31B-284 (5) City of Northampton Map 31B Lot284 Zone CB
Massachusetts Date issued 10/3/03 0:00:00
Inspector of Buildings Permit # BP-2004-0371
Permit Fee$30.00
SIGN PERMIT
Business TABLE9
Addressll CENTER ST
Applicant Installer ALAN ANISCHIK
Applicant Installer Address 15 MAPLE MEADOWS LANE
AGAWAM
Work Description ERECT ILLUM FRONT WALL SIGN - TABLE9
Estimated Cost $1500.00
Building Department
Approval by:
File#BP-2004-0371
APPLICANT/CONTACT PERSON ANISCHIK ALAN
ADDRESS/PHONE 15 MAPLE MEADOWS LANE (413)789-9607
PROPERTY LOCATION 21 CENTER ST
MAP 3 1 B PARCEL 284 001 ZONE CB
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: ERECT ILLUM FRONT WALL SIGN-TABLE9
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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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 Str Commission
-
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.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
Alteration.:.:___-----------( )
�'i ( )
Plans must be filed with the Building Inspec orRepair....._...._....__...........
,r= `" i1
r'z
Repainting.................... )
be-fo ^ ' ll'� \Viii hr gl 1r rr ,
Removal.........................
( )
Apptication for a Permit. to Mace or Maintain a Sign
or other- Advertising Device
(Application to be filled out in 1nit or typewritten)
FI:I ... .... . PAGE.......... PLOT..........
Northampton, Mass.........QC.T4'"Z........1..�.....................laJ'...........
To the Building Commissioner:
Application fora permit to place or maintain a sign or other advertising device. or marquee.
BUSINESS NAME..........TWA r--.....7...... . ..... ..... . _
..... .... .. .....................................
1. LOCATION, STREET and No. ....... .I........(IF
.T�2........s.%.L....E..%..............................................................................
2. Owner's name...............!:AM........ .........4.NrSC!f./. ..........................................................................................................................
3. Owner's address........ 1L`..... .....,9.G
.....i'-.1 ..... ?f1....... l.C�..f.........................
4. Maker's name.............5.44....... ? �.,2s�.�F.................................
5. Maker's'address.....39. :i N...S7vg.l.DS...;....f.�i?tf ivC ,r�r9
...... ..... ............................................................................................................. ..
G. Erector's name................lkr./ ......r ale..`...t...........................
. ....................................................................................................................
7. Erector's address.............................C..LM!" r^fC i !N..,,...'w3......... .......-. ......................
...................................................................
SIGNKIND OF SIGN
(Designate)
I. Sign will be (check one) illuminated... ............non-i liuminated........ .....
...
2. Will sign obstruct a fire escape, window or door"...!✓.v....
D4arq u ee......................................
3. Lower edge will be.....-11......
4L7.�t. ........i........ins. above the public way. Projecting..................................
.
• - Roof............................................. .
4. Upper edge will be......L3......ft. ......1........ins. above the public way. ...
Temporary.................................
5. Height......Z.......ft........ro........ins. Width-....`d.......ft......d..........ins.
Wall............✓.................................
G. Face area...2-5......sq. ft. .
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...S1' f.%Cr`L.Face....... A ......
IJ. Estimate cost_..(, CC. C()
The undersigned certifies that the above statements are true to th .
best of his knowledge and belief.
(S gnaturc 01 0%viicr or Agew)
NOTE: In order that this application may be accepted, the da I called for above must be set forth
CLEARLY and FULLY.
Ei 1 e Mo.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PR1XT ALL 1NEORMATXON
1. Name of Applicant: ILAAJ j. 4AJ11C91X'
r.
Address: -APLJ-Z L-+'Vf 1"1-14,40 Aq Telephone:_ -7Fq- 940 7
2. Owner of Property: 11A I C &Vq 61z-
Address: s4,z t J s 7- He--�O 4L Telephone:— 5-.;-2- 0-776
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 7_ 1 C 6NTFA S Ajo/Z P X
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property l/ZL- 71AC",rs
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: v/ - 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 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 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)
Y 910. Do an signs emst on the property? YES NO V
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO____
IF
O -
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This c02== to be filled in
by the BaiSdiag 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 mi-nus bldg
&paved parkingi
# of Parking Spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledg .
DATE: ldzb3 APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an ap lioan s burden to oomply with .ail
zoning requirements and obtain all required permits from the' oard of Health, Conservation
Commission, Department of Publio works and other appiiomble permit granting authorities.
FILE #
1 24.00
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30.00