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31B-248 (5) City of Northampton Map 3 1 B Lot248 Zone EU(100)/URC(100)/ Massachusetts Date issued 1/18/2019 0:00:00 Inspector of Buildings Pen-nit # BP-2019-0804 Permit Fee$60.00 SIGN PERMIT Business Address 110 ELM ST - HAVEN HOUSE Applicant InstallerSUNSHINE SIGN Applicant Installer Address 122 Worcester St Work Description NON ILLUMINATED WALL SIGN - HAVEN HOUSE Estimated Cost $230.00 Building Dep a tment Approval by: File#BP-2019-0804 APPLICANT/CONTACT PERSON SUNSHINE SIGN ADDRESS/PHONE 122 Worcester St NORTH GRAFTON (508)839-5588 PROPERTY LOCATION 110 ELM ST-HAVEN HOUSE MAP 31 B PARCEL 248 001 ZONE EU(100)/URC l 00) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out —� Fee Paid Typeof Construction•_NON ILLUMINATED WALL SIGN-HAVEN 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 INF9kMATION 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 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. T T City of Northampton Sys-7, Massachusetts A. p DPARTAN'1' OF WZZDZNG ZAWZCTZONS ' 212 Main Straat • Municipal Building North "ton, N& 01064 snir y��a Application for a Permit to Place or Maintain a Sign INSPECTOR Or other Advertising Device, or Marquee c�//�� tt n) Number.............. � ���(/?j filladantinin < .......... . .. Plans Mgt be filed mdh the AIn .i E C E I V E D Erection................ .{ ) hefore a permit vitt be granted. I Alteration.................{ ) Repair.....................{ ) JAN 1 5 2019 Repainting............... ) //��Removal.........6.,4 } [L Q DEPT OF GUILDING INSPECTIONS FEE!�`'.OPAGE.........PLOT..�7 a NORTHAMPTON,PAA 01060 amp on,Mass. ...............................20..... Application for a permit to place or maintain a sign or other advertising device,or marquee � / _ t 1 BUSINESS NAME..... .":,1 ......tpll r .....-....i.....,................. ...... 1. Location,Street and No.JJE I sl r ............'•"" ..... ....... .............. . ................. 2. Owner's name... nAs.1.•-P��S....... . . .... -�G'.i -. 3. Owner's address b ..:�'......t.._..c.��-.. 1-:s:!.t......... .... ....... ...... ................ 4. Maker's name.. !!W,>�5!'!N.......... � .. ..... 5. Makers address. r.....Y'!ilLkV...........'.i....� ... � t.�..� " 6. Erector's name....'�!M::4r.�.......r�.�.�!......!!..`.`�,.lce ! ............................................ 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? ...t1llD 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 ......It......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 or pole. 12. Of what material wiilli n-be constructed? Frame ...-int.1.4*r........... Face....................... 13. Estimated cost $........�R.......... The undersigned certifies that the above statements ar he best of his knowledge and belief. (Signature of Owner or Agent} Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION 20" / 110 ELM STREET s c< t $ 7 » F; S�2N 3 �F Stud mounted to HAVEN j wall with silicone ., side front Quantity(2) 3"—1'-0" 3"—1'-0" 1/8'border vinyl CLIENT:SMITH COLLEGE PROJECT/SIGN TYPE:EXTERIOR WALL ID SIGNS DRAWN BY:EL JOB#:5474 DATE:JAN 2 2019 8 121 Westboro Road This drawing is given in confidence and may not be used North Grafton,MA 01536 ❑ Approved for Fabrication ❑ Revise and Resubmit SUNSHINE p 508.8395588 or disseminated in any way without prior written Name sign F 508.839.9929 consent from Sunshine Sign Company,Inc All common E] Approved as Noted ❑ Rejected www.sunshinesign.com law and copyright laws are hereby specifically reserved. Signature SIGN TYPE:B