32C-067 (39) City of Northampton M. e CB
Massachusetts Date issued 8/3/05 0:00:00
Inspector of Buildings Permit # BP-2006-0095
Permit Fee$30.00
SIGN PERMIT
Business CAFÉ LEBANON OF NORTHAMPTON
Addr r. FE LEBANON
Applicant Installer NADIM KASHOUH
Applicant Installer Address 141 STATE ST
Work Description ERECT NON-ILLUM WALL SIGN - CAFE
LEBANON OF NORTHAMPTON
Estimated Cost $0.00
Building Department
Approval by:
File#BP-2006-0095
APPLICANT/CONTACT PERSON KASHOUH NADIM
ADDRESS/PHONE 141 STATE ST SPRINGFIELD (413)244-2518 0
PROPERTY LOCATION 2 CONZ ST-CAFE LEBANON
MAP 32C PARCEL 067 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out � �b�,
Fee Paid �J
Typeof Construction: ERECT NON-ILLUM WALL SIGN-CAFE LEBANON OF NORTHAMPTON
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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
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 Commission Permit from CB Architecture Committee
Permit from Elm Street C 'ssion
/..eor
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.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
11‘1A-'
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, t-+! ;WM - ---n
Alteration' _.._.( )
Plans must be filed with the Building Inspector, Repair...._..----( )
before a permit will be granted, Repainting___....._.......( )
•
Removal____..._...._.._.( )
it of Wa t I "gym trAt6155.
Applic a Permit to Place or Maintain a
DeviceiSign
n
E C C ----7 i\' then Advertising, n, ication to be filled out in ink or t
JUL 2 5 2005 ypcwntten)
_AFEE'
PAGE �`—lsl.OTr 7. .
l pE�OF E���� �yy ti;gQOI��ONS __ //�lv�� 2_,C _ 0200 S
Northampton, Mass
,To-the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device. or marquee.
BUSINESS NAME
. . off...��...00 /1✓U ���t..1 ./.��..�q .
1. LOCATION, STREET and No. v-- 69 /V-.1 Cc.l ,vZ21) ..rf 1P
2. Owner's name...... . / ,!
3. Owner's addres • .•''Sr/. ....7r�.... ."/ i �--? 1 4-----13 .".1) "- 676 Z�
�4. Maker's name - r,. .Q ..s/ .�� •
5. Maker's address ` 9...- _...._/� „ ,�.f j ' Are. ...C,lfet€9 /'V�Cr?
6. Erector's name 5, ,,..
7. Erector's address I
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated non-illuminated....X (Designate)
2. Will sign obstruct a fire escape, window or door?...lWO..-. 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 4.1 ft. --- ins. Temporary
6. Face area...,le.sq. ft. Wall
•
7. Inner edge will be ins from the building or pole. Ground
8. Outer edge will be 4-7 ins. from the building or pole. Other
9. Face of building or pole is... s‘ 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.. ... .. .. .
13. Estimate cost
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 sett forth
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: _�� /-/ ' /1.7
Address: a 6vN� l, ./���C�G✓ar1Oe�ne: ///� y7 Z�7
A/4&;7 19 ,0 vr)y /yc /d 6 e)
2. Owner of Property: /yi y �C'7T Z/' ��•
Address: , (7/1/�/��L ��� Telephone: '9/3 �2 c 2 9/
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: (ID- ��2 Cc_Jve1.e�
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property GAS% .•Q't_ /Z 7l/let-Liet
GA7
6. Description of Proposed Use/Work/P oject/Occupation: se additional sheets if necery):
/ /7 C 5ii /�l it/ i=Si h/�f971//.
trag)Q0 (1)4.er(411/ -•
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 DONT KNOW \,r YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO J DONT 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 .�
1F YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES _ No
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF 1Nt'ORMATION.
This cclama to be fiil.a3
by the Building E p r er.t
I I 'Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnrzt
- 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:
{vo1-rime -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge-
DATE 2 2 S . C� 3 APPLICANT's SIGNATURE -
NOTE: Issuanoe of a zoning permit does not relieve an appiioants burden to oornpry with nil
zoning requirements and obtain all required permits from the Board of Heaith, Conse-r&stiat
Commission, Department of Pubiio Works and other appiioable permit granting authoritios.
FIT,F