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31B-224 (12) City of Northampton Map 3 1 B Lot224 Zone EU(100)/URC(100)/ Massachusetts Date issued 1/18/2019 0:00:00 Inspector of Buildings Permit # BP-2019-0810 Permit Fee$60.00 SIGN PERMIT Business Address 41 ELM ST - DUCKETT Applicant InstallerSUNSHINE SIGN Applicant Installer Address 122 Worcester St Work Description NON ILLUMINATED WALL SIGN - DUCKETT HOUSE Estimated Cost $230.00 Building Department Approval by: File#BP-2019-0810 APPLICANT/CONTACT PERSON SUNSHINE SIGN ADDRESS/PHONE 122 Worcester St NORTH GRAFTON (508)839-5588 PROPERTY LOCATION 41 ELM ST-DUCKETT MAP 31 B PARCEL 224 001 ZONE EU(100)/URC(100)// THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildine Permit Filled out Fee Paid Typeof Construction: NON ILLUMINATED WALL SIG ETT HOUSE 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 I1t1FpItMATION 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 dolly 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 Massachusetts A WE `i OWM2110M OF WZWXM ZPMZCTXCM 212 Main atr"t • Municipal suildiM c Northw*Wn, Nk 01064 INSPECTOR Application for a Permit to Place or Maintain a Sign ^r` Or other Advertising Device, or Marquee VAW nut_t<✓►ink or vpmditn) Number... Plans mint be filed with the N1 is Erection................ .t ) before a cerrnk will be granted. j Alteration.................{) Repair.....................( ) JAN 1 5 2019 Repainting...............( ) WLl Removal..................{ DFPro�r:unrnN� FEE .P.PAG E:3L�'��.PLOT.... �7 TCN.Ma n71�;0 n,Mass. ...............................20..... Application for a permit to place or maintain a sign or other advertising device,or marquee BUSINESS NAME .... INI 1.1.` 4......!+.,��1. � .......... ........ ........ !'hA4 ke'+ 1. Location,Street and No...Z.�......l.e: ......... ` `'�..L.....'.�t.V.!............. . ..... ..... UG 2. OwnePs name.. r�^,?� P�......�-'......... .....W. . ......f.�.. .. , 3. Owner's address.. .......:.bt��G-.....!� !.t......... .... .................. ................... 4. Maker's name ......... ` ... �,{_.. ..... S. Makers address.Y�t�.....1d!!tisf. .".... ....... .. 'f .�_�" 6. Erector's name... .......��. �?......!!..�-�':e�............................................. 7. Erector's address....................................................................................................... SIGN KIND OF SIGN (t)esipnats) 1. Sign will be(check one)illuminated ....... Non-iliuminateX.... 2. Will sign obstruct a fire escape,window or door? ...AID 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 ......It......ins Width ......ft......ins Temporary............. 6. Face area ... ..sq.ft. Wall ..................... 7. Inner edge will be ......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 .......ft .......ins above the building orppoole. 12. Of what material will si n be constructed? Frame ....N.I.&........... Face....................... 13. Estimated cost $... .......... The undersigned certifies that the above statements are e t e best of his knowledge and belief. Signature of Owner or Agent) Page t of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION 28' r 41 ELM . EET � r nr�t U� . K, 3 i' k . 22' 2' DUCKETT ' .......... HOUSE � � "��� � Stud mounted to wall with silicone side 3"—1'-0" 1/8'bordervinyl L 3"=i'-0" CLIENT.SMITH COLLEGE PROJECT/SIGN TYPE:EXTERIOR WALL ID SIGNS DRAWN BY:EL JOB#:5474 DATE:JAN 2 2019 43 121 Westboro Road This drawing is given in confidence and may not be used North Grafton,MA 01536 ❑ Approved for Fabrication ❑ Revise and Resubmit SUNSHINE or disseminated in any way without prior written Name sign P 508.8395588 consent from Sunshine Sign Company,Inc All common F 508.839.9929 E] Approved as Noted EJ Rejected <��> www.sunshinesign.com law and copyright laws are hereby specifically reserved. Si 9nature SIGN TYPE:C