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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
�a f
Bldq �' � � _. f �ti
Footag (0'
poIe cip
o
/o 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: . Z I ,APPLICANT'S SIGNATURE ti(/1(_ ‘ C. laid ' '\..-
IP 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
n
1. Name of Applicant: Ps U c ( \1 c_ ,. d.__
Address: (9 0 (c.C-t Telephone:
V �p,�
2. Owner of Property: �d"'''" ` CAA.yvvP3 D e hn P�t�S
✓ Address: o 0 a)e9 / i efts r J Ad /,1& V Telephone: - L/q 76
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain): i MOL F 2A4
4. Job Location: —2-0(e \2_, ;c::e1 a
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN�B'Y�THE BUILDING D PARTMENT)
5. Existing Use of Structure/Property: ��
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
IA & u 4" i yi rA , - i '_ '' _ I NI I
A . AM" ()IAA 6_. L _�
I ..
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Fi ing ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorde t 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 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
/
10. Do any signs exist on the property? YES ✓ NO y
IF YES: Describe the size,type and location: 6 n �m
V te_ '?-)-N
Are there any proposed changes to,or additions of,signs i tended for the property? ES �/ NO
IF YES: Describe the size,type and location: l
Page 2 of 3
010 . tE ,2 i v 440 1'5 392 4 � o
^' City of Northampton
` $s%s „ ^, glwS-.. ..Stet.
i ;, Massachusetts k,' ..
4" *
d i� 1 Q I wz aI x ,R E k w 1 ,,r ./ DEPARTMENT OF BUILDING INSPECTIONS ..z-
1.1, i
,
j 212 Main Street • Municipal Buildings �,
d' ! Northampton, MA 01060 *Pa'N k4
JUL II --4...---:- R pplication for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
VEPT.OF B U L L D N-C INS _;T.UNS (Application to be filled out in ink or typewritten) Number f-/41-13
NORTHAMPTON,MA 0'060
Plans must be filed with the Building Inspector Erection ( )
before a permit will be granted. Alteration ( )
Repair ( )
Repainting (X)
Removal .( )
FEE PAGE PLOT
Northampton, Mass. .......7.1.3 20 1,3
To the Building Commissioner:
Application for a permit to place or maintain a sign or other adRL ertising device,
�or marquee.
BUSINESS NAME 1 Z y chic �.. ► L
1. Location, Street and No. ....t .t.O.(O vr,t.:1-A....1...a
r 2. Owner's name f."\ '
p /q ,,I yy�
3. Owner's address �`'C { s . R &..i-
f....... ... . ... 1 1... i r ' l
4. Maker's name , --'e,k- CAN cSiT1'.\
5. Maker's address a .hro c..Cct,
6. Erector's name cA 2 -.-
7. Erector's address
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated
2. Will sign obstruct a fire escape, window or door'? ....Nip.... Marquee
3. Lower edge will be ..eft ins above the public way. Projecting
4. Upper edge will be ,/ ft ins above the public way. Roof
5. Height . ft..O..ins Width .th..ft...Q.ins Temporary
6. Face area .3.jsq. ft -.
7. Inner edge will bes from the building or pole. Ground
8. Outer edge will be mains from the building or pole. Other
9. Face of building or_pole is all back from the street line.
10. Sign will project ... ...ins beyond the street line.
11. Sign will extend ft .0 ins above the building or pgyej � �m �� /•• ��
12. Of what material will sign be constructed? Frame .... ... Face.... .... 1�t
13. Estimated cost $ ,Q 9....
The undersigned certifies that the above statements are true to the best of his kn+wledge and belief.
✓r 7 111 Il 3 (Signature of Owner s
6 Agent)
'W il-
Page 1 of 3
City of Northampton Map 24D Lot119 Zone
HB(100)/URC(0)/
Massachusetts Date issued 7/16/2013 0:00:00
Inspector of Buildings Permit # BP-2014-0013
Permit Fee$35.00
SIGN PERMIT
Business PSYCHIC READINGS
Address 206 KING ST
Applicant InstallerFERGUSON SIGNS
Applicant Installer Address 3 RAILROAD ST
Work Description REPLACE EXISTING SIGN PANELS - PSYCHIC
READINGS
Estimated Cost $800.00
Building Department
Approval by: