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17C-224 10- Dc any signs exist on brie Property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. Wll the construction activity disturb (clearing, grading, excavation, or rlling) over acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Bufldina De artment EXISTDVG J PROPOSED Lot Size Frontage �� f Setbacks Front Side L: R: L: R: _ Rear Building Heigh I Building Square Footage I D�/2 - i I i %Open Space: (lot area l _ minus building & paved + _ a rki nq I P _ T of Parking Spaces a of Loading Ddcks Fill: (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: � 0 7 Applicant's Signature ? does not relieve an applicant's b den to comply with all zoning requirements and obtain aIl required pernts f-arn tzre$aard o€Health, Conservation Commission, Fdstor-ic and Architectural Boards,Deparrment of Public Works and other applicable permit granting authorities. ✓r:1Loc�t�aL�'�✓i-.i5`o:i�n�`�-:;,;ii::= -- _�_.",.= a-Pm�„i--._T�ii�i07,-pysive.do� S%t200� File No. PIease type or print all information and retLU°n this form to the Building Lnspector's Ofce _ 1. Name of Applicant: ?f� Y'n Cop3� 1 o Address: N.4 ; Telephone: � 2. Owner of Proper y: �cx'I� CDC Address: r1� � ✓` �G � Telephone: 5-% 3. Status of Applicant: Owner Contract Purcf;aser Lessee ,�' Other (explain) 4. Job Location: 'cFjore-� —_ — - a _ - - - ... Existing Lase of St-uC*,ure/Proaerty: �©►'Y-L_ — -— _ 6. Description o,"Proposed Use/Work/ProjectJOccupation: (Use additional sheets if necessary): 0- L 7. Attached Plans: Sketch Plan _� Site Plan Engineered/Sum/eyed Plans R. Has a Speciai Pe. �it/Jariance/Pindir�g ever been issued for/on the site? F40 DONT KNOW ✓/ YES 1 YES, date issued: IF YES: Was the permit recorded(at the Registry of Deeds? NO DONT KNOW v t1 YES IF YES: enter Book Pace and/or Document` 9.DDes the ste 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: (Form Continues Or v her Side) W. I�9 .. �� I � I i% �� ��v. - �.7 �� „.,mom”- - +} RIO +1 x a �ry �xf 1r � 1 1 4 r; Z.. lillilliq Ella S . E, ry t E 1 _ v1'L'� �v �• � � NG. 3 Al tera don ( ) Pla z5 must be filed wim' the Bu7dire lns• De tor, P.epaLit ng ( ) bef -n:it i e` raateC, Pemoval ( ) A )1icatio n for a Permit to Place or Maintain a Sign �_ --- or other Advertising Device (Application to be filled out in ink or typewritten) FEE.......... PAGE.----..... PLOT.......... Northampton, Mass- To the Building Commissioner: Application for a permit to place ormaintain a sign or other advertising device, or marquee. BUSINESS NAME...... _. � .....1..� ..._61T�.................. 1. LOCATION, STREET and No. 2.• Owner's name 0 ern 3. Owner's address er-k- -i�� dry ©tob`� 4. Maker's name_ & ?- 5. Maker's address 6. Erector's name�-k)L—"n,_...-�` �"T�-- � • �°L � .�...__r 7. Erector's addre"S 0 5� SIGN KIND OF SIGN i��aate) 1. Sign will be (check one) illuminated --non-illuminated (Des 2. Will sign obstruct a fre escape, window or door?�_ Marquees_ Lower edge W u_ �' D ;�: Pz-ojecting_.�� c. d i UC Q fit. 6ilV�'C [.i�1C 41 I1U11C:W C.,r. 4. Upper edge will 10, rt.�� ins.above' e p ub1i c v:a;. POOf 5. Height._-_mot_ 1D ins. Width l ft_ 0 ir.s. Temporary - 6. Face area-2-'� s ft_ Wall 7. Inner edge will be ins from the building or pole. Ground, 8. Outer edge will bI from the buil P ding or ole_ 9. Face of building or pole ins.back from the street ILne. 10. Sign will project_ 7TC. beyond the street line_ ii. Sign wili extend 0 Ti_ ms. above the building or pole. - 12. Of what mat,,�eerial w11 sib be constructed? Frame ��Cx _ _ Face_ _ I3. Estimrrate cost. ; s.-. W {he LL�Tld J K..-��.-d ce1vL Lh,at he above state.=ems s are ti Ue best of his knowledge and belie-=_ n - ,, - ' J1 iii a:.ut� Lvti i�Pr'71 .��.`Z�I NOTE: .i I order at this c._J21 a�i Jr J_ _ . ":e ds.a c6i7^im -for =.5z a iC - ..Jr..: � File#BP-2008-0338 APPLICANT/CONTACT PERSON Cup and Top Cafe,Inc. ADDRESS/PHONE I North Main Street FLORENCE (413)585-0445 P THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_ypeof Construction:_ERECT NON-ILLUM PRO_JECTING SIGN-CUP AND TOP CAF)~ New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildin¢Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 7P ESENTED: Approved L.,o Additional pen-nits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Ta 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 UNDE : § � 9. 1 _5r&-v5 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 Commissio 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.