39-039 (5) File#BP-2000-1182
APPLICANT/CONTACT PERSON KEITH BRICK
ADDRESS/PHONE 90 EAST ST (413)584-2282.
PROPERTY LOCATION 182 MT TOM RD
MAP 39 PARCEL 039 ZONE SC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT FRONT PAINTED WALL SIGN-HIGHWAY AUTO SALVAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
1
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required un r: § 9..
PLANNING BOARD t ZONING BOARD T/fh q FT
Received&Recorded at Registry of Deeds Proof Enclosed �y c. goy�r
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
• Variance Required under: § w/ZONING BOARD OF APPEALS
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 Co • ion Permit from CB Architecture Committee
2 Z aoo
Signature of Building ficial 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.
JIM 2 6 2033 ,
File No. B Y�//� --
DEPT OF BUH.DING INSPECTIONS
--- N�RTH�M1rTON,1u a 6NING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ,� % _l !
Address: Telephone: 5-8- 200
7Q2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): (pt.)
/- . Job Location:•
Parcel Id: Zoning Map# 3 9 Parcel# ( District(s): 1/45-0--
(TO BE FILLED IN BY THE BUILDING/ DEPARTMENT)
L
5. Existing Use of Structure/Property 7Z A(lJ/e y z)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
: 4i4 / eo
7. Attached Plans: Sketch Plan > Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
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 N 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:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the prope
F
IF YES,describe size,type and location: - K�U / /Aire?) D(eEc=r-c� (jcv TZ)
/. — J
cede?e E.,/e 1-L7 _-A4c f Ai 144, 7Zv--
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO
LACK OF INFORMATION.
This column to be fillet
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage / ,24 /l//
Setbacks - frnnt -2S 70 . /00
- side L: R: L: R:
- rear •
•
Building height
Bldg Square footage C7
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
#- of Loading Docks
Fill:
volume -& location)
A
13 . Certification: I hereby certify that the information contained herein
is true and accurate tp the best of my kno dge.
DATE: APPLICANT's SIGNATURE _W4N\
NOTE: is anoe of a zoning permit does not relieve an a plo s burden to imply arttlr alt
zoning requirements and obtain all required permits from a Board of Health. Conservtatio!
Commission. Department of Publio Works and other appi(oable permit granting authorities,
FILE #
• (�,� r,, Z14Ar1P
II• ) i lh LS u U �..5 li 11 ro*��TO$ No
�.
Q `fir 4;
`�f�°,`n � ! Erection. ____ __
444 v'rJ'a
lif JUN 2 6 -JJ Alteration__ ...._...( )
Plans m> e ltithiell dir g Inspector,
Repair _( )
. A..PTON,MA 01060 .... Repainting__________( )
before a permit will be granted, - Removal____..._...._.....( )
Tit .if N n z-t &mpto I1, . Rag5.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE .. ... .. PAGE... PLOT
Northampton, Mass., 1--':'.Z.7000
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device- or marquee.
BUSINESS NAME 4f /1v
1. LOCATION, STREET and No. /82 /7... rewf-A-- 26046 NUP/ /Pr2ti
2. .Owner's name 17 ,4�O ......... ....................
3. Owner's 'address...._./. J� �. 7/'- G`.a.-' 4_7) '.61e% 7/i ce- ,
4. Maker's name......_.,/.\.c�/ '. --.._...EE.(Le-
5. Maker's address e2.9- t-S,724= i" t 60144(1
6. Erector's name
7. Erector's address
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated non-illuminated !d
2. Will sign obstruct a fire escape, window or door?....._..._....
Marquee
3. Lower edge will beProjecting
g Q ft. - � ins. above the public way.
4. Upper edge will be...... ft. Q ins. above the public way.
Roof
Temporary
5. Height.... ft Z,. ......-'7 ins. Width ft 6) ins. Wall
6. Face area.,..1C sq. ft.
Ground
7. Inner-.edge will be...." -'._ins from the building or pole. r � L�, 12�� LjA-
�� i(
3. Outer edge will be — ins. from the building or pole. L`�
ll
X9. Face of building or pole is....._...._.....ins. back from the street line.
10. Sign will project-X... ins. beyond the street line.
11. Sign will extend C_._ft.... '_.._ins. above the building or pole.
12. Of what mat ri 1 will sign be constructed ? Frame.-...__-._.........._____........_..... I''acefaiA"r )`^'-' r
13. Estimate cos .
po _
The undersigned certifies that the above statements are y.e
best of his knowledge and belief. r A
(Signature of Owner or Agent
NOTE: In order that this application may be accepted. the data called for above must e set forth _.. :
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