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18D-055 (9) g 3 ag T o' n � 3 fie, 'm 3 m CO rn Z w G) X. 0 CO 3 co m 3 N e) O _ 411111 to -o N co Q O co= „ 7 D o v Q 114 till CA PL_Ai 1 Ul a lq Ill PI° 0 CA -n co M 4 1 ©w 0 cn to till' N I . 0 z 4 , CD _,y O v N1 m 0M1 °3 m F. O 10 m a o; It co_ x- as cs. co iD ° CD C 00 C C .F ?, = 3 moms*: (n m , �m co o 3 w M. '5m z rn co v E 3 5' v / a 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 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 D C) Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. `` t� DATE:k:) , .(( APPLICANT'S SIGNATURE ` ( A 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: \c CI? v^ OL•,07G Address: 13 4Ockwe// xtgA sre 5 awes,[T Telephone: 100 --9 LI , ?3�5 2. Owner of Property: \�`�-NVr p y'i p I S Address: 1$1 10 c:v^y'I,,a„n( " CSI-. EaS4ki unJO Telephone: 6-9 7 /,j 5 6 3. Status of Applicant: Owner 1/Contract Purchaser Lessee _Other(explain): 4. Job Location: 1 3 ? B 'Dot YY R cv Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: et, p,r r' (YNe,r-+ t u-k 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) Y` l St N p en l C_ twt " I 7. Attached Plans: V Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special PermitNariance/Fin'ding ever been issued for/on the site? Fi NO DON'T KNOW Tj/ 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 k 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 IF YES: Describe the size,type and location: Are there any proposed changes to,or additions of,signs intended for the property? YES NO l� IF YES: Describe the size,type and location: '—'). 1 \1 .\ OCT 292013 . ., ' r ,-eci�or� ilr� of Nord-ttmlrtort i ar� 1uf"k nc; �" t t188tutLI8P 8 4 * �`�.` \'''a'',#.4331,4''; DEPARTMENT OF BUILDING INSPECTIONS 4,.. ' w r � : 212 Main Street • Municipal Building a Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee �f_I�+�N + 1 (Application to be filled out in ink or typewritten) Number .. ii b" Plans must be filed with the Building Inspector Erection ( X) 1 b4J- before a permit will be granted. Alteration ( ) �` Repair ( ) Repainting ( ) Removal ( ) FEE PAGE PLOT Northampton, Mass. 0CTO(3rVP : 20.43 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device,or marquee. BUSINESS NAME `=' u S 5 O t 01 L} 1. Location, Street and No. / 3 7- a Vil a t\ 0 01/4 C?� 2. Owner's name l\ C6/\ S'N LA V 6 v 3. Owner's address 4. Maker's name t����"�e�c . `rl 5. Maker's address ADO L S u� loa 5-ficpertt EA ovn'l ny ✓114 6. Erector's name ..Li 'PC) 't e r 7. Erector's address 9 c a,v /CIA 51r-ref y E AS`7�lIU'vr)Ojes�} m A- SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated V Non-illuminated 2. Will sign obstruct a fire escape,window or door? ..'b Marquee 3. Lower edge will be /0 ft .......ins above the public way. Projecting 4. Upper edge wilt be 12.ft..i....ins above the public way. Roof 5. Height ..2.ft (o ins Width/ .ft..4.ins Temporary 6. Face area .a .sq.ft. 10 Wall 7. Inner edge will be 9.ins from the building or pole. Ground 8. Outer edge will be!(9. ifis from the building or pole. Other 9. Face of building or pole is/' iritback from the street line. 10. Sign will project . ...ins beyond the street line. 11. Sign will extend 0 ft ins above the building or pgle. 12. Of what material will sign b constructed? Frame (HlOM.ti-'n✓1 Face... '.,Kct vi 13. Estimated cost 5. .1.1.6.Y The undersigned certifies that the above statements are true to the best of his knowledge and belief. ..Z.Fe-r-ree-,-:44- .C.-_z. (Signature of Owner or Agent) File#BP-2014-0541 APPLICANT/CONTACT PERSON PUFFER SIGN ADDRESS/PHONE 45 UNION ST EASTHAMPTON (413)527-1069 PROPERTY LOCATION 137B DAMON RD-GLASSOLOGY MAP 18D PARCEL 055 001 ZONE GB(100)/URA(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /340/ Fee Paid ,�V Typeof Construction: ERECT ILLUM ROOF SIGN-GLASSOLOGY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plo`t Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFpRMATION 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 /c/i/, 3 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 Lot055 Zone GB(100)/URA(0)/ Massachusetts Date issued 11/1/2013 0:00:00 Inspector of Buildings Permit # BP-2014-0541 Permit Fee$30.00 SIGN PERMIT Business GLASSOLOGY Address 137B DAMON RD - GLASSOLOGY Applicant InstallerPUFFER SIGN Applicant Installer Address 45 UNION ST Work Description ERECT ILLUM ROOF SIGN - GLASSOLOGY Estimated Cost $2168.00 Building Department Approval by: