32C-067 (4) American Friends
916 Service Committee
of Western Massachusetts
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 N/A N /PC
Frontage �'"--- 11/4)4
Front:
Setbacks: -
N(n Side: L: R: L: R:
Rear:
Building Height N / / I N (�
Bldg Square NIA
(�
Footage �v J
(LOp m Space: IN 1 A „ 1 // / A
(Lot area a minus bldg and l 'v / \
Paved parking)
# of Parking Spaces 1\,) f A
# of Loading Docks I /A I v /A —
Fill: (volume & location) N /A4 IN) /A
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: I . " (X° i3- APPLICANT'S SIGNATURE ../
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all z •
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 INFORMATION
1. Name of Applicant: T f N � ' 1 no
Address: 2. W nz 5I'. Su 't'e 26 Telephone: U - 89 7g
2. Owner of Property: Ma be hi' 3e ( cc r rxi.
AA)/ MA' O 102$
Address: 'o 6 • / - .0 IA Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:ANto 3X_f n d 5 v Comrr \ e Z Com 51.. 5O ke 2 b
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: d T f iCe S fate
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary)
This 15 a sigh with Our OrClaniza - � ► rnc-
p n
eleOi 1'i 2 our office ce
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance /Finding ever been issued for /on the site?
NO DON'T KNOW r/ 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:
Are there any proposed changes to, or additions of, signs intended for the property? YES t✓ NO
IF YES: Describe the size, type and location:_ • •_ # 11 _ . l '
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mow .......- , . , �..�...•�
•4
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(sit of Nartilant �lnn �'Eb 2 3 2012
49 YN M -- CIS `x
REC
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DEPARTMENT OF BUILDING INSPECTIONS 6 ,''
' 212 Main Street • Municipal Building r$�v . .
�` Northampton, MA 01060
I\,i I Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee , p ) ? 7r c ,
(Application to be filled out in ink or typewritten) Number .. .
Plans must be filed with the Building Inspector Erection ( )
before a permit will be granted. Alteration ( )
Repair ( )
Repainting ( )
Removal ( )
FEE PAGE PLOT
Northampton, Mass. .2417 2012
To the Building Commissioner:
Application for a permit to place or maintain a sign or o i,er advertising device, or marquee.
BUSINESS NAME amtr ca.n.... ServiCe••••Cor .mi.}ke uiez ' in A
1. Location, Street and Ho •
...CO.Y.�Z....,5.f-..... 2b
2. Owner's name .. eI.T......Naf o 1 far.°
t
3. Owner's address . ...Co nz....5...,. ...Zia
4. Maker's name . Sur\ ‘j(' ...?CI Oki t1
5. Maker's address . I�GI ...... 32- k- V�$e�� 5 Had r t' Vin lA 0I
6. Erector's name C bah.s.f.....Co n • • •C.ti.Gn
7. Erector's address ' Con1 S
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non - illuminated ......
2. Will sign obstruct a fire escape, window or door? . (lb.. Marquee
3. Lower edge will be . 4 ft ins above the ja4419iic-way.Gotetvi Projecting
4. Upper edge will be . ti .rt..M....ins above the io wa4t. »d Roof
5. Height i....ft.. a.ins Width2. ..ft8 . ins Temporary.
6. Face area . z...sq. ft. Wall
7. Inner edge will be .1—ins from the building or pole. Ground
8. Outer edge will be g- ins from the building or pole. Other
9. Face of building or pole is ins back from the street line.
10. Sign will project .G..ins beyond the street line.
11. Sign will extend .. ins above the building or Pole
12. Of what material will sign be constructed? Frame .... N., I vG Face PVC
13. Estimated cost $..
The undersigned certifies that the above statements are true to the best of his knowledge and belief.__.
( i natu e of Zner or :gent)
( 9 9 )
File # BP- 2012 -0766
APPLICANT /CONTACT PERSON NAPOLITANO JEFF
ADDRESS /PHONE 2 CONZ ST NORTHAMPTON (413) 584 -8975 O
PROPERTY LOCATION 2 CONZ ST
MAP 32C PARCEL 067 001 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 /
Fee Paid e Y ya Q a & 0 o
Typeof Construction: ERECT NON -ILLUM WALL SIGN - AMERICAN FRIENDS SERVICE COMMITTEE
WESTERN MA
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
INF9RMATION 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 3/y/, z
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 32C Lot067 Zone
Massachusetts Date issued 3/12/2012 0:00:00
Inspector of Buildings Permit # BP- 2012 -0766
Permit Fee$30.00
SIGN PERMIT
Business AMERICAN FRIENDS SERVICE COMMITTEE
Address 2 CONZ ST
Applicant InstallerNAPOLITANO JEFF
Applicant Installer Address 2 CONZ ST
Work Description ERECT NON -ILLUM WALL SIGN - AMERICAN
FRIENDS SERVICE COMMITTEE WESTERN MA
Estimated Cost $75.00
Building Department
Approval by: