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11. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. A •
12. This column to be filled in by
the Building Department.
Existing L Pr : Proposed Required by
Zoning
Lot Size
t , ,
Frontage
' 4
Front:
Setbacks: -.
-,-„, //-
Side:
R:
' L:
/
, -
Rear:
\ /
Building Height
-.,
Bldg Square
Footage
% 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: APPLICANT'S SIGNATURE
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: ‘ i e # 4 ( - . . . -
Address: 33 4 I,C "1 . /J • }{ C - � j ) . � � Telephone:.f t3 2 M 7 ° 1-174
2. Owner of Property: /4 CC'S
Address: Telephone:
3. Status of Applicant: Owner " - on ract Purchaser Lessee
Other(explain): S �` f��' ` )
4. Job Location: 2- 67 tea- a` 14 -- )
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property:
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary)
S -•}-a, A r lJ riu , r- > . e>vt v - s so
7. Attached Plans: ,r gketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance /Finding ever been issued for /on the site?
NO DON'T KNOW 7 YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW x 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 -9 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 X' NO
; et' r7di3 S
IF YES: Describe the size, type and location: i S o' y 1 « ' S"� i%1 " 6 (w l 5 f -5
b/0 " 0 CeM v,f� -� Lti(vi . r3 . s I;Nr, es
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: 4 t - 1G O I- 0 2, 'S " - 5 --,0,1
Page 2 of 3
1 +1 r REC : L _, C' ty of N orthampton
2 "- a 1, I 5�:r """°�`"
oft Massachusett
' r. 2012 it
DE • - TRENT OF BUILDING INSPECTIONS
21 Main Street • Municipal Building, tb
OF BUILDING \SPECTION6 4*
No PTON, AAA OP480 Northampton MA 01060 a i#V 1
INSPECTOR ' • I Ica ion for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(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 j e eke- e- i
1. Location, Street and No. (./e4-‘. t" 4 ��
2. Owner's name if - i' ^ + A J"7`0 ` Le' ..' /'t4' F - j5
3. Owner's address 7v C v /e C r °'Q} 14-1 6—
4. Maker's name ...:,..5.:� t....Cx, uz' ---4 �T---
5. Maker's address 3 3 4 -c S4- 5 t _ l). cam" - - ` t t/LG
6. Erector's name - ei... — ziv , 6 7'1-.-
7. Erector's address ..3.3. � ... W4 . e 5 , •'7 13. 07.---A L& E lk
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non - illuminated
2. Will sign obstruct a fire escape, window or door? Marquee
3. Lower edge will be. 0 ins above the public way. Projecting
4. Upper edge will be ..14.ft..Ce....ins above the public way. Roof
5. Height ...ft. a. ins Width ....ft g ins Temporary
6. Face area ......sq. ft. Wall
7. Inner edge wi0 be o 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 it.?ins back from the street line.
10. Sign will project 0 ins beyond the street line.
11. Sign will extend . 2..ft ins above the building or pole.
12. Of what material will sign be constructed? Frame . - .&i..(>1 -: e.. Face Alti 0 ,�-
13. Estimated cost $..1..�.. .......
The undersigned certifies that the above statements are true th t is k • I. dge and belief.
(Signature Owne- or gent)
Page 1 of 3
F2
File # BP- 2012 -0956 1 f loGo cry
APPLICANT /CONTACT PERSON SEIGEL GODFREY SIGN LLC C \
ADDRESS /PHONE 336 WEST ST NORTH HATFIELD �` )-
S
PROPERTY LOCATION 7 PEARL ST
64— 0V.. A 1 S T ��
MAP 32C PARCEL 053 001 ZONE CB(100)/ Q by ,,,p,"
V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out / �
Fee Paid n7 1/41/ a9
Typeof Construction: INSTALL ILLUM SIDE WALL SIGN - TEA TREKKER
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
INFQIRMATION 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
r t1Z i (2—
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 Lot053 Zone CB(100)/
Massachusetts Date issued 6/6/2012 0:00:00
Inspector of Buildings Permit # BP- 2012 -0956
Permit Fee$30.00
SIGN PERMIT
Business TEA TREKKER
Address 7 PEARL ST
Applicant InstallerSEIGEL GODFREY SIGN LLC
Applicant Installer Address 336 WEST ST p ' 00666
r
Work Description INSTALL ILLUM SIDE WALL SIGN - TEA TREKKER
Estimated Cost $1500.00
Building Department
Approval by: