25C-084 11. ALL INFORMATION MUST BE COMPLETED, CAN BE DENIED DUE TO LACK OF INFORMATION,
12. This column to be filled in by
the Building De r!ment.
Existing proposed Required b
Zoni
Lot Size
Frontage
Front:
Setbacks:
Side: L: R: L- R:
Rear
Building Height
Bldg Square
Footage
% Open Space:
(Lot area minus bldg and
Paved parking)
#of Parking Sp ac
#of Loadi Docks
F
M (voiume&location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: "7 APPLICANT'S SIGNATUR
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply 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#
Page 3of3
._____...__.__.__................
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. ame of Applicant:
A ress: Telephone:
2. Owner f Property:
Address: Telephone:
3. Status of Appli nt:TOwner Contract Purchaser _Lessee
_Other(explain).
4. Job Location:
Parcel ID: Zoning Map# Parcel# District(s)
(TO 8 ILLED tN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Prope :_ /
6. Description of Proposed Use/Work/Proj ct/Occupation:(Use addition sheets if necessary)
7. Attached Plans: Sketch Plan Site Pla Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever bee issued for n the site?
NO DON'T KNOW YES IF YES,date iss d:
IF YES: Was the permit recorded at the egistry of Deeds?
NO DON'T KNOW Y
IF YES: Enter: Book Page and/or Document#
9. Does the site contain a broo body of water or wetlands? NO DON'T OW YES
IFYES: Hasa permit b n,or need to be,obtained from the Conservation Commi ion?
Needs to be obtaine Obtained ,Date issued
10. Do any signs exi on the property? YES NO
IF YES: De ribe the size,type and location:
/of3 ere any proposed changes to,or additions of,signs intended for the property? YES NO
S: Describe the size,type and location:
'� yrr+'� �•:. BLS^ sIri.
DEPARTMENT OF EC%ILDING 11USPEC710NS
� £ 212 Main Street • Municipal
� Northampton, MA X010 Ouilding
INS ECT0R Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number .....................
Plans must be filed with the Building Inspector Erection..................(X)
before a permit will be granted Alteration.................( )
Repair.....................( )
Repainting...............( )
Removal,.... ......... }
FEE f O..PAGE........PLOT.......
To the Building Commissioner:
Northampton,Mass. ...............................20.....
Application for a permit to place or maintain a sign or other advertising device, or marquee. fl "
BUSINESS NAME..i.�..y�.�.�.:..� '•:.Ir�.��?.Lfl}/.�.....K--�'�,.�� .... OLI�
1. Location,Street and No. . V C�
2. Owner's name ....C L?.0..- .. � :1ry:VA .........ii.........................
3. Owner's address .
4. Maker's name .............................................................................................................
5. Maker's address ................................................................................................. ......
6. Erector's name....... 1 .
7. Erector's address .......... {.!.... L?i,�.!.tr..{f � �. .±` :(.!L .�i ••1•y` ( ! t
SIGN KIND OF SIGN
(Designate)
1. Sign will be(check one) illuminated X. Non-illuminated .......
2. Will sign obstruct a fire escape,window or door? ......... Marquee ...............
3. Lower edge will be ......ft........ins above the public way. Projecting ..............
4. Upper edge will be ......ft_.....ins above the public way. Roof.....................
5. Height ......ft......ins Width ......ft......ins Temporary.........._
6. Face area .......sq.ft. Wall .....................
7. Inner edge will be ......ins from the building or pole. Ground ....... nn
8. Outer edge will be .......ins from the building or pole. Other ...Sf
9. Face of building or pole is .......ins back from the street line.
10. Sign will project .......ins beyond the street line.
11. Sign will extend .......ft .......ins above the building or pole.
12. Of what material will sign be constructed? Frame ........................ Face.......................
11 Estimated cost $........................
The undersigned certifies that the above statements are rue to the best of his knowledge and belief.
(Signature of Owner ent)
Page 1 of 3 yP-3 ` ti
C/U� l
City of Northampton Map 25C Lot084 Zone SC(96)/URB(5)/
Massachusetts Date issued 4/24/2014 0:00:00
Inspector of Buildings Permit # BP-2014-1105
Permit Fee$0.00
SIGN PERMIT
Business NORTHAMPTON RECREATION
Address BRIDGE ST - SHELDON FIELD
Applicant InstallerNORTHAMPTON RECREATION DEPT
Applicant Installer Address
Work Description ERECT ILLUM SCOREBOARD
Estimated Cost
Building Department
Approval by: