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31B-239 (2) COAvenience Smoke Shop : | Customer. King St.Convenience File Name: King St.pole sign raw by. Date: Wed,Dec 3,2014 Ocemerit reference Approved by. T-�,2014Sign Techniques,Inc.AO rights rserved 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height 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. DAT L,l \ �bli1iPPLICANT'S SIGNATU 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 EASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: I 1 Address3 C -� jC Telephone:43-6C I-9O9Ia 2. Owner of Propert y: I Address• Q rr dooephone: 3. Status of Applicant:_Owner ,Contract Purchaser `Lessee V tu Other(explain): 4. Job Location: JOQ ] a C4 ',::74Yffe". Parcel ID: Zoning Map# i Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: � � �h t- 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)VVij JU 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans S. Has a Special PermittVariance//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 ✓ 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_V/ NO IF YES: Describe the size,type and location: r I Z f C i -+ ' I Are there any proposed changes to,or additions of,signs intended for property? YES V/ NO IF YES: Describe the s'ze,type and location: U t><ty of Nort4am rton •r,'� 1 � i �5�5 • , -SAC'` �. ,A .�lttssttrtfus>'tts �`` _ _D" NT OF BUILDING INSPECTIONS sJk cb n �;ioM 'n Street • Municipal Building Electr,c. ��or."_ •:. ----" Northampton, MA 01060 fN,,),l'ECTOR Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee . _/S�v3b (Application to be filled out in ink or typewritten) Number ....•................ Plans must be filed with the Building Inspector Erection..................( )✓ before a permit will be aranted. Alteration.................( V Repair..................... ) Repainting...............( ) Removal..................( ) FEE(��( .....�.Y...PAGE........PLOT....... Northampton, Mass!1—(q.(A.bQY-..4.f..20.N To the Building Commissioner: Application for a permit to pi re or maintain a si n or other advertising device,or marquee. BUSINESS NAME . I!.I... .... .:.. �. Y. .�.C.�J..l��.:. . 1. Location, Street And o. ......Lon.....��"1.. ..... ����..1. r 2. Owner's name .l . .!�:-!.....0 6... 1...... . 3. Owner's addressaw..... .��.�4 ... .:.... .. . .' ....... .�.. J... �L-C.� 111 4. Maker's name . .1. ...... h.�.`... 4�, .... n4........................................ CC 5. Maker's address.... ......_ ........ ...........�,.) :.... ......�� F. j��� 6. Erector's name l.....n ��� . .. `- ....�1�........................................ . n 7. Erector's address ...... ......... ..�.�ec= .........�.Cl lC .� ..G� � SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Z T No n-illuiQated ....... 2. Will sign obstruct a fire esc e, window or door? . . .C?. Marquee ............... 3. Lower edge will be . •�ft... .ins above the public way. Projecting .............. 4. Upper edge wi I be .}:`l•ft... In above the public way. Roof ..................... 5. Height .. ..ft.. ..ins Width L(U.0.•ins Temporary............. 6. Face area .`�(. sq.e�ft,,.{{ Wall ...:✓......... 7. Inner edge will be .Y File#BP-2015-0635 APPLICANT/CONTACT PERSON SIGN TECHNIQUES INC ADDRESS/PHONE 361 CHICOPEE ST CHICOPEE (413)594-8886 PROPERTY LOCATION 60 KING ST-KING ST CONVENIENCE&SMOKE SHOP MAP 31B PARCEL 239 001 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 Typeof Construction: REPLACE ILLUM WALL SIGN-KING ST CONVENIENCE&SMOKE SHOP New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildine 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 ,,4 �� 1ZH �� — 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 3 1 B Lot239 Zone CB(100)/ Massachusetts Date issued 12/11/2014 0:00:00 Inspector of Buildings Permit # BP-2015-0635 Permit Fee$30.00 SIGN PERMIT Business KING ST CONVENIENCE & SMOKE SHOP Address 60 KING ST - KING ST CONVENIENCE & SMOKE SHOP Applicant InstallerSIGN TECHNIQUES INC Applicant Installer Address 361 CHICOPEE ST Work Description REPLACE ILLUM WALL SIGN - KING ST CONVENIENCE & SMOKE SHOP Estimated Cost $1200.00 Building Department Approval b