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---1,0. Do any signs ebst on the property? YES NO
IF YES,describe size,type and location: Q
Are there any proposed changes to or additions of signs intended for the property?YES NO ✓
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Bcildiaq Dapartmeat
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side U P.: L: R:
- rear
j Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
# of Loading Docks
Fill:
{vole--& location)
13 . Certification: I hereby certify that the in rmation contained herein
/ is true and accurate the best of my kno ledge.
DA'1'E: APPLICANT's SIGNATURE
NOTE: Issu oe of a zoning permit does not relieve n pplioan s to oomply wit" all
zoning requirements and obtain all required perms f m the oard ealth, Conservation
Commission, Department of Pubilo Works and othe pplionble perm pt granting authorities.
FILE #
Fi1e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1-11, Name of Applicant: � w I I ]\, I°� ! �1 ' ,-I'
Address: /V PZQ.�c t,t,"l C t ee Telephone:.
.2' Owner of Property: Pf D
Address: I 15 CUV� Telephone:
3. Status of Applicant: Owner Contract Purchaser lessee
Other(explain):
Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FIL ED IN BY THE BUILDING DEPARTMENT)
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
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/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 DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO"✓or 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)
t opcwNnr
o -9� ..7.
! +r �� Erection_.__..:..•....._...._( )
Alteration`..._.._...........( )
Repair-----...._.----------------( )
Plans must be filed with the Building Inspector, f I i, Repainting....................( )
before a Pc mit will be granted _ Removal.........................( )
Application for a Permit to Place or Maintain a Sign
or other Advertlsing Device-
(Application to be filled out in ink or typewritten)
PAGE.......... fI-0-r..........
Nlorthampton, Mass....................................................................19............
To the Building Commissioner:
Application fora permit to place or maintain a Sign or (Alter advertising device. or marquee.
BUSINESSN,IMF...G.4C)..1khw-OLA......t .�L. .. �r.►r`s�'� _........... .........._.
1. LOCATION, STREET and No. ..... ....... .I . %U'......> .`..! . :.............................................................
2. Owner's name......US �.1..�..1.�. .��L.f ...................
................................................................
3. Owner's add 1...... ....... ..5.1.. .._ to ..i.. ! 1.. ...-.�.Q..1V.�......-------------------------
4. 'Maker's name..... rat:/A........�W..... . ...��!Q... �.._ (f�.... .........
5.
Maker's address............. .....
y V i( 2....` ..:.......... .......:.�..............:1�b1�?.. ....1....... ..._........
t'
G. Erector's dame........... ....................................._........................_._.............._..._...._.._... .____......._.._._........._..........
_..................._.......
i. Erector's address................................................. . .......
............_........._._............. .. __ . .... _.__................................................
SIGN KIND OF SIGN
. / (Designate)Mar 1. Sign will be (check one) illuminated..................non-illuminated.-_V... ..
2. Will sign obstruct a fire escape, window or door?...�.a-
" Projecting.................................
3. Lower edge will be....._�...ft. ...... ......ins, above the public way.
Roof.................................................
4. Upper edge will be........1.1.....ft. ..................ins. above the public way.
Temporary-...............................
5. Height....... ......ft........ .......ir�s. Width..........I......ft........ ......itls.
G. Face area......."........sq. ft.
Ground.........................................
7. Inner edge will be.&..ins from the building or pole.
Other......... __.........................._
8. Outer edge will be..._/-°...ins. from the building or pole. t
9. Face of building or pole is....._...........ins. back from the street line. '
c
10. Sign will project.................ins. beyond the street line.
11. Sign will extend..................ft...................ins. above the building,or po e. V/00cl-
12. Of what material will sign be constructed ? Frame......I_!.W........
....... .... Face...............................................
13. Estimate cost.
The undersigned certifies that the above statements are true tc, the
best of his knowledge and belief.
• ...._._. ......._...._...................
(Signature �1 ) �' r or A6cnI)
NOTE: In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY.
v
File#BP-2004-0699
APPLICANT/CONTACT PERSON SIFF WILLIAM&SARAH
ADDRESS/PHONE 267 PLEASANT ST NORTHAMPTON (413)587-0620
PROPERTY LOCATION 267 PLEASANT ST
MAP 32C PARCEL 149 001 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 r
T peof Construction: ERECT NON-ILLUM PROJ SIGN-GOLDTHREAD HERBAL PHARMACY
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
INFO ATION PRESENTED:
pproved 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 Str et Commission
ZOO
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.
r
City of Northampton Map 32C Lot149 Zone GB
Massachusetts Date issued 12/18/03 0:00:00
Inspector of Buildings Permit # BP-2004-0699
Permit Fee$30.00
SIGN PERMIT
Business GOLDTHREAD HERBAL PHARMACY
Address 267 PLEASANT ST
Applicant Installer SARAH & WILLIAM SIFF
Applicant Installer Address 267 PLEASANT ST
Work Description ERECT NON-ILLUM PROJ SIGN -
GOLDTHREAD HERBAL PHARMACY
Estimated Cost $290.00
Building Department
Approval by: