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32C-177 (3) r a c ° 0 u;. 2, O v fV Y m C V Y a i/} i./? O C 0 0 m t �+ t] t ao R O E mu) �, c, ol i7) CD rE, m` C C ._ y O7 ta r.. N 0) a i - i C C r �n N v E c C = d U 0 C7 0 'y a C 0 c n pp r- �+ '� E 0 a es Y E C - m -0 -C V N w V co) W Y w Q to �� __ M m C M C! Cb „ ......7.-,...... _., ..;_l NP- .-- -- . — - - - - ' - - b FD I-- z co as r E CO co c� - �, oho O 1.t.ff.Z..',:s,'. ''.2-al..,-4-,p,:f,A,;`...';':, Y-e f 4 = to 1" 4= 0 '+-la 8 0I E N o UU CO to O 715 -0 N — C = S `s O -5 �0+ifn co to V O d i U : 'Q ..c c T i V CO L O E :I - -0 V .; V t11 ` V - O ct CtS L M .c i 1 ' '' ' - o c 3 z Y N WINO V uj N tti V z 0 t6 C 2 2 Q J 2 V) 0 U) M Qf o co ♦ t - ._..w.,... s ,^�+ ^3 try' , -, . " .; ' '-'''r a. •- `' "�• > ., g vh - ..«....._ -. :-* n tg-' „ vas:r •r r .va , , . •- = w .,. • x �. C 0-T\'-'0'(\o� �..a 5;5n. s i z , t x • .i -. _ •; 0 -- w.-.�a urn+ iw.`a. 4c. „i a. e • g4s.W Ap .r, ,.a m. .,a. - . a , `v -�" t -u ° 4 x max+ ngz 4f' ;+� �r , � s 3 kk' ,, a te_ '-• � _ .. {xg t 10. Do any signs exist on the property? YES -X-X NO - IF YES, describe size, type and location: - t f — (N 22- Y"Zti" C"'k Ck_ae2 - S-eC,A i ,J Sl.O-t t I k t S i S i`i-i. t7(... Lt 3- S T v.-,>*k `311 l.tb s3L Are there any proposed changes to or additions of signs intended for the property? YES X NO . IF YES, describe size, type and location: ' �- 51.C.Gr.ek `� �OU� 11-3-^A.0 k� rs k_G.+CdPrztC-tr L. v 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO X 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 for use by the Building Department EXISTING PROPOSED RE [il U D BY fLot Size ZONING f Frontage- Setbacks Front Side L: R: L: R: I: R: Rear Building Height r Building Square Footage %Open Space: (lot area it minus building Et paved 1 ► parking #of Parking Spaces t/ #of Loading Docks 0 0 Fill: I`; (volume ft location) I 4 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 5 kar,6 O1- Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an app s burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. ,_ W\DocumentsV. OWSkonginal\Building-lnspectorZoning ernutApplicationpassive doc 814PO04 File No. Please type or print all information and return this form to the Building Inspector's Office with the$15 filing fee (check or money order)payable to the City of Northampton 1. Name of-Applicant: b . K ^i i1 j Li.1)Qc� SAddress: Pte:. ; v- Telephone: "it t 3—SbD--i c)c) f 2. Owner of Property: C S EL h Address: 30 Q ? -\ Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 4. Job Location: 300 P�C�ASc+.3} S 1 4y i E �iC�Z Via" 1v �t C ID (o 0 �#Eaf ce eni a� aT . lZ stnc . ` ' .`�'" Wig_`'' �" ; w` i r�•eCr {- - = .- ® t1 :1N/i75#1161,1,:. 5. Existing Use of Structure/Property:- 1:,1.\ ■s rutG ;Y 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): y i f �%i � 1 t°�'t1 SS kr(itict. J 1 c� ,yv (34\ c_ �"�.� i Cam.,`1,-{-! t(?te-L. r 6.,,--- 7. Attached Plans: Sketch Plan a Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO - DONT KNOW X 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) W:Pocrinenu lFORM3longinallBulnu 11?. 01 40,mng-Perrot PPli94,i9P-passtve.doc $/4I20D4 3r } • A - . ■ m NOT:--L•ia.4 - 1 -e._- Erection_ ( ) • Ii \1 Alteration ( ) Plans must be filed with the Building Inspector Repair ( ) t,'"( `J`' -Repainting ( ) before a permit will be granted, __j Removal ( ) Titv- N itheanti" /III Dr 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.......... PLOT Northampton, Mass.,_ _C _ , To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME L 1 C[-• +rc.) 0... 1. LOCATION, STREET and No. (•)() f hS--,_-4 . 1" S Vi,► lc 2. 2. Owner's name nACC nsl eCV 3. Owner's addrPtc 70O Pliu5_1-rA S-► )\1 . O h01 4. Maker's name i I C'1'Ltply L 5. Maker's address i Ow. • ,,(( ty 6. Erector's name _. 1\1 i P V't• 1\' 7. Erector's addr- ►_ o i pr c ,� � j Q )" SIGN lam e-K i a SS p 4r-.A S 7 KIND OF SIGN 1 'I% TO? (Designate) 7�' 1. Sign will be (check one) illuminated..-._non-illur ;hated 2. Will sign obstruct a fire escape, window or door? NO Marquee Lower ft ° the �v7+OProjecting 3. ..,over edge will be as ft. ins. above �e public way. �� 4. Upper edge will be a 3 It o ins.above the public way. R oof Temporary 5. Height _.•...ft 0 ins: Width_ 8 ft. o_— inS. 6. Face area 011. sq. ft. Wall 7. Inner edge will be - ins from the building or pole. Ground.- 8. Outer edge will ins,from the building or pole. 9. Face of building or pole is 94 .ins.back from the street line. 10. Sign will project 0 ins beyond the street line. 11. Sign will extend e ft.._ _ins.above the building or po1e. 12. Of what material will sign be constructed? Frame ssre afn C. 13. Estimate cost 4/ The undersigned certifies that the above statements are true to the best of his knowledge and belief. Y ('< ?,re Al weer or Agent) NOTE: In order that this application may be accepted, the data called for above must be set forth CLEARLY and FULLY. PR-141-SNUB File#BP-2007-1088 APPLICANT/CONTACT PERSON LANGE KIMBERLY ADDRESS/PHONE 300 PLEASANT ST SUITE 2 NORTHAMPTON (413)582-9889 0 PROPERT THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Ala jf Typeof Construction: ERECT ILLUM WALL SIGN-LANGE CHIROPRACTIC 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 INF ATIO1 P ,&ENTED: proved q■Additional permits required(see below) �rl la12_ ,� ZJ PLANNING BOARD PERMIT REQUIRED UNDER:§ (;G tL S o - Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan 6_11 ZONING BOARD PERMIT REQUIRED UNDER: § 315 Finding Special Permit ✓ Variance* i 'f' Received&Recorded at Registry of Deeds Proof Enclosed "] p L(t Other Permits Required: P` 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 -•mmission `' z 70 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.