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22B-041 (22) City of Northampton Map 22B Lot041 Zone NB(100)/ Massachusetts Date issued 5/16/2016 0:00:00 Inspector of Buildings Permit # BP-2016-1317 Permit Fee$100.00 SIGN PERMIT Business ASCENDANCE INNER WORLD ARTS Address 176 PINE ST - ASCENDANCEINNER WORLD ARTS Applicant InstallerBOYD DYLAN Applicant Installer Address 192 PINE ST FLORENCE Work Description INSTALL ILLUM GROUND SIGN - ASCENDANCE INNER WORKS ARTS Estimated Cost $3700.00 Building Department Approval bv: File#BP-2016-1317 APPLICANT/CONTACT PERSON PUN FAMILY LLC ADDRESS/PHONE 191 SOUTHWICK RD WESTFIELD01085 PROPERTY LOCATION 176 PINE ST-ASCENDANCE INNER WORLD ARTS MAP 22B PARCEL 041 001 ZONE NB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT '1100 owitr Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ILLUM GROUND SIGN-ASCENDANCE INNER WORW ARTS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan TVFRMATION OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IPRESENTED: 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 CommissionPermit DPW Storm Water Management Demolition Delay S1 � Signatu e of Building Offfcial 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. City of Northampton RECEIVED Massachusetts i a D P OF B17;ZDING INSPECTIONS MAY2in Street • ` - kunicipal Building Northampton, MA 01060 INSPECTO D P.. r Permit to Place or Maintain a Sign "Jr?''°' 16. vertising 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....... To the Building Commissioner: Northampton, Mass. ...............................20..... Application for a permit to place or maintain a sign or other advertising device, or marquee. I'~ ��M� �c 1n�> G1 � BUSINESS NAME ...........ff.................................:..............................I..�C-................. 1. Location, Street and No. ...!............?:!! .. } �°f'�v y`'! ..()1�1�2 ......................... 2. Owner's name ......td`1 w...CA-Lf!0'.cL-.I1"3'1.1 3. Owner's address i� ..................... . ................. .........V..1.�........�........�."..+............F............................A..V............O.... 4. Maker's name ................................................:............................................................ 5. Maker's address .......................................................................................................... 6. Erector's name .......................................................................................................... 7. Erector's address ....................................................................................................... SIGN KIND OF SIGN 1. Sign will be (check one) illuminated . . Non-illuminated ....... (Designate) 2. Will sign obstruct a fire escape, window or door? .M.. Marquee ............... 3. Lower edge will be r S .ft........ins above the public way. Projecting .............. 4. Upper edge will be .� .ft..a...i s above the public way. Roof..................... 5. Height ..J.ft.:U.ins Width ..ft.. .ins Temporary............. 6. Face area�L�sq. ft. Wall ............... 7. Inner edge will be ..� .ins from the building or pole. Ground ......X...... 8. Outer edge will be ..Q..ins from the building or pole. Other ................... 9. Face of building or pole is z..Q.ins back from the street line. 10. Sign will project .. ?...ins beyond the street line. 11. Sign will extend ..Q...ft .e...ins above the building',or pole. 12. Of what material will sign be constructed? Frame L...! ' r........ Face...r 13. Estimated cost S The undersigned certifies that the above statements ar tru to the b st of his knowledge and belief. ,...... (Sig t re of Owner or Agent) Page 1 of 3 THIS FORM IS PART OF TH�SIGN PERMIT APPLICATION File Nq. ZONING PERMIT APPLICATION j� PLEASE TYPE 6R PRINT ALL INFORMATION ,/ 1. Name of Applicant: [ ��'� t r °v`tel z' C Address: t q2 1 1 we - IC_JZ✓t 4f AAA C/1° Telephone: 6 (�•�� (��`� 2. Owner of Property: Address: 6 &y- �� g}f1`�(� 1 o(8" Telephone: 3. Status of Applicant: Owner Contract Purchaser ,Lessee _Other(explain): 4. Job Location: t_l2 Pcy`- S"A E(L/rw V_4A- 0(4 P-1 Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ` ( 5. Existing Use of Structure/Property: CCA"j, 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/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 YES IF YES: Enter: Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO_>L DONT 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: Are there any proposed changes to,or additions of,signs intended for the property? YES NO-1— IF YES: Describe the size,type and location: 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 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: 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 f r, a: \ t k 3 \ c gON