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2.7.°7
,007' PO RCUP NE SIGN
:8 CaNZ ST.
NORTHAMPTON, MA.
01060
THE SLEEP DISORDERS
LABORATORY OF
�, NORTHAMPTON
JAY FLEITMAN, MD, FCCP, MEDICAL DIRECTOR
V
A SleepIlled Laboratory
6iVTc Svn�`�� t�- St(r-)
-
10. Do any signs exist on the property? YES NO N/
11 IF YES,describe size,type and location: 3&' W" ��� `'` S i(
Are there any proposed changes to or additions of signs intended for the property?YES ✓ NO
IF YES,describe size,type and location: k ) S 11sL7
11. ALL INFORMATION MOST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col= to be filled
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L:
R.
- rear
Building height
Bldg Square footage 2c' s4, '
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
MITE: 2 'J O 1 APPLICANT's SIGNATURE
NOTE: issuan e a zoning permit does not relieve an applioent`s burden to oomphr with-all
zoning requirements end obtain all required permits from the Board of Health, Conservtstioes
Commission, Department of Publio Works and other applioable permit granting authorities,
FILE #
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: L.) LeFr • (PO Mc S 1 cv
Address: 7< (Q z Si /Ja( i /4.A TP J_Telephone: (it 3. 51111
2. Owner of Property: -• iG '"
Address: R 0 c0 - (?7,),c"c ,J 00(1.1\-4-A vl's-) Telephone: ` ( 'J I •ql 9�'J
3. Status of Applicant: Owner Contract Purchaser Lessee
■/ Other(explain): 6^-i o '
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Iv`G L C A L_ Ei L l�
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
oeft.cfa L c ���
7. Attached Plans: � Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermiWariance/Finding 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 DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
�,M-, °6 Erection___________( )
r
> Alteration__________( )
Plans must be filed with the Building Inspector, Repair _ .. .. ._ _( )
Repainting__________( )
before a permit will be granted, Removal....__ ( )
Cato iii NiirtI am fin. Otass.a
A
Application for a Permit to Place or Maintain a Sign
g
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE PAGE.......... PIOT
Northampton, Mass., . .. _..._.. ...._.... _ 19
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME 7-11 .-7- s P'5 o.1-41 E (.4',UZ A-5 era /..:�1".-)
1. LOCATION, STREET and No. _ _„... 3-w 3� )�`,�,_,�Pt - S(, 0-6 -a ,(w
2. Owner's name......._-.1. .:.. .._� ..1�L.. 3.. __..___ . . _._..._..�__.. _ _. ..._ _...._...._._..._..._....
3. Owner's address___.......... ..� L_..g.-. M 2- l',,...'.4 ._.._...._._....._... _._... .._._...._
4. Maker's name_.._... � L _S16-1•J_LQ _.... .._�_ ..._. . _......._.._..._.........._...._...._.....■5. Maker's address__.... .... _..._..._..._...._. . ......._.._ 1'1_._..:4'a,?.__....____...___.
6. Erector's name ' A' ".. .......................... _.................................- _..... ........_._._ _
7. Erector's address....._...._... 'A' .._..._...._. _ _ _....__..._._..__. ...._
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated_..........._...non-illuminated V......
2. Will sign obstruct a fire escape, window or door?......! Marquee.. _..._.:..
3. Lower edge will be.._.^....f Projecting...._
g t....__.........ans.above the public way.
4. Upper edge will be_.__..........ft. ins.above the public way. Roof_
PP g _.... ...
5. Height.....3....It. ins. Width_..........ft._.. ........ins.
Temporary. ...._.......__._...._..
6. Face area...LC/...sq. ft. Wall...
......
7. Inner edge will be....._'`......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....K.I.rins:'back from the street line l 2 c F�' F- 7.4-;.5 c-e)
10. Sign will prof ect...__...wins.beyond the street line.
11. Sign will extend.. -•••...ft...... ..........ins. above the building or pole.
12. Of what materi 1 will sign be constructed? Frame..... .._ �_... ...__... Face
13. Estimate cost... ... :.�
The undersigned certifies that the above statements are true to the
best of his knowledge and belief.
(Signature of Owner or Agent)
NOTE: In order that this application may be accepted, the data called for above must be set forth ..
CLEARLY and FULLY. ""' P
File#BP-2007-0769
APPLICANT/CONTACT PERSON Porcupine Signs
ADDRESS/PHONE 78 CONZ ST(#REAR) NORTHAMPTON (413)584-4501
PROPERTY LOCATION 332 PLEASANT ST
MAP 32C PARCEL 179 001 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out `��� 4 3 0 a
Fee Paid
Typeof Construction: ERECT NON-ILLUM WALL SIGN-THE SLEEP DISORDERS LAB
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 OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN 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 Co r/ssion
. 1?--- tO /:-• 2,/044:Ci2
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.
it - 1 M1
7
\,,,
.,ryd1kcC,,id'
REt0lrprc s a 1ri-ne?nt
City of Northampton h`'
Massachusetts Date issued 2/9/2007 0:00:00
Inspector of Buildings Permit # BP-2007-0769
Permit Fee$30.00
SIGN PERMIT
Business THE SLEEP DISORDERS LAB
Ad }
Applicant Installer Porcupine Signs
Applicant Installer Address 78 CONZ ST (#REAR)
Work Description ERECT NON-ILLUM WALL SIGN - THE SLEEP
DISORDERS LAB
Estimated Cost $400.00
Building Department
Approval by: