32C-045 City of Northampton
Massachusetts Date issued 12/4/2007 0:00:00
Inspector of Buildings Permit# BP-2008-0517
Permit Fee$30.00
SIGN PERMIT
Business SIAM SQUARE THAI RESTAURANT
Add -'�
Applicant Installer NAVAPORTN ZIVASATIANRACH
Applicant Installer Address 84 PLEASANT ST
Work Description ERECT NON-ILLUM WALL SIGN - SIAM
SQUARE
Estimated Cost $300.00
Building Department
Approval by:
File/ss BP-2008-0517
APPLICANT/CONTACT PERSON SIAM SQUARE
ADDRESS/PHONE 84 PLEASANT ST NORTHAMPTON (413)582-1817 Q
PROPERTY LOCATION 84 PLEASANT ST
MAP 32C PARCEL.045 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
f3mldine Permit Filled out
Fee Paid 3I75
Typeof Construction: ERECT M)N-ILLUM WALL SIGN-SIAM SQUARE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or Licensg
3 sets of Plans/Plot Plan
THE FOLLOWING 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 Street Commission Permit DPW Storm Water Management
Signature of Building
ti /
_. �/ 2 /�'
Si
g 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,
cNo 73'Po7577
tipAl Fzeceor ( )
-A/41
/w0'•,' 9lteratior ( )
_
Plans mut be Sed w:y the Building Inaecrar, _ Repair ( )
is P.epainting ( )
oq
before a permit will be rented, "' _— Removal ( )
V
Ctzty _atthntuasnR JS<
Application for a Permit toP1the or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE PAGE.......... PLOT
Northampton, Mass. 19__
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS.NAME SIAM SQUARE THAI RIsyARFWf
1. LOCATION, STREET and No. M PLEASANT STrtET
2. Owner's name NAVAPORN ZIVASATIANKACH
3_ Owner's address x.01 GtKOVC S(KEE1 NoKTRAmr- env ) orb 0
4. Maker's ramp FIN I5HETjp(�wM�ATEKIALY
5. Maker's addres 1Mf0 FF-OM THAILAND
6. Erector's name_ ` A vik P 6 <l??'/S)V 4SAIT AN RAC/4
�
7. Erector's address 201 G- $fl S 1
ovf ) Nal2-IT(pMPTO N C(b 6 6
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated non-Illuminated (Designate)
X
2. Will sign obfr
suct a fire escape, window or door? NO Marquee__
O / Projectng
3. Lower edge will "-.above the public way.
4. Upper edge will by cf ft b ins, above the public way. Roof..
5. Height i tt inWidth g ft S. inq Temporary
s.
l
6. Face area I5-g sq. ft. Grol>md X
7. Inner edge will be ® has from the building or pole.
8. Outer edge will be ® has. from the building or pole- Other________
9. Face of building or ole is IC inc.back from the street line.
10. Sign will prof ecLSL2_ms. beyond the street line.
ii. Sign will extend 0 `t 0 has above the building or pole.
12. Of what material will sign be const-ucted? Frame HAKD W O09 Face I-1 Wad
13. Estimate cost 150e o0
The undersigned s that the above statements are e
best of his knowledge and belief. ctix'^y'
(Signature of Owner or Agent
NOTE: In order t this a p c_tion mag'be accented, the dna canedfor mus �e f o-ti g"
CLEARLY and rZ"T LT. above ..-
File No.
Mat.a Paffigeti-Paalirea.CATIOASek g4
Please type or print all information and return this form to the Building
Inspector's Office
3. Name of Applicant: NW/Mg-1\1 ZWASAM\1114401
Address: L01 {y'hgUVE Sf� N021t-YxNPlON)MA .0M-eiephone: (4(&58_CX'i%7
E. Owner of Prope-Y EKIC 3UHEF- _...
Address: 47 3(4: ST) it HOL:OKa MA .01%bphone:( ) 1—@775
3. Stals of Applicant: Owner Contract Purchaser Lessee \/ 1 Other (explain)
4. Job Location:_C�d flaStr 4'r STAT N0QiWtlON1 M(4 ,O 106 O
- _,.E`
'�- * .... 47..."17;1177-1C.-:'"L -47:"!'±• @.v li k..,,.z " _ .,,e -_
5.
Existing Use of Structure/Property: geTAUPRANT
5. Description of Proposed Usei ork/Project/Occupation: (Use additional sheets if necessary):
APPLiCc TC 4 FOS. A ?Ewa- 10 ?LP A S'iN OF 2 rituPvvr AND
S T rF of AT TP€ vJfrLi.. AWVE Tt- t-- NP( AS 7th' t= 7Ajt ,
AND 5Nuct-tiA0 rny^11skrlOv (NCL(F>6D (-10NirvsrALL ,
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 ` DONT KNOW YES IF YES, daze issued:_,,,_.
IF YES: Was the permit recorded at me Registry of Deed-7
NO DONT KNOW YES
IF YES: enter Rook Page and/or Document #
9,Does the site contain a brook, body of water or wetlands? NO ✓ 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:
{Form coriro^:R' ?,ha-Sim?
..:..„VS F -.z,ov-Ful'tdx t<'_P;m
b.
95. Do any signs e_xis on tine property? YES „ NO v
IF CS, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:_, _.._.
11. Will the construction activity disturb (clearing. grading, excavation, or filling) over 1 acre or is ft part of a common
Man of development that will disturb over 1 acre? YES NO if
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST SE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF tNFOP.MATION
This column reserved
Npl RI ' 0 Peruse by the Building
R Deparbuent
EXISTING i PROPOSED _ 1.
Lot Size
Frontage
•
Setbacks Front
py ri Side IL R: L ' R: i. R:
l/ Rear
/ Building Height •
I.
Building Square Footage
l
n Open Space: (lot area
minus building& paved -
Carking
#of Parking Spaces !
of Loading Docks - -
iFi(I:
(volume& location)
13. Certification: I Hereby certify that the information contained herein is true and accurate to the best vi
my knowledge.
Date: i l ( 1 S / 0 7 _Applicant's Signature l —
`VOTE:Issuance of a zoning permit does not relieve an applicants burden to cotnpiyuitb all zoning
requirements and obtain all required permits from the Board of Health, Consersadon Commission
Historic and Architectural Boards.Department ofPublic Works and ocher applicable permit granting
authorities.
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