31B-113 City of Northampton Map:Lot 31B-113-001
Massachusetts Date issued 06/29/2023
Inspector of Buildings Permit # BP-2023-0826
Permit Fee $100.00
SIGN PERMIT
Business
Address 124 KING ST
Applicant Installer HALE CUSTOM SIGNS
Applicant Installer Address 74 Montague City Road, GREENFIELD, MA
01301
Work Description NON-ILLUMINATED GROUND SIGN - SHELBURNE
FALLS COFFEE
Estimated Cost $8000
Building Department
Approval by: Jonathan Flagg
Z-OR
File #BP-2023-0826
APPLICANT/CONTACT PERSON:HALE CUSTOM SIGNS
74 Montague City Road GREENFIELD,MA 01301 (413)774-5663
PROPERTY LOCATION 124 KING ST
MAP:LOT 31B-113-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $100.00
Type of Construction: NON-ILLUMINATED GROUND SIGN-SHELBURNE FALLS COFFEE
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
A Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Spec'.1 Permit With Site Plan
Major Project: Site Plan AND/OR _Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Va ce*
Received&Recorded at Registry of Deeds Proof Enclose,
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Pi tability Board of Health
Permit from Conservation Commission Permit fro CB Architecture Committee
Permit from Elm Street Commission Permit DP ' Storm Water Management
Demolition Delay
'0 )
b (0/a
92
Signa �re of Building Official � � A gn g ate
Note:Issuance of a Zoning permit does not relieve a applicant's burden t comply with all zoning
requirements and obtain all required permits from Board of Health,Co ervation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standar of MGL 40A.Contact Office of
Planning&Development for more information.
I City of Northampton
,, Massachusetts 4t.
�' S- ',.e
IX
DEPARTMENT OF BUILDING INSPECTIONS '• `j„
i
,;';" / 212 Main Street • Municipal Building yv`• :.s
e - i, Northampton, MA 01060 ss� `�o
Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee ,
ha . -- g2-�
(Application to be filled out in ink or typewritten) Number
P n it wi h B i in In r Erection ( )
before a permit will be granted. Alteration ( )
& 1�`_ Repair ( )
i l�r .0 Repainting ( )
V Removal ( )
✓UN FEE S1 PAGE PLOT
2 2 2023
st337.OP p No am. on Mass. 20.....
No/47. A bIN;IN�p
Application for a permit to place . int aysig or other advertising device, or marquee
BUSINESS NAME hfL3U - .. is , I r- Fed / krs
1. Location, Street and No t2,q C.\1 .\Cr S l'
le- 2. Owner's name C Ut1 $ e K A
* 3. Owner's address g 2- L.PPe it 54' it ,vl A n10-
4. Maker's name ....... . A L cA)$ * li•U T.�kI.0 -
5. Maker's address ? 1 E h ocN kk-k v. (3.- 4 \'c `( - GA t\ 't tA-
6. Erector's name
7. Erector's address t
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated .X...
2. Will sign obstruct a fire escape, window or door? ..N..O.. 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 0 ins Width.J�....ft O ins Temporary
6. Face area 2 ..sq. ft. Wall •
7. Inner edge will be ....ins from the building or pole. Ground POLO
8. Outer edge will be ... 2..ins from the building or pole. Other
9. Face of building or pole is '4..ins back from the street line,
10. Sign will project ...Q..ins beyond the street line.
11. Sign will extend ft ins above the building or pole.
12. Of what material will sign be constructed? Frame ..4 ial h'l.t tJtIvvk Face.....Vr.c:-..................w1
13. Estimated cost $ 1.0"2".D...
The undersigned certifies that the above stateme true to the best of his I 'owl dge and belief.
e r Agen
Page 1 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
Facade Square
Footage
#of Parking Spaces
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
76 DATE: 6 1? c)'. 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 hait6
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING (INFORMATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: !! 1/1( _ A4 -( t-7 -- /47)/L- Cti 1-04 S/�/�S ifC,
Address: a 7 7 f2 di 16ki MAJy &/1/ //1I Telephone: Cf/-3 - -7 7( -S 6 E 3
2. Owner of Property: Q(1rt$ I( (L t1
Address: Z Z V'P Q r- 5 G-ll.Telephone: (f/3 626 -2-( 2-3
r/lYr
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain): 5 l CO v1k Z rC-4'/O'r U
4. Job Location: `2 V k i&- 3 �" /v D r'T(4 vti P Yn
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: CO S/Jo f
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
- h/h a LA-€ i s)-,nCr-J 3 / 6- 6-32 two( Pe. p(a c Q
/4) r ij ,c m in/e r G/ 6-0J
7. Attached Plans: V Sketch Plan ' Site Plan Engineered/Surveyed Plans
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW X 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 X 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 X NO
IF YES: Describe the size,type and location: Lo 0 X 12 ?O Lc O u A-- S t &-K)
\/`i Iu1n 1.,0 .21r Lon" 60 - L) 1'
Are there any proposed changes to,or additions of,signs intended for the property? YES NO
IF YES: Describe the size,type and location: ptkiy1i n Ve 2 ZR ZC VIA 0 U v S i &-NS
d /pfL Q W/ S nv-/l SI 6-N (i)
Page2of3
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