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Page 2 of 3
1
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 ?IWAI,X
Frontage Id je
Front:
Setbacks:
Side: L: R:
Rear:
Building Height
Bldg Square
Footage /
S�•
%Open Space:
(Lot area minus bldg and
Paved parking)
#of Parking Spaces
#of Loading Docks
Fill: (volume a location)
13. Certification: 1 hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 11-3-- 41 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 3 of 3
Pagel 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: C/ NOA-) rrVjq/D S �� f orOI�l—
Address: N AM447 S! DVTelephone:
2. Owner of Property: �.OUo� 'f/ (itx��sjfjt
Address: Telephone:
3. Status of Applicant:/Owner _Contract Purchaser Lessee
_Other(explain):
4. Job Location:Zp /V. 1H4P0!5—
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
ll�`G`/ Sl[�ivl d /`��/Pt�x, Sil�✓�tom" �OG,rf)'I U N
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/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? NOA1— 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:
In "Q99G.44/V :qW 0 �11%.4 f GIvS
tG M�Il�G�r .!�/�/7.¢/N ' i?L�y, �/'bi✓ /y.G�J.ct�i�Gt-
iJNTi
Are there any proposed changes to,or additions of,signs intended for the property? YES is NO
IF YES: Describe the size,type and location: '(/Up 4 Woo 12 S!�
D/�-t'r D N i�R•�yf. 4AIE- GZV
AAA0
City of Northampton
r •� i Ste^ a '• C
{ a° Massachusetts
-32014 `
DEP OF BUILDING INSPECTIONS
W ° i thampton, MA 01060
Street • Municipal Building
Electric,P umbing&Gas spec sue. , Q
r� Northampton, MA 01060
4 r bty 3'�1
INS-P-ECTOR pp Ica�on fora 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..................( )
before a permit will be granted. Alteration.................( )
Repair.....................( )
Repainting...............( )
Removal..................( )
FEE........PAGE........PLOT.......
c—' Northampton, Mass. ..............
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESSNAME ..... ...<...........................................................................................
1. Location, Street and No. - ' `� `
.... .... ........................................ .................
, � ;,�s
2. Owner's name ....,,,?.L...).= 7 ............................... ..............:...........................
3. Owner's address ..
J.................................................................................................
r+ 4. Maker's name o f{'�0� `..�`..`. j
5. Maker's address ...::.....................................................................................................
n
6. Erector's name....._�./1?:. -........................................................................................
7. Erector's address��/�t-�
.......................................................................................................
SIGN KIND OF SIGN
��//
(Designate)
1. Sign will be (check one) illuminated ....... Non-illuminated /Y..
2. Will sign obstruct a fire escape, window or door? IV.0. Marquee ...............
3. Lower edge will be jF ft..... sins above the public way. Projecting ..............
ft
4. Upper edge will be- . ... ..Ins above the public way. Roof :
Temporary
5. Height,l.r.ft..d:.ins Width ..!...ftr9...ins •••••••••••
6. Face area�.6..sq. ft. Wall ....X...
7. Inner edge will be ..Q.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 /a.&ins back from the street line.
10. Sign will project .Q....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 .. !N.0 4�f... Face.......................
13. Estimated cost
The undersigned certifies that the above statements are true to t st of his knowledge and belief.
........................
(Signature of Owner or Agent)
Page 1 of 3
File#BP-2015-0521
APPLICANT/CONTACT PERSON SALMON STUDIOS LLC
ADDRESS/PHONE PO BOX 1155 NORTHAMPTON (413)221-9717 Q
PROPERTY LOCATION 28 NORTH MAPLE ST
MAP 17C PARCEL 229 001 ZONE SKI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tyneof Construction: REPLACE ILLUM SIDE WALL SIGN-SALMON STUDIOS LLC
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 F PtLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN MATION 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.
City of Northampton Map 17C Lot229 Zone SI(100)/
Massachusetts Date issued 11/7/2014 0:00:00
Inspector of Buildings Permit # BP-2015-0521
Permit Fee$30.00
SIGN PERMIT
Business SALMON STUDIOS LLC
Address 28 NORTH MAPLE ST
Applicant InstallerSALMON STUDIOS LLC
Applicant Installer Address
Work Description REPLACE ILLUM SIDE WALL SIGN - SALMON
STUDIOS LLC
Estimated Cost $2200.00
Building Department
Approval by: