23B-014 (5) City of Northampton Map 23B Lot014 Zone SI(I00)/
Massachusetts Date issued 9/8/2016 0:00:00
Inspector of Buildings Permit# BP-2017-0312
Permit Fee$0.00
SIGN PERMIT
Business
Address 125 LOCUST ST - DPW
Applicant InstallerNORTHAMPTON CITY OF BOARD OF PUBLIC
WORKS
Applicant Installer Address
Work Description NON-ILLUMINATED GROUND SIGN FOR WASTE
WATER TREATMENT PLANT
Estimated Cost
Building Department
Approval by:
(111!J of Worttramp-tun
r
• alussnrt[usetts
c r �
a It •. DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building C , snt4,'
.- Northampton, MA 01060
Itsl'(IcrOR 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 a permit will be granted. Alteration.................(X )
Repaic_ ___._.. ( I
Repainting........._._( )
Removal..................( )
FEE..,O-....PAGE PLOT.......
Northampton, Mass. 20
To the Building Commissioner:
Application for a permit to place or maintain a signor other advertising device, or marquee.
BUSINESS NAME City of Northampton Waste Water Treatment Plant
1. Location, Street and No
2. Owner's name City of Northampton DPW
3. Owner's address 125 Locust St 01060
4. Maker's name N/A
5. Maker's address
6. Erector's name City of Northampton DPW
7. Erector's address
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated X
2. Will sign obstruct a fire escape, window or door? Marquee
3. Lower edge will be .4...ft ins above the public way, Projecting
4. Upper edge will be .7 ft ins above the public way. Roof
5. Height ft ins Width ft ins Temporary
6. Face area .24...sq. ft. Wall
7. Inner edge will be ins from the building or pole. Ground ..X
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
13. Estimated cost $
The undersigned certifies that the above statements are true t.. - t of his knowledge and belief.
ure of Owner or Agent)
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: City of Northampton DPW
Address: 125 Locust St 01060 Telephone: 413-587-1570
2 Owner of Property: Same
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explainy.
A Job Location:
Parcel ID: Zoning Map# 39A Parcel# 039 District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Ex's mg • - • - . . : • ••-• _
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
Directional sign WWTP
7. Attached Plans: _Sketch Plan Site Plan _Engineered/Surveyed Plans Photos
8. -.s a Special PermitNariance/Finding ever been issued for/on the site?
NO •• T KNOW YES IF YES, date issued:
IF YES: Was the perm' - • ded at the Registry of Deed
NO DON'T KNOW Y
IF YES: Enter: Book --ge --• or Document#
9. Does the site contai• •rook, body of water or wetlands? NO DONT KNOW YES
IF YES .s a permit been,or need to be,obtained from the Conservation • sion?
eeds to be obtained Obtained Date issued
.. U. .n signs exist on the property? YES NO
IF YES: Describe the size, .•- +-• • -tion:
Are there any • • - anges to,or additions of, signs intended for the property? YE ••
IF YES: Describe the size,type and locat'o
Page 2 of 3
FORMATION.
11. ALL INFORMATION MUST BE COMPLETED• PERMIT CAN BE DENIED DUE TO LACK OF till
ImINN This column to be filled in by
the Building Department.
Existing Proposed Required •
Zon g
Lot Size
Frontage
Front: .... .�
Setbacks:
Side: L: R: L: R:
Rear:
Building Height
Bldg Square
Footage
% Open Space:
Dot area minis bldg and
Paved parking)
# of Parking Space
#of Loadin: a ocks
Fill- (nNme a 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
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