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32C-017 (4) 0 o � r m o a m --+% r7'1 cn o E Z fl' 0 C- m Tl N e- S n r , P A �f x � �r { k 3. .a a k WIT g; li II i v U } ;Y . fi Y < i 1 4 r w ro f i 11. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION 12. This column to be filled in by the Building Department. Existing Proposed Required by Zoning Lot Size Frontage Front: Setbacks: Side: L: R: Rear: i ing Helg A Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces. #of Loading Docks Fill: (volume&location) - .} 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: / APPLICANT'S SIGNATURE 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 3 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Cage r,,p I( u n A o r Address. M an R� W(�S tp/� /��i hone: �-?G 4122- ZZ 2 2. Owner of Property: L"I Sl r0 GW G Address: l Or- '-- aUt elephon : / 13 .. 3. Status of Applicant: Owner Contract Purchaser x Lessee _Other(explain): 4. Job Location: y MA'1 n Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: 1A FIGv1- r(! Aker- vr1 (70c ice #aCf 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) Cr-PC l l00 dr sl go 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW X 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 X 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 10. Do any signs exist on the property? YES >� NO NFU YES: Describe the size,type and ocation: 0u r NF I iC6�j bA Abut' � y �A �i rj wr 8 F� V . X Z114 ICA 11 e V( it, level Are there any proposed changes to,or additions of,signs'' intended for the property? ^/YES NO IF YES: Describe the size,,type and location: �e )L.lfe der kk For NQ LW r( �Kuf r—, is Pr omip,F 10vrj L7 1 A- Ask 131" V�_ ► J Page 2 of 3 -City of Northampton _,< Massachusetts { fti f $PARTAMT OF BUILDING INSPECTIONS 3 O 4 2 2 Main Street • Municipal Building Northampton, MA 01060 INSPE TORS a Permit to Place or Maintain a Sign Electric Plume , , 0 er Advertising Device, or Marquee a�j y�/�� (Application to be filled out in ink or typewritten) Number:.................... Plans must be filed with the Building Inspector Erection..................() before a permit will be granted. Alteration.................( ) Repair.....................( ) Repainting...............( ) Removal..................( ) FEE........PAGE........PLOT....... Northampton, Mass. ...............................20..... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME r /1 ...(�l.!q......(,� er........Fa.......N 1.verl< l�i r o�rat�ic 1. Location, Street and No. 7� .c Z1.L Nor k ,)1 6 2. Owner's name ....0�`er'n " ........................©()�C!p .......... .............................................. 3. Owners address /: lit^..,.. ........ °"�,f anti /"lam 10� ........ p ............... �.............................. 4. Maker's name SUS C; ,& lI 5. Maker's address .........&fsel(....�' /......!..!ad���.....�..... Q 1 V 3.�..................... 6. Erector's name.... f.pe�..... a� �'.!�`........................................................^....^..... 7. Erector's address �G S Uo� ti �11 V. U ......... ........... "P.............. . ..... ........ SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illuminated ....... 2. Will sign obstruct a fire esc,ape, window or door? ..NQ... Marquee ............... 3. Lower edge will be A.ft....?...ins above the public way. Projecting .............. 4. Upper edge will be .:1 ft..A iW above the public way. Roof ............// 5. Height �.ft ..ins Width .1—ft......ins 9t- 2 Al G AA Tempo rary... .......�ANNER 6. Face area .2-1 sq. �„/��- 101.1,oil Wall ..................... 7. Inner edge will be .i..ins from the building or pole. Ground ................ 8. Outer edge will be .J-4.ins from the building or pole. Other ................... 9. Face of building or pole is 1§1ins back from the street line. 10. Sign will project ..O...ins beyond the street line. 11. Sign will extend ...O..ft ..C...ins above the building or pole. 12. Of what material wi sign be constructed? Frame ....4..�f.�^i...... Face......� �' ��.'n 13. Estimated cost $.. .. .,.0­0.... The undersigned certifies that the above statements are true to the best of Ws knowledge and belief. ..................... . . ........... ... . ............... (Signatur of Owner or Agent) Tafrq< Z?r'�C(%,JV Page 1 of 3 (V� -VA'01 cfr%, rv� File# BP-2014-1123 APPLICANT/CONTACT PERSON HONDORP CATHERINE ADDRESS/PHONE 78 MAIN ST SUITE 212 NORTHAMPTON (413)586-8222 Q PROPERTY LOCATION 78 MAIN ST-SUITE 212 MAP 32C PARCEL 017 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvaeof Construction: ERECT TEMPORARY BANNER-THE LIFE CENTER FOR NETWORK CHIROPRACTIC 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Permit from Elm Street Commission gPermit DPW Storm Water Management Demolition Delay S-/ Signature of Building Official 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. City of Northampton Map 32C Lot017 Zone CB(100)/ Massachusetts Date issued 5/1/2014 0:00:00 Inspector of Buildings Permit # BP-2014-1123 Permit Fee$30.00 SIGN PERMIT Business THE LIFE CENTER FOR NETWORK CHIROPRACTIC Address 78 MAIN ST - SUITE 212 Applicant InstallerHONDORP CATHERINE Applicant Installer Address Work Description ERECT TEMPORARY BANNER - THE LIFE CENTER FOR NETWORK CHIROPRACTIC Estimated Cost $170.00 Building Department Approval by: