39A-033 City of Northampton Map:Lot 39A-033-001
Massachusetts Date issued 08/31/2023
Inspector of Buildings Permit # BP-2023-1166
Permit Fee $60.00
SIGN PERMIT
Business
Address 115 CONZ ST
Applicant Installer ACTION SIGN COMPANY LLC
Applicant Installer Address 3276 RIVER RD, RENSSELAER, NY 12144
Work Description REPLACING EXISTING SIGN - FAIRFIELD INN
Estimated Cost $2000
Building Department
Approval by: Jonathan Flagg
9 )2 - Ti •
File #BP-2023-1166
APPLICANT/CONTACT PERSON:RANKIN HOLDINGS, LLC
65 KING STREET NORTHAMPTON, MA 01060
PROPERTY LOCATION 115 CONZ ST
MAP:LOT 39A-033-001 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: REPLACING EXISTING SIGN -FAIRFIELD INN
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:
XApproved 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
Sig ture of Building Official J 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.
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City of Northampton
MassachusettsAiter {�' '�",,s{� G
DEPARTMENT OF BUILDING INSPECTIONS �!
I 212 Main Street • Municipal Building k a`ti
Northampton, MA 01060 6.1 ••. i1�C`
\\\ = Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
( .. •., .ewritten) Number 6'� 3. 3 ' f (00
C
Plans must be filed with the Building Ins.- .r E 11/C D Erection ( )
before a permit will be granted, Alteration ( )
A U G Repair ( )
5 2023 Repainting ( )
140�/ /
Removal ( ) (� �(, � 6-go
DEPT OF SUR.DING INSPECTIONS FE .LtP..PAGE PLOT / O
NORTHAMPTON.MA 01060
Northampton, Mass. 20.....
Application for a permit to place or maintain a sign or other advertising device, or marquee
BUSINESS NAME `r` a-- ✓ -rJ Ct. r
i. Location, Street and No. 3 !c? �%f 12- -S.t
2. Owner's name I t--d Ca- /-Y)41—'" ek- .e
3. Owner's address 3 Le /2... \) --St• i r --lm r-r.--1 )-t`r\ , r' )-
4. Maker's name
5. Maker's address
6. Erector's name I")L Ls.17 ' �� c\
7. Erector's address `��` U ,��,Z'� '' i tt r\SSQ �tL
SIGN l KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated
2. Will sign obstruct a fire escape, window or door? 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. .ins Width ft ins Temporary
6. Face area sq. ft. Wall
7. Inner edge will be ins from the building or pole. Ground
8. Outer edge will be ins from the building or pole. Other
9. Face of building or pole is ins back from the street line.
10. Sign will project 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 Face
13. Estimated cost $
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
(Signature of Owner 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: ' L. h 1 -c 7,3��}}� <<`
3i f�.0 it SSA'I p c c
Address: o�.� Le f�l v'�'� t C`i�Pe !� Telephone: :� I �- �") l --j�j t 0()
2. Owner of Property: 7c-1 Jc,- GY-�"�t`` ,rY'u'�
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
X Other(explain): i 5 1 1 1Ts S r"
4. Job Location:
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: ' (LI(-- < rI C'L- 2 m
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
t i✓TL }4.I.S"E1"c\3 '_6
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:
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
Footage
#of Parking Spaces
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: � �-a LP-3 APPLICANT'S SIGNATURE L 1--et- tJ 'ra-C-Cek
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