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Page 2of3
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.
/3 APPLICANT'S SIGNATURE Z• �
DATE: I/��(,,�� ��,
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 •
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PERMIT APPLICATION
�? PLEASE TYPE OR PRINT ALL INFORMATION
u(
1. Name of Applicant: c6P(1 Kr/C5' S'Cgi''1 � -/x L`L
�,.q 7✓O/G.�elephone:
Address: � L-C��'`�'C( � �-•i5/�i�r yf3 -5127- y-' etk
2. Owner of Pr.pert : 41 (rw .IIJ&I �� III _f 1`a' 'r (4i .
Address: AMr'', l�� r la/ �i Ii ne: b q 7O 11(/ .�
/ /
3. Status of Applicant: Owner 'Contract Purchaser Less-
Other(explain): /�//
4. Job Location: 2 7 3 { ! -??a w G L l 1/6:vi/4(a/4://to n c/ 0
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE le 'j LDING DEPARTMENT) I
5. Existing Use of Str e/Property:
6-44 ft ( jirri . 6 y-
6 it `I'L
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
L7.159 4 11/41 54y0, en bc. /c/i7.I
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
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 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 1'' 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 V NO
[//
IF YES: Describe the size,type and location: at,6te r��CJz'c/' S'�c ii
Are there any proposed changes to,or additions of,signs intended for the property? YES NO (a"
IF YES: Describe the size,type and location:
(City of nrt1 ttmph nt
I
ot
Alassnrlfusttts Al `
\ " f DEPARTMENT OF BUILDING INSPECTIONS -?$:''. .4
''
' 212 Main Street • Municipal Building '" �,
Northampton, MA 01060
INSPEC"FOR Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee �plyG53
(Application to be filled out in ink or typewritten) Number I�
Plans must be filed with the B&Jilding Inspector Erection ( )
before a permit will be granted. Alteration ( )
Repair ( )
A. Repainting ( )
Removal aa (11 )
FEE PAGEDv"PLOl1 1
Northampton, Mass. 20
To the Building Commissioner:
Application for a permit to place or maintain a sign orr/other advertising device,or marquee.
BUSINESS NAME 0)X 4G'w `"�11(.Cr ` 1
i n Street a d No. '�C. 73 t' 1 t�41.jj.t � Q 1. Locat o � /VtII "71,17_47 2. Owner' name .. ?.'1�/�.� 1l'-�. ' )....... 'V L 44 /.../r�.at aivis.. i g ire io,),04-z,
1
3. stegoa:64 & ,..?, _ El TIvez. ti) (1, ‘ccio7-.., , 4
414,M /,� S C c,FA L,&C 117471/M
ker' name �/� k
/
5
(illiti,
. Maker's address Lc c F;e(c( 5/ `�s�7`7/h!/'/ '% '► °7 CiG�7
6. Erector's name 5 .Jn C/r�arX LLC
7. Erector's address i /-.Ci,-Cl' 1/ Si F_'`'S ,'1.,,,,f/ 47,2 i'VG' 7
v
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illum�ir tejd '✓
2. Will sign obstruct a fire escape,window or door? .. Marquee
3. Lower edge will be ./.U..ft...0...ins above the public way. Projecting
4. Upper edge will be ..1.I..ft...g....ins above the public way. Roof
5. Height ft./ ...ins Width ./3.ft..Q..ins •orary
6. Face area .a..sq.ft.
7. Inner edge will be .Q.ins from the building or pole. • nd
8. Outer edge will be I 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 p I
12. Of what material will sign be constructed? Frame ... 9.1Vin , Face...4hi'Y
13. Estimated cost $.../.. 0o)
The undersigned certifies that the above statements are true to the be , f his knowledge and belief.
F/qc )- IQ'S.-X. (Signature of Owner or Agent)
to '7,.)
S /t (P (jVv-G fZ/2 /13 j /
City of Northampton Map 32C Lot149 Zone CB(100)/
Massachusetts Date issued 12/2/2013 0:00:00
Inspector of Buildings Permit # BP-2014-0653
Permit Fee$30.00
SIGN PERMIT
Business OXBOW GALLERY
Address 273 PLEASANT ST
Applicant InstallerSIGN GRAFX GROUP
Applicant Installer Address 1 LOVEFIELD ST EASTHAMPTON
Work Description ERECT NON-ILLUM WALL SIGN - OXBOW
GALLERY
Estimated Cost $1200.00
Building Department
Approval by:
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