Loading...
24B-030 (4) t I I 1 I iLA i �0 oti Erection-.............. NOY I Alteration........._...........( ) Plans must be filed with the Building Inspector, Repair............................ ( ) Repainting.................... ( ) before a permit will be granted, Removal......................... ( ) Tft� of 'Nart4a tall, U55. 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.......... PLO'r.......... Northampton, Mass.,..................................................................19.......... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME.....t�tN'=)....:!....B. ................... ................ ................................................... 1. LOCATION, STREET and No. .....3U. ..........��..i..! ?.` ..... ._..._.. ......................... 2. Owner's name.......F... ..1-..:.... ...����.� C Ca ..................._..............................................._.............................................._.......... 3. Owner's address....._........ �. . . n....5............... 4. Maker's name................................... 5. Maker's address......................_................................................................................. ............................................................................................ 6. Erector's name...................................... .................................................................................................................................................................... 7. Erector's address............................................ ......................................................................................................................................................... SIGN // KIND OF SIGN 1. Sign will be (check one) illuminated..................non-illuminated.....5 1...... (Designate) 2. Will sign obstruct a fire escape, window or door?......N.J.... Marquee...................................... 3. Lower edge will be.................ft. ..................ins. above the public way. Projecting.................................. 4. Upper edge will be.................ft. ...ins. above the public way. Roof....................................... 5. Height..... ........ft...................ins. Width......�{_.....ft.................ins. Temporary...,r ....... ........Ala-lyNs- 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..........._................................ Face................................................ 13. Estimate cost............... The undersigned certifies that the above statements are true ,.the best of his knowledge and belief. (Signature of 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 IF YES,describe size,type and location:_ � 'S,,�, + ��`'� G a ��c C £S Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location:_ i Crn (I A- r c P'm 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colw= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - 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: vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: - APPLICANT's SIGNATURE J" NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply wltla,.$U- zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # NOV 1 2 199't File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE r-;,TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: /�R y , S Address: if,;, Z3,,c H?z�) 'S'7- S'%' t-)-PZ/) Telephone: 2. Owner of Property: E- L �r a�L(A S CL Address: lo(., 13 too S-r' Telephone: 3. Status of Applicant: ✓/Owner Contract Purchaser Lessee Other(explain): 4. Job Location: C y Parcel Id: Zoning Map# � Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMEN 5. Existing Use of Structure/Property ra S S C c ti 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 130 v c"r �c v S{/� C �, t .�� a<" �i r�t> C in: G,A 4 I< i/1 i F i A T w' �1 rE c},r-' ". c�r, n c> C u<J S r� rj". 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 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) FILE # NOV 12 i99 17 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: _ PROPERTY LOCATION: D , MAP PARCEL: e) ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Ju_z 113nilding Permit Filled cint Fee Rgid Additinn to Existing THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION- 6'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 Conservation Commission Signature of Building Inspector Date NOTE:Issuanoo of a zoning permit does not relieve an applioant's burden to oompty with all Zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission. Department of Publio Works and other applioable permit granting authorities.