32C-137 (17) ice)
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10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: 51 G"'S �`'' U'f `�L�"`
Are there any proposed changes to or additions of signs intended for the property? YES ✓ NO
IF YES, describe size, type and location: OZ� S L615
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED REQEDY
Lot Size
� r
Frontage
Setbacks Front
Side L: R: L: R: R`
Rear
Building Height
Building Square Footage
Open Space: (lot area
minus building&paved parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume Et location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: _ �I L,d'--j 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,
Historic and Architectural Boards,Department of Public Works and other applicable permit
granting authorities.
OOO.pdf
i .
i
File No.
zx4-a
Please type or print all information and return this form to the ]Building
Inspectors Office with the $15,filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant:
Address- l I�C 4 M awjl� Telephone:_
2. Owner of Property:
Address:_ Telephone: ST7, bOq
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) LIZ
4. Job Location:
�. .�. ' ,�,, �..} ��, �• ' `�� �e _'' .'� r�����'{;�t'��j r��. 'ter :^��,!,., ""
. 5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW / YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DONT 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)
AS�IMIP
0.
Erection.__.........---_------( )
Alteration.:......-...........( )
Repair----------------------------
(
Plans must be Filed with the Building Inspector, Repainting....................
( )
befo:c a ^"mit will be grantee', Removal................. ( )
Application for a I'eI�>nit to 'lace or I��ait - S* n
Appl 9
Or other Ad ert-ISIiig Device
(Application to be filled out in ink or typewritten)
PAGE.......... PLO7.. 04.
MAR 1 7 °
Nlorthampton, Mass...................................................................19............
!:
To the Building Commissioner:
Application fora permit to place or maintain a sign or other ads crLising device, or marquee
� .
(3USINESS (�,1ME..........N � �� j....L! t,�� S . �a . --
�v �V
1. LOCATION, STREET and No. ..........3.1.�......4..... ......_.�_'..._...Nt?`! _�..............................................................
2. Owner's name......................................................---.......---......................................................................................................................................
3. Owner's address............._......SL"" �?......LIZ.°. ....I'is-,fit;-�.. �`.�-_............................................
.....
9. Maker's name..... ....... ?tic��. �Lt✓.......... ....
_.
5. Maker's address.......................... ......C ??'' -......5%.-.......f�.4�-t�1--�w��t� _.
G. Erector's name........................_.................. ..... ...... ._......__.._.... .__. . _.._. _.....__... _...................... .
iErectors 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?......NV...
P r o j ecting.........................
3- Lower edge will be....._1. .....ft. ..................ins. above the public way.
Roof.................................................
9. Upper edge will be..................ft. ..................ins. above the public way_
� Temporar}.......................
...__....
o. Height...........
.....ft...................ins. Width..................ft...................ills. J1 tv�l,t
Wall............1�.............s.8....L....
G. Face area.......?'y...sq. ft.
Ground..................................
r edge will bc..._..... ..ins from the building or pole.
�. lane Other........._.........._..............__
8. Outer edge will be........ .....ins. from the building or pole.
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. n
12. Of what mate -ial will sign be constructed ? Frame._......lg.��"'.""'1..- -..- Face..........
A -
1.1. Estimate cost... �
The undersig ed certifies that the above statement_-, arc true tc, 01 c'
best of his knowledge and belief.
_...._._._.. ._..�- ._
($i nature pit Owner or Ageol)
NOTE: In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY.
File#BP-2004-0879
APPLICANT/CONTACT PERSON Porcupine Signs
ADDRESS/PHONE 78 CONZ ST(#REAR) NORTHAMPTON (413)584-4501
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
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT 24 SO FT NON-ILLUM SIDE WALL SIGN-NORTHAMPTON WELLNESS
ASSOC
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
INF ATION 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 C ssion
Signature of Building Official Dat
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 32C Lot137 Zone GB
Massachusetts Date issued 3/26/04 0:00:00
Inspector of Buildings Permit # BP-2004-0879
Permit Fee$30.00
SIGN PERMIT
Business NORTHAMPTON WELLNESS
Address 395 PLEASANT ST
Applicant Installer Porcupine Signs
Applicant Installer Address 78 CONZ ST (#REAR)
Work Description ERECT 24 SO FT NON-ILLUM SIDE WALL SIGN
- NORTHAMPTON WELLNESS ASSOC
Estimated Cost $480.00
Building Department
Approval by: