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32C-137 (15) .; r .�'- .r---- �� �. � ��'", -- ,r � r' � � � . . \y` \\,1,I �� ; t S 1 � ' � � T .��. ��� � � � �� �>: ... �,� e. �\ -. �.. �,� `' w: �' �� _. � z I. —., ----� k.; k \�W..—.. s�4... _ �^ .._r; .� :..,-. � .�,_.., File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: JOH-(J ��1 6 �,�1 Address: d 7q W 63T S �' jo-J n T_ ��VT 1r``ttJ1'�lephone: 2. Owner of Property: Address:- Telephone: �� 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# District(s): (f0 BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property C) F=-�P_-LL 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): V_ 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 Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOl1' 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) 10. Do any signs exist on the property/? YES NO 1C IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES LL�_ NO IF YES,describe size,type and location: 7 40'r 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cclamm to be filled in by the 8aildinq Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L• R: L: R: - rear Building height Bldg Square footage %Open Space: (Lotarea minus bldg &paved parking) # of -Parking Spaces #r of Loading Docks Fill: volume--& location) 13 . Certification: I hereby certify that the information obtained herein is true q and accurate to the best of my know le ffj D71TE: � ZS CSI APPLICANT's SIGNATURE NOTE: 11"uaktfoe of a zoning permit does not relieve an ap oanYs u en to comply With ail zoning requirements and obtain all required permits fro the Board of Health, Conservtation �Commisslon, Department of Publio Works and other ap liooble permit granting authorities. FILE if r Erectiofi. -•�-»..........( ) _ Alteration'......-- ----( ) Repair............................ ( ) Plans must be filed with the Building Inspector, APR 2 3 2003 Repainting.................... ( ) before a permit will be granted, Removal.....-......_........... ( ) ,` tia R t Application fora Permit to Place or Maintain a Sign or other Advertlsing DevIce (Application to be filled out in ink or typewritten) 1 F:t.. ...... PAGE.......... PLO-f...... .... Northampton, A4 ass.............:1. .. .9...................19............ F .. To the Building Commissioner: Application for a permit to place or maintain a sign or oLlter advertising device, or marquee. BUSINESS NAME........ N 1. LOCATION, STREET and No. ..... � ....^N-1 Joy �2.rr�z 2. Owner's name.......................................................................................................................................................................................................... �z (�C, Lc��►� C�. ...�.���.........�Vo................................................................... 3. Owner's address.............<................................. . ................... . � 4. ?Maker's name.................. ?.��.G..�.� ....�(.G.�` S...................................:......................................................................................... 5. Maker's address........./..�.�1.....1A1�:1�� ..5.�...�....�! ��`! 1..�-a.��.. ...f..1�^.r�...... �..t.�..V........................ G. Erector's name................. ..... J ....... _ __... ... ..................................................................... . . . .... ........................................ r. Erector's address.......................................................................................................... ....... .....__..................... SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated..................non-illuminated.�... ... 2. \gill sign obstruct a fire escape, window or door"................. Projecting.................................. 3. Lower edge will be.....-.&.....ft. ......:7�......ins. above the public way. Roof................................................. 4. Upper edge will be...../4......ft. ..................ins. above the public way.. Temporary................................. 5. Height........�f.....ft...............ins. Width..................ft-.................ins. . S 1- Wall.......✓....................................... G. Face area..................sq. ft. L 6- _f Ground.......................................... 7. Inner edge will be.....b.-.....ins from the building or pole. Other.............................................. 8. Outer edge will be......./.........ins. from the building or pole. 9. Face of building oi�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 b constructed . Frame...A <:....^t..�..N.k..?:....... ................... 13. Lstrnlate cost...S37/(-&Z) 1 7S /3 ?2 / The undersigned certifies that the above statements are true to th�/ best of his knowledge and belief. r �' _ ..................... ( i t rc of O �'ur or Abent) NOTE: In order that this application may be accepted, the data called for above must be set forth CLEARLY and FULLY. R File#BP-2003-0901 APPLICANT/CONTACT PERSON Seigel Signs ADDRESS/PHONE 113 Linseed Rd (413)247-5986 PROPERTY LOCATION 395 PLEASANT ST MAP 32C PARCEL 137 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid I Permit Filled out Fee Paid 7 2&Z; Z35— Typeof Construction: ERECT(2)NON-ILLUM FRONT WALL SIGNS-NORTHAMPTON WELLNESS CENTER 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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: § /I � Finding Special Permit �/� Variance* 71'z �r/ fflCpC�6J/ 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 C mmission 6 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.