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, rr ! • ° Erection».......»»......... (,r )
1 yr=i'' Alteration..............._ ( )
P .tbe.filed.with the Building Inspector, Repair ( )
Repainting.............- ( )
before a permit will be granted,
Removal»..:... »....- ( )
(!tit el xorthampton, Otass.
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., /A/3-'6 19 ,
To the Building Commissioner:
Application for a permit to�place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME F_H 13 T.-.
1 C1 I T ut'J I CtJ
1. LOCATION, STREET and No. 2 1 C f-%.CJ .Z S 1 .
2. Owner's name.....»...E.r.LG II..»c s.'M.h:T..K.).Ni.?. ».»»..»...»..................».»....».»...».»...._.»......»»........»....... ....»....»
3. Owner's address»...» »»»...».... ».......».»....».».............»................ ». »».....».» »..
4. Maker's name......»...»....» »I.. ..4 » ...».S( 6/-1 S
5. Maker's address 1.1.3 C 1 1JS . (1-0 4 IV CST...1- .7...F1. L b1...6-0 C-) G
6. Erector's name I t
II
7. Erector's address.
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated non-illuminated
2. Will sign obstruct a fire escape, window or door? Marquee
3. Lower edge will be.....»..a- ft. ins. above the public way.
Projecting
4. Upper edge will be.. /0 ft. ins.above the public way. Roof
5. Height. '2 it. 6.......ins. Width 15 ft C.» ins. Temporary
6. Face area...: :.:..�.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
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.....»11»D... , t:.......... Face -
13. Estimate cost
.02.5)
The undersigned certifies that the above statements are true o t.e
best of his knowledge and belief.
»..»
(S' .b tu A f Owner or Agent) »»..»._..
NOTE: In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY.
10. Do any signs exist on the property? YES NO 410,
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: "X 3o" SW( jU.C4'1, fidig1iir
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colt 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
# of Loading Docks ' '
Fill:
.(vo1-ume -& location)
13 . Certification: I hereby certify that the information o tained herein
G is tru= and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE /, , :Z
NOTE: is!u =noe of a zoning permit does not relieve an ap.11 =n ' = b ,ref.en to oompty with all
zoning requirements and obtain all required permits fro the Boa • of Health, Conservation
Commission, Department of Publio Works and other app cable permit granting authorities.
. ; FILE #
} P, .�
UU'
MR
[ 5o6
•
Fi 1 e No.90201/
G �
DEPT iEabixrINGIN a
, MA 02:MING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: .) 0 l–ly-1 t G
Address: / 1 ( j,&/5 61SY0 IAD. Gam✓ f lyl.frI Telephone: 473 '2 Y 7 Sri +
2. Owner of Pro�pperty: S7l(V< f/vt)
Address: i') �� ,7., ET: Telephone: C6(/'
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Ma p# Parcel# / 6 e/1
District(s): A.(5 .
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property, F/--/BT-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
F)0 t(4- yam //`I "' ,Oct " - m $�Ztf t (.�►'� , .S�i&
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 *)c 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 110 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)
Ati c N�
FILE I
NA 5 Ka
q.2 tax
PLICANT/CONTACT PERSON r,f
.. ,r 7 , / ONE:, ,� s,_ r �" n ,/C) ',2"7 hg'6
PROPERTY LOCATION: �c.- /*" ,d-Z3 Fh 1 7!)
MAP PARCEL:IJ ,// ZONE 11 7>
THIS SECTION FOR_OF1iICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.ONTNG FORM FTT J El) OTT
Fee Paid 1 ? 9 t � �
Building Permit Filled nut
Fee Paid
Type of('nnstrnrtinn•
New Cnnctrurtinn
_Remodeling Tnterinr
Addition to F,Ticting
Areeccnry Structure
Building Plane Tnrinded•
Owner/Occupant Statement nr i.irence
3 etc of Plane /Pint Plan
THE 5LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
�t "Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received &Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conse ation Commiss'•.
-.tea 4� r ____
Signature of Building Inspector Date
NOTE:Issuance of a zoning permit does not relieve an applloent's burden to oomply 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. —
V1AMpi, PAGE 32C pLi48 & 119 ZONE NB
CITY OF NORTHAMPTON B+ r fl
MASSACHUSETTS ;Oh
;
° '
INSPECTOR OF BUILDINGS �� , 40. 4/30/96 DATE
AZILIerr
SIGN PERMIT PERMIT NO. 313
PERMIT FEE$ 20.00
BUSINESS FHBT Credit Union
ADDRESS 21 Conz St.
OWNER Same
ADDRESS • Same
APPLICANT Seigel Signs
ADDRESS 113 Linseed Rd W. Hatfield
PERMIT TO: Install illuminated pole sign "ATM" per conditions stated in Special Permit
ESTIMATED COST$ 2,300.00
BUILDING DEPT. /
BY 4.W