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Alteration.._..........._.....( )
Plans must be filed with the Building Inspector, Repair.. _ ._. ( )
Repainting .... ( )
before a permit will be granted, Removal_...__ _ ( )
Qtit ui NurtIt tnn, Aria.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application t t4Ied-out n ink or typewritten)
I`n PEE PAGE PLOT
Northampton, Mass.,. ._ 19 03
To the Building Commissioner:
Application for a permit to p/aCc`q*.maitataiti„a sign or other advertising device, or marquee.
BUSINESS NAME ,/0-71/4.)--
- /a ( Ff. 5P//I p`' S1°6de7 ,O#f s/G/4 NJ
1. LOCATION, STREET,and No. ..... ..�.....�r N o�7 fC/N 4 sr
f _ tt
2. Owner's name..... 4 z ... D. 4�............ ...._... _G.1 "� _
3. Owner's address....._.1. Z..r .... I4 S / ci...' A S.
4. Maker's name __
5. Maker's address..... ...._...._. . .Ca..1NC.
6. Erector's name..... P.O.Box 1013
7. Erector's address.. .... Spriniffeldv.MA.011.01
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated non-illuminated (Designate)
2. Will sign obstruct a fire escape, window or door .0 Marquee
3. Lower edge will be.... Projecting
g ,,,�.......ft. ins. above the public way.
4. Upper edge will be ins. above the public way. Roof
PP g 1 ....ft....... ..._...
5. Height.... ft.. . ..... .....ins. Width..... .ft. ..._. _.....ins. Temporary
6. Face area.......T......sq. 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
1
9. Face of building or pole is.. ..i T back from the street line.
10. Sign will proj ect........_...ins. beyond the street line.
11. Sign will extend... ..ft......_..........ins. above the building or pole. �l
12. Of what material will sign be constructed? Frame..../w7.L: !-1 _..... Face e.�::!.!. R..
13. Estimate cost ZD C)
The undersigned certifies that the above statements ar e to the
best of his knowledge and belief.
(Signature of Owner or Agent)��
NOTE: In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY. P
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
.x,11 "02 3,OVA
Are there any proposed changes to or additions of signs intended for the fl •" ` NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cob= to be filled in
by the Dilildaag 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: Il 3 03 APPLICANT's SIGNATURE G �
NOTEi 'sou nos of a zoning permit does not relieve an applloanta burden to oomph with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works end other applioable permit granting authorities.
FILE f
File No.4'P ) S6V
•
ZONING PERMIT APPLICATION (§10 . 2) •
PI;EA PRINT ALL INFORMATION
P.Q.eax tat C
1. Name of Applicant: 722 � J
S 1N�QIIOl - —
Address: Telephone: L Q )
2. Owner of Property: elf- rrs�S
Address: /0-7? L- 1t4 Si - . 4 S Telephone: '78-S-
3. f(ic 3
�.klh
Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): St I'o Co-
4. Street Address: 7 4,0 Ili .
Parcel Id: Zoning Map# O , Parcel# c. ( District(s): )1441:3
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property P 1 O1..) ,�2-R SD/ "3" f f tic/4-20S
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if n- -ssary): •
py
f - Yo " / ' f3bj6 s< � .‘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 Departrnent 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 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:
(FORM CONTINUES ON OTHER SIDE)_ t
File#BP-2004-0550
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 DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 40.
Fee Paid 'Typeof Construction: ERECT ILLUM GROUND 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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION PRESENTED:
Approved Additional permits required(see below)
6 I{y/
,l 5 /6"-2:1
PLANNING BOARD PERMIT REQUIRED UNDER:§ u
,9'e� cif" Ir'l; -)1
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan /6 Sit a(I
ZONING BOARD PERMIT REQUIRED UNDER: § ( G� 110-',"'7
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 Peinu t from CB Architecture Committee
Permit from Elm Street Co 'ssion
./ .,,€_■1‘. e..-Zir-- // 1-00
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 08 Lot021 Zone T-IB
Massachusetts Date issued 11/12/03 0:00:00
Inspector of Buildings Permit # BP-2004-0550
Permit Fee$30.00
SIGN PERMIT
Business FIO E1 t SPINE & SPORTS'PHYSIICIANS
Address 766 NORTH KING ST
Applicant Installer AGNOLI SIGN CO INC
Applicant Installer Address P 0 BOX 1013
Work Description ERECT ILLUM GROUND SIGN FOR PIONEER
SPINE & SPORTS PHYSICIANS
Estimated Cost $2000.00
Building Department
Approval by: