31B-115 0 0
sT,VALENTIArrs
Polish National
Catholic Church
SATURDAY MASS 4:00 pm
SUNDAY MASS 11:00 am
i s s& FT)
1 1 1-Si cilizA2-Q O - z x o&T
cab &a2 Zc� ��-eti� ro r�eQ
Aka UtAAFK-
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: ^� 0 F--/ Z /� _ -e) I
Setbacks: i J`
Side: L: R: L: R:
Rear:
Building Height
Bldg Square / � ) .'- --0 ��
Footage 3 X X
% Open Space:
(Lot area minus bldg and
Paved parking)
# of Parking Spaces
# of Loading Docks
Fill: (volume & location)
13. Certification: 1 hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: iZ / ci /6 APPLICANT'S SIGNATURE ,#; /L.. _ /.L. /i-
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
if a. PLEASE TYPE OR PRINT ALL INFORMATIO
1. Name of Applicant:
Address: I e ' Telephone: , 3
2. Owner of Property: (Y t yl P A Ps ' ( e , i
Address: 1 i Telephone:
3. Status of Applicant: Owner J Contract Purchaser Lessee
Other(explain): '
4. Job Location: 1 Z'
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE UILDING DEPARTMENT)
5. Existing Use of Structure /Property: l A../ 'CA
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary)
ire � e9 gt
- A - tA c i p_Aso gtAn
7. Attached Plans: 1 Plan Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance /Fin • g 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 V 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:
L „5 1 4ot4gUL
,cast -e, Artot U c:tAr --
Are there any proposed changes to, or additions of, signs intended for the property? YES `V NO
IF YES: Describe the size, type and location: (�
VI £) cCT-1/1 e ' C Y, gp---e/444"-
Page 2 of 3
City of Northampton
Massachusetts 4,,t 4 �� �t,,,
tip' - G
a HM1 T f y
\ 1 DEPARTMENT OF BUILDING INSPECTIONS
a 212 Main Street • Municipal Building, x+
" w Northampton, MA 01060 ,A
Application for a Permit to Place or Maintain a Sign
pP n g
Or other Advertising Device, or Marquee 4 d9// 0
(Application to be filled out in ink or typewritten) Number
Plans must be filed with the Building Inspector Erection (V)
before a permit will be granted. Alteration ( )
Repair ( )
Repainting
Removal (V)
FEE PAGE PLOT
1
1 ? t . . i [ ..2O
Northampton, Mass. ...... .....
To the Building Commissioner:
(liti Vea&Vak ir \°--k
Application for a permit to place or maintain a sign or other advertising device, r arq e.
BUSINESS NAME ... "..�...1.I. .k....tJ.O 1 :1 ..0.
1. Location, Street and No 1 / 1L. N 6- S l
-- emu ... votivA wa 2. Owner s name .........
3. Owner's address / ° Q.AAAI. Z� J
't
4. Maker's name 1 Z 6 US v' 3 t o lQ-C
5. Maker's address 3 C2,44-4...dtt.,0a(k... . , . .. 6 -O [ e' 7 --
6. Erector's name SCI _,
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? ... ...0. Marquee
3. Lower edge will be ..0.ft ins above the public way. Projecting
4. Upper edge will be ' ft...0..ins above the public way. , Roof
5. Height ft ins Width ft ins �i U em•ora it s tir,
6. Face area sq. ft. E ' ' 'nail ' w'"
7. Inner edge will be .. t..ins from the building or pole. Ground ..
8. Outer edge will be ..O ..ins frorr building or pole. Oth:
9. Face of building or pole is fi .. back from the street line. RD Fr G, Q. 0 u Kip
10. Sign will project ... .ins beyond the street line.
11. Sign will extend r Pins above the building or pole. `�
12. Of what material will sin be constructed? Frame ........ Q 7 Face.. . U.� 00.A ....
13. Estimated cost $ O.0.,.
The undersigned certifies that the above statements are true to the best of his k owledge and belief.
(Signature of Owner.• Agent)
Page 1 of 3
File # BP-2011-0553
APPLICANT /CONTACT PERSON FERGUSON SIGNS
ADDRESS/PHONE 3 RAILROAD ST HADLEY (413) 586 -8462
PROPERTY LOCATION 127 KING ST
MAP 31B PARCEL 115 002 ZONE GB/URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 44-1 O
Fee Paid
Typeof Construction: ERECT NON -ILLUM GROUND SIGN - ST VALENTINE'S
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
INFO, RMATION 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
C` / iV` i L jCl
Signature of Building 0 icial 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 .�` g iuRc
Massachusetts Date issued 12/16/2010
0:00:00
Inspector of Buildings Permit # BP -2011 -0553
Permit Fee$30.00
SIGN PERMIT
Business ST VALENTINE'S
Applicant Installer FERGUSON SIGNS
Applicant Installer Address 3 RAILROAD ST
Work Description ERECT NON -ILLUM GROUND SIGN - ST
VALENTINE'S
Estimated Cost $800.00
Building Department
Approval by: