39A-76 (43) FILE ILE #
APPLICANT/CONTACT PERSON'...4I ,l '-L'J i - I l �. ate, i •.X 024i-59-pc(
ADDRESS/PHONE: //3 . — 2' t�-6P z "'. u ' +7, . -.4" < woe
L y
PROPERTYOCATION: At GZ'4✓ ',. _, .�,r-� �r<.
P —
l/ PARCEL: 71 ZONE -.
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECIQZST •
ENCLOSED REQUIRED DATE
7nWTNTC FORM FTTT.FT) TF � o //,579
FPP Paid (2 f 4
SP�t? /L-T-e e-.i 1'iLI't--. >l
Building Permit Filled mut A
Fie Paid
Type fConctnertimz'
It I ,
Remodeling Int erinr .
Additinn to Feicting ..
Arrrccnry Structure
Bniiding.Planc Tnrltnied-
I Seta of Plans l Pint Plan
THE FpOyL»LOWING ACTION HAS BEEN TAKEN ON THIS AP LICATION'.
_ A ved as presented/based on information presented
!�/DDenied/as presented: //�� �/
t/Special Permit and/or Site Plan Required under: § /.2- ( S
PLANNING BOARD x ZONINGBOARD
Received& Recorded at Registry of Deeds Proof Enclosed
Finding Required under§ w/ZONING BOARD OF APPEALS
Received Si Recorded at Registry of Deeds Proof Enclosed
/
Variance Required under.§ wtZONTNG BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
t
Other Permits Required:
i Curb Cut from DPW Water Availability Sewer Availability
k Septic Approval-13d of Health Well Water Potability-Rd Health
Permit from Conservat' ommis ion
Si store o finfor fl ate -
NOTE:tsauanoe of a zoning permit does not relieve an applloants burden to comply with all
_ zoning requirements and obtain all required permits from the Hoard of Health, Conservation
Y Commission, Department of Public Works and other appiloable permit granting authorities. "
tri)
iB
cI R �:
File No. 9O7t9eONU, '
ZONING PERMIT APPLICATION (S10 . ) ":
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: t}ofte- riE16 CY t— ,,,I'
Address: /I.5 LI+.+S Et_ n Op . ',1,./01-FI�aO /H9 Telephone: 4/.14 '8409 5.442
2. Owner of Pro petty: r�r�Urc/ CEec/`+ ReThrFt
Address: 7 4Z: Y` t£/YS T Cr Telephone: (5-1(G'S3 L+If
3. Status of Applicant: Owner )< Contract Purchaser_Lessee
Other(explain): c''� •
4. Job Location: y jL Q q ec -r ci
Parcel Id: Zoning Map ,7 (`# I /1/1 Parcel# 7 (o District(s): (,9-23
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure;Propelty_...... I 7 151./5+.-cod M— _
6, Description of Proposed UseANork/Prolect/Occupation: (Use additional sheets if necessary): •
eftgEr fr X !810` v t✓ya,4 s/ e.-7 _
7. Attached Plans: Sketch Plan I/ 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 PermiWariance/Finding ever been issued for/on the site?
NO DONT KNOW IF YES,date issued: •
IF YES: Was the permit recorded at the Registry of Deeds?`
NO DONT /KNOW YES T + �
IF YES: enter Book 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 CONTINUES ON OTHER SIDE)
•
10. Do any signs exist on the property? YES X NO
IF YES,describe size,type and location: /9-rpQi y¢-irYm Li iJ
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type apd location:
11. ALL INFORMATION.MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
2721, Department to be filled in
.. by the Building Departat
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks . front
- side L: R:_ L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
pf -Parking Spaces
pod Loading Docks ! 00
•
Fill:
-(volume•-& location)
•
13 . Certification: I hereby certify that the information contained herein
G is ti-u and accurate to the best of my knowledge. .
DATE: et
410 APPLICANT's SIGNATURE
NOTE; isa nos of a zoning permit does not relieve an ap ie nt b en to oomply with all
zoning requirements and obtain all required permits fro the Hoard of Health, Conservation
Commission, Department of Public. Works and other applioable permit granting authorities.
'Nn. • FILE I
.99/9 ".2 4
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113 LINSEED RD.
W. HATFIELD, MA 01088
(413) 247.5885
FAX (413) 247-3218
SvvT)4 EC-CV/317s
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I sy.f�: {1! Erection__..._...___eg )
Payer
.,fa' Alteration..__....___( )
Plans must be filed with the Building Inspector, Repair,_ ( )
Repainting_..._._._..( )
before a permit will be granted, Removal____ ( )
Lztg of Nortbanwirm, Jfi1nss.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
n
FEE PPAGE . PLOT /Le-
Northampton, Mass.,_____....a / (J/}.-.-..._.._._._.._19441
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME C..-V.B (N..C. TP....0
1. LOCATION, STREET and No.
2. Owner's name_.__.....C._L.u...8 0, Ls-a -Q.....t..,..l.,ti_C- .
3. Owner's address._.._.4S. :...g7..) . .
4. Maker's name_..._.._ _ .� . ... .__.. _C...__.___.__..__.__..__._._......._.____.._ ...._
5. Maker's address_.__ ._ e 1(7F+t= ...t_ ihr S _.....___..._._
6. Erector's name.._._ _. #.�3.._.�.�t.Ft_.4 . -t2_...( ,.._
_...._....._._......__.__.....__._ _..._...._._...._...._....._...
7. Erector's address. • ^
SIGN KIND OF SIGN
�/ (Designate)
1. Sign will be (check one) illuminated,. non-illuminated_�:c....,_.
2. Will sign obstruct a fire escape, window or door?....N ..... Marquee
3. Lower edge will be....'21.-_..£t. ins. above the public way. Prajeeting
4. Upper edge will be___._ft ins. above the public way. Roof.....
Temporary
5. Height—Cit.-CZ—ins. Width_..... ...ft._.Q__ins.
6. Face area 0 sq. ft. WaIL... ._..._...._................_
7. Inner edge will be-2.---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... O it—._._ins.above the building or pole. �j
12. Of what material will sign be constructed? Frame . t ..
Lo ..__... Face_,�7Le<cx-r"..^._..-...-....
1.1.. Estimate cos"f.,ggj00Q--'-
The undersigned certifies that the above statements are true�� ��
,, best of his knowledge and belief.
le
(Si. ature atrwner or •._en()
NOTE:In order that this application may be accepted, the data called for above must be set forth p.ttr-..
CLEARLY and FULLY. _., .
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