ta . - 16 —111! MA01060 S u , `i Df PARTLII,N7 Oh' BUILDING INhPI;'C,TIONS v ' , � ` 212 Main Streel. • Municipal Huilding 51 11" A`'.7) \‘' Northampton, MA 01060 v ., 1 )- r - ( O] Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee ,4, / 73 (Application to be filled out in ink or typewritten) Number Plans must be filed with the Building Inspector Erection ( ) before a permit will be granted. Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) FEE PAGE PLOT Northampton, Mass. 20 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME if ) vi j e 1. Location, Street and No. q /14,,,, 5-6.A Q 2. Owner's name 13( I G0 4 U> .SQ 0 -(---- , 1 3. Owner's address ) . ... /.V l iq :. .. }.Cr402 W ` S t S I 4 1 1/1 l -4 of es 1 4. Maker's name Ka v i i Pe ` f r-s 5. Maker's address ,? 7 01 1 i 0 � Si U{ et 1 ad 1 f. MAO( 03 7 6. Erector's name ..O..Q.U.t.Ck ...... ti - /� 7. Erector's address L ! D m QQ.v.) ...Road J } D.r I.IJ.... MA oio o SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non - illuminated ..:... 2. Will sign obstruct a fir escape, window or door? ./la. Marquee 3. Lower edge will be ..ft.... ..ins above the public way. Projecting 4. Upper edge wil e ft..1.0 ..ins above the public way. Roof 5. Height' ....ft.. ins Width . ins Tempora 6. Face area .f. s q. ft. Wall V 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. 12. Of what material will sign be constructed? Frame ...i. .� ... Face. !. k. 13. Estimated cost $. 2400 The undersigned certifies that the above statements are400 to the best . knowledge nd belief. ,, G ig ✓L _, x- (Signature of Owner or Agent) f File # BP- 2012 -0734 APPLICANT /CONTACT PERSON AUSSANT BRIAN ADDRESS /PHONE 16 MAPLE TERR WEST SPRINGFIELD (413) 297 -2444 0 PROPERTY LOCATION 48 MAIN ST MAP 32A PARCEL 142 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 3� Fee Paid Typeof Construction: REPLACE WALL SIGN - HINGE -- SAW DINet Std 1- AS L1.1si l N4 Si J 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 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 32A Lot142 Zone CB(100)/ Massachusetts Date issued 2/24/2012 0:00:00 Inspector of Buildings Permit # BP- 2012 -0734 Permit Fee$30.00 SIGN PERMIT Business HINGS Address 48 MAIN ST Applicant InstallerAUSSANT BRIAN Applicant Installer Address 16 MAPLE TERR Work Description REPLACE WALL SIGN - HINGE - SAME DIMENSIONS AS EXISTING Estimated Cost $2000.00 Building Department Approval by: