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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 118 , S) V N I ook
Frontage D / 0 14)A
Front: 9 9
Setbacks:
S t GO Side: L: 1' R:125 L: R:
Rear: NIA
Building Height ` gf as I
Bldg Square ,,
Footage 4r 0� 2 SQA. 9, 836 sf .rrC-h.
% Open Space:
(Lot area minus bldg and N I A I A A N J �+
# of Parking Spaces a1 160
# of Loading Docks
9
Fill: (volume & location) 1 J 1 Ac N A
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge. n
DATE: (Mg— 27 20 APPLICANT'S SIGNATUR V� ( A
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
REGI�1' '�L^
Page 1 of 3
�PR
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION 3 2 D/3
File No. DEPT. oF suitq;n� N i p ,.
NO RTHAMPTON 0TiONS
,MA 010&0
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant SIGN' (R s r1d. LeVesQue)
Address: J.1`►6MIS AVE-., y I �sO v+ Telephone: GI , .n877
2. Owner of Property: L1 A P \ LL t� �1
Address: . 58 EJV 1RAL F ' ' f i� Telephone: 518. Li au!
3. Status of Applicant: Owner Contract Purchaser Lessee
.,Other(explainp S%6I..1 CoNTR M12- �n
4. Job Location: 141146 S Eer WORM/AA ) j�&S O L O ,(3
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: oun ivitsTiv SAL 4 SERVI I. (fZ A1L-)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
euS►nesS I'b tr►c\cA se SGNS
" SEfZ.VICEO Q 2. ELEVATIONI
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 x 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 X 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 )c
IF YES: Describe the size, type and location:
Are there any proposed changes to, or additions of, signs intended for the property? YES X NO \
IF YES: Describe the size, type and location: �(A�I rt
OUS f�1AI WI N6 S 60S (4)
A,Jd GlRout417 SIG44 0) SEEL 1T C1�F�D �l l`.vl ipt`i
SPEG4 em,1 S' I~L"CS
� „A „ C!itg of Nurtllamptrrn
a ti ..,
Attssttrtlusetts to Ti
t 14
; DEPARTMENT OF BUILDING INSPECTIONS b o y -
� p 212 Main Street • Municipal Building ” �~
Northampton, MA ' 01060
INSPECTOR Appl for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee � 13 2
(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 Lid, K1A
1. Location, Street and No. P93 KING SITE -T
2. Owner's name LtA AUTTMoyr'tV1 L-C.
3. Owner's address l or 58 CENTRAL Age-, t•A- 0 14 1,. tt'..laaOs
4. Maker's nameParn S J SS IGN G ROLA?.� LOC.
5. Maker's address 71.O . f'!•. C EDAh eLL F1 M.,,, Y\ V i 1 le- 3 9 .
6. Erector's name St GNI STU N° t D'3L . Ow t.eWeSQU .) Pr 6E
7. Erector's address 1 IN GAAS AV' ,.1.oys..0 . .C1l.G........a�.�G.. ►0917
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated .x Non - illuminated
2. Will sign obstruct a fir escape, window or door? N 0 Marquee
3. Lower edge will be ... ..ft ins above the public way. Projecting
4. Upper edge will be .l....ft .......ins above the public way. Roof
5. Height .....ft.L...ins Width 1...ft..8.ins Temporary
6. Face area tlt 5.sq. ft Wall
7. Inner edge will be.w..ins from the building or pole. Ground
8. Outer edge will be .5 ,..ins from the building or pole. Other
9. Face of building or ole is85.'.,ies from the street line.
10. Sign will project . ..ins beyond the street line.
11. Sign will extend .. ...ft ins above the building or�nAole.
12. Of what material will sin constructed? Framer uMI N I A Face A,C.r9 Lic-
13. Estimated cost $..c/..500 be r
The undersigned certifies that the above statements are tr to the best of his knowledge and belief.
M . ,,
(Signature OwnerQ� Agent)
File # BP- 2013 -0891
APPLICANT /CONTACT PERSON THE SIGN STUDIO INC
ADDRESS/PHONE 1 INGALLS AVE TROY (518) 266 -0877
PROPERTY LOCATION 263 KING ST
MAP 24B PARCEL 067 001 ZONE HB(99) /GI(1)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out j � ,� 11 Fee Paid (P,
Typeof Construction: ERECT ILLUM WALL SIGN - SERVICE Faa N k tki frt-fi
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 A TION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P SENTED:
Approved A dditional 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: § �SSO . 2 6
Finding Special Permit V 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
Ci./...._ /` i /
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.