31B-049 (5) No .._.... »..
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Erection..�..............._.....( )
i
Alteration........_....._.....( )
Plans must be filed with the Building Inspector, Repair..........._ .( )
Repainting........_..........( )
before a permit will be granted, Removal.......................( )
Tit of Xvrt4amptott, Mass.
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.......... P/LOT..........
Northampton, Mass............._.... .. .... .... ...G�... /..........19q..
To the Building Commissioner:
Application for a t to pla ox main in�a/sni or other advertising device, or marquee.
BUSINESS NAME. � ��� ...�.!.►..
1. LOCATION, STREET and No. ... .�. ... . ...,... ... ..:....... ti..'�s..'({ . ' ... ........ ..........................
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2. Owner's name..... ... _lam, c t.(L.. :: ...... ........................_..... .......... ....
3. Owner's address._ V. � ...� '.......................-.._................
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4. Maker's name..... ....................................................-.................
5. Maker's address-_.._ ....._. ! .. .....\.......... a ° �.... r� .............................._.......... ...........
6. Erector's name....................... _ ............................................................_....................................................._...
7. Erector's address................................._.........._........................._....................................._._........................._....................................................
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated..................non-illu inated. ........
2. Will sign obstruct a fire escape, window or door? ,,a
-._.._....
oor? ,.' ' Marquee......................................
3. Lower edge will be.....�...ft......1 .........ins. above the public way. Projecting.....-........................
4. Upper edge will bel.! ... -ft......�2.....ins.above the public way. Roof..........._....................................
: -Z / Temporary....._..... -..............
5. Height..... .._..... t........�.....ins. Width.....T�....ft........le.....ans.
6. Face are -sq. ft. Wall.... ............................. f _
7. Inner edge will be'_....... ins from the building or pole. Ground.... ....... �. . . 4
8. Outer edge will be ... ..._ . ins. from the building or pole.
Other.................-.........._...............
9. Face of building or pole is,42-l".0.....ins.back from the street line.
10. Sign will roj ec
p t.....�/..ans.beyond the street line.
11. Sign will extend...— . ft. ......ins.above thug or pole.
12. Of what ma al will sign be constructed? Frame-.—...W Face......
YG .`
13. Estimate cost.. .. �
The undersi ed certifies that the above stat 'ents� a true th
best of his knowledge and belief. —`
(Signat of Owner or Agent)
NOTE: In order that this application may be accepted, the data called for above must be set forth P P
CLEARLY and FULLY.
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10. Do any signs exist on the property? YES NO
IF YES,describe size a and location:
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bo Scc `LLI�
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location: 0 C� O S 'k t q
11. ALL INFORMATIO MU BE COMPLETED, or P IT CAN BED IED DUE TOC'k�
LACK OF INFORMATION.
t n This Col— to be fl.7 lad is
�L by the sud ld; g p�,artment
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 tno rmati n c ined herein
is true a d accurate to the best of m dge.DATE: f APPLI CANTs SIGNATUNOTE: Issus oe of a zoning permit does not relievoant's b rden to oomph► with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE if
N
Fi 1 e No.
oil
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name f Applicant: 2LA2�- 2z �D6�'
Address: lephone: j U
2. Owner of Prope CJ
Address-z Telephoner
3. Status of Applicant: Owner ___Co ct P rchaser Lessee
(
Other(explain):
4. Street Address:
. J
Parcel ld: Zoning Map# Parcel# -1 District(s): t�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ��<<�(� _lt 4A_ �-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
S '
7. Attached Plans: ketch 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. Hasa tecial arianc /Finding ever been issued for/on the site?
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
- i
IF YES,has a permit been or need to be obtained from the Conservation Commission? /�i� 7�
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)_
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FILE # 960230
APPLICANT/CONTACT PERSON: I&Z2 J� -
ADDRESS/PHONE: . ,
PROPERTY LOCATION:
MAP -- PARCEL: 67 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Ft-i-Paid
'Rivilding Permit Filled ovit
tl
o C;2
Tli , FOLLOWING ACTION HAS BEEN TARN ON THIS AP ICATION:
V 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 f Co ervation Commission
%naWe o Bui ' g Inspector /Date"
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
_ zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioabie permit granting authorities.
0MT0 ti PAGE 31B PLOT 49 ZONE HB
CITY OF NORTHAMPTON 9
MASSACHUSETTS
INSPECTOR OF BUILDINGS .A11� DATE 9/21/95
U 1
SIGN PERMIT PERMIT NO. 815
PERMIT FEE$ 20.00
BUSINESS Hamelin Furniture
ADDRESS 139 King Street
OWNER Trident Realty
77 Jackson St.
ADDRESS
APPLICANT Michael Crowe
ADDRESS 78 Cave Hill Road Leverett
PERMIT TO: Replace existing pole sign (panels over) See plans option #1.
ESTIMATED COST$ 2,000.00
BUILDING DEPT.
BY
gash
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