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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 �i 1
Frontage
h
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height �r t
Bldg Square
Footage
%Open Space:
(Lot area minus bldg and
Paved parking)
#of Parking Spaces (� .
I
#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.
A" /I �f'
SATE. � 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: ge'&
Address: 52 1 gil"49' 4'p ✓,14- 13. f— Telephone:
2. Owner of Property:
r
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser _(Lessee
_Other(explain):
4. Job Location:
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 4 a'/`_r"e -o ,"-
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
Set14 "?
7. Attached Plans: 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 7c 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_
10. Do any signs exist on the property? YES- C' NO
IF YES: Describe the size,type and location:p t� )c /
Are there any proposed changes to,or additions of,signs intended for the property? YES < NO
IF YES: Describe the size,type and location: P °c.4 019- S- cr f,
DEC 17 2015 3
I
Titg of Xort4ampton
DEI T Cry
.�1Rttssttrlfuspits '�
DEPARTMENT OF BUILDING IN4PECTION '
212 Main Street • Municipal Building
Northampton, MA 01060
INSPF;CTOR 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 apermit will be rap nted. Alteration. ...............
(�G )
Repair.....................( )
Repainting...............( )
Removal..................( )
FEE........PAGE........PLOT.......
Northampton, Mass. ...... .............20.1.?�
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME ..... �`.�..�?.c y .S c-7
1. Location, Street and No. ..... ...... S
2. Owner's name ......!5. .. ......L�'. �. ' .7.....................................................................
3. Owner's address ......( '%eq `, AJ c/rr.`f / 3 �° t lv e 1,, rti -44 4 61
.............................................................................
4. Maker's name .... ...... .................................................
Z 5. Maker's address ...... . 7.7 i ' ..�......f� ...... / / .....
`�.... ............. t.......... ..........
6. Erector's name ........:..S cr.r!
. .......................................................................................
7. Erector's address .......................................................................................................
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ....... Non-illuminated ..i�..
2. Will sign obstruct a fire escape, window or door? ..A!0.. Marquee ...............
3. Lower edge will be ......ft........ins above the public way. Projecting ..............
4. Upper edge will be ......ft........ins above the public way. goof .....................
5. Height Ar.. 0.A.ins Width A..ins Temporary.............
6. Face areaq.4.3.7sq. f Wall .X................
7. Inner edge will be ..b..ins from the building or pole. Ground ................
8. Outer edge will be . ....ins free building or pole. Other ...................
9. Face of building or pole is .!..... t�k from the street line.
10. Sign will project ...V..ins beyond the street line.
11. Sign will extend ..O..ft .......ins above the building or��le. j� � �
12. Of what material will sign be nstr cted? Fame ....a..J!'!^� ✓lll..... Face... . ...............
13. Estimated cost $. .. 3,Gr�o�
The undersigned certifies that the above statements are tru,401 the best of his knowledge and belief.
(Signature of Owner or Agent)
File#BP-2016-0822
APPLICANT/CONTACT PERSON LOWRY BOB
ADDRESS/PHONE 525 BRIDGE RD UNIT 13-5 FLORENCE01062 (413)218-0980 Q
PROPERTY LOCATION 134 MAIN ST
MAP 32C PARCEL 005 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: REPLACE WALL SIGN-BUENO Y SANO
New Construction
Non Structural interior renovations
Addition to Existiny,
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
INF RMATION PRESENTED:
Approved_ 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: §
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
Z" J. 11 J zjzg/j i7
Signature of wilding 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.
1` 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 32C Lot005 Zone CB(100)/
Massachusetts Date issued 1/4/2016 0:00:00
Inspector of Buildings Permit # BP-2016-0822
Permit Fee$60.00
SIGN PERMIT
Business BUENO Y SANO
Address 134 MAIN ST
Applicant InstallerLOWRY BOB
Applicant Installer Address
Work Description REPLACE WALL SIGN - BUENO Y SANO
Estimated Cost $3000.00
Building Department
Approval by: