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08-021 (7) 10. Do any signs exist on the property/? YES NO IF YES,describe size,type and location: • Are there any proposed changes to or additions of signs intended for the pr'o ° ' S NO IF YES,describe size,type and location: 11. ALL FORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION., This column to be filled in by the Building Department Required Existing Proposed By Zoning Lot size 1 Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: (volume & location) 13 . Certification: I hereby certify that the info mation contained herein is true and accurate to the best of my know - .ge. DATE: 1l 3 03 APPLICANT's SIGNATURE NOTE' lasu nos of a zoning permit does not relieve en applioanrs burden to comply with all zoning requirements and obtain ell required permits from the Board of Health, Conservation Commission, Deportment of Public* Works end other applioabte permit granting authorities. FILE # • • File No. ZONING PERMIT APPLICATION (§10 . 2) PL.EAiikePRINT ALL INFORMATION P.Q Box 1013 Name of Applicant: 722 WorthingtonSt SPringreld,MAOI101 !,s—! 34- S-7 /ess: Telephone: l _. Owner of Property: j ," ,4 /-Se- / A / Address: j 7 /4 SI , fj ) , S Telephone: 7 _ Status of Applicant: Owner Contract Purchaser Lessee Other(explain):lain): � 30 e--O *Street Address: 7( N` O J T Parcel Id Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) Existing Use of Structure/Property PI Oi.) 2-2 S'(k)E '¢ • p0 t-1 S Pt/ ) Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if n ssary): • 40 N /3 N Attached Plans: ✓ Sketch Plan L/ Site Plan Engineered/Surveyed Plans rs to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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# Does the site contain a brook,body of water or wetlands? NO DON'T KNOW L.'''. YES I 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)_ ;\ti?{P..Vik t!4 wf $ .K . vt /�2 . < No 4 0. i• Erection...................... PC) ' Alteration.. __.... ( ) Plans must be filed with the Building Inspector, ) Repainting ( ) before a permit will be granted, Removal...._.. .._ ( ) Cut of rrti a piton, Faso. Application for a Permit to Place or Maintain a Sign or other Advertising Device (Application to be filled out in ink or typewritten) FEE PAGE PLOT Northampton, Mass., /11.3 190 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME et, R„ �J /Q/ru C. -¢ pairs P -y / 1. LOCATION, STREET and No. 7 /�.�.L`1,1 1 .. .... /..t .�� S 2. Owner's name..... Y .....�,��.�:,n../...,�.�_........��.r.��7- _. _._. ... 3. Owner's address....1.�"Z r 0-6-/L-( �✓ ,Cry..►....._ ...._ 4. Maker's name _... ...._... ....�� i,r _ _ 5. Maker's address.._ ...._...._.... itiOrlox-101. -_ 6. Erector's name 722 .,,,... $L._.MA 01 7. Erector's address..._ .... 101 SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated non-illuminated.... /0 0 Marquee 2. Will sign obstruct a fire escape, window or door?...__.......... Projecting 3. Lower edge will be4 above the public way. 4. Upper edge will be_._ ._ ft. 4 ins. above the public way. Roof.. . .... PP g •.. Temporary 5. Height.................. ...ins. Width �.ft......_..._.....ins. ` � z�p� 6. Face area ...sq. ft. O A(L., t-¢ Cj Wall...._.... ,��� �� O1J �'� /!J 2��'�""I 7. Inner edge will be.._ _ins from the building or pole. c _ Ground.... 8. Outer edge will be_. _.. ins. from the building or pole. S 0 _...._...._ 9. Face of building or pole is....._ ins back from the street I e. 10. Sign will project...12.....ins.beyond the street line. 11. Sign will extend.... �...ft.. . .... .. ins. above the buildin or pole. 12. Of what material will sign be constructed? Frame... Xl .n Face.. C- 13. Estimate cost 19'27 S .0 _ The undersigned certifies that the above statements a rue to the best of his knowledge and belief. .. . a _.. _.... (Signature of Owner or Ag nt) NOTE: In order that this application may be accepted, the data called for above must be set forth pie, CLEARLY and FULLY. File#BP-2004-0551 • APPLICANT/CONTACT PERSON AGNOLI SIGN CO INC ADDRESS/PHONE P O BOX 1013 (413)732-5111 L PROPERTY LOCATION 766 NORTH KING ST ' I MAP 08 PARCEL 021 001 ZONE HB THIS SECTION FOR OFFI M AL I'!. O►i 1 PERMIT APPLICATION CH ►K :T EN LO"f D REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / Fee Paid Gelo 163 D Typeof Construction: ERECTNON-ILLUM SIDE&FRONT WALL SIGN FOR PIONEER SPINE&SPORTS PHYSICIANS 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 TION HAS BEEN TAKEN ON THIS APPLICATION BASED ON , INFORMATION P SENTED: Cry 1C ( (,L i2 L C Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ r 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: § ,I -Z `- / 5 Finding Special Permit _1"..>~- /3 _ 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 C 'ssion 01' .zzo°3 Signature of Building Officia 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. .