18D-026 (66) ��
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11. ALL INFORMATION MUST BE COMPLETED;PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12� This column mbe filled in by
the Building Department,
Existing Proposed Required by
Zoning
Lot Size
Frontage
Building Height
Bldg Square
Footage
% Open Space:
(Lot area minus bidg 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.
D AT E� APPLICANT'S SIGNATURE
Applicant's Email Address (required)
NOTE: Issuance of 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
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 Permit/Variance/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
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DEPARTMENT OF BUILDING INSPECTIONS Vis,
212 Main Street. • Municipal Building
Northampton, MA 01060
Lu�PECTOR Application for a Permit to Place or Maintain a Sign
Sidewalk Sign, Marquee or other Advertising Devices
lication to be filled out in ink or typewritten) Number ............': ....
Plans must be filed with the BuildintUPNORTH'4UMPT
EC E I V E D Erection..................(/)
before a permit will be granted. Alteration.................( )
Repair.....................( )
NOV 1 9 2018 Repainting...............( )
Removal....................( ()
TF E& ..PAGE . .. .PLOT."".`.'
OF ILDING INSPECTIONS
ON,MA 01060 �\
ton, Mass. ...............................20.....
To the Building Commissioner:
Application for a permit to Plape or maintain a sign or other advertising device, or marquee.
BUSINESS NAME .......��\��...� ���.C.J��................................................
1. Location, Street and No.
...... Ct . .........\ ..... - .
2. Owner's name ....WN...
J. ...........................................^...........................
3. Owner's address �..�` `�`.. -- ►\..b.
4. Maker's name ..�\.` L .......\0\§
..................................................................
5. Maker's address z-
6. Erector's name ...G.``N... ..... ....�3.... ..
.............................................................
7. Erector's address .`tee? ... �� ...\&.... .......................
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check ne) illuminate ....... Non-illuminate .......
2. Will sign obstruct a Ire 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,2— ft .....ins Width\�-.ft......ins Temporary.............
6. Face area!�X'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... .�:? c.....
13. Estimated cost $.. x,..,5`.5 ....
The undersigned certifies that the above statements are true to theAa of his knowledge and belief.
........ ... .................
(Signature of Owner or Agent)
Page 1 of 3
File#BP-2019-0621
APPLICANT/CONTACT PERSON CHUCK'S SIGN CO
ADDRESS/PHONE 658 FULLER RD CHICOPEE (413)592-3710
PROPERTY LOCATION 55 DAMON RD
MAP 18D PARCEL 026 001 ZONE GIO00)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
Typeof Construction: ILLUMINATED SIGN-KEVIN'S HAIRCUTS
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
INFO ATION PRESENTED:
pproved 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
Signature of Building 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.
City of Northampton Map 18D Lot026 Zone GI(100)/
Massachusetts Date issued 11/30/2018 0:00:00
Inspector of Buildings Permit # BP-2019-0621
Permit Fee$60.00
SIGN PERMIT
Business
Address 55 DAMON RD
Applicant InstallerCHUCK'S SIGN CO
Applicant Installer Address 658 FULLER RD
Work Description ILLUMINATED SIGN - KEVIN'S HAIRCUTS
Estimated Cost $2000.00
Building Department
Approval by:
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Build & Install New 2'x12' Sign Proposed
24 SQ. FT.
Existing 7" Deep - Backlit w Leds - Lexan Face
Company Kevins Haircuts
Contact Kevin Ovitt
ahuckssign(o3yahOo.CoAddress 55 Damon Rd. Northampton MA Phone: 413-254-1115
m wwW.ChUCk551gIT.COrtt
656 fuller Rd. Ch'copee.MA 0020 Eail oV i t t mail.c o m
413-592-3710 fax 413-594-4913 Mail I( g