24C-019 (10) /� F0
EXTERIOR SIGN PANEL ;_- SIGNOE$M
Quantity: 1 single-sided
Sae 128"x 40" 170 Liberty Street
Material: .1"aluminum tube frame with.080 aluminum 508.1580, 02301
508-580-00099 4
face painted gloss white
� x
Graphics: digitally printed on IJ40c with 3M luster lamination 1
r °
' contour cut,applied to face
Installation:mechanically fastened to building using 1"angle
clips :... r# RaOtl YMCA
7�
128"
HAMPSHIRE
EXISTING
40"
the
REGIONAL YMCA the
HAMPSHIRE
DIMENSIONAL LOGO
AND PYLON
HAMPSHIRE
T the V REGIONAL YMCA 78142
- Scott Clement
Stacey Morse
Melissa Magellan
OB
10%
SHEET
02 of 02
PROPOSED
Page 2 of 3
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
Setbacks: Front:
Side: L: i67,0 R: 60� L: R:
Rear: 1 �T
Building Height
Bldg Square
Footage
% Open Space: ,��
(Lot area minus bldg and / S
Paved parking) 1
#of Parking Spaces
#of Loading Docks
Fill: (volume&location) �j/4
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 6 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
Page 1 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:
Address: Lt {��ZL'3f 'Z C S'L U{�2f�tti'T7/^� Telephone:
2. Owner of Property: ��H �Z
Address: 2-11(e Pry @�z-r �C*QA_ ['PAA` � Telephone:
3. Status of Applicant: J( Owner Contract Purchaser Lessee
_Other(explain):
4. Job Location:
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: -1 wk-al
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
&�- ACS t Qr
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Perm itNariance/Fi nding ever been issued for/on the site?
NO ')Q_ 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_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
IF YES: Describe the size,type and location: 1(6 ^ 74/'O e).4:6_
W (LC i5e r (*V✓r3l �U% �[t�n/ rte'_UC-r,-6Tn1iu,At? A211)
Are there any proposed changes to,or additions of, signs intended for the property? YES NO
IF YES: Describe the size,type and location: 015'15' S`i r� ri �b t� r�N� @ N e 01
NT
CT 22
DEPA TMENT OF BUILDING INSPECTIONS
`2"l Main Street • Municipal Building
tric, Plumbing&Gas i - Northampton, MA 01060
N �--
ortha p,c'hnf r a Permit to Place or Maintain a Sign
1NS1'EC`'OR
Or other Advertising Device, or Marquee . �j5 y(v
(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 ... °l( �5�1(1 : .. ?.....0. ... G:.:.........................................
1. Location, Street and No. .. '...! � .C?'' ... r ..... ?►' ? ... fl••• (
2. Owner's name ....: 1.1� .... i1 1 .... ...............................................
3. Owner's address .... .....P!' ...S�'....... 660 V)d..A1C 04 ..�t.d.6.
4. Maker's name .... '.!" .N..................................................................................
5. Maker's address ..... ....�:t......?-t?.........-......r.�!n� 'Ta ... :�......L 3�.1....................
6. Erector's name ....L'�(� `' (�G'��( ,..............................................................................
z .�.................7. Erector's address ...i`70
....................... .................. ' �-.
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ....... Non-illuminated .. ..
2. Will sign obstruct a fire escape, window or door? Marquee ...............
3. Lower edge will be .:I...ft...�P...ins above the public way. Projecting ..............
4. Upper edge will be .y...ft..t 0...ins above the public way. Roof .....................
5. Height .3...ft..J...ins Width .I..Q.Jt..Jns Temporary.............
6. Face area 3....sq. ft. Wall .,,?� ...
7. Inner edge will be ......ins from the building or pole. Ground ................
8. Outer edge will be .......ins from the building or pole. Other ...................
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 ..)2...ft .......ins above the building or pole.
12. Of what material will sign be constructed? Frame #.:4 t�'1......... Face.IfLia 11AA,M.......
13. Estimated cost $..: f.....:.............
The undersigned certifies that the above statements are true to the best ev his knowledge and belief.
Pur ..................
(Si Owner or Agent)
File# BP-2015-0462
APPLICANT/CONTACT PERSON HAMPSHIRE REGIONAL YOUNG MEN'S CHRISTIAN ASSOCIATION
ADDRESS/PHONE 286 PROSPECT ST NORTHAMPTON
PROPERTY LOCATION 286 PROSPECT ST
MAP 24C PARCEL 019 001 ZONE URB(85)/URA(I5)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
Typeof Construction: ERECT REAR WALL REPLACEMENT SIGN-HAMPSHIRE REGIONAL YMCA
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
INF RMATION 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
041 A /012,
I Y
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 24C Lot019 Zone
URB(85)/URA(15)/
Massachusetts Date issued 10/24/2014 0:00:00
Inspector of Buildings Permit # BP-2015-0462
Permit Fee$30.00
SIGN PERMIT
Business HAMPSHIRE REGIONAL YMCA
Address 286 PROSPECT ST
Applicant InstallerHAMPSHIRE REGIONAL YOUNG MEN'S CHRISTIAN
ASSOCIATION
Applicant Installer Address
Work Description ERECT REAR WALL REPLACEMENT SIGN-
HAMPSHIRE REGIONAL YMCA
Estimated Cost $2200.00
Building Department
Approval by: