10D-027 (2) City of Northampton Map:Lot 10D-027-001
Massachusetts Date issued 08/27/2021
Inspector of Buildings Permit # BP-2021-1785
Permit Fee $60.00
SIGN PERMIT
Business
Address 162 MAIN ST
Applicant Installer PORCUPINE SIGNS
Applicant Installer Address 351 PLEASANT ST,NORTHAMPTON,MA
01060
Work Description NON ILLUMINATION WALL SIGN-25 CENTRAL
Estimated Cost $3000
Building Department
Approval by:
Tie
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File #BP-2021-1785
APPLICANT/CONTACT PERSON:PORCUPINE SIGNS
351 PLEASANT ST NORTHAMPTON, MA 01060(413)584-4501
PROPERTY LOCATION 162 MAIN ST
MAP:LOT 10D-027-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $60.00
Type of Construction: NON ILLUMINATION WALL SIGN -25 CENTRAL
New Construction
Non Structural 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:
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 SpecialPermit 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 SewerAvailability
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( ��py,1 I C I V )}^) :I
Sign ure 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 SAS . sc�
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I ,, DEPARTMENT OF BUILDING INSPECTIONS \ oc
i `' IL I' 212 Main Street • Municipal Building SS'fri/ '"
'�' . ,, - i=(' Northampton, MA 01060
-ter. OC� �
Application for a Permit to Place or Maintain a ti9n
Or other Advertising Device, or Marquee
(� �gtlgn tq deut in ink or typewritten) Number .....................
............
Reels,
C I [...) Erection..................( )
Alteration.................( )
Repair.....................( )
nPTO �e.,,,�t��ill be AUG 2 3 2021 Repainting..•••• )
a�uu++— '---
R oval..................DEPT OF BUILDING INSPECTIONS FEE. .....PAGE........
PLOT......
NORTHAM('TpN,MA01060
Northampton, Mass. ..............................
Application
for a permit to place
or maintain a sign or other advertising device, or marquee
� � ..................
.............
BUSINESS NAME ..••• "" itAA`•3 l, o.rLi.
Location, Street and No. ........................................r........
1.
2. Owner's name ............................... ....
Owner's
address ""•'••••••••
L� ....................
name
........... ................
4. Maker's •_ i
address .'`••"'•'
5. Maker's •••••••••"'
6. Erector's name .•-•••••••••••••
7. Erector's address ...•••••-••••••••• ...........................
"' ... OF SIGN
SIGN (Designate)
illuminated /••
be (check one) illuminated ....... Non- Marquee ...............
1• Sign sign obstruct a fire escape, window or door`? . •• Maree
3. Willeri 1..ft........ins above the public way. Roof . .Projecting...............
3• Lower edge will be way.
4. Upper edge will be ........ft.-••••••ins above the publicTemporary•yy��
5. Height . .ft. ins
Width .1($9..ft......ins Temporary.,"
Ora /.............
:" Ground
6. Face area .wil sq'ft-.7-...ins from the building or pole. Other ...................
7. Outeru edge will be .. or ole.
edge will be .......ins from the building p
9.• Face 11^•.ins back from the street line.
of building or pole is •' and the street line.
10. Sign will project ..r..ins beyo
nd
11. Sign will extend .. the building or pole. /�L�
J.t✓
....ft .......ins above A��"` , ►a�n Face..........:
material will sign be constructed? Frame
12. OfwhatAS-).V.:?:: w
13. Estimated cost $•• •• "" a and belief.
s that the above statements are true to the best of his knowledge The undersigned certifies 1 .........
...
(Signature of Ow r or Agent)
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING (INFORMATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: SUM G315- CS ?O1 J f% �\&
Address: 3 '\ ?L -Cs 5c' NO'�< < Telephone: L\\3 S?I s tI S-13
2. Owner of Property: 'A'1Z C (R. E
Address: \( Z ek/ O 1�} vr—V Telephone: yV3
3. Status of Applicant: Owner Contract Purchaser Lessee
{Other(explain): ' L&- C'cy- ��
4. Job Location: k(0� ti ST, "9` l cs t O
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: W C t A
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
P '- 5"C'at � A-S
N S24LL 3 x 1G` S\G^, cS ►A P
7. Attached Plans: " Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO 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 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:
Are there any proposed changes to,or additions of, signs intended for the property? YES NO
IF YES: Describe the size,type and location: 3` 1C91 51 Cam' CN W>4l L-
&JL-`) V-kX-70)
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:(for sign)Side:
L: R: L: R:
Rear:
Building Height
Façade Square r,
Footage
# of Parking Spaces
I �
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: `� .i`I'Z 1 APPLICANT'S SIGNATURE
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.
FILE#
Page 3 of 3
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