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600 v sign permit appINSPECTOR Plans must be filed wit deo- ®itg of Nor±fr&mptort mc,SS&rrty".ttg DEPARTMENT OF BUIIJ)ING INSPECTIONS 212 Main St,reet . Municipal BuildingNorthampton, MA 01060 Application for a Permit to place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device (Applicatlonto befllled outln [nkortypowritten) Number ........ the Buildin before a ermit will ranted. I[e:rs:sj To the Building Co Application for a BUSINES 1. Location,i 2. Owner'sn 3. Owner'sa Erection...., Alteration . . . Repair...-. Repainting. Removal„. FEE..„....PAGE.„.....PLOT....... Northampton,Mass.........Z4:-.2.y.„........2o./.9a S'Oner: nit to place or maintain a sign or other advertising device, or marquee. 3E_{F._s7zL5eA4£urE...M.f!ev.a. treet and No. i £flsJ;HAMP77iN 73D ne...../AV.frf;mlf,W.I..n`:R/£itiL...fisJP.:ff£.I drg#is..../.On.:ftwI.Z.Zr£....Ml.4;.fe..{.. 4. Maker's name ...... &#%/...€giv.P.i 5. Maker's aI 6. Erector'sn 7. Erector's a Sign w Will sign Lower dress i I me Not;771AhQP7ZDN LL4. y3tt....F,fl.A..--,-,.#.fly........- Yc)2jL. _'j]g_.____.._/__J__ dies...6.I;a..,..I/84£4:.S4.»4.;:2i?.I:y/4!.Z#* SIGN (check one) illuminated ....... Non-illuminatedstruct a fire escape, window or door? . .trrr:. . .i:dbi: Height Face a Inner e Outer Face Sig Sign w, Of wha Estima will be ...... ft ........ ins above the public way. zf:;.Irsft. The undersign Page 1 of 3 .ft ........ ins above the public way. Width .©. . .ft. .a. . ins be ...... ins from the building or pole. ....... ins from the building or pole. or pole is ....... jns back from the street line. .. .a. . .ins beyond the street line. ia,;givi,!Fi;i.i;;::as?rouvc:et:;b#l:Lng.:,grHll;.zey.¢. /'7Vo?_ KIND OF SIGN (D®slgnate) Marquee Projecting Temporary...........„ Wall Sidewalk.............„..„ ovhe!it:Z!.PS.ifu.fitiA.PAVeL F.arye...Py.4---........-. d certifies that the above statements are true to the best of his knowledge and belief. (Signature of Owner or Agent) Page 2 Of 3 Name ofAddress. THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File NO. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION •vavNit. fJ4SP#y 3£so±!2i!41prpJivouNit. c «[;fti ri8sioJ44pe94:z±J/33al41j:!4LevrtyNb.|!]:]!!!!::rg±I:i;v£M.r2tLbc Cwher ofAddress:Statusof Property.I,z ,`-JE'i , ,L]. Z2. J :„ . a 7 *,.+xApplicant:_Owner_Contractpurchaser_Lessee othJobLooParcelIExisting - ,I -, ,I ,'/r(expla,n).•vNm.GsO _ efls7HAMPTDN 7a>. Noe7#AMPTcj . tion. Parcel # District(s):Z°njngMa&8BEFiLLED|NBVTHEBu|LDINGDEPARTMENT) se of structure/Property: _Sg/rc SrzteA±±± . DescriptiAVEI„PjN&t'SF n of Proposed UseM/ark/Projecvoccupation : (Use additional sheets if necessary)"v" 38npfb PoSJ A:th PENee S!3!!J!!!±!±4±±!±!±:£±!±!± rTC 2ie ensi[y V/E,u}GD , §/_4u 7TJ 8E ZJj4Zr7EA. MiN. ¢r:-FPDyi slbE,cjr z3 .Ir) fiuD Appporfu 2t>` Fr. TO sOu]7i ciF zhoEii3h TC,AttacheHasaS ga7gfJft4ufskgc#at/7yij±sitep|an_Engineered/Surveyedplans ecial Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW+i YES_ lF YES, date issued: lF YES:Was the permit recorded at the Registry of Deeds? NO DON'T KNOW± YES 'F YES:Doesth Enter: Book_ Page_ and/or Document# site contain a brook, bodyofwaterorwetlands? NO_ DON'T KNOW / YES IF YES:Has a permit been, or need to be, obtained from the Conservation Commission? Needs a be obtained Obtained_, Date issued DO anyIFYES signs exist on the property? YES± NO_ r}eNNNhetwfi3strdi5,typealndvNRfiAlNNN. ONE, Sy|ALL post Sl&N SOOw OFE-„4C,. Are thlFYE re any proposed changes to, or additions of, signs intended for the property? YES L' NO_ : Describethesize,typeandlocatiom 5WA44 Zg7 S/ew 7Z) .i& RencNe:A __8WIJ±J4!±4| Page 3 PLETED. PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. ' ATION IVIUST BE COM This column to be filled in by the Building Department. Ia Existing Proposed Required byZoning Lot Size Frontag Setback Front:•Side:Roar: L:R:L:R: • Building Height BIdg SqFOotage%Open(LotareainPavedpa are Space:nusbldganding) # of Par ing Spaces # of LO ding Docks Fill: (vo,m® & Iocatlon) . Certifi atlon: I hereby certify that the information contained heroin is true and accurate to the best Of myDATE:nowl®dgo. /a.Zu-I? RIM;NIsevRINIrvRIdeJf lg4th ` dl\off@ca:i:lfz;ygr4uP4£!4 ApplicNOTE:RequireDepart3 nt.s Email Address (required)ssuanceofazoningpermitdoesnot relieve an applicant's burden to comply with all zoningentsandobtainallrequiredpermitsfromtheBoardofHealth,ConservationCommission,entOfPublicWorksandotherapplicablepermitgrantingauthorities. \ • 1 panel, 6' x 10' single sided 3/16" acrylic • Hanley LED lighting conversion with power supplies • Sand and paint cabinet and post Aerial view of store and sign location • 1 panel, 6' x 10' single sided 3/16" acrylic • Hanley LED lighting conversion with power supplies • Sand and paint cabinet and post Aerial view of store and sign location