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7 W9 ) Alteration....._...............( )
Repair....._..._....._...._.....( )
Plan mHAMPTOM,M>i 0 G � ddi g Inspector, Repainting ( )
before a permit will be granted, Removal....._...................
( )
C*tVof Nort4amptau, ffiass.
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.......... PLOT..........
Northampton, Mass........................... ..7.........................19....1.7
To the Building Commissioner:
Application for a permit nto�place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME.......... !T!y.!�f?IU... PRL !;F....1"60FFSSS/�V..... ......GE►�1 �................
1. LOCATION, STREET and No. . ' au.L# 2J.......D
2. Owner's name.....................C,'1.Lo/l? /jt iE0 I C-AL 4-1-P _ ............................................................
3. Owner's address....._..........L 4 �� .....p �4S7 .r �.... � .E�..f....No. !�11 .
4. Maker's name..... SE C E_4._ s.1-6 NS_................................ ..............................................................................
5. Maker's address..... .... ...._! !NS EO.....!ei�.:. 1,tJEsT' f*- `FrE...9.y...�✓..a-......................................_...........
t._....._............_............
6. Erector's name....._.................. G oa....... 1. s................................................................. ........... ................................_...
Q
7. Erector's address...................�..c.�!..... I�......�o!� (�C,(i � E #..�..............................I.............
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated..................non-illuminated..... ....
2. Will sign obstruct a fire escape, window or door 6A.) Marquee....._...............................
Projecting..................................
3. Lower edge will be....._/........ft.......6.........ins. above the public way.
Roof.................................................
4. Upper edge will be.......5....ft........ ........ins. above the public way.
5. Height..... .....ft........Q.......ins. Width........4.....ft......�._.....ins. Temporary.................................
6. Face area...c�:� Wall...............I...............................
.....sq. ft.
7. Inner edge will be.....i ...Ms from the building or pole.
Ground.........�...................
8. Outer edge will be..........Q" . from the building or pole. Other..............................................
70
9. Face of building or pole is.1-4ftfins.back from the street line.
10. Sign will project.......Q.....ins.beyond the street line.
11. Sign will extend.......Q..._..ft............_.....ins. above the building or pole.
12. Of what material will sign be constructed? Frame...4 eeR�/cy Face...... !I''!Vll .�tf••.
13. Estimate cost..../ ...
The undersigned certifies that the above statements are true to the
best of his knowledge and belief `
ST �19'►> 0 ck-1`1�0 rJ, t c p of .___......... . _ ._... ._..... ... __.._................_...........
S/�N (Signature of Owner or Agent)
NOTE: In order that this application maybe accepted, the data called for above must be set forth
CLEARLY and FULLY.
s
10 Do any signs exist on the property? YES NO
IF YES, describe size,type and location: I
Are there any proposed changes to or additions of signs intended for the property?YES l/ NO
IF YES,describe size,type and location: (0K STk u,(j nn) ®'/, V"4 9 k W $
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to bar filled in
by the BU1 ding Dkpart .t
Required
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 parkingi
# pf -Parking Spaces
f of Loading Docks
Fill:
volume--& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge..�
L�
DATE. ��� 9 APPLICANT's SIGNATURE ,tl
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply Wlti}_pli
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
File No
EMBF �
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION Q
1. Name of Applicant: 6Wko ) A 5 0 1 CAS i L�� tffl— T�LC:t✓ M -TO e -A
Address: �� S�4 P�� �rJ T' ST N ) _Telephone:_ �/ _ A
2. Owner of Property: A"f OV ",A
Address: x314 PhFAi/1")r !�F "' +- Telephone: Vld— S 3 'e
3. Status of Applicant: --�Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: . Lo lj 'Q
Parcel Id: Zoning Map# 0 Parcel# �fP District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENTY
5. Existing Use of Structure/Property VAc-Au t--kA*)A _
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
(o ysTkOi W !�K stv tkd),A S f^e-A)
7. Attached Plans: Sketch Plan Site Plan l-` 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 t� IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book , 70 S Page 000Y 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-1999-1055
APPLICANT/CONTACT PERSON CARLON MEDICAL LLP
ADDRESS/PHONE 125A PLEASANT ST 586-5364
PROPERTY LOCATION 76 CARLON DRIVE
MAP 24B PARCEL 046 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinfz Permit Filled out
Fee Paid vc-7597
Typeof Construction: ERECT GROUND SIGN-CARLON DRIVE PROFESSIONAL CENTER
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
T OLLOWING 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 C 09ission
Signature o Building 6fficiar 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 Map 24B Lot046 Zone BB
Massachusetts Date issued 6/18/1999 0:00:00
Inspector of Buildings Permit # BP-1999-1055
Permit Fee$20.00
SIGN PERMIT
Business CARLON DRIVE PROFESSIONAL CENTER
Address 76 CARLON DRIVE
Applicant Installer SEIGEL SIGNS
Applicant Installer Address LINSEED RD
Work Description ERECT GROUND SIGN - CARLON DRIVE
PROFESSIONAL CENTER
Estimated Cost $950.00
Building Department
Approval b-