32C-067 (38) oy PAGE 32C PLOT 67 ZONE NB
CITY OF NORTHAMPTON
MASSACHUSETTS ; � • �;
r. 3/22/96
INSPECTOR OF BUILDINGS v �,.�: DATE
c�.vfl'iz•:c�
SIGN PERMIT .. PERMIT NO. 160
PERMIT FEE$ 20.00
3USINESS Howe Pain Relief Center
4DDRESS 2 Conz St. Maplewood Shops
9WNER Charista Property Services
Box 706 E. Longmeadow
ADDRESS •
APPLICANT Porcupine Sign
ADDRESS 2 C Conz St.
HERMIT TO: Install wall sign right of entrance door.
ESTI MATED COST$ 105.00 •
3UILDING DEPT.
BY
P INf P
ill') L5 h 1.
II r1 r ,� : FILE # 960704 OW
Lit i MAR I t 1
c'LAPPLICANT/CONTACTPE7ON:j
� - . )4rk-
PROPERTY LOCATION: �yl L .dt li/aliace-e-eloib o / zv-( &
` ' L
MAP __5,,? PARCEL. Z 7 ' ZONE _
THIS SECTION FOR-OIFI ICIA.L USE ONLY: _
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTL,T.FD OTTT Z I - 0 n.4-6.41 ------
Fee Paid (1 1 /i if,C 1�-61 4
Rnilding Permit Filled mit 41-a-GLthr,(/1cy -
Fee Paid .-'_22/22--e-k_ de_ 1
Type of Cnnctrllrtinn•
New C'nnctrnrtinn
Remndeling Tnterinr
Addition to Existing
Accessory Structure
Rnilding Plans Tnrinded•
Owner/Orrllpant Statement nr licence #
3 Sets of Plans /Plot Plan
THE FLOWING 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
Pe it fro nervation Co sion
.—.?/2"2/6 .
Signature of Building or Date
NOTE:lssuanoe of a zoning permit does not relieve an appiloant'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 applioabie permit granting authorities.
/' ,1^R I 1 1996
File No. G�/(2'V
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ?ofl. ..v.tibc
Address: 2L Co - Sr. O u ) D-), /-(A• Telephone: -`AS1 I
2. Owner of Property: GNA2A5 ���� 5clZ-J`���
Address: 30�. -7o(o G M . Telephone: `-(I 3 -5z5- I73 c
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): SIG-'
4. Job Location: 2 C:cxwz- sr. ( gym
JJ �/
Parcel Id: Zoning Map# � A- Parcel# w 7 District(s): /V
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property OFFu« / S t5
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
7 ; L A-ir i p_k F oz`2
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
Document#
9. Does the site contain a brook, body of water or wetlands? NO V 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: oit 5�G�S t= t- a R742,, S y
ski -Sk0E- P—E?cLP
Are there any proposed changes to or additions of signs intended for the property?YES No
IF YES,describe size,type and location: 5 ' "'> A-a) cn-itttL °('_ c -k—ra- -3
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled is
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 parking)
# .of -Parking Spaces
of Loading Docks
Fill:
_(vol-lime -& location)
13 . Certification: I hereby certify that the information contained herein
r is true and accurate to the best of my knowledge.
DATE: -31 (,( �i APPLICANT's SIGNATURE
NOTE: Issuano of a zoning permit does not relieve an applioanYs burden to comply with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applioable permit granting authorities.
;'; FILE #
.,._ ���1e
MAR 111996 + lir' Erection ..._..__ ..._..._( )
_ ��^0.4 Alteration..__ .... .....
Plans must be filed with the Building Inspector,
Repair....._..._ •( )
Repainting........ ( )
before a permit will be granted, Removal_._......_...._.....( )
Qtit of ~uwt antito n, 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/S// Y'( 19
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME �� _ "-) Ca"�=2 J
1. LOCATION, STREET and No. 2 Ma.�'l � a Stems / (-11/ _ sr. `3e�4
2. Owner's name....._....C-!: "-:°,1A k�'4-�� _ 5;�2�tc-tom r
3. Owner's address._.._73Jx._7o(o E. •
4. Maker's name
5. Maker's address M1 2c_ C -'z Si• Oc -TtIA•Vrtr)t A-A- Gte6c�
6. Erector's name
7. Erector's address.....____.............
SIGN KIND OF SIGN
7/ (Designate)
1. Sign will be (check one) illuminated non-illuminated
2. Will sign obstruct a fire escape, window or door?..... U... Marquee
3. Lower edge will be `o Projecting
g ., ....ft. f j ins. above the public way.
4. Upper edge will be..._ _.....ft. 11 ins. above the public way. Roof
5. Height.. ....ft./Cl/Y." ins. Width .ft. 32- Temporary
......... ....ins. � /
.. .
6. Face area . ....sq. ft. Wall _..1/
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. u'T-
10. Sign will proj ect.....-.._....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 ��0° 1..__
13. Estimate cost
clp
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 P INf P
CT,RART,Y and FTTT,T,Y.
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