18D-063 (8) City of Northampton Map 18D Lot063 Zone GI
Massachusetts Date issued 2/14/00 0:00:00
Inspector of Buildings Permit # BP-2000-0702
Permit Fee$30.00
SIGN PERMIT
Business VNA/HOSPICE ALLIANCE
Address 168 INDUSTRIAL DR
Applicant Installer Seigel Signs
Applicant Installer Address 113 Linseed Rd
Work Description ERECT NON-ILLUM 5' X 20' WALL SIGN -
VNA/HOSPICE ALLIANCE
Estimated Cost $2000.00
Building Department
Approval by:
File#BP-2000-0702
APPLICANT/CONTACT PERSON Seigel Signs
ADDRESS/PHONE 113 Linseed Rd (413)247-5986
PROPERTY LOCATION 168 INDUSTRIAL DR
MAP 18D PARCEL 063 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
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Fee Paid 6o?a3
Typeof Construction: ERECT NON-ILLUM 5'X 20'WALL SIGN-VNA/HOSPICE ALLIANCE
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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
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 C ission
/dOCO
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.
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2 \! _ ,-�� 1
\lill FEB 9 2000 File No. ��� /�02
DEPT OF`DOI!�j64f 4SFF�1,1 :
___
�s , , eA , '.'ONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ,`rrLt,J St✓i 6&L.
Address: I I ' L.(/J S tE- 12a ./ ; '.f,4;f-� `c,3 Telephone: .2'1 ) '
2. Owner of Property: Je.1 �6L.L7 J,J .
Address: 'Zir Y-11,t-1&— S T ,t/tJ /.f;0 Telephone: D Lb ) r✓ L C
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
G.('iC,.4 C::.J r rj '�d
4. Job Location: / F :zfi- i.
Parcel Id: Zoning Map# tf. Parcel# 6, 3 District(s): G--`L
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property O L ,y
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
0Frc
7. Attached Plans: Sketch Plan x 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 X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW K. 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 P` 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)
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10. Do any signs exist on the property? YES NO x
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES X NO X
IF YES,describe size,type and location: /c
���� r.� - .� �/ s ,, [v✓ei"
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage IIIIIIIIIIIIIII
Setbacks - • •
- side L: R: L: R:
- rear I
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&pat•ed parking)
# of -Parking Spaces
#. of Loading Docks
Fill:
{vol-ume -& location)
13 . Certification: I hereby certify that the information cAtained herein
is true and accurate to the best of my knowle e4 //
DATE: /' /1 v APPLICANT'S SIGNATURE C:`
NOTE: lisuanoe of a zoning permit does not relieve an applioenri (burden to oompty with all
zoning requirements end obtain all required permits fry m the Board of Health. Conservation
Commission. Department of Publio Works end other applicable permit granting authorities.
FILE #
3 i R n r n
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JL! FEB 9 t Lt, b;1 No. ._(�C
;•�,J. Erection )
DEPTOfB'�
_ ='" Alteration_ . ....._...( )
NO Repair .( )
Plans must beliled with the Building Inspector, Repainting_.._._..__.....( )
before a permit will be granted, Removal. ._..._...._.....( )
Qtitg of Nortilampton, Atass..
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., /////t7 19
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME '/till/rtoSplG4 �(--4-1A/JcE
1. LOCATION, STREET and No. ..f. .. ../.al.t�.�:.5
2. Owner's name..... ...J`��3.lL.J., 1.�..'..4.
3. Owner's address C
4. Maker's name..... 4_1.. .t ..._.S./..C?.1'.5........................_......._.............
_
5. Maker's address 11. ...._.LR1.r?.S.�:Lr . ... ' ..r..../a.1.., P T.../'lc A
6. Erector's name .. .,M.E)
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..._ .... .........._...._.....
3. Lower edge will be....l .....ft. " ins. above the public way. Projecting
4. Upper edge will be.... ft. c ins. above the public way.
Roof
5. Height.... ._.....ft ins. Width ' ft. ... ins.
Temporary
2--)
6. Face area..42.2.....aq. ft.
Wall..
7. Inner edge will be.....4'. ....ins from the building or pole.
Ground
8. Outer edge will be.....1i. 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 .l !!h!...._ .. ..._..... Face.../.11.41.6... .�_...._............
�J _
13. Estimate cost .2 L` s
The undersigned certifies that the above statements are true tote
best of his knowledge and belief.
(Sig lure of Owner o A nt)
NOTE: In order that this application may be accepted, the data called for above must be set forth ,�t'
CLEARLY and FULLY.
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VI4.$10.14PM-112,1141-1,Allt1
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3314V1I°rtr taldSOH/Irt4141.
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FEB 14 2000
FPT OF ' INSPECTIONS
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