25A-107 (22) JAN g 4w
DE,7 OF BUILDING INSPECTION j
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�! u; JAN 2 01
DEP1 OF BUILDING INS?f.CTIGNS
pORTHAMPTON, A
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Erection.,.........................
Alteration......................( )
Plans must be filed with the Building lnspec Q
Repair...............................( )
,
before a permit will be granted, Jaa Repainting........,.,.........( )
� 8 gat
Removal..........................(vim
Application for a S'el-rrlit to 'lace or Maintain a Sign
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or other Advertising Device
(Application to be filled out in ink or typewritten)
1'E:Li.......... pAGC.......... p1.0'r.....
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Northampton Mass .......................I.................. .19.....,......
To the Building Commissioner:
Application for a Permit to place or r"intrtin ai sign or other advertising clevice, or marques,
BUSINESS NAME.......
,.u .�r .. ..r.1. ?CI.G(.t�'. .. 1 �iCC'................................................
1. LOCATION, STREET and No. ....,.3.5,.1,,,,,,. ;rl.," .C.,,,,.,,. 1`..:...........................
2, Owner's name.........,�.Q.!!►,'e.......................... ... .......I......,........
..,.,....
3. Owner's address....i u4—ync.. .....................................................................................................................................................................
4. Maker's name............ . :.LJ. �,..,.,.r'„,!r .......................... .„,............;.....,...........................•..,......
5. Maker's address........j..l. .......�-.1.!�Lf,�,c ....,.,,�� . .r............ .:........ .4�: V 1,!'..�, ...,,...4;1
6. rector's namo.......... ,..
7. Erector's address......$.A.A\4............................................................................................................................................
SIGN KIND OF SIGN
�. Sign will be (check one) illuminatecl.....`/....non-illuminated,,,,,,,,,,,,,,,•„ (Designate)
2. Will sign obstruct a fir escape, window or• door.?.. N Marquee......................................
3, Lower edge will beA..�1.....ft. ..................ins, above the public way, projecting,,..
4. Upper edge will be..i J,I fi....ft. ..................ins, above the public way, Roof..................
5. Height.........,5.....ft........ .......ins, Width.......1-0....ft........0.......ins, Temporar ...... ................
6. Face area...;. . ..,..sq. ft, Wall.. „ .,
7. Inner edge will be.......Y......ins from the building or pole, Groun ..........................................
8. Outer edge will be....j,.a-.,,,..ins, from the building; ur• pole. Other..............................................
9. Face of building or oIe is..q.(.`...ins, bnch from the street line.
10. Sign will project;!v.,�lrl.....ins. beyond the street lino,
11, Sign will extend...NJAJt...................ins. above the building or pole.
12, Of what material will sign be constructed ? 1�rame...... .�., ,rn1, ? �vv� race � �r QrJC� c
IJ. Estinrntcr cos(4
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The undersigned certifies that the above staterrnents are true to the
best of his knowledge and belief,
`.IAw j n .1..,...�....... ........
............................
(Sibnufure u,.,(�wnrr�r Ab��nc)
NOTE; In order that this application may be accepted, the data called for above must be set forth ► .��, .
CLEARLY and FULLY,
tir l '
10. Do any signs ebst on the property? YES ✓ NO
IF YES, describe size,type and location: rr'u S 01A d k�-A CYV. ct
3 9 FT --..
Are there any proposed changes to or additions of signs intended for the property? YES
IF YES, describe size,type and location: Ke m rive S7'/';L S j i F-1- 6,01/ S�u�- ��►�e�
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To
LACK OF INFORMATION.
This colmrm to ba fillod
by the Rmildimg Depart t
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L• R: L: R:
I
- rear
Building height
Bldg Square footage
%Open Space: j
(Lot area minus bldg
&paved parking)
--a
# 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: 1 ' I �I C I APPLICANT's SIGNATURE OLA,4L
NOTE: Issuano• of as zoning permit does not relieve an applioan s burden o oompty with all
zoning requirements and obtain all required permits from the Board of Wealth, Conservotion
Commission, Department of Publio Works and other appllomble permit granting authoritia".
FILE #
File No. v�10
2001
ZONING P RMI T APPLICATION 010 . 2)
DEPT T BUILDING Ir+�p�E E OR PRINT ALL INFORMATION
NORTHAMPTON,
1. Name of Applicant: /'7 V %a C
Address: 3 5 5 t�r,�I�� / f Telephone:_ 113 S'K& 7673
2. Owner of Property: �'Yl rls441 I— -t- �yrl k/r' A I't in d Vr-
Address: sa Wu Telephone: l 3 L3-'t 7 3 7
3. Status of Applicant: �Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: A C S� �L'�Y�C" e�u —
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) Y
5. Existing Use of Structure/Property _ '&4 ycv1C'F QFK ice-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
W\0V xIS�>>.dj QGt► tul cRV—) 0K/Lo
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____ -- Oi
N'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#BP-2001-0642
APPLICANT/CONTACT PERSON AQUADRO&ASSOCIATES INSURANCE
ADDRESS/PHONE P O BOX 357 (413)586-7373
PROPERTY LOCATION 355 BRIDGE ST
MAP 25A PARCEL 107 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building_Permit Filled out d1'i n -
Fee Paid
Typeof Construction: REPLACE ILLUM FRONT WALL SIGN-AQUADRO&ASSOICATES INS
New Construction
Non Structural interior renovations
Addition to Existin¢
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Ap oved 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: § 60 w/ZONING BOARD OF APPEALS 7P1--9 1--1 ,6�4ZqL,-AEQ
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 Board of Health Well Water Potability Board of Health
Permit from Conservation mmission Permit from CB Architecture Committee
z
Signature of Building Officia 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.