23B-035 (17) City of Northampton Map 23B Lot035 Zone
NB(100)AJRB(0)/
Massachusetts Date issued 8/15/2019 0:00:00
Inspector of Buildings Permit # BP-2020-0183
Permit Fee$100.00
SIGN PERMIT
Business
Address 61 LOCUST ST
Applicant I nstallerGO D FREY SIGN LLC
Applicant Installer Address 336 BERKSHIRE TRAIL
Work Description NON ILLUMINATED GROUND SIGN - 61 LOCUST
WOHL FAMILY AND UROLOGY GROUP
Estimated Cost 52750.00
Building Department
Approval by:
Cl" A4:,., tam
File#BP-2020-0183
APPLICANT/CONTACT PERSON GODFREY SIGN LLC
ADDRESS/PHONE 336 BERKSHIRE TRAIL CUMMINGTON
PROPERTY LOCATION 61 LOCUST ST
MAP 23B PARCEL 035 001 ZONE NB(100)/URB(0)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCL ED QUIRED DATE
ZONING FORM FILLED OUT
Fee Paid it AA I
Buildina Permit Filled out
Fee Paid
Typeof Construction: NON ILLUMINATED GROUND SIGN --6MOCI IST WOHL FAMILY AND UROLOGY
GROUP
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y 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:
Approved Additional permits required(see below) A �P�JRZi
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
Signatur 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.
- Titu of xort4ampton
i; �lttssttrllusrtts F`� 4�
_ A H _�
DEPARTMENT OF BUILDING INSPECTIONS s
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 .....4.°1Q ..
Plans must be filed with the Building Inspector "22019
..................( )
before a permit will be granted. n.................( )
....................( )
ting...............I..................
o�3b �p3s
P GE........PLOT.......
DEPT O':BUILDING Ii`JSPECTIONS
oy6FT r-T PAA 01060
. ...............................20.....
To the Building Commissioner:
Application for a permit to place ordr
maintain
�a sign or other advertising device, or marquee.
BUSINESS NAME ...... l../•....k-.�..�.1...........................................................
1. Location, Street and No. ...4(:.!.....1- ���. .... '.....
................... ..................
2. Owner's name ...�,� lr/�i ... i.� L..p�...C �i�...�. .
......................
3. Owner's address ..... ��Q C!l.
4. Maker's name ....1?fJ-��/Lt ! S !�
5. Maker's address
.... .......................... .....
6. Erector's name ...C-7,0..];b.i CY....fC N............................................................
7. Erector's addresslo.. ..................l ' l� . !� �`!�`:? zf..M/—N ..........
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ....... Non-illuminated . !..
2. Will sign obstruct a fire escape, window or door? ..t''. .�.' Marquee ...............
3. Lower edge will be ......_ft........ins above the public way. , Projecting ..............
4. Upper edge will be I:........ins above the public way.iv//_�,. Roof .....................
5. Height Aft A20 is Width ......ft.gP.ns Temporary.............
6. Face area .ZQ.sq. ft. Wall .....................
7. Inner edge will be ......ins from the building or pole. SidewalJc,........... ........
8. Outer edge will be .......ins from the building or pole., /;^ Other...�'�:�
9. Face of building or pole is 06C..ins back from the street line.i 5
10. Sign will project .(,;-. ins beyond the street line.
11. Sign will extend .......ft .......ins above the building or pole.1`14-c'-
12. Of what material will sign be constructed? Frame ...CCL'>AC ..... Face..0 Cb A Jz,...
13. Estimated cost $....,.2.7.5?->.....
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
(Signatu Own r or g
Page 1 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: ,r i lJu'� ��` l r ov{� S '
Address: 3 3G � S h,%� �. f!,,,.,,//,,�.:�-ti-fa+. &W'Telephone: 4/3 - Z L17-S1 9 4
2. Owner of Property: c7 ti I f L hv-c"75 cS?Z�of
Address: 3 R 7 / O "Fo*.M4 Telephone: -5
3. Status of Applicant: Owner Contract Purchaser Lessee
_�C 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: 'S
6. Description of Proposed UsetWork/Project/Occupation:(Use additional sheets if necessary)
7. Attached Plans: _Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermittVariance/Finding ever been issued for/on the site?
NO DON'T KNOWS YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW 7� 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 east on the property? YES X' NO ` I
IF YES: Describe the size,type and location: q-, re��-( , -a2c.r Q
S ren (�O�'� �'�w►-•�� T
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
11. ALL INFORMATION MUST BE COMPLETED,• PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12. This 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: B- 0 -- I q APPLICANT'S SIGNATURE , C9tiWZ/
C)--<--t ,--)a r-k C, yc�� e'1 s ��-= l 1 c , C o,M
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
4
61
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