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! � '�a u ° ''-red ''-red sigr� Cu Ford of Northampton r `_ 3 — -- - - - -- -- - -
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('�Gitteieeel neon File Names ground sign
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tnrk lettering Drawn bY: John Lemanskl
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fax 413 -594 -4215 Date:
I 0 2012SIgn Techniques, Inc. All rights reserved. __ —_
10. Do any signs exist on the property? YES 1.� NO
IF YES, describe size, type and location: k( X I le UDre \.k , . MA ..
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Are there any proposed changes to or additions of signs intended for the property? YES NO L/
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
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IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
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ZONING
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13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
vain. ` f k-‘\ \� App i aiii' 3 . 110 tai.ne - F a , :�y..t r,._r . (C. a .� —.-
NOTE: Issuance of a zoning permit does not relie an app , nt's burden to comply with all zoning
requirements and obtain all required perm is from the : oard of Health, Conservation Commission,
Historic and Architectural Boards, Depa nt o . 1 is Works and other applicable permit granting
authorities.
W:\Doctunents\FORMS\ original \Building- InspectoI Zoning- Permit - Application- passive.doc 8/4 /2004
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ZONING PERMIT APPLICATION ( §i o.2)
Please type or print all information and return this form to the S�,il�ling
Inspector's Office with the **filing fee (check or money order) payable to the
City of Northampton
1 . Name of Applicant: \ C \ \ r ∎. =5
Address: f �� c r � e ( - . Telephone: '' 7N.,4 D
2. Owner of Property: \'')(--1 I e (IA \. e
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) ��L � C IT,
4. .ivu L dU ii. L o l CSL C CSC ,
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Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED iN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: \l F c c
O. DescI upuseu Use/ YYUIt L/YlujeL.1/uL.L.upduuII: (Use midi Liu' IdL sl teeu 11 IIeLessdty):
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X.(2 CQ__ C L 1 C� 11 (--A Do ll V, a cA-Ct r
% . Attached Plans: Sketch Plan ✓ Site Plan Engineereoisurveyed 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 1)( A , date issued:
(Form Continues On Other Side)
W:\UocumentsWORMS \onginai\Buil ding- 1nspector\Goning- Permit- Application- passive.doc 8/4/2004
City of Northampton
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- f ' Massachusetts S •s . s; f �
II DEPARTMENT OF BUILDING INSPECTIONS ;;
1.
":1111, - 212 Main street • Municipal Building ,,, ,a'
Northampton, MA 01060 jSf'�Y A.DO '
Application for a Permit to Place or Maintain Sign
INSPECTOR pn a 9
Or other Advertising Device, or Marquee 3 5 7
(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 . (,A'
__ . Repair.. . ( )
�� E. 6 Repainting......... ( )
RE E� Removal ( )
OCI ` 2 2012 FEE ... ..... PAGE........PLOT.......
o ampton, Mass. ...... ' . /Q.`. ...............20. /.--
To the Building Commissioner: DE FFB naroN 01060 '
Application for a permit to place or maintain a sign or other advertising device, or marquee.
.
BUSINESS NAME ...... .U\.S.....o., ...... Q.dL�t' Ck.1::�. . 'Y�. .....................
J
1. Location, Street and No. ...........R (x-.`L......�� � ...� \�cX :. ............................... .
2. Owner's name .......... &. .....1.ozi.........\_, ............... ..............................
3. Owner's address ........................................................................ ...............................
4. Maker's name .... . � .ck:v I \.wN....Kc :.,..:' .J .%...c_ .............................
5. Maker's address .. 3 (, :k .a.....0. $.,L.c,.. .c.. .. .. -. t.,. ..V..(..c.. ..:e.:e....... dt...0..l 0l3
c --
6. Erector's name ... .... 0-.V c. .te vs-C
7. Erector's address ..&-k- l ... ..Ck..,.s.U....- ...'; :. A.c..o. e .-.. : ..... Q. N.O.1.3
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ... Non - illuminated ...4.
2. Will sign obstruct a fire escape, window or door? .. k ,... Marquee
3. Lower edge will be :t .- .ft --- . ins above the public way. Projecting ..............
4. Upper edge will be . 54. .ft T. ins above the public way. Roof
5. Height .. .. ft..:::. ins Width .3 .. ft... ins Temporary...
6. Face area .4 .sq. ft. Wall ...
7. Inner edge will be-f .. ins from the building or pole. Ground ..E.. .5: ∎vt-
8. Outer edge will be .£ from the building or pole. Other ...
9. Face of building or pole is , .?S.`.ias back from the street fine. E ,,,< A ,,
10. Sign will project .. beyond the street line.
11. Sign will extend ft ins above the building or pole.
12. Of what material will sign be constructed? Frame .':�:... Face `'
13. Estimated cost $ 5CD -
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
. ...-.-.... ,2, .. - ...
( (Siture of Owner or Agent ) .
Page 1 of 3
File # BP- 2013 -0374
APPLICANT /CONTACT PERSON SIGN TECHNIQUES INC
ADDRESS/PHONE 361 CHICOPEE ST CHICOPEE (413) 594 -8886
PROPERTY LOCATION 968 BRIDGE RD
MAP 18D PARCEL 027 001 ZONE HB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid '
Building Permit Filled out c
Fee Paid ykl l 6
Typeof Construction: REPLACE TOP OF GROUND SIGN - FORD OF NORTHAMPTON
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)(MATION 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
( ft%
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 Lot027 Zone HB(100)/
Massachusetts Date issued 10/9/2012 0:00:00
Inspector of Buildings Permit # BP- 2013 -0374
Permit Fee$40.00
SIGN PERMIT
Business FORD OF NORTHAMPTON
Address 968 BRIDGE RD
Applicant InstallerSIGN TECHNIQUES INC
Applicant Installer Address 361 CHICOPEE ST
Work Description REPLACE TOP OF GROUND SIGN - FORD OF
NORTHAMPTON
Estimated Cost $500.00
Building Department
Approval by: