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Letter of Transmittal
8
STATE PERMITS,DE
‘0131921114 i2 Stamm Lill
Ljt,tr .... ? i
319 Elaines Ct. -Dodgevil le,WI 53533 Electric 608/319-2096 * fax: 608/319-2011 Nrt ,www.st8.com
Date: 10/2/2013
To: City of Northampton
212 Main St Rm 100
Northampton, MA 01060
Phone: (413) 587-1240
Attn: Building Dept Northampton
Re: CVS #0447
Street Location
366 King Street
Northhampton,MA
Proj: 491034
We Transmit-VIA FED-EX
-Application - Plans -Samples
Check#15032 Amount $660.00 Payable To: City of Northampton
- Plan Review
ITEMS :
1 Check
1 Material sample
1 SPA&ZPA
1 Site survey
1 Set of plans
These Are Transmitted :
- For Review and Comment
Remarks :
Please find the enclosed plans for review. Please contact me direct with any questions or comments.
Thanks Kimmie 608-407-9076 /
Signed: — L4--''"
1 Ki 'e 1}itford x5
Page of 1
319 Elaines Ct.-Dodgeville,WI 53533 -608/319-2096-Fax:608/319-2011 -www.st8.com
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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 n 1)- n ii-r-
Frontage PSIS :II_ x`16 01.1 l,;`.
Front:
Setbacks: .
Side:
\IA \''C '1\ : L: .17-) \\Tc.-
Rear:
Building Height `,h \ 0\-- �;`�, ��
Il
Bldg Square
Footage \,r\ \) \A 1
Open Space: t
(Lot area minus bldg and
Paved parking) \A 0(7 f \ i r
#of Parking Spaces 1
#of Loading Docks 11.V\g \;\\
Fill: (volume&location) �\\ 6 \\,
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
r � f
DATE: /0 I• ! I APPLICANT'S SIGN Z'C-V-
I
NOTE: Issuance of a zoning permit does not relieve an applicants burden to ply 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
n
1. Name of Applicant: ` /nif i e
Address: (-)/4 / (�i��_ \Al f .1( r - kl/ Telephone: (l:r,'X '`t 0T- t"�V
2. Owner of Property; :BUD�C " `�C-Z-C:>n j 12c 1>,t , l//i7 1a fI, '1441
f
Address:) �1�Z 4'��� , ;) �f Y' •�t� biT 0,-A/44:Telephone: �L� �476t
3. Status of Applicant: Owner Contract Purchaser Lessee t' \
Other(expllaiin)t:_, 1 ' ,' �tY��i'►�li' t t 11.1 G^� 2) ( C,f(1 x)14') (}7 lJi cl t'.�‘ 11-e 1-0
4. Job Location:-271,f, r/1) ( (�(}S-�{ - (J G74-) 5 �'J 'J
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Vv t2;4-(1:
.)
6. Description of Proposed Use/}Work/Project/Occupation:(Use additional sheets if necessary)
{Rd_1?n. 1\1 t,�l� 11 )Vr'cJ'i(6-I}'y �,t)114-q 7.Y a;, t 1�-;y ''
a �J f
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 X 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 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 X NO
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:��.��.l�I_tl. (6,"jC�', "���(�1� '-f
n� s
[L, :12) i:11 lj
7 v ih<<I ( t j}rti :.;<F�,� ry,i C. - .
, r
j fait of Nart1 imp1E n s
"I 2013
u �IRttssttrlltzsrtts N=
i'
M
i � ;� ,'lumbing&Gas 10. 1n,fMENT OF BUILDING INSPECTIONS *S.%u-•.
`, t+ rthampton, MA 010 Main Street • Municipal Building .-sS `^r
Northampton, MA 01060
INSPECTOR Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(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. ----1 ta ``I' 20./3
To the Building Commissioner:
Application for a permit to plc or rnaintain sign or other advertising device, or marquee.
BUSINESS NAME ..(,,.. V .}....•r••f''-C11.EikL-.{. .
Jf,
1. Location, Street and No. `• ' .�• 1-1,-.. j�L.`, ^'
0 , „
2. Owner's name L
... ;(e..(1 , 1.::_....ft. • ,r.: r'c ;-l,i...�', 1./`.: tt:.
3. Owner's address(..... .. . '•
4. Maker's name .LJ. ..1.x:7 ► '..4•.).:.� hGf...� t- 14'L.t
5. Maker's address,.
L1.7...4.2.... .) •1` fi t=; 1 '..(:11 (,:.i .ill le!*....10001
6. Erector's name ..YDK ...� C `•aa•t•••• i•i'�''(
ir
f Li raa : 1
7. Erector's address . . `. .,,.. .-- 4 ....N... 1.. A- t IWO l
SIGN KIND OF SIGN
(Designate)
1. Sign will be(check one) illuminated Non-illuminated .. ...
2. Will sign obstruct a fire lescape, window or door? Marquee
3. Lower edge will be ..111,1/k-- ins above the public way. Projecting
4. Upper edge will be .)'N..1 ins above the public way. Roof
5. Height ft ins Width ft ins Temporary
6. Face area sq.ft. Wall
7. Inner edge will be .}'l.P is from the building or pole. Grouncl
8. Outer edge will be \4.kins from the building or pole. Other ali(1'1 AI)./ :ri,t.,t..
9. Face of building or pole is .Y11Kins back from the street line.
10. Sign will project 1`.t1. .ins beyond the street line.
11. Sign will extend ... ins above the building og pole.
12. Of what material will sign be constructed? Frame .! ?.Vtn .1..... Face
13. Estimated cost $. . •0C::c `f
The undersigned certifies that the above statements are true to the best of his kno .ledge and belief.
.....il- 4: /
------ •(Si• ature of ewner o Agent)
C--
File#BP-2014-0416
APPLICANT/CONTACT PERSON STATE PERMITS INC
ADDRESS/PHONE 319 ELAINES CT DODGEVILLE (608)407-9076()
PROPERTY LOCATION 366 KING ST-CVS
MAP 18D PARCEL 047 001 ZONE HB(100)/WP(16)/URB(0)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Peuniit Filled out O r�
Fee Paid !v 3 4r6
Typeof Construction: COVER EXISTING WHITE SPANDRELS
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: ')(1-.Sr(:/1� ,���N Pa 41CS
Approved V Additional permits required(see below) J � ) ,
PLANNING BOARD PERMIT REQUIRED UNDER:§ .+fir Ids 3
Intermediate Project: S. Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Peinnit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § Ira ' 7' 1
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
— / ///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.