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Plans musi&,filed with iRi Building Inspector,
Re aintin
before a permit will be granted,
T*1 t CY 'Nort4amptau, a5o.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEF.......... PAGE.......... PI.O"f..........
Northampton, Mass....................................................................19............
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME.......... "..!!\ " .�. �. ......s t-1-e (� .................................
1. LOCATION, STREET and No. .' �'r
S�...... .'! �._.......!.......�..._.._.................. �- ._ - ..........................
2. Owner's name... .� ..... ...._ tAs- I N.C-.............................. ..........................
3. Owner's address—11 7 P ��� � c�"Yt? tJ to A 0 2-0 2 t �.-..0.6.0 "2. C 7
�... .... .... ;_ _..\ .... .. ..... ......._............._....... .... . _......... �� ®�.
4. Maker's name..... ... �_1���_!4........._�a.{? .�P' ..?�..�_G��.0.....:
5. Maker's address..... .. .... �. ..
�
S IA
� _._.�s ! ! -....aT................ _ ....................e. f............
.........._...........
6. Erector's name....._C--��. 4 N .. ,. .1
_. .................. .........................................................................................
7. Erector's address....q_`....... _.......S.. ..........1. ."........_.t..... ..........................
. ..... _.. .. .............
_.......................
SIGN KIND OF SIGN
�( (Designate)
1. Sign will be (check one) illuminated.........-.".non-illuminated..................
2. Will sign obstruct a fire escape, window or door?.....t140.
Marquee....._,11?_'�............._....._
3. Lower edge will be.....J.Q....ft...... above the p ublic wa y. Projecting....._...........................
4. Upper edge will be..... ft...... :''.....ins. above the wa y. Roof.........._....................................
5. Height......:_L_.....f ._...............ins. Width........�F''.....ft........ ......ins.
Temporary................. ........._..
Wall................._...._.......................
6. Face area...,. .. sq. ft.
Ground............................._..........
7. Inner edge will be..... ....ins from the building or pole.
8. Outer edge will be .. Other....................... ...._..........
g .... .....ins.from the building or pole.
9. Face of building or pole is.-7.!2....rff.back from the street line. N S y .
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.. �..... .... Face_.��d--� �
_ 5D13. Estimate cost..... .....
The undersigned certifies that the above statement u to th
best of his knowledge and belief. ( - �(
w Signatur of Owner or A ent)
NOTE: In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY.
10. Do any signs east on the property? YES X NO
A,
IF YES, describe size,type and location: H fl z C�_ &e6 S l
Are there any proposed changes to or additions of signs intended for the property?YES—_X-5,,_ NO_ �
IF YES,describe size,type and location: - ism/\j 6
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This Cohn= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
t
Frontage ,
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&pax,ed parking)
# of Parking Spaces
#- of Loading Docks
Fill:
vol-ume--& location)
13 . Certification: I hereby certify that the i ormation contained herein
is true and accurate to the best of my kno 1 g
D?II"E: Z- —C� APPLICANT's SIGNATURE
NOTE: lasuanoe of a zoning permit does not relieve an applioanYs bur en to oomply witty-all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
FILE #
FEB 2 2000 i
QF` `N""",` File No c
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
J � tj�-
1. Name of licant: ^ �%
AAP P 3 �
Address: (24A 5,N Telephone:
2. Owner of Property:
Address: 777 XDO- l �r�c �.�iC)� M Tel phone:
3. Status of Applicant: Owner C,w,opntract Purchaser Lessee OCT)I C(h)6 5
Other(explain): (� /V
4. Job Location: S's IA I - rt'o rz"C53��
Parcel Id: Zoning Map# / ! Parcel# / District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property t3-pia
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
P6_�LA<45_ t5_&t,�(I f1i C� (L ; L � Aj
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 l�_ 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-2000-0692
APPLICANT/CONTACT PERSON Sign Grafx Group
ADDRESS/PHONE 41 Russell St (413)586-3454
PROPERTY LOCATION 53 MAIN ST
MAP 17C PARCEL 197 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid �D'
Typeof Construction: REPLACE EXISTING ILLUM SIGN FACE-THE MEDICINE SHOPPE-4 X 6
New Construction
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 fission
Alzmv
Signature of Building cial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
Oak, 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 Map 17C Lot197 Zone GB
Massachusetts Date issued 2/3/00 0:00:00
Inspector of Buildings Permit # BP-2000-0692
Permit Fee$30.00
SIGN PERMIT
Business THE MEDICINE SHOPPE
Address 53 MAIN ST
Applicant Installer Sitn Graft Group
Applicant Installer Address 41 Russell St
Work Description REPLACE EXISTING ILLUM SIGN FACE - THE
MEDICINE SHOPPE - 4 X 6
Estimated Cost $750.00
Building Department
Approval by: