18D-063 (6) •
City of Northampton Map 18D Lot063 Zone GI
Massachusetts Date issued 11/21/03 0:00:00
Inspector of Buildings Permit # BP-2004-0607
Permit Fee$30.00
SIGN PERMIT
Business LIEBERMAN'S GALLERY
Address 168 INDUSTRIAL DR
Applicant Installer Seigel Signs
Applicant Installer Address 179 WEST ST
Work Description ERECT NON-ILLUM GROUND SIGN -
LIEBERMAN'S GALLERY
Estimated Cost $1125.00
Building Department
Approval by:
File#BP-2004-0607
APPLICANT/CONTACT PERSON Seigel Signs
ADDRESS/PHONE 179 WEST ST WEST HATFIELD (413)247-5986
PROPERTY LOCATION 168 INDUSTRIAL DR
MAP 18D PARCEL 063 001 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 94'6D ,: !X
Typeof Construction:_ERECT NON-ILLUM GROUND SIGN-LIEBERMAN'S GALLERY
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 F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 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 Commissio
°('Ivi.,ei-'e //Lo
Signature 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.
2pwS1U}IP oy / �4 W L
• i t'Z .t ;ri No Erection.. .(�)
,rob.
.r' Alteration......................( )
Plans must be filed with the Building Inspector,
Repair . .._ _ ..( )
Repainting....._._..__.....( )
before a permit will be granted, Removal..._...._....-.....(( )
Titg of NnrtIl&mptnn, �x .
Appl cat #q - a-Permit to Place or Maintain a Sign
or Wither Advertising Device
NOV 1 3 21395113Plicatibn to be filled out in ink or typewritten)
»� ..^. F'EF PA •E PLOT
nr p:tiLDING INSPECTIONS
01060 J Northampton, Mass., OA,I-7/03 ..
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME...I�/E e&-Rin 7� &4-ae y
I
1. LOCATION, STREET and No. /6 g �N.Dvs/XI rKe
2. Owner's name alr.f,P 'e, s; .. `r.__...._.. .raI ...'....`f.01-
57)
3. Owner's address 48:.._.. 31LS.r�C _..
4. Maker's name S.EL66-.- /.,&N S
5. Maker's address ,/ 79 7 / fly/# d/Q88
6. Erector's name..... j�Z1 C'
7. Erector's address.
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated non-illuminated
2. Will sign obstruct a fire escape, window or door?....
Marquee
N Projecting
3. Lower edge will be H- ft. ins. above the public way.
4. Upper edge will be Nl1 ft. ins. above the public way. Roof
5. Height. .ft. `.1Q ins. Width .�..ft. ....-.._.....ins. Temporary
..
Wall
6. Face area. .. ...:.3..sq. ft.
7. Inner edge will be..f..6- ins from the building or pole.
Ground X
8. Outer edge will be/vfi' ins. from the building or pole.
Other
9. Face of building or pole .....ins. back from the street line.
10. Sign will project.../A ins. beyond the street line.
11. Sign will extend...t!!.j _ ft......._... .....ins. above the building or pole.
12. Of what material will sign be constructed? Frame ej,c'!s7 .. •. Face ..._.. ......_.........._..........
.
...............
13. Estimate costt..II 25 a�
The undersigned certifies that the above state are true to t e
best of his knowledge and belief.
(Signature of Owner or Agent)
NOTE: In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY.
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: t (_; S i GN S
Address: `i w( 3'T 9•1. y,f, j+)4" arelephone: `�‘-f s
2. Owner of Property: p tan/i 0 Pc S� r�
Address: ) (, S I ►t D ' �yL�y4 t D tJc —7 Telephone: � 9 _`)
3. Status of Applicant: Owner Contract Purchaser Lessee
�C Other(explain): c t G
4. Job Location: r 't /f•4-1_- On( V
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):
4 ( i< `70tc S 16
(2,J SI "I ( 5- - D,
7. Attached Plans: Sketch Plan .7, 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?
rc
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:
(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 property?YES l ' NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Dui/ding peparinnent
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
#` of Loading Docks
Fill:
(vo1-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT'S SIGNATURE
NOTE: issuanoe of a zoning permit does not relieve an applioanrs 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 I
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168 Industrial Drive 168 Industrial Drive
LIEBERMAN'S GALLERY LIEBERMAN'S GALLERY
WHOLESALE DISTRIBUTERS OF PRINTS&POSTERS WHOLESALE DISTRIBUTERS OF PRINTS&POSTERS
LIEBERMAN'S LIEBERMAN'S
ONE STOP/NO MINIMUM ONE STOP/NO MINIMUM
+ OFFICES Previous Driveway Next Driveway OFFICES
for WAREHOUSE for WAREHOUSE
VNA/HOSPICE ALLIANCE VNA/HOSPICE ALLIANCE
DARTMOUTH—HITCHCOCK COOLEY DICKINSON tea. DARTMOUTH—HITCHCOCK COOLEY DICKINSON
1