32C-067 (37) •
,i`-1roy PAGE 32C PLOT 67 ZONE NB
CITY OF NORTHAMPTON ; gig
MASSACHUSETTS ;1'1 r«
INSPECTOR OF BUILDINGS � 304-- .•.,- 3/21/96
DATE
SIGN PERMIT PERMIT NO. 153
PERMIT FEES 20.00
BUSINESS Howe Pain Relief Center
ADDRESS 2 Conz Street - Maplewood Shops
OWNER Charista Property Services
Box 706 E. Longmeadow
ADDRESS
APPLICANT Porcupine Sign
ADDRESS 2C Conz St.
PERMIT TO: Install wall sign right of entrance between windows.
ESTI MATED COST$ 350.00
BUILDING DEPT.
BY Z°1 f�
P P
FILE # 6 O ! O) '
MAR 111996
APPLICANT/CONTACT PERSON: , 1-Cc�C7f71/-e- --
ADDRESS/PHONE: ��' ��` �"f7 44J-6
PROPERTY LOCATION: o7 %/1 -L�r � �'�!� -% S 7
MAP ���. PARCEL` (P '7 z D ///
PHIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST •
ENCLOSED REQUIRED DATE
ZONING FORM .T.FT) OTTT
Fee Paid ( t/7 . 0)0
Building Permit Filled nut/1t'.ei t ' 44i _eft t
Fee Paid /ul
Type of f'nnctructinn•
New Construction
Remodeling Tnterinr
Addition to F'ricting
Accessory Structure
Building Plans Tncluded•
Owner/Occupant Statement nr License
3 Sets of Plans /Plot Plan
T illy,OLLOWING 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-Bd of Health Well Water Potability-Bd Health
!Permit from nservation mission
Signature of Building tor Date
NOTE:Issuenoe of a zoning permit does not relieve an epplloant's burden to oomph/ with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting euthoritles.
n n I 1 1996
File No. /�V _ _
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: {moo^mac •��= 'G/.3
Address: ZC Cex-)z Telephone: STPiSa I
2. Owner of Property: Ck4A s cm-e /LiJ S>4t-)•
Address: ^3c -70(0 E.tor��^� pak� Telephone: 4,13-czc 1 735
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: Ce-z_
Parcel Id: Zoning Map# Parcel# /-7 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property U-FP ce 5 / S vtri
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Rt6t-t-1 c-F (3e� W,sper>S
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 .1 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)
• 4
•
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location: V PA-vcti' '1._ G am- gas"' S
ii1E C c Lt ' -, i) (2-G-tc-.n<, -64,12,,ec SCtZ�7
Are there any proposed changes to or additions of signs intended for the property'?YES NO
IF YES, describe size,type and location: 5ce ' t Alopu c✓a4lz,)
FO- 5,' ' �.naa-�c 5I6"1
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# fof Loading Docks
Fill:
(volume -& location)
13 . Certification: I hereby certify that the information contained herein
c is true and accurate to the best of my knowledge.
DATE:NOTE:
APPLICANT's SIGNATURE ` r
NOTE: issue o of a zoning permit does not relieve an applioant's burden to oomply with 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.
FILE #
•
o�tHMIPT
No.
(sf, �
)
Alteration__....( )
Repair.._..._-
Plans must be filed with the Building Inspector,
Repair___________.( )
Repainting....._._ _._..( )
before a permit will be granted, Removal__.__._.._...._.....( )
Qit of North-atm:4ml, Ata535.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEF PAGE PLOT.
Northampton, Mass., 3/g .k'
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, oi- marquee.
BUSINESS NAME 14 w1E ?A;:i RELIEF LA^�t-'z-
1. LOCATION, STREET and No. 2. "a"rtRp 5It.),?� /�avz ,ST. iL ia"--)
2. Owner's name..... ..C41.+1-�s � t"�T ...5i.-711-s-.ce3
3. Owner's address._.._..'v...!?..._7.01,2 C....lrpAs4.- .,._._!!^ • o.oZ
4. Maker's name _....—R—rv,,-E
5. Maker's address... _...._...2-c- ......_....1,tzr�? !a. zv-- M.4.~
6. Erector's name....._...._.... ...
7. Erector's address. ` 1C
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated non-illuminated (Designate)
2. Will sign obstruct a fire escape, window or door?...J' ? 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 -7 .ft. .. ins. Temporary >._....... .... ........
6. Face area.._1.`t_.....sq. ft. Wall.... ✓
7. Inner edge will 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. (F Whx."-cz.
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__Ml)o AntOit>
13. Estimate cost 3Sb.vC3
The undersigned certifies that the above statements are true to the
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
rT rw•TN tr . TNT TT r
lam- .s
DEFT OF BUILDING INSPECTIONS
NORTHAMPTON MA 01060
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v PAIN RELIEF cCENTE K