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Leasing
Opportunities
5 '
SIDE
3 , RENTIAL •
COMMERCIAL
413- 527 -1580
11. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12. This column to be filled in by
the Building Department.
Existing Proposed Required by
Zoning
Lot Size
Frontage
Front:
Setbacks: —
Side: L: R: L: R:
Rear:
Building Height
Bldg Square
Footage c2 4-
% Open Space:
(Lot dnbldgand (11 �)
Paved parking) � J
# of Parking Spaces /
# of Loading Docks
Fill: (volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
9
DATE: ) I APPLICANT'S SIGNATURE
V y'
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
Requirements and obtain all required permits from the Board of Health, Conservation Commission,
Department of Public Works and other applicable permit granting authorities.
FILE #
Page 3 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: R(k 11.)M n Ma WI fQ2 .(i\P,(1t
Address: ,,,5 NIOrtha.r S't,, I br\ Telephone: 571 -1',316
2. Owner of Property: < \ y < \ ,4X \ C�,� e-
Address: el f l� (1 Zf Ali-, Telephone: 52 S 5b
3. Status of Applicant: )e Owner `` Contract Purchaser Lessee
_ (� '[ Other(explain): !'17 ((,I - C 1 _ / Af .. rYLoflt.
•
4. Job Location: I3 -14\ Damon CRoa_a
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) y,
5. Existing Use of Structure /Property: C OC�`( \t`�(1PaC.tt \ / en! a` c'iYici > hit ()(..S
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
Nolo tea
7. Attached Plans: Sketch Plan x Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance /Finding ever been issued for /on the site?
NOY 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 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
10. Do any signs exist on the property? YES X , NO
I
IF YES: Describe the size, type and location: c 1(t (1 c5I ( on b.) i) d 114 3
Are there any proposed changes to, or additions of, signs intended for the property? YES NO
IF YES: Describe the size, type and location: Neu) v15-c>
Page 2 of 3
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4 -,
A
A.
City of Northampton
P
. t�+ -..(
Massachusetts w " v�
"14 v, ,,,, , 9 li
If ' DEPARTEEDIT OF BUILDING INSPECTIONS r'
212 Main Street • Municipal Building
Northampton, MA 01060 .;,d rs5
INSPECTOR Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number
Plans must be filed with the Building Inspector ;1441 11/ D Erection ( )
before a permit will be granted. Alteration ( )
Repair ( )
el 2 ! 2011 Repainting ( )
Removal ( )
. OF euILDIrtvc : S FEE PAGE PLOT
NOnTHAMProqJ. V, =.. , IAJ
Northampton, Mass. 20
To the Building Commissioner:
Application for a permit to place or maintain a�sign or other advertising device, or marquee.
BUSINESS NAME .. A.11.2 . f0. 1 " �( iG4C C .8-e. n
1. Location, Street and No. I a+ ... RaCt..(
2. Owner's name 11Cf t, ..0.4 l e,
3. Owner's address ...` i.I .. ! V. 0. qha IAP , U l a:•.... t.S.1 ► l i
4. Maker's name LL e. 1 ' `OA -11411L
- 5'. Maker's address Ul l CeA ef.t.th MA
6. Erector's name ...t:.t1,A.:T12I(. n i ' li kRagf . ?r
7. Erector's address ...7 1.....r ..h r n P(L-s\--harnicsi2xi Mil
SIGN KIND OF SIGN
v (Designate)
1. Sign will be (check one) illuminated Non- illumin ted .1` ...
2. Will sign obstruct a fire escape, window or door? . Q.. Marquee
3. Lower edge will be ft ins above the public way. Projecting
4. Upper egge will be ft ins above the public way. Roof
5. Height .. ins Width .r2.ft ins Temporary........
6. Face area . .Q...sq. ft. Wall
7. Inner edge will be ins 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.
10. Sign will project .ins beyond the street line.
11. Sign will extend ft .ins above the building or ale.
12. Of what material w A �
I ign.,. be constructed? Frame . Face.QVII" 017 ril .
13. Estimated cost $..M
The undersigned certifies that the above statements are t ue to the b of his knowledge and belief.
„S 1....
(Signature of Owner or Agent)
Page 1 of 3
City of Northampton Map 18D Lot055 Zone
GB(100) /URA/
Massachusetts Date issued 4/22/2011 0:00:00
Inspector of Buildings Permit # BP- 2011 -0838
Permit Fee$30.00
SIGN PERMIT
Business
Address 137 DAMON RD
Applicant Installer Mantis Graphics
Applicant Installer Address 1 Adams Street
Work Description Ground Signs
Estimated Cost $135.00
Building Department
Approval by: