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24D-134 �TttAMP�. �� Crzt� of Wort4all tot Z j�15588C}j lSSttf4 _ 5" > DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building o Northampton, MA 01060 FAX TRANSMITTAL DATE p� L FAX TO TELEPHONE NUMBER_ �U r "20 (3 " To C�Yt FROM RE: PA94S INCLUDING THIS SHEET a e m 1 Linda LaPointe Secretary City Building Department 212 Main Street,Rm 100 587-1240 N6rthampton,MA 01060-3189 Fax 587-1272 i �; � _._, � . .� r. s. .;� 1 �$ 2 NORTHAMPTON 1132 KING STREET Nn wi4f,,1,L +a 4 n A Page 2 of 3 11. ALL INFORMATION MUST BE COMPLETED:PERMIT CANOE 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: L: R• Rear: Building Height Bldg Square Footage %Open Space: (Lot area minus bidg and Paved parking) #of Parking Spaces #of Loading Docks Fill: (volume B 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 applicants 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 R. Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION Name of Applicant: Address: Telephone: Owner of Property: Address: Telephone: 3. Status of Applicant:_Owner _Contract Purchaser ,Lessee _Other(explain): Job Location: Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) Existing Use of Structure/Property: V6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special PermitNariance/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 DONT KNOW YES IF YES: Has a permit been,or need to be,obtained from the Conservation Commission? Needs to be obtained Obtained Date issued (AF re o any signs exist on the property? YES NO YES: Describe the size,type and location: there any proposed changes to,or additions of,signs intended for the property? YES NO YES: Describe the size,type and location: of �'nrt4amptan 1 4 2014- �lttssttrltTusrtts ENT OF BUILDING IX 7PECTION.S in Street • Municipal Building MA 01060 INSPECTOR 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 Buildino 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 siig/g��n or other advertising device,or marquee. BUSINESS NAME ...N`�ie.��.�t 7.�'� -7—/iE� l ............................... 1. Location, Street and No. ....�r.. -......K`'��T �r/zC 67 r D.................................................................. 2. Owner's name........1. � T .'�A `� `rt r"��a ... ..................................................................... 3. Owner's address ......e�. !�: ............................... .................................................. AQ 7- 7"6c !¢^J 4. Maker's name................... .................... ................................................................. _ �c <7' /'3El5Tta n) i 5. Maker's address.............................. ...................................................................... 6. Erector's name. ' T. ... . ,................:................................................................... d 'S v t,�i�.jeJ�rt•.+� ��©/MI5 7. Erector's address ..:........ .... ........f3:94T0. ........ ..........,cry � ............ ................... . ... SIGN KIND OF SIGN (Designate) 1. Sign will be(check one)illuminated ..!!. Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? ..l Marquee ............... 3. Lower edge will be/.v4ft...-'..ins above the public way. Projecting .............. 4. Upper edge will be li.ft..:..:..ins above the public way. Roof..................... 5. Height 59-A..e..ins —Width la.ft...�.ins Temporary............. 6. Face area t;(O.sq.ft. Wall .......... - 7. Inner edge will be ......ins from the building or pole. Ground ....?�....... 8. Outer edge will be .......ins frorp the building or pole. Other................... 9. Face of building or pole is.Z0.jv 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..... ......... 13. Estimated cost The undersigned certifies that the above statements are true tVgna best�hhi kno wledge and belief. �p ( ture o f is or gent) HOL,b File#BP-2014-0914 I APPLICANT/CONTACT PERSON NORTHAMPTON TIRE ADDRESS/PHONE 182 KING ST NORTHAMPTON w2 PROPERTY LOCATION 182 KING ST-/NORTHAMPTON TIRE 5p1,_&?a( MAP 24D PARCEL 134 001 ZONE (100 / �✓b THIS SECTION FOR OFFICIAL USE ONLY: I i PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REPLACE GROUND SIGN-NORTHAMPTON TIRE 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 INFORMATION 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 Permit DPW Storm Water Management Demolition Delay 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.