38C-020 (12) 0 ii-il
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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: APPLICANT'S SIGNATURE
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
rAt
1. Name of Applicant: i tir 'J (AV
Address: Q -7t Z 6t/ ` / 1 V
17 Telephone:yi3 5 , 3
2. Owner of Property: 4
Address: Telephone:
3. Status of Applicant:; Owner Contract Purchaser Lessee
_Other(explain):
4. Job Location: 3 7S 7
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: �/� � C ( 4-<t F1171" et. eoz."/Lez/7 'J7
/161 1/Y1p 4i .
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
te;z"5 )Si7 Ic41-) t ` la y s 7/ '1,7 �� `'k�1.t�P (G
V' � > �i � s
((A JZ-u ,r J '/,t�f At 4-Ynv(_ii{ � 0.,a_z p-t
■bt,14-1-14 ` -i1 .“. 0.-t6 x "tom ,L/-/ 6,
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans��'V14,ut, 06.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site? (/
NO DON'T KNOW YES K IF YES,date issued:1/3-4 VnGL(f'
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
10. Do any signs exist on the property? YES JC NO
IF YES: Describe the size,type and location:
,41\8.71 CrY1 ;1 r 4:1-'1 1) ‘fit414--Le
Are there any proposed changes to,or additions of,signs intended for the property? YES NO
IF YES: Describe the size,type and location:
Page 2 of 3
City of Northampton
o-
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'»A Massachusetts z."" Ft ,
�a DEPARTMENT OF BUILDING INSPECTIONS � }z;
212 Main Street • Municipal Building �� � '
`'r`,-;' ' Northampton, MA 01060 "�s� fi4�
�"_- Application for a Permit to Place or Maintain a Si
INSPECTOR PP �lication Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number
Plans must be filed with the Building Inspector Erection ( )
before a permit will be granted. Alteration ( )
Repair ( )
Repainting ( )
Removal -( )
FEE PAGE PLOT
Northampton, Mass. 20
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME P.6,,,,,,.V4i.u,f. .c. _'c� Cdr 0(�° .LLeo'}�tlf�i f �2G 6 k r) Yi23t(4.
(j
1. Location, Street and No. 3-7 5 3.0 bill ., Aio if`t"ti.c.?-ny X?..�.1�1:...0./0(,
2. Owner's name .. ...64.(Cc5 -11 lfzj
r
G 3. Owner's address .'..0 x .4.,2& L i- 11- 4111
4. Maker's name ....Pa Ina/r+ ,
5. Maker's address .Ak 1 ¢4-f l NA 0 i L;} 7
6. Erector's name PVC i 714,L
7. Erector's address 0 0,e,i i n
�, 4=t"� 1�itrimi G
1.4- e/ ,?. 7
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated k...
2. Will sign obstruct a fire escape, window or door? .a.0... Marquee
3. Lower edge will be ft ins above the public way. Projecting
4. Upper edge will be ft ins above the public way. Roof
5. Height ..1.ft ins Width .7..ft ins Temporary
6. Face area sq. ft. 45(9 Wall
7. Inner edge will be Q..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 .ID...ins beyond the street line.
11. Sign will extend .Q..ft ins above the building or'Dole.
12. Of what material will sin be,,onstructed? Frame ..S1i &� ce L atP0 �
13. Estimated cost $ 3'>''J,
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
4r' . x, r
((Signature of Owne or Agent) il tij
Page 1 of 3 OK
-‘-"--' t LA
City of Northampton Map 38C Lot020 Zone
URB(100)/WP(6)/
Massachusetts Date issued 12/2/2013 0:00:00
Inspector of Buildings Permit # BP-2014-0650
Permit Fee$30.00
SIGN PERMIT
Business PIONEER VALLEY CROSSFIT,CANCER
CONNECTION,BIKRAM YOGA
Address 375 SOUTH ST
Applicant InstallerDUPREY NICHOLAS
Applicant Installer Address
Work Description ERECT NON-ILLUM GROUND SIGN - 375 SOUTH
PLAZA - PIONEER VALLEY CROSSFIT, CANCER CONNECTION,
BIKRAM YOGA
Estimated Cost $3300.00
Building Department
Approval by: