32C-067 (35) fg
��. �•- .�LS U ,.U r —a�4 FILE I J 6 V 4, r
MAR 24 '��� _
APPLICANT/CONTACT PERSON:-��/ite(X�� 895L- _ /
ADDRESS/PHONE: ,c2L S`. el
PROPERTY LOCATION: c2 &'J4C - 144/212e (P
MAP PARCEL: 7 ZON ,4
[HIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZfNTNG FORM FTTI F.T) f)TTT
Fee Paid
Ruilding Permit Filled mit/
Fee Paid C ' ' /
IrjO— ✓
Type of Cnn ►etinn•
New Cnnctriictinn
Remodeling Tnterinr
Addition to Fxicfing
Arreccnry Structure
Building Planc Tnelnded•
Owner/Occupant Statement nr Licence #
3 Setc of Plans /Plot Plan
THE FOLLOWING 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 ‘_D
Received & Recorded at Registry of Deeds Proof Enc
Finding Required under: § w/ZONING BOARD (
Received&Recorded at Registry of Deeds Proof En(
Variance Required under: § w/ZONING BOAR]
Received& Recorded at Registry of Deeds Proof Enc
Other Permits Required:
Curb Cut from DPW Water Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservation Commission
Signature of Building Inspector Date
NOTE:Issuanoe of a zoning permit does not relieve an applloant's burden to oompty with all
zoning requirements rand obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
n_,
MAR 2 41997
DE?- yr oUii_itlU±u INSPECTIONS 4
File No.96 aOa 7
NDk'fHAtair"I`ve°a.;rli;C1GS0
ONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 1 m `$ p
Address: 4 WYI� S7 Telep14)c f Q)--0f
2. Owner of Property: (' i 7
`^
Address: Ii' 77 ,#1L M � Telephone:
3. Status of Applicant: ( Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: ck , — 7 / -L.A1 -0164
Parcel Id: Zoning Map# 301C- Parcel# /, District(s): N2
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property � �/ 47)1) S'r//Le_ S/, ccs S
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
7. Attached Plans: Sketch Plan 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 Permit/Variance/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:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property? YES v NO
IF YES,describe size,type and location: Apt- _Svc'-e
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Department
(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 parki_ng)
# of Parking Spaces
# of Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information contained herein
(e1 is true and accurate to the best of my knowle e.
�1�
DATE: �7/� (
7 17 111
APPLICANT'S SIGNATU /� P j 1'1,t//, ✓��'
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burd n to oomply witty„all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
r��°' FILE I
.......... ..._._. -
n \III Inn j
ottAll p 7.
% )) i -,.°.T2ta...Qy
MAR 2 4 . ' No.
;41474:1' Erection_ ,( )
.1Vebst.t.k.
( )
Repair..________________.(
ins must be filed with the Building Inspector, )
Repainting. ( )
fore a permit will be granted,
Removal ( )
g:i41 a f Nart4amp-trat, 4ta5,5.
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., 19
To the Building Commissioner:
Application for a permit to lace or maintain a sign or other advertising device, or marquee.
BUSINESS NAME °/9 V /24
VS/6
1. LOCATION, STREE and 6Noi.c4:1- $ u6le: Jil 0
fi I-
2. Owner's name.
3. Owner's address /1 0 Q.4/9e /-°r' 64/-e-bi d c
4. Maker's name Re A io(/./i
5. Maker's address P
6. Erector's name lifIll.k i i
/
7. Erector's address. _si 4--) tIir Xe_. Zi/m ci-436
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated non-illuminated ..X.
Marquee
2. Will sign obstruct a fire escape, window or door?...N.O.....
3. Lower edge will be..8 .ft. ins, above the public way. Projecting
4. Upper edge will beiV ft ins, above the public way. Roof
Temporary
5. Height.. .2. .ft .ins Width 3 it._....____ins.
._, sfV".
6. Face area —sq. ft.6"-C Q-et 3 Wall
7. Inner edge will be_./.P______ins from the building or pole. Ground
Oth
8. Outer edge will be_././...__._ins. from the building or pole. er
9. Face of building or pole is_...3.0..intback from the street line.
O. Sign will project_ __Q___ins. beyond the street line.
1. Sign will extend 0 _ft ins, above the building or pole.
2. Of what material will sign be constructed ? Frame_PLY.4.4.g.0_6______..._..... Face..........._.........._...._...._............
, od
3. Estimate cos1414A/L1,
--
The undersigned certifies that the above statemen are true to the
,
best of his knowledge and belief.
(14/111,_
(Si ature of Owner or Agent)
NOTE:Li order that this application may be accepted, the data called for above must be set forth
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