31B-247 (9) City of Northampton Map 31 B Lot247 Zone
EU(100)/URQ 100)/
Massachusetts Date issued 1/18/2019 0:00:00
Inspector of Buildings Permit # BP-2019-0803
Permit Fee$60.00
SIGN PERMIT
Business
Address 112 ELM ST - HOPKINS HOUSE
Applicant InstallerSUNSHINE SIGN
Applicant Installer Address 122 Worcester St
Work Description NON ILLUMINATED 'WALL MOUNT SIGN -
HOPKINS HOUSE
Estimated Cost $200.00
Building Department
Approval bey:
f,
File#BP-2019-0803
APPLICANT/CONTACT PERSON SUNSHINE SIGN
ADDRESS/PHONE 122 Worcester St NORTH GRAFTON (508)839-5588
PROPERTY LOCATION 112 ELM ST-HOPKINS HOUSE
MAP 31 B PARCEL 247 001 ZONE EU(100)/URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION.CHECKLIST
ENCL ED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid Al 41
Buildina Permit Filled out
Fee Paid
TvDeof Construction: NON ILLUMINATED WAL MO IGN-HOPKINS 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 F LLOWING 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
Demolition Delay
1 � 9
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
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212 Main Sunt • Municipal Building �v �.�•
Morthaepton, Mil 01060 s 1a
INSPECTOR Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(AMUcWon to be filled out In Ink or tppavrritten) Number.....................
Planj must be filed the n G E N E® Erection..................( )
before a oermil wail be granted. '— Alteration.................{ }
Repair.....................( )
JAN 1 5 2019 Repainting...............{ }
Removal..................( )
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FEEIJr:..PAGE..31.1 L.OT.......
DEPT OF GUILDINC INSPFCTIONS
NORTHAMPTON.MA 01060 pton,Mass. ......2U.....
Application for a permit to place or maintain a sign or other advertising device,or marquee
BUSINESS NAME....S".f�1.` 4......�.. Dir ............................................ ,
1. Location,Street and No....
s
2. Owner's name.. r . ...................... ................ .� ..
3. Owner's address b
c.: .......4�.-..c. 1-- !.t......... .... ................ ................
4. Maker's name...�?�!4V1 .... ��....... ` ... .... .......
5. Maker's address.!21.....Y!!��5'�, ............' .1......................
... ! �....�u� it
6. Erector's name... ...............'.......!!..`..!-4':e:!�.............................................
7. Erector's address.......................................................................................................
SIGN KIND OF SIGN
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......ft......Ins Width ......ft......ins Temporary.............
6. Face area .......sq.ft. Wail .....................
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 sign constructed? Frame ....til./.d ........... Face.......................
13. Estimated cost $....2. .......
The undersigned certifies that the above statements are e t the best of his knowledge and belief.
(Signature r, Owner or Agent)
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
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SUNSHINE &¥Grafton,Aos ordisseminated many way without prior written ❑ Approved for Fabrication ❑ Revise and Resubmit Name
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SIGN TYPEB
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