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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 prop'YE'S NO
4 1.-
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACKIOF INFORMATION. ,
This cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
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 - age.
DATE: it 3 D 3 APPLICANT's SIGNATURE
NOTE: Issu nett of a zoning permit does not relieve an eppiioant's burden to oomph with all
zoning requirements and obtain ail required permits from the Board of Health. Conservation
Commission. Department of Public" Works and other appiloable permit granting authorities.
FILE if
•
File No.
ZONING PERMIT APPLICATION (S10 . 2)
PLRAPRINT ALL INFORMATION
P.0.Box 1013
1. Name of Applicant: 722 Wbffhingtoe_St
Springfield,MA OIlOI �- ,) / <3 �- j/l /
Address: Telephone: -
2. Owner of Property: of A(S Ls El l
Address:' /c3–)S FL ( S'T ,' r S Telephone: '78-3-- f/ (, E
3. Status of Applicant: Owner Contract Purchaser Lessee
_ �-7,.�
Other(explain): Si Io /`, `--o
4. .Street Address: -7<P, (9 0
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Pi 01 IR S F) -1 4- SPp g---F5 P
6. Description of Proposed Use/Work/Project/Occupation: additional sheets if a •
t 6;y1 S — Ccsp
e . • ° C1
%O k J ' 6 ° .k S< f■D
7. Attached Plans: ✓ Sketch Plan V Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. 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#
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)_
,3114 „co wrn
una
forc,Afo0 ‘..C.
ALA ;V4 090%0,14e
4TNIWpT �EFY �
't lk,c4R 4 Erection......_..-......0,4,
•zit+ Alteration....._.... ( )
Plans must be filed with the Building Inspector, Repair .w . ( )
Repainting ( )
before a permit will be granted, ° r''
Removal ( )
Qtt of Nartifint'. tart, ass._______
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten) 01/—
FEE PAGE PLOT
Northampton, Mass............. ...._.. _...,11._,/ 19.C..
To the Building Commissioner: ///
Application for a permit to place or maintain a sign or other advertising device, or marquee.
/
BUSINESS NAME J i o'' &£ie 5 p/ tu e °v' , /aOe•73" 7// J/5(G/4-vs
1. LOCATION, STREET and No. l...C...6, /L-.9..0.ie.7 L to G S !,
Pit R-2. Owner's name . .. ..it........ ......._...._.1-0 !........s....r...._..........te-E✓f-t- M
3. Owner's address........�.caa...2,T..'. .... ...c 4- I'-( cr. .. 5 , ....-
4. Maker's name _..._.........._....
5. Maker's address..........._............ AGNOU SIGN CO.,INC.
6. Erector's name P.O•Box 101
7. Erector's address..._ Springliekl.M.01101
SIGN KIND OF SIGN
tV
(Designate)
1. Sign will be (check one) illuminated non-illuminated
- �'� Marquee
2. Will sign obstruct a fire escape, window or door. _..........
3. Lower edge will be........V...ft. ....ins. above the public way. Projecting
4. Upper edge will be..... ...0.ft. Qins. above the public way. Roof
5. Height... .._ ft.. .ins Width l ft. � .ans. Temporary..... ......
6. Face area. q Wall -.... `. . .
.. .....s . ft.
7. Inner edge will be_...c ..ins from the building or pole. Ground
8. Outer edge will be.... ...ins. from the building or pole. Other
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 v k/til vM Face...., ! N ti
13. Estimate cost../.• 0
The undersigned certifies that the above statements are e to the
best of his knowledge and belief. ki/L-&-1 )
(Signature of Owner or Age )
NOTE: In order that this application may be accepted, the data called for above must be set forth P .,
CLEARLY and FULLY.
File#BP-2004-0552
APPLICANT/CONTACT PERSON AGNOLI SIGN CO INC
ADDRESS/PHONE P O BOX 1013 (413)732-5111
PROPERTY LOCATION 766 NORTH KING ST
MAP 08 PARCEL 021 001 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED E
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid #30 l 1
Typeof Construction:_ERECT NON-ILLUM FRONT WALL SIGN FOR PIONEER SPIN. &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 ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION SENTED:
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: § 1.147
,,,T1 I t44i kl ccl
Finding Special Permit � Variance* (j11Gr'c -1'(l C r7
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
//2.10Q3
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.