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31B-004 (21) 'Y ry r t WILLIAM g � g WAY> un ��, i/ r r{ d SA D 1 E 1r NTER !� N ld ° GALBRAITH CE }f HALL ♦ _ xz � "1°T.�11 , GAWITH SICAL PLANT C:cr<,lxlgc. PHY ti ail toC aT,d =a-1brazti-' I 54" ;1,iiner x 77 17 "11ut>bartf Hall. 4 k �� •1<1 Kogcry iH itC VALLEY SWIM SCHOOL mw i �;I T0 P — ' %,OP3A. 4JA, L - N, Z NORTHAMPTON, MASSACHUSETTS suptrElfsru FOP THE CAA SCHOOL FOR THE DEW C 16 io 45 90 4 SOALE: = 30' DA7F, Clf'Ct-fJ3t-,P 22, 2,',' HER17'AGE SURI"EYS, INC. .RE fS'7F PFD PFOFFSSIONAw LANiD SORVFYOP�� C0,14f0f HIGHWAY & CLARie c,7PFFT POST 0FRcF sox SOUTHAMPTON, MASSACHUSi;77S 413) 527-3650 LIN U BLIC, ......... TBM 3 Historic Round Hill Summit Proposed new sign location&dimensions: - Use existing sign location - Use existing sign dimensions - 4'x8'sign - Right post (from driveway): 9.5'from main street curb, 9.5'from driveway curb - Left post (from driveway): 13.5'from main street curb, 9.5' from driveway curb Page 2 of 3 11. ALL INFORMATION MUST BE COMPLETED, 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: k 2io / 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: nL a, bi%,�'C 4 �5�-�`L A----,0:R s &ILL %uXw ,t L-L C_ , Address: 3 33 `L✓v\ 551RY °F- lJ. SeAtO °(`2L0 Telephone: I k,` 3 -at-k, r.r"N ,a? 2. Owner of Property: yl_, -sc Address: `rd Qoit-sn ttl[-L -"; 1,JaX91k,\^b Telephone: (4 _7,_7)L_Q ^_10k mL'V(FZ�, 3. Status of Applicant: V--'Owner Contract Purchaser Lessee _Other(explain): 4. Job Location: t3 VS, Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: uc`11�t °•� 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) 7. Attached Plans: Sketch Plan Site Plan `e Engineered/Surveyed Plans 8. Has a Special PermitNariance/Finding ever been issued for/on the site? NO Z"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 ✓en 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 ✓ NO IF YES: Describe the size,type and location: Sew LA-0- Are there any proposed changes to,or additions of,signs intended for the property? YES NO IF YES: Describe the size,type and location: _ �IRMg8Mr�1T8P�t8 ��� � 3 DEPARTMENT OF BUILDING INSPECTIONS //�������� 212 Main Street • Municipal Building +art is tYJ.7 Northampton, MA 01060 L__ , , Application for a Permit to Place or Maintain a Sign Elects 11\�PEC�OR pp i 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....... Northampton, Mass. ............................20..... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ... ......r! q..,....1-l-C.................. 1. Location, Street and No. .............................................................................................. 2. Owner's name ......"''?tx.........f�`? ............................................................... !`=.L! 1...5' !Z�"t' ....t,�►`�?�...��°��NCrt�t�.!�J......... . chi 6'^� 3. Owner's address ...•��� 4. Maker's name ..... .A........ .. ...... ............... 5. Maker's address ....7..1e................ .......i-.-ND•••• 6. Erector's name .......................................................................................................... 7. Erector's address ....................................................................................................... SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? Marquee ............... 3. Lower edge will be Wit...O.Jns above the public way. Projecting .............. 4. Upper ed�9 a will be ..`(..ft....c"�Jns above the public way. Roof ..................... 5. Height .Y.Jt.C�Jns Width .`:{..ft..D.ins Temporary............. 6. Face area J.e.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 ....... Face... !Z..... 13. Estimated cost $..../,�.� .:...... The undersigned certifies that the above statements are true to the best of his knowledge and belief. .. .............................. (Signat e of Owner or Agent) File#BP-2016-0220 APPLICANT/CONTACT PERSON HEBERT MAX ADDRESS/PHONE 333 ELM ST WEST SPRINGFIELD01089(413) 896-3018 Q PROPERTY LOCATION 46 ROUND HILL RD MAP 31 B PARCEL 004 001 ZONE URCaQU THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid r .,- Building Permit Filled out Fee Paid Typeof Construction: REPLACE GROUND SIGN-HISTORIC ROUND HILL SUMMIT 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved ,V 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: § 3 4O — T' Z- C � ` ro, Finding Special Permit h 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 vzp,ermit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature of Building Of 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.