Loading...
18D-055 (6) City of Northampton Map 18D Lot055 Zone GB(100)/URA(0)/ Massachusetts Date issued 7/20/2020 0:00:00 Inspector of Buildings Permit # BP-2021-0048 Permit Fee$60.00 SIGN PERMIT Business Address 141 C DAMON RD Applicant InstallerSIGN TECHNIQUES INC Applicant Installer Address PO BOX 237 Work Description NON-ILLUMINTED ROOF SIGN - FRESH PAWS DOG SPA Estimated Cost $800.00 Building Department Approval by: Q� File#BP-2021-0048 \ (1�t�PLltiGl1�� ��X�SiI►�i(-� APPLICANT/CONTACT PERSON SIGN TECHNIQUES INC / ADDRESS/PHONE PO BOX 237 CHICOPEE (413)594-8886 PROPERTY LOCATION 141 C DAMON RD MAP 18D PARCEL 055 001 ZONE GB(100)/URA(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED . REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Tvneof Construction•_NON-ILLUMINTED ROOF SIGN-FRESH PAWS DOG SPA 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 INFORMATION PRESENTED: X 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 Lfin6t' S � TA '10�, aa Sigifture 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. m c---_ - C�t�t� IIf �r�l�ttm}�t�n s s r T f �IIMSSt1Piti[liBPfitB �`" ��c l "1 DEPARTMENT OF BUILDING INSPECTIONS s� y 212 Main Street • Municipal Building �fst`r Northampton, MA 01060 JT.33Application for a Permit to Place or Maintain a Sign INSPEC Sidewalk Sign, Marquee or other Advertising Device (Application to be filled out in ink or typewritten) Number A y� Plans must be filed with the Building Inspector Erection..................(X) before a permit will be granted. Alteration.................( ) Repair.....................( Repainting...............( ) I Removal..................( ) j646 FEE RAGE..!` .C"PLOT....... Northampton, Ma j .... .�.t.........2 0 To the Building Commissioner: Application for a permit to place or maintain a sign or other vertising device, or marquee. BUSINESS NAME /...fi-rUf7� f � 1. Location, Street and No. ./l../ ...d— .. C/Lr� l .................... . ............................ 2. Owner's nam !.S! .. ��-//•l.� t!................................. 3. Owner's address . �...K C S /1.� 1.CJ ...YA-616JY 4. Maker's name !.' ..../C ................................................. 5. Maker's address ..Vl. .(....... e../.Cl�t ...C. x. v/.......... 6. Erector's name�!.� .�../. ....!!.r�.^ 1.... .. ...//ele:.......................................... 7. Erector's address ... . .......... SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illuminated ....... 2. Will sign obstruct a fire esc e, window or door? /V .. Marquee ............... 3. Lower edge will be ./�.ft.. ..ins above the public way. Projecting, :.. ..... 4. Upper ed a will be �,�..ft..�0...ins above the public way. Roof�I... k� . 5. Height . ...ft./Uins Width /./..ftAP*.ins Temporary......... 6. Face area Z .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 ole is .......ins back from the street line. 10. Sign will project .. ..ins b and the street line. 11. Sign will extend .. ...ft .. P..ins above the building pole; 12. Of what material will sign be constructed? Fra 144 ...... Face ���/fYI!/�v�1 13. Estimated cost $...Ja. ............. The undersigned certifies that the above statements are tr \ / best of his knowledge and belief. .. ... !..Y.................................................. (Signature of Owner or Agent) 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: Address: [/ GCJ / Telephone:/��7y���t0 2. Owner of Propert . Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee� XOther(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) I 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 Y 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___-v_ 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:s�/�//Q.� ZZ) J? al-Cd& i ob s �2 AZ". Are there any proposed changes to,or additions of,signs intended for the property? YES NO_K_ 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. 7- Ja Ik DATE:e7r-�Gz/�/ APPLICANT'S SIGNATld�Xl�' C � Applica is Ad ss (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 The Commonwealth of Massachusetts w1Sis'. Department of Industrial Accidents F_ Office of Investigations Lafayette City Center [`- ✓ 2 Avenue de Lafayette, Boston MA 02111-1750 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Sign Techniques, Inc. Address:361 Chicopee Street City/State/Zip:Chicopee, Ma 01013 Phone #:413-594-8886 Are you an employer? Check the appropriate box: Type of project (required): IA I am a employer with 13 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. F-1 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' y p n'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.® OtherSign comp. insurance required.] *Any applicant that checks box#] must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Liberty Mutual Policy#or Self-ins. ``Lic. #:WC531 S339284,0/38 Expiration Date:11/2020 // Job Site Address;�7� ✓ � ��/�C,L City/State/ZipY YAtd& M U Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb�cerl �the pains and penalties of perjury that the information provided above is true and correct. Si a e: Date: — Phone#: 413-594-8886 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 1❑Board of Health 2❑Building Department 3LICity/Town Clerk 40 Electrical Inspector 51:]Plumbing Inspector 6.00ther Contact Person: Phone#: -142 in 22 ir 7 / / W z i IN • W z io in PA' i [[i �. 2iialii[ilfl�[i[i [[ii[iia �lN111t1lE flNlllI111Ai -__ _ - ' �iill�lill� !�11111 U1111 11tillt 1111111Itt11t111itlfl!!!tltil I IIIIINIIIII t11t111 11��1 ��tQtltl�l�ltll�1CI1111111�II��tit11111' �! 1{1fl11111 I till tlttDltltl16111l11111lI11111i1 111111�11111 1111111t1111tt1i1111t1tl: �It111�it�ll�t - - 1 AI1111111t111II11i111111111111111111N11U1111�1111111111111��1t11t11ti111 t1111�111t1� t111111N11 I 1 � � � gne Customer:Fresh Paws Do Spa ° -___ rem �C61C�Gfe9 = _ _ _ • i i r 4 1 I . i gr,�3phico 0 2020 Sign Techniques, reserved.