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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
Frontage
Front:
Setbacks: — -
Side: L: R: L: R:
Rear:
Building Height
Bldg Square
Footage
%Open Space:
(Lot area minus bldg and
Paved parking)
#of Parking Spaces
#of Loading Docks
Fill: (volume&location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: APPLICANT'S SIGNATURE �.�(� iii .,
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
Page 1 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: Safe Passage, Inc.
Address: 43 Center Street, Ste 304, Northampton 010phone: 413-586-1125
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
X Other(explain):
4. Job Location: corner of Main and King Streets (courthouse), Northampton MA
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
hang a banner promoting the Hot Chocolate Run on the courthouse fence, facing
King Street, from 11/18/13 through 12/6/13.
7. Attached Plans: X Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/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 X DON'T 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 X
IF YES: Describe the size,type and location:
Are there any proposed changes to,or additions of,signs intended for the property? YES NO X
IF YES: Describe the size,type and location:
D
h;ji; 1 9 2013 tI4 of NortlIamptnn
s NORT. �MPTON,MA 01060
IA
iflassttrttusrits
r' DEPARTMENT OF BUILDING INSPECTIONS a *
s .. , 212 Main Street • Municipal Building ks'r'friy 'i=>�6
Northampton, MA 01060
lN.1 -( To1, Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee D°'�`/_ad
(Application to be filled out in ink or typewritten) Number. 7
Plans must be filed with the Building Inspector Erection ( )
before a permit will be granted. Alteration ( )
Repair ( )
Repainting ( )
Removal / 8 (, 172-
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 Hampshire Council of Governments
1. Location, Street and No. Corner of Main and King Streets, Northampton
2. Owner's name
3. Owner's address
4. Maker's name
5. Maker's address
6. Erector's name Safe Passage, Inc.
7. Erector's address 43 Center Street, Suite 304, Northampton MA
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated ...X..
2. Will sign obstruct a fire escape, window or door? No Marquee
3. Lower edge will be ft ins above the public way. Projecting
4. Upper edge will be ft ins above the public way. Roof
5. Height ..3 ft ins Width ..1.4ft ins Temporary X
6. Face area 42sq. 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 Banner
9. Face of building or pole is ins back from the street line.
10. Sign will project ins beyond the street line.
11. Sign will extend ft ins above the building or pole.
12. Of what material will sign be constructed? Frame n(a Face vinyl
13. Estimated cost $
The undersigned certifies that the above statements are tru o the yybest of is kn' ledge belief.
(Signature • •wner or Agent)
File#BP-2014-0202
APPLICANT/CONTACT PERSON SAFE PASSAGE INC
ADDRESS/PHONE 43 CENTER ST#304 NORTHAMPTON (413)586-1125 0
PROPERTY LOCATION GOTHIC ST-COURTHOUSE
MAP 31B PARCEL 272 001 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 6_1[,16 032)
Fee Paid `��
Typeof Construction: ERECT BANNER ON COURTHOUSE FENCE ON KING ST
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_ OJ 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
1
2/2-2//3
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 31B Lot272 Zone CB(100)/
Massachusetts Date issued 8/23/2013 0:00:00
Inspector of Buildings Permit # BP-2014-0202
Permit Fee$30.00
SIGN PERMIT
Business HOT CHOCOLATE RUN
Address GOTHIC ST - COURTHOUSE
Applicant InstallerSAFE PASSAGE INC
Applicant Installer Address
Work Description ERECT BANNER ON COURTHOUSE FENCE ON
KING ST
Estimated Cost
Building Department
Approval by: