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22B-041 (28) 11. ALL INFORMATION MUST BE COMPLETED• PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. 12This 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 SIGNATUR Applicant's Email Address (required) 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. Page 3 of 3 r, THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: Telephone: 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee _Other(explain): 4. Job Location: Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: 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 Perm iWariance/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 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 IF YES: Describe the size,type and location: Page 2 of 3 C�i�� of �d`ur�.�ttm�r�nn f v �1lttssttr2fusrtts �•� DEPARTMENT OF BUILDING INSPECTIONS ., 212 Main Street. * Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device (Application to be filled out in ink or typewritten) Number ...... .......iC.... Plans must be filed with the Building Inspector �� e!v Erection..................{ } before a permit will be granted. L.1 ---- Alteration.................{ ) Repair.....................{ ) /„ Repainting...............{ } t�1 Kp& N4V 2 7 2018 m val.......... ...{ ) F P.YAGd'......PLOT....... DEPT. F BUIILDI G INSPECTI NS ...............................20..... To the Building Commissioner: Application for a permit to place *or maintain a sign or other advertising device, or marquee. BUSINESS NAME ... CA.i.P................................................... 1. Location, Street and No. .n.6.... �tnQ...... mt•..dcL 2. Owner's name.\faYY1Q ... 1..... "•.\............................................... 3. Owner's address's .�...��I�G��:#�....��....�f... �...��....O�,U�.., 4. Maker's name .[ 'C£ 1 ... � f1t .................................................................. °12 5. Maker's address .�.{`�............moa.... Yl......."1 A.... 6. Erector's name .......................................................................................................... 7. Erector's address ....................................................................................................... SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illuminated.,. 2. Will sign obstruct a fire escape, window or door? . .. Marquee ............... 3. Lower edge will be ......ft........ins above the public way. Projecting .............. 4. Upper edge will be ......ft........ins above the public way. Roof ..................... 5. Height ......ft......ins Width ......ft......ins Temporary. ... 6. Face area .......sq. ft. Wall .......... .... 7. Inner edge will be ......ins from the building or pole. Sidewalk.................... 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 to t b st of his knowledge and belief. . ... . . . ... . .. . . . ...... ......... ature of Owner or Agent) r Page 1 of 3 arre-f Ccs -cel File#BP-2019-0636 APPLICANT/CONTACT PERSON PUFFER SIGN ADDRESS/PHONE 45 UNION ST EASTHAMPTON (413)527-1069 PROPERTY LOCATION 176 PINE ST MAP 22B PARCEL 041 001 ZONE NB0 001/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Iypeof Construction: NON ILLIMIATED WALL SIGN-UN ARRET C TO 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFPRMATION 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 —Demolition Delay §ignat&of BuildingOfficialDate 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 Map 22B Lot041 Zone NB(100)/ Massachusetts Date issued Inspector of Buildings Permit # BP-2019-0636 Permit Fee$60.00 SIGN PERMIT Business Address 176 PINE ST Applicant InstallerPUFFER SIGN Applicant Installer Address 45 UNION ST Work Description NON ILLUMIATED WALL SIGN - UN ARRET CAFE***REFACING ONLY*** - NO CHANGE TO FRAME io 00u Estimated Cost $879.00 Building Depart ,meat Approval by; � 6Ueck 4 Fr jk a �r j' It moo r r ' • am. A I�' I U I � 1 �` PINE ST. caopww cqF E �rrwwn�'gl .6� eta x � SRI( PINE ST. COAXeD WIT+( Lwi(rijiL7D V i M(, OpiV( — VA wig' nD%k'► - liar i wao OEM _,.,yA4Y wig tMaa ff - Op�hor J- -- 4� ,� Illi r3rlel��T ` e - PINE ST. -- - 3. Q CAFE 2 SREWA£?•LUNCH•PASTRE99 S COP-oO LPAr- A OM-per ng-. � Ig3. �✓o Ia%)—AttPn-(W -tWZ- >4u- 3 FIC4U I ILS PUATLOY T-OK OMY #a M car 00