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L .... >..,-., .,...;,. 11 2 ci) -<•,. - - :■-• !:: '-' o , . < g cn -0 k 0 c o 77 4 -0 as ..._ :1 in c ,•.1.' -I, . I i ( c in IIIII . . 17, ,-- ■ I VIA. P 0 • e --- . . -. ? ,,;• = • ., CJJ 2-; rn . - . - :,.-.ii 0 ...; „,.• _ rNi = 2 = 7! , • - 4- 5 ' , , -... ... Cn z - --:: CI) 1 I Z 4 i ni 6 - i I 0 ,, 0 ILL 7- fa 0 Page 2 of 3 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 2tDS Front: Setbacks: Side: L: R: L: R: Rear: Building Height Bldg Square Footage % Open Space: (Lot area minus bldg and 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:J? IQ ( 1 2 — APPLICANT'S SIGNATURE i _ / 4 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 Page 1 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: { j= ( I `13r� 1 D [_ . P — — — - -- — Address:1 _-9 1 r�S� 1P�nn 1 )71)33 Telephone:S1it 'l - 16 Z- 2. Owner of Property: C -,r4__ � Address:� IPra K.bl. 0s -4A Ut_SitfTelephone:_ 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): k0._014 _.- 4. Job Location: ' 1(r�� Parcel ID: Zoning Map # _ Parcel # _ District(s) ! _._ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property:_ 2s. • _ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) ( I t u VrLP e_ _ Ia A •t t 5 I 7. Attached Plans: }L _Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special PermitNariance /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 V 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 x DON'T KNOW 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 NO r IF YES: Describe the size, type and location: 7Nrrr i Are there any proposed changes to, or additions of, signs intended for the property? YES V IF YES: Describe the size, type and location: ___ //o,„ M ,� (.ilj of Norlluimp - ton i �. j . ',Hass 1ritusrti$ ti sY �G r s- ` DI�PARTAI 0/ BUILDING INSPECTIONS" �4 . b �"`' !., 212 Main Jtr eel. • Municipal Building s , ..,., i s�r Northampton, MA 01060 i \H F('TO 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 . 4p_ 1 3 r 6 2 Plans must be tiled with the Building Inspector Erection ( ) before a permit will be granted. Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) FEE PAGE PLOT Northampton, Mass. , .—L &erAl -:.1.. ..20.1 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ...��(4—b M.. /VC�.P� .? t - 04!1 '-\ .` 1. Location, Street and No. 6. .t... 6 i sal ,? .L 2. Owner's name ..x.0,4. -- h RTC. C4. e - .0 . 6 3. Owner's address .1 ", �. -" (c I� .3... c�L�R.ii. re o l:. r.u4�-t,(. .0134- t 4. Maker's name .. 1, k,,,,e.e un� C 5. Maker's address ... mea ,(( h-) 6. Erector's name .. (1X it'x �l 0 W .r 7. Erector's address 1.2,0...2.4...q ..... 0....c,... (,,,.,..A.).`./...L SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated k Non - illuminated 2. Will sign obstruct a fir escane, window or door? ...,1V.0 Marquee 3. Lower edge will be ; 1 ft. 1 .ins above the public way. Projecting 4. Upper edge will be /S ins above the public way. Roof 5. Height .1..ft. -.ins Width .171..ft..S.ins Temporary 6. Face area 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 .,l s s ibs 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 Pau' Face. 11...) 13. Estimated cost $i 4oiO The undersigned certifies that the above statements are true to the best of his knowledge and belief. (•ij. nature of Owner or Agent) File # BP- 2013 -0667 APPLICANT /CONTACT PERSON SAXTON SIGN CORP ADDRESS/PHONE 1320 Route 9 Castleton (518) 732 -7704 (102) PROPERTY LOCATION 968 BRIDGE RD MAP 18D PARCEL 027 001 ZONE HB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid �± Building Permit Filled out `/,'11 % - 7 p b Fee Paid Typeof Construction: ERECT ILLUM GROUND SIGN - FORD 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 INFORMATION 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 // J2 113 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. City of Northampton Map 18D Lot027 Zone HB(100)/ Massachusetts Date issued 4/5/2013 0:00:00 Inspector of Buildings Permit # BP- 2013 -0667 Permit Fee$30.00 SIGN PERMIT Business FORD Address 968 BRIDGE RD Applicant InstallerSAXTON SIGN CORP Applicant Installer Address 1320 Route 9 Work Description ERECT ILLUM GROUND SIGN - FORD Estimated Cost $12000.00 Building Department Approval by: