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10. Do any signs exist on the property? YES NO L/
IF YES,describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
11 . ALL INFORMATION MOST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
Xi' of Loading Docks
Fill:
(volume -& location)
.I
13 . Certification : I hereby certify that the information contained herein
is true and accurate to the best of my knowle ge.
/
DATE: li( l�/ U 3 APPLICANT'S SIGNATURE �-� it
NOTE: Issuance of a zoning permit does not relieve an epplioant's burden to oom ply vdttFh 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 I
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: AGNOLI SIGN CO., INC.
P.O. Bux 10ra
Address: 722 WOfthingto St Telephone: 41 /
spfintietd, MA 01101
2. Owner of Property: P f 4 iO L S
Address: 0 F L (L( Telephone:
i
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: ) 6,7 L., & Oe 71-4 L te(
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property "Pt o F_ S &, / ( / y.S i C /1--7`.'
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
I r U
10 11 L eTT3 re-S. PVC ® N
toe o cc" ha (1 t (.r pl N � — c2 S4 4)+ ,
7. Attached Plans: ✓ Sketch Plan 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 PermitNariance/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 Regi stry of Deeds?
NO DON'T KNOW_ k-/// YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO V DON'T KNOth: 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)
"'or V`Sc
NO
• .
t= -' Alteration..__ ....._.....( )
Plans must be filed with the Building Inspector, Repair_ __._. ( )
Repainting....._...._._..( )
before a permit will be granted, Removal_..._ ( )
(!tit if Niartflampton, Atass.
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.,....._...._/.L/. 190.3
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME P,o1,, <5-/ S PO 7-5 e/"YE /
1. LOCATION, STREET and No. 4" A.C1.., _j2i, ,,,•j l s- j (5.1 b L)
2. Owner's
3. Owner's address_1. 7 /�-C 5 L, ..,•.
4. Maker's name _.._.... 111NOUSIONCY.,INC
5. Maker's address_._..._...._...._.........PA.gpx••1413 _....__
6. Erector's name.....____.. ..._. thi!1gi.M..St
7. Erector's address..__...._ d 01101
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated non-illuminated_..
2. Will sign Marquee
gn obstruct a fire escape, window or door. .__...._.....
O Projecting
3. Lower edge will b ...___._....ft. ins. above the public way.
4. Upper edge will be ..ft. 4.° ins. above the public way. Roof.._._...._
5. Height..... .._ ft.._.2I .._ins. Width ° "� .ft._..._.__._ins.
Temporary
•� wall...._.... ._
6. Face area�iT. sq. ft.
7. Inner edge will be_ _ ins from the building or pole.
ground
8. Outer edge will be__ .__...ins. from the building or pole.
t�ttre 4................ ...._...._
9. Face of building or pole is_.. ins. back from the street lie
10. Sign will project ...ins. beyond the street line.
11. Sign will extend.... (7 ..ft._........._.._.ins. above the buildin or pole. 2
12. Of what material will sign be constructed? Frame.. .?`�.0 _..... Face �l_
�� 5.z/C-
13. Estimate cost .tD
The undersigned certifies that the above statements a 'rue to the ■
best of his knowledge and belief.
(Signature of Owner or Ag nt)
NOTE: In order that this application may be accepted, the data called for above must be set forth pitip
CLEARLY and FULLY.
File#BP-2004-0552
APPLICANT/CONTACT PERSON AGNOLI SIGN CO INC
ADDRESS/PHONE P 0 BOX 1013 SPRINGFIELD (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
Fee Paid �r D---5 l
Typeof Construction: ERECT NON-ILLUM FRONT 22 SQ FT 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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF94 MATION PRESENTED:
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 Commis • n
.... V1•41--t - ,/„..e) L°°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.
,
City of Northampton Map 08 Lot02l Zone HB
Massachusetts Date issued 11/21/03 0:00:00
Inspector of Buildings Permit # BP-2004-0552
Permit Fee$30.00
SIGN PERMIT
Business PIONEER SPINE & SPORTS
Address 766 NORTH KING ST
Applicant Installer AGNOLI SIGN CO INC
Applicant Installer Address P 0 BOX 1013
Work Description ERECT NON-ILLUM FRONT 22 SQ FT WALL
SIGN FOR PIONEER SPINE & SPORTS PHYSICIANS
Estimated Cost $1200.00
Building Department
Approval by: