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31B-272 (9) FEB 13 2015 s it Electric,Plumbing&Ga, (rtt>y II��ttm�?�iTn Northampton,M 11FISStlr1it,SrllS DI;'/'Al714F, "T 0%' uw/mh;C IN !'L,'C7'lON,� sos 212 Main Street . v1untcipa1 Building shy°. 1n Northampton, MA 01060 i\:_ PI TOT 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 Building Inspector Erection..................( ) before a permit will be granted Alteration.................( ) Repair.....................( ) Repainting............... ( ) Removal. _..... ....... ) FEE_�.....PAGE........PLOT....... To the Building Commissioner: Northampton, Mass. ...............................20..... Application for a permit to place or maintain a sign or other advertising device,or marquee. BUSINESS NAME ..Hampshi.re.Council.of.Governments........ ............ 1. Location, Street and No. Corner.of Main.and King.sts,.Northampton. ,.///�G'//�•�° 2. Owner's name ........................................................................................................... 3. Owner's address ........................................................................................................ 4. Maker's name ............................................................................................................. 5. Maker's address ...................................................... ................................................... 6. Erector's name V!hole,Children ................ .. 7. Erector's address 41..Russell,St,.Hadley,.M.A.. ........... SIGN KIND OF SIGN 1. Sign will be (check one) illuminated ....... Non-illuminated X..... (Designate) 2. Will sign obstruct a fire escape, window or door? ......... Marquee ............... 3. Lower edge will be ......ft........ins above the public way. Projecting .............. 4. Upper edge will be ......ft........ins above the public way. Roof ..................... 5. Height 3....ft......ins Width 1.4.-ft......ins Temporary...X......... 6. Face area 42...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 .......ft .......ins above the building or pole. 12. Of what material will sign be constructed? Frame 01a.................... Face Vinyl banner,.,.... 13. Estimated cost $........................ The undersigned certifies that the above statements are true to,th b of s kn ledge and belief. ........,.. . .......I....... (Signature of Owner gent) 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. DATE: 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:Whole Children Address 41 Russell St, Hadley, MA 413-585-8010 -- ----- ---- - - - - - Telephone.----- 2 Owner of Property. Address ---Telephone:- 3. Status of Applicant: __Owner Contract Purchaser Lessee ___Other(explain) 4. Job Location: Courthouse, corner of Main and King Streets Parcel ID: Zoning Map#_ Parcel# District(s)_--____ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/P rope rty:______ 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) We'd like to hang a banner promoting the first Wild Goose Chase to benefit Whole Children. The run is on May 17 at Look Park and hang the banner from April 6— May 17, 2015 --- --- - - - - -- - ------- -rio, 7. X Attached Plans. X-Sketch Plan _____Site Plan _ _ .Engineered/Surveyed Plans 8. Has a Special PermitNariance/Finding ever been issued for/on the site? NO-__--- DON'T KNOW X---_ 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 _____ I, Date issued 10. Do any signs exist on the property? YES NO x IF YES: Describe the size,type and location:- Are there any proposed changes to,or additions of,signs intended for the property? YES_,_____ NO_X_ - IF YES: Describe the size,type and location:_ File#BP-2015-0794 APPLICANT/CONTACT PERSON WHOLE CHILDREN ADDRESS/PHONE 41 RUSSELL ST HADLEY01035 (413)585-8010 Q PROPERTY LOCATION 99 MAIN ST-COURTHOUSE MAP 31 B PARCEL 272 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST d ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Q Building Permit Filled out Fee Paid t T ypeof Construction: ERECT TEMPORARY BANNER-WILD GOOSE CHASE 4/6-5/17/e141 7 New Construction Non Structural interior renovations Addition to Existing Accesso 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 / INFOR ATION PRESENTED: rj pproved Additional permits required(see below) �� 354 (. �� PLANNING BOARD PERMIT REQUIRED UNDER:§ rJ 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 Si ature o uilding O icial 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 31 B Lot272 Zone CB(100)/ Massachusetts Date issued 2/20/2015 0:00:00 Inspector of Buildings Permit # BP-2015-0794 Permit Fee$30.00 SIGN PERMIT Business WILD GOOSE CHASE BANNER Address 99 MAIN ST - COURTHOUSE Applicant InstallerWHOLE CHILDREN Applicant Installer Address Work Description ERECT TEMPORARY BANNER - WILD GOOSE CHASE (4/6-5/17/15 Estimated Cost Building Department Approval by: