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31B-259 AGNOLI SIGN COMPANY, INC. • 72 WORTHINGTON STREET, SPRINGFIELD, MA 01105 • TEL. (413) 732-5111 • FAX (411, 787-2169 EXISTING PROPOSED 1 : SERIOS . 54e Mart PHARMACY , ,T,isrl �IrT, ��� . for I I ' 194.5 "(16.3') sERIO9S ' Mart t'','M F) Pharmacy _ !'''''i t ':''- , ':1, i '''' 1,1 :I PHARMACY alum belt sign with 1/2" pvc letters & logo CUSTOMER: LOCATION: STORE NO: CONTACT: PAUL SER10 /584— MORAWING CODE: DATE: 11 - 10 - 10 DATE 0 - - 10 SCALE: SERIOS PHARMACY SERIOS PHARMACY SALESPERSON: HARRY SERIOS.PLT DESIGNER: INIT. DESIGNER: NIT. 63 STATE ST 63 STATE ST #000 REV. DATE 0 - - 10 REV. DATE 0 - - 10 NORTHAMPTON, MA NORTHAMPTON, MA DESIGNER: LANCE SERIOS PHARMACY.CDR DESIGNER: NIT. DESIGNER: NIT. NOTES: I THIS DESIGN IS THE EXCLUSNE PROPERTY Of AGNOLI SIGN COMPANY INCORPORATED AND ALL RIGHTS TO ITS USE OR REPRODUCTION ARE RESERVED 10. Do any signs exist on the property? YES NO IF 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. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED ZONING Lot Size Frontage Setbacks Front Side L: R: L: R: L R: Rear Building Height Building Square Footage % Open Space: (lot area minus building & paved parking # 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. Date: Applicant's Signature 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, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:\Documents\FORMSIoriginal \Building - Inspector\Zoning - Permit- Application - passive.doc 8/4/2004 File No. .. `$ }' t� ' r $� y 2 , � "'.' y `l z i c A . k v ' 4 @ y., 2 :. 0mi ... Yivl Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the City ofNorthampton 1 . Name of Applicant: S 1 P h of vv• c `7 Address: 6 3 SA 4 4 - 5-) Telephone: 1 .-l1 -0 d i T D 2.. Owner of Property: + G L. A_ S Cfry 1 f-s Address: S A n"ti Telephone: 3. Status of Applicant: Owner ✓ / Contract Purchaser Lessee Other (explain) 4. Job Location: 6 3 .. A-4- AI n , "�' # �xj{yes:w a�{ " tp �� a'x �,+` � _ »� , . 4 fylx �,�' ' ,n a, � '' ,,.',� � , ��_tttk� � � '�.� c w*. • � �..c i s ! o $ � '��� l - 'mac t`�i' 3 , k' v _ 3 �� 3a ' _ .a �* .k_ 4 ' "c, `u� Jam' '` ` r e " ,.;; " ._ -7,-.- ar - lCl �, „! . d ' r • • . LI1l �.+4 . 4t 1' g .7 ” Q „ . � ;, " ^, T trio & `�i ^ *"` r?' ..�C' ' .? '. f"<" '... 5. Existing Use of Structure /Property:, 6. Description of Proposed Use /Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan / Site Plan Engineered/Surveyed Plans B. Has a Spe 'al Permit/Variance /Finding ever been issued for /on the site? NO J DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT 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) W:\Documents\FORMS\original \Building- Inspector?Zoning- Permit - Application- passive.doc 8/4/2004 City of Northampton Oat , Massachusetts 46 '`yR j 4`s« r r �`: ` z ` -,' DEPARTMENT OP BUILDING INSPECTIONS J , 212 Main Street • Municipal Building 4- = _ Northampton, MA 01060 a W S E Application for a Permit to Place or Maintain a Sign PP n � 9 Or other Advertising Device, or Marquee (Application to be filled out in ink or typewritten) Number Plans must be filed with the Buiidin• Ins.ect•r RECEIVED Erection ( ) before a permit will be granted. Alteration ( ) Repair ( ) JUN 2 7 ?AO Repainting ( ) Removal ( ) pta .. of BUILDING INSPE • FEE PAGE PLOT -- 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 s /d'J PMmfrlaty 1. Location, Street and No. L 3 S 747E 57., "foi .lyy}„,j '3s..r 2. Owner's name 3. Owner's address 4. Maker's name l o ,s'76^^' c.o 5. Maker's address 7 2-1- w C-14-7I 1" &TCJ' s 7 , , J J' '&' 'LLD 0Y 0 r ov 6. Erector's name /46-.'oL' sii,, co . 7. Erector's address 71.z rr- 'v'LTh'/' ' &To-' J';., srfLI" , 11-4- ©ii o3' SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non- illuminated 2. Will sign obstruct a fire escape, window or door? .. nto.. 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..4..ins Width /4 ft..3...ins Temporary.,........ 6. Face area .. ft. Wall 7. Inner edge will be U ins from the building or pole. Ground 8. Outer edge will be - S " ins from the building or pole. Other 9. Face of building or pole is 12 ° ins back from the street line. 10. Sign will project 0 ins beyond the street line. 11. Sign will extend .0 .ft 0 ins above the building or pole. 12. Of what material will sign be constructed? Frame .. utvo -1�^^ Face 4'LU Mr. IV 13. Estimated cost $...a2'3.4 0 The undersigned certifies that the above statements are true to the best of his knowledge and belief. 1 (ignatu of OWner or Agent) Page 1 of 3 File # BP- 2011 -1099 t.A0V11 APPLICANT /CONTACT PERSON SERIO COSIMO A & CLAIRE A cKZ 1% Cv III ADDRESS /PHONE 63 STATE ST NORTHAMPTON J f PROPERTY LOCATION 63 STATE ST 1 MAP 31B PARCEL 259 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out � It -3 v ._ Fee Paid 7‘g Typeof Construction: REPLACE NON -ILLUM WALL SIGN - SERIO'S PHARMACY 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN,F9RMATION 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 Commission Permit DPW Storm Water Management Demolition Delay 6 /3o/11 Signature of Building Official Date g g 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. City of Northampton Map 31B Lot259 Zone CB(100)/ Massachusetts Date issued 6/30/2011 0:00:00 Inspector of Buildings Permit # BP- 2011 -1099 Permit Fee$30.00 SIGN PERMIT Business SERIO'S PHARMACY Address 63 STATE ST Applicant Installer AGNOLI SIGN CO INC Applicant Installer Address P 0 BOX 1055 Work Description REPLACE NON -ILLUM WALL SIGN - SERIO'S PHARMACY Estimated Cost $2300.00 Building Department Approval by: