11C-034 (3) �K rr►art*
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E C E P W E
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Erection..........................( )
JUN 21 2MI Alteration.......................( )
Plans must be filed with the Build ng I spector, Repair................._...........( )
ERi
OF 1NG INS
CT NS
Repainting....................( )
befo a perpr% gWMA Removal..........................( )
1 of .art4amvto a, xass.
Application 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....................................................................19............
To the Building Commissioner:
Application for a permit to place or maintain_a sign or other advertising device, or marquee.
D� rY
BUSINESS NAME.................�f-�...................)-4/
................................ ...................................................
1. LOCATION, STREET and No. C �/ L �-&6S �A D 1A C
.y.-:............,........................
......... .
2. Owner's name.............. Q� tl �? �..............................................................................................
.........................�................... ........�.... ....................................................................
° '� 0/4L
3. Owner's address....._....(�.,f.�:......j....�..!tl��:.874�i�.............j'�"`•�1�-.r^.�1'....:�'�.. .......................................................
4. Maker's name...................................:.....�� .........:._.......: ............................................
5. Maker's address......................h...... . .............................................................................................................................................
6. Erector's name...................... ... ...............q.............................................................................................................................................
7. Erector's address................. x............................................................................................................................................................................
SIGN KIND OF SIGN
1. Sign will be (check one) illuminate d.�n on-ill um (Designate)
..................
2. Will sign obstruct a fire escape, window or door?..No.....
Marquee......................................
3. Lower edge will be.,�.........ft. ... .......ins. above the public way.
Projecting..................................
4. Upper edge will be.... . A � way. Roof....... ............................
........ft. ..................ins. above the ublic
; Temporary.................................
5. Height... ..ft....a.....``.ins. Width....!.�...ft.....1..........ins.
6. Face area.c`�4?� sq. ft. Wall................................................
... ........
7. Inner edge will be 13 ....ins from the building or pole. Ground..........................................
8. Outer edge will be.1? ins. from the building or pole. Other..............................................
...........
9. Face of building or pole is....Q, ..ins. back from the street line.
10. Sign will project..41.l.G1....ins. beyond the street line.
11. Sign will extend../10........ft...................ins. above the building or pole.
12. Of what material will sign be constructed? Frame... �A............................... Face......nl ............................
13. Estimate cost...eVlA...
The undersigned certifies that the above state is are tr o the
best of his knowledge and belief.
'
. .._� '"._ � . ..................
di e of wner or Agent)
NOTE: In order that this application may be accepted, the d ca le for above must be set forth
CLEARLY and FULLY.
10. Do any signs exist on the property? YES -' NO
IF YES, describe size,type and location: 0444 2 /i A ry, � ^
CoA r�
Are there any proposed changes to or additions o signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
'lhid —I— to be filled in
by the 2vi2d=9 Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&Paved parking%
# of Parking Spaces
f 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 kn Lbj.�dge.
DATE: 6-� ac, 01 APPLICANT's SIGNATURE turmr)PH
NOTE: Issuance of at zoning permit does not relieve an applioant's burde a comply wi la�all
zoning requirements and obtain all required permits from the Board of He Ith, Conservation
Commission. Department of Publio works and other appiloobie permit granting authorities.
FILE if
P R^
J U N 2 1 2001 Fit e No P610d-
DEPT OF BUILDING I N PERMIT APPLICATION (§10 . 2)
NnRrNn! PrON,MA 0106 E TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: A �/� ��R���f� �'�r�
Address:-G/_ lk -9'� AWWA � Telephone:
2. Owner of Property: ' m '
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser V/Lessee
Other(explain): ,�/�
4. Job Location: � .—��� �1 °`"' IVA 0 /4 <'3
Parcel Id: Zoning Map# C' Parcel# District(s): �
(TO BE FILLED IN BY THE BUILDING DEPARR�T�M..E�NT)
5. Existing Use of Structure/Property
6. Description of posed,,Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
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 DONT KNOW-_K 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:
(FORM CONTINUES ON OTHER SIDE)
File#BP-2001-1092
APPLICANT/CONTACT PERSON A&R FAROOQUI
ADDRESS/PHONE 91 HINCKLEY ST (413)584-3980
PROPERTY LOCATION 24 HAYDENVILLE RD
MAP 11 C PARCEL 034 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tyueof Construction: REPLACE ILLUM ROOF SIGN-LEEDS MART
New Construction l�
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § —w/ZONING BOARD OF APPEALS
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 Co ssion Permit from CB Architecture Committee
O fb
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.
City of Northampton
Massachusetts Date issued 7/10/010:00:00
Inspector of Buildings Permit # BP-2001-1092
Permit Fee$30.00
SIGN PERMIT
Business LEEDS MART
Address 24 HAYDENVILLE RD
Applicant Installer A & R FAROOQUI
Applicant Installer Address 91 HINCKLEY ST
Work Description REPLACE ILLUM ROOF SIGN 52 SO FT -
LEEDS MART
Estimated Cost N/A
Building Department
Approval by: