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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: (0/3o I t3 APPLICANT'S SIGNATUR
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:_ i'i{1 LLi PS EAtivg-P• 4s r S j r1iC — •
Address: lye(_._-__ 13" THA-MPMk). p .j) Telephone: 1413 S;$f,, s2
2. Owner of Property: 7 { if T �`–f`+v e,4 – m PR es
Address:. 1 4 t(. _ � �r{i�rvI .....__ �'C':j° Telephone: Y/3 .51'6 SPA.O
3. Status of Applicant:__Owner Contract Purchaser Lessee
Cther(explain): ,ve i M k JA
4. Job Location: 1 `I I ; i r , r i• Le
Parcel ID: Lonina Map A Parcel A District(s)_ —(TO 3E FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property:__
6. Description of Proposed Use,MJork/Project/Occupation:(Use additional sheets if necessary)
It`.t,C� �.�(i•$.,s �{. ..t CCXiS'T�nlCy S IGV
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermiUVariance/Finding ever been issued(orlon the site?
NO DON'T KNOW / W S IF YES, date issued;_
IL YES: Was the permit recorded at the Registry of Deeds'?
N0 DON'T KNOW YES
IF YES: Enter: Book__ Eno and/or Document A _._..__ _..._..._.__.._.....
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 NO
IF YES: Describe the size,type and location:
I"11Q Fu 41'N f ter( (d CU. .40 CJ'. 't
) i ( �I t Are there any proposed changes to,or additions of, signs intended for the property? YES f, NO
IF YES: Describe the size,type and location:
o ?:1
Page 2 of 3
,....,.ci, of or t o
Y ;;:s:.... '� . I ''... �, ectb rr Mai, ildin r�"F S �
< a , Nortt—∎E Fr p.' r,F r �::`"6 north tan, MA (1060 pry 5�?''
117sPrcAon Application • - `ermit to Place or Maintain a Sign
Or other Advertising Device, or Marquee j62/L/57 7
(Application to be tilled out in ink or typewritten) Number'),,.
Plans must be filed with the 8uiidinq Inspector Erection ✓' ���( )
before a permit will be granted. Alteration (
Repair..... ( ., )
Repainting ( )
Removal ( )
FEE........PAGE,..,....i'LOT......
Northampton, Mass. 20.13
lo the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME .. .'.l4.! !'.1'. ,,. .w7 t, ....:`..t.:,,.:).,.....
1. Location,Street and No. ....E , ..'t.... . xf.0...: n# r.n,. .N ........
2. Owner's name ...._r,-.1,-1,!!+.-',.. .7,..,......k:',:(.t; .'°: ....g.a. :.i......
3, Owner's address ..... t +.... ,t ,S.. . 1 "i` ..
4. Maker's name 69p.ic i , =`y. to
r.
5. Maker's address ...... .I .`c t;�.-i;k{I ' : , ,. da':t . ,ii'� 1.r fvg(+`)
6. Erector's name ............ .fa. ; °;'. ....................,....,........,...........,..........-........................
``
7. Erector's address .,
SIGN KIND OF SIGN
'
,r (Designate)
1. Sign will be (check one) illuminated ,...... Non-illuminated .......
2. Will sign obstruct a fire escape, window or door? ..i.N;4',`,.. Marquee ...............
3. Lower edge will be ...C.,ft... :...ins above the public way. Projecting ..............
4. Upper edge will be ...'..ft.. ....ins above the public way. Roof
5. Height ......ft.. .i..ins Width ft. ti).ins Temporary.............
6. Face area ,i :. sq. ft. Y-f. Wall .......... ........
7. Inner edge will be t i from the building or pole. Ground
8. Outer edge will be .7,;:i..` ` from the building or pole. Other
9. Face of building or pole is '10 id-S.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 1-0 m i - Face ei L-4 ;NI")71
13. Estimated cost $....,r44 .—
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
.. .act Gava,.. /11
(Signature of Owner or Agent)
Page 1 of 3
File#BP-2014-0579
APPLICANT/CONTACT PERSON PHILLIPS ENTERPRISES INC
ADDRESS/PHONE 149 EASTHAMPTON RD NORTHAMPTON (413)586-5860 0
PROPERTY LOCATION 149 EASTHAMPTON RD
MAP 37 PARCEL 064 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: REPLACE GROUND SIGN FACES-PHILLIPS ENTERPRISES
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:
V 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
/ /7/13
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 37 Lot064 Zone
Massachusetts Date issued 11/7/2013 0:00:00
Inspector of Buildings Permit # BP-2014-0579
Permit Fee$30.00
SIGN PERMIT
Business PHILLIPS ENTERPRISES
Address 149 EASTHAMPTON RD
Applicant InstallerPHILLIPS ENTERPRISES INC
Applicant Installer Address
Work Description REPLACE GROUND SIGN FACES - PHILLIPS
ENTERPRISES
Estimated Cost $2900.00
Building Department
Approval by: