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�-. DEPARTMENT OF BUILDING INSPECTIONS °
1 Main Street • Municipal �\ l_
INSPECTOR P ��
22 al
Northampton,MA 01060
MUST INCLUDE:
Site Plan/Plot Plan—showing all buildings vrith square footage and
Distance to property lines.
Residential 2 sets of framing plans(with smoke detectors marked)
If adding a bedroom,floor plan of existing house with
With updated smoke detectors
Commercial-sets of plans with fire narrative
Filing deadline is Wednesday by noon
Reviewed every Thursday
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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.
Tlsia eoszmm to be fi2ied r
by the aajj.a; 7 Drpartmeat
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R: f
- rear
Building height
l xSv
Bldg Square footage Gov
%Open Space:
(Lot area minus bldg
&p=ved parLi,23)
# of -Parking Spaces C
#' of Loading Docks
Fill:
voZ-ume--& location)
I
13 . Certification: I hereby certify that the informa cont ed herein
is true and accurate to the best of my knowle
DATE: (� a'7
APPLICANT s SIGNATURE
NOTE: [ssuanoe ol as zoning permit does not relieve an ppliaanrn burden to oortne:ty with all
zvnino [requirements and obtain ail required permits from the Board of Heeilth. C- M-Ver'VlStjan
Commission, Department of Publio Worics and other appilomble permit granting authorit€es.
FILE #
1
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: LC2�) 5
Address: I,N�S� ►s i2� Telephone: CL1 C-3 S
2. Owner of Property:
Address: 5�yv� 5 �'�`� Telephone:
3. Status of applicant: _Owner Contract Purchaser Lessee
Other(explain): �1
4. Job Location: V J SST 5 � ���r Oz_ R 0/0j Z-
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property -
6. Description of Pro osed U e/Work/Project/O cupati n: (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/Variance/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)
y No.
Erection.._
Alteration-___...-(✓j
Plans must be filed with the Building Inspector, Repair_..._...._..........._..._( )
Repainting....._.__..._( )
before a permit will be granted, Removal....._._..._...........
( )
Tits -of Northam ut n )R_ ass*
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.......... PIOT..........
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..... c��b .... ...vC1`�e 00 ....J.I-M.s...��!t � ..: ... C� .
........... . ..... ....
1. LOCATION, STREET and No.
�... ..
2. Owner's name ..M M�1__� 5 .. _C 2ir _ 5: _. . _ .._ _..._... ._.....__....__...__..._._. _... ..._....
- i
3. Owner's address--.. 5.�� J........ -��...._._.�c _. .f�'�.1�._..�?.�.��... _._................
4. Maker's name._.._. 1� i _. _ ._..._...._...._...._...
__.._...._... ._...._._... __ �-_...... _ ......_......._.......-....._..._...._...._.....
5. Maker's
6. Erector's name............... __._---_--------_---_----_.------_........_.---._ ---- . ......_._. _...........................
_..._...
7. Erector's address...._ . .� ,. ... __._..._...._................_---------------------_..............................__...._._............._..................................
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated_........_.....non-illuminated..._............. (Designate)
2. Will sign obstruct a fire escape, window or door?._N i.. Marquee....._...._..........
_ . :.._
3. Lower edge will be.....:Zc?...ft....__....._._ms.above the public way.
Projecting.............................
4. Upper edge will be.._._..._.._.ft. ins.above the public way. Roof ..._.......................................
5. Height....._3=...ft.__._...........ins.
6. Face area_.__�t_...sq. ft.
7. Inner edge will be........._.......ins from the building or pole.
Ground-
8. _...._.__.............._ _ .
8. Outer edge will be.._�._ins. from the building or pole.
Other...i�.._...._...._.. ..
9. Face of building or pale is-.X./.....mss.back from the street line.
10. Sign will prof ecL..:—:....ins.beyond the street line.
11. Sign will extend...._Z.?..ft...................ins. above the building or pole. /
12. Of what material will sign be constructed? Frame..... _ Face... ........... .........._............
13. Estimate cost...9J lft....
The undersigned certifies that the above statements are true ,,t e
best of his knowledge and belief. /
__ --- (Signature wner or Agent) --
NOTE: In order that this application may be accepted,-the data called for above must be set forth
CLEARLY and FULLY. P IN P
File#BP-2007-0867
APPLICANT/CONTACT PERSON CZYZEWSKI RICH
ADDRESS/PHONE 15 WEST FARMS RD FLORENCE (413)537-1595 Q
PROPERTY LOCATION 15 WEST FARMS RD
MAP 35 PARCEL 007 001 ZONE NB
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: REPLACE ILLUM FRONT WALL FACE-JIM'S VARIETY&PACKAGE STORE
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 FLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION 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
PeriD
't from Elm Street Co Sion
Z Z 2 C1a
Signature of Building fficial 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
Massachusetts ate issued 3/26/2007 0:00:00
Inspector of Buildings Permit # BP-2007-0867
Permit Fee$30.00
SIGN PERMIT
Business JIM'S VARIETY & PACKAGE STORE
Applicant Installer RICH CZYZEWSKI
Applicant Installer Address 15 WEST FARMS RD
Work Description REPLACE ILLUM FRONT WALL FACE - JIM'S
VARIETY & PACKAGE STORE
Estimated Cost
Building Department
Approval by: