28-070 V
•
•.� �t11AHPT
b e Erection............._...........( )
Alteration......................( )
( )
Plans must be filed with the Building Inspector, Repair.............................
Repainting....................( )
before a permit will be granted, Removal........................
( )
Tit of 'Nort 4amptanf jfia55-
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
A(loviJeA
✓l � �'. Z- C I) Northampton, Mass........-'� t...ZZ........................19614
6
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising c evice, or marquee.
BUSINESS NAME.... .T r...EJ ...l !+!h...�....Q .. ...VL�� ✓1ii...... ...............................
1. LOCATION, STREET and N ` lUe ie� c G� `1't k, CSC � DYI k
2. Owner's name.........!...........Q.—..9b.!!` 1.. ....... ...............
3. Owner's address... ��''.s......t......+_ ��. ....... ....................... ..................{...V..".1 ..... .................................._....................
4. Maker's name......5�.1�'�'1?.... ......1.... .... ./. ............. ......... ..........................................................................
5. Maker's address ..�... ... ... QI�"1. � ?�...4.... ........................ ...............................................
6. Erector's name.............. ... .....a.................Q!VI...................... ,................. D...:........... . ...............................................
1.T* �•
7. Erector's address............. ................ ... ..........
.. 1 ... ...........4..............�...............................................................
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated..................non-illuminated...... (Designate)
2. Will sign obstruct a fire escape, window or JID
Marquee......................................
3. Lower edge will be....._ '....ft. .....Q......ins. above the public way.
Projecting..................................
4. Upper edge will be...� .....ft. /- .ins. above the public way. Roof.................................................
5. Height.... Temporary.................................
ft.......1.(/.......ins. Width......5.....ft......�.....ins.
6. Face area.... Wall................. .............................
�.�.r.sq. ft.
/-� Ground........ ............ ..........
7. Inner edge will be......v.....ins from the building or pole.
8. Outer edge will be..... .. ....ins. from the building or pole.
9. Face of building or pole is.3LO.ins. back from the street line.
10. Sign will project.....—C-)....ins. beyond the street line.
11. Sign will extend..................ft...................ins. above the building or pole. I .
12. Of what material will sign be constructed? Frame.. L9'l�,4................_..... Face....Y�®.v ........._............
13. Estimate cost.ACPD..
The undersigned certifies that the above statements are true to 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:
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 cols to be filled im
by the Buildimy Departaamt
I 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:
volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DBE: APPLICANT's SIGNATURE 1 4:1- l� V
NOTE: Issu noe f a zoning
g permit does not relieve an applioanYs burden to comply wittl,,a11
zoning requ rements and obtain all required permits from the Board of Health, Conservetton
Commission, Department of Publio Works and other appliomble permit granting authorities.
FILE #
2 4 i` _ File No. t
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: U y JJPi Ti 4-
Address: ` 1 Y- Telephone: gt � �2(p�j
2. Owner of Property: C"
Address: 1 IT6Y` �Cl�f� Telephone:
3. Status of Applicant: V*" Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# _ Parcel# C�J District(s): �
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
f
6. De cription of Proposed Use/Work/Project/Occup : (Use additional sheets if necessary):
Jrj J
tf
qA S "1jt5-6t1eA Af ChAie4-VAnn &KA =� 2, -1
a2J--?:� ov, :Yk z gA&L M, , I. q/ X 15/ z-?i ovwf C-- A/- l VS0 rvm-
7. lached Plans: _l 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 V/ 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? fw+
Ibc� �
Needs to be obtained Obtained ,date issued: ?
(FORM CONTINUES ON OTHER SIDE)
. ` FILE # 962817
SEp 2
APPLICANT/CONTACT PERSON:
ADDRESS/PHO'I'
PROPERTY LOCATION: _
MAP .-a 7 PAR L: �`J�1 Z
THIS SECTION FOR-OFFICIAL USE ONLY:
PEEMU APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM M,T.FD OITT
13iii ding Permit Filled niit
Fee Pnid
c�
FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
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 Appr6val-Bd of Health Well Water Potability-Bd Health
Permit from Conservati ommission
Signature o ui g for to
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioabie permit granting authorttles.
0 ItAM p�O
CITY OF NORTHAMPTON 9
• MAP 28 LOT 70 ZONE RR
MASSACHUSETTS $ - --
INSPECTOR OF BUILDINGS t AK% i DATE 9/25/97
U I
SIGN PERMIT PERMIT N0. 913
PERMIT FEE $ -0-
BUSINESS Mineral Hills Conservation Area
ADDRESS Sylvestor Road
OWNER City of Northampton
ADDRESS
APPLICANT Dept of Planning & Development
ADDRESS
PERMIT TO: erect ground sign
ESTI MATED COST $ 100.00
BUILDING DEPT.
BY
P�I M. tSX i