31B-049 (4) . 0�14A11Ppp '
Erection........ _.....( )
lteration....w._...._.....( )
Plans must be filed with the Building Inspector,
epainting........
_. .....( )
before a permit will be granted, „L ��tp,FSG►P� ISPEi,��`�N� emoval........................( )
DE,
NORTNA4 T04 10 010.0
Ti of ',Nort4am tam, Mass.
Application for a Permit to Place or Maintain a Sign
&a-T7U--e
or other Advertising Device -*4A64, Y. 939q
(Application to be filled out in ink or typewritten)
FEF.......... PAGE.......... ROT........G...
Northampton, Mass.................................5a6 .........19..../...S
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME.. \...`c ............. .
...................................
2 .. n
1. LOCATION, STREET and No. ...... ..c 2 ... !. '........... .._. ............ ........�tiJ...............
:................ .... .........
2. Owner's name............ .a .:.......... .. �,�.. C�„e .. .......................................................
.. .. ..... ......
3. Owner's address....._.-��^ �1p lC-� ��............`...... ......... ....... ...... . ..
4. Maker's name.............. ` .1 .... 5-- .... .............. ........................ .. .............'.... .............................................
5. Maker's address........... ...... ................. ...'.............. .L..... ... .............................,................
t..
6. Erector's name.............._......................... .. .::.. _........Y............................................................................................................
7. Erector's 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?.....�.`4o. - Marquee......................................
3. Lower edge will be....I.....ft.......Q......ins.above the public way.
Projecting.,.................................
4. Upper ed a yvill be.... .....ft......d.......ins. Bove the public way.
Roof.................................................
(�
Temporary .............
5. Heigh AA p ry.....-.......... .
ft.......d.._.ins. Width.f. ..._.....ft.....2w....ins.
6. Face are –(2.sq. ft.
Wall..............._...............................
7. Inner edge will be............_..„ins from the building or pole.
�l
8. Outer edge will be.....”—f-ns.from the building or pole.
Other......................._....................
9. Face of building or pole is– .ins.back from the street line.
10. Sign will proj ect..--O-..ins.beyond the street line.
11. Sign will extend.....4.......ft....0.......ins. above th po
c
�
12. Of what mat rial will sip be constructed? Frame...T---,12-..._... Face........ ..Q ............
13. Estimate cost. . QQ
The undersigned certifies that the above statem re t e to
best of his knowledge and belief.
(Signs ure of Owner or Agent)
NOTE: In order that this application may be accepted, the data called for above must be set forth INfi SN P
CLEARLY and FULLY.
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
IS'
Are there any proposed changes to or additions of signs intended for the property?YES '� NO .
IF YES,describe size,type and locati :
R03 IeZ_2 �SLCWA
_
11. ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
LCAXT �-�� This col- to be filled is
by the Baild£ag Department
Required
Existing Proposed By Zoning
Lot size
i
Frontage
Setbacks -frnnt
- 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
F:L11:
(volume & location)
E
13 . Certification: I hereby certify tha jkkn ormation ontal*ned herein
is true n accurate to the best of edg DATE: APPLICANT's SIGNANOTE: Iss n a zoning permit does not relifio Y burden to oomply with all
zoning require ents and obtain all required permits from the Boa of Health. Conservation I
Commission, Department of Publio Works and other applloable permit granting authorities.
FILE if
_ Fi 1 e No.
I
ZONING PEPMI T' APPLI CATION (§10 . 2)
PLEASE -TYPE OR PRINT ALL =ORMATION
1. Name of Applicant: OA" &.1,
Address: Kephone:_
t
2. Owner of Property:
Address: 4, Telephone:---CL4
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�Y 0 U
7. Attached Plans: ' ketWhI 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 Per iW riance/Finding ever been issued for/on the site?
f � -
NO
VD
OW 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:
x'' (FORM CONTINUES ON OTHER SIDE)
�s
._ FILE #
APPLICANT/CONTACT PERSON•
ADDRESS/PHONE:
`off
PROPERTY LOCATION: —�C�/l�G
MAP PARCEL:- ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNHT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Addition to Eirktin2
v ao
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
;;"�A"roved as presented/based on information presented
Denied as P resented:
,
y Special Permit and/or Site Plan Required under:§ 7.
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
I/
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
rmit from erva ' n Commission
gnature of B for to
NOTE:lssuanoe of a zoning permit does not relieve an applicants burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiionbie permit granting authorities.