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Ericrt STUN Is 'x
fRoPosr � 5'
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:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height ( l ' E I
Bldg Square 3 (()(: 3t 9'0
Footage
% Open Space:
(Lot area minus bldg and
Paved parking)
#of Parking Spaces
#of Loading Docks 0
Fill: (volume&location)
13. Certification: I hereby certify that the information contained herein is true and accurate o t e best
of my knowledge. J J I
APPLICANT'S SIGNATURE Adult I i�i1
DATE: G Ito! l 3 ' /
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: V 1 112 y (-U{1i'F 1)/1 !-1 e(Jf
Address: 3'10 R 1N/1s 1- V- Telephone:
2. Owner of Property: 11 SAGA)A CO M Y AAA CA f d N) ) U 1 I,J)-S1
Address: 15 l�1 AW\f'COtJ AV Telephone: 566 " 7 4
3. Status of Applicant Owner )(-- Contract Purchaser Lessee
_Other(explain):
4. Job Location: 15 N )^yV✓►yo TO)-) AN L
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: ILlAu h STYQ Ti OA)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
Mc C, g c,N)S o P0ot7 6
f&Ao 1 1) p DE s l 6io P o+o
cL \C \ 1J0/ ) Sl 6N fvl U tic / k S'
7. Attached Plan-s7->S Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermitNariance/Finding ever been issued for/on the site? lI
NO DONT KNOW YES). IF YES,date issued: -TU L Y "Log
IF YES: Was the permit recorded at the Registry of Deeds?
NOK 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 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
10. Do any signs exist on the property? YES < NO R
IF YES: Describe the size,type and location: L l7 k.,5 / SL 6k) j ()N
J b OPT r,1 1�
ctx A d-Q-,
Are there any proposed changes to,or additions of,signs intended for the property? YES?- NO
IF YES: Describe the size,type and location: Ir'Z V\'id ) , l�t l L L� X 5 j 7CV 3)
tv\ ‘)cil ko (Ark, 3 Ci1,1v-e- e ' x ' sicvos ( see S(2,-(0,1
cn�► e i lc/A -Pi^�e,/4
Page 2 of 3
City of Northampton
?oaHu� = RECEIVED 4S` `.kot
Massachusetts 4�' .. '�4 °,
f ,,�# ' * .
k- � � f' OF BUILDING INSPECTIONS Pk ,j rr
JUN � � 2(� b
. ;•' 212 •ain Street • Municipal Building
` ,-i,,- N rthampton, MA 01060 w,jy i'S4
INSPECTOR AiiiiittWatrsa ermit to Place or Maintain a Sign
Or other Advertising Device, or Marquee / 31/I 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 ( )
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 S A GA C O MAW MC. I/03-5 D I W f<S-I-
c
1. Location,Street and No. '`-' ` t r w,p I Fly e
2. Owner's name 3 A (A C OM tl1.1i1.'VLL•iA R C)J
I 5 H Awl P 0t3 AV1 1 ovr A krstP Trot.
3. Owner's address j ,
4. Maker's name V A,l -2 AI kU1^i1.1C 1��. Y6\lt11rv�ei
5. Maker's address 3 I'(l kl`. s I 'i-!✓ 0 Q.)\,-Q._, N O'I1 H, I PTO/0
6. Erector's name 5141ti1-g kS )11,
7. Erector's address SA i n-5 A b 0 t,--C
SIGN KIND OF SIGN
\ (Designate)
1. Sign will be (check one) illuminated `� Non-illuminated
2. Will sign obstruct a fire escape, window or door? N C) Marquee
3. Lower edge will be l v1ft....4�.ins above the public way. Projecting
4. Upper edge will be 15 ft...O...ins above the public way. Roof
5. Height ..S...ft..c ..ins Width 5 ft 0 ins x 3 (2 4` x S )
' Temporafy
6. Face area sq. ft. ,, Wall �C
7. Inner edge will be 'A-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 3( 0 ins back from the street line.
10. Sign will project ..D;:.ins beyond the street line.
11. Sign will extend b ft ....O'.'ins above the building or pole.
�Y� � ,g£uS 1 A Ll�M
12. Of what material will sign be constructed? Frame Face i .... I N✓Ili
13. Estimated cost $ 1Q.;.f.. P-
The undersigned certifies that the above statements are true to the best of his knowledge a lief.
(Signature of Owner or Agent)
Page 1 of 3
File#BP-2013-1177
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P 0 BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 15 HAMPTON AVE
MAP 32C PARCEL 038 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out J x
Fee Paid / v
Typeof Construction: ERECT ILLUM SIDE WALL SIGN-WHMP
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
INFORMATION PRESENTED:
Approved Q.. 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: § 3 YO ' 7 F Z (M)
Finding Special Permit .41/ 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
Signa e 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.