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014 J 01097
Ere ction..-------•-•—•--•-( )
Alteration.._._._...._.....( )
Repair-•-------�__._.( )
Plans must be filed with the Building Inspector,
Repainting........
----.-•_-•( )
befo.c a permit will be granted, Removal............_...........
( )
cfi .af Nart4amptaa, U55 i.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE.......... PAGE...... .. PLOT..........
Northampton, Mass................. _��. ......................._.....19.f...
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME...V.A!'1!/,lE. ..... ..... ..... .�!t /................ :..t.....� Ca
1. LOCATION, STREET and No. ......lq..(4.-'..........i... . ...._5 ....:.........................._......................................................
2. Owner's name..... ... ... ........../..!`�.�_................_...._. _._._.
_...................................._._.......................................................
3. Owner's address...../` 4°..- -.1 � s .9..........S.T..:......_............_..._......._..........................._.............................._._....................
4. Maker's name...... ......... LQ..�r_. ., ./..✓ ?. /F: ..... tu..V ............................................... .....................
5. Maker's address....._4�3Y...._.....�?'G 14f! 7 ` .!�....... .G: .,1 .. :z�l�!.�:'u ..... .1�.,...__ _`Y61.`Y..
6. Erector's name..... _.........._�L q.,i..........._............................_................................._........................._........................
_...
7. Erector's address..... 5?. [...k. ±.!*t. ?T�'?�..._.2(,................../'�./.,r '_.................................
................................................
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated......��.non-illuminated................
Marquee......................................
2. Will sign obstruct a fire escape, window or door?...-/.V.6.
Rtho6.4 Projecting................_...............
3. Lower edge will be..... ...............ins. above the public way.
Roof....._..........................................
4. Upper ed e will be_0._.....ft. ......_..._.....ins. above the public way.
��•/ Temporary................_...........
...
5. Height..-- - ft.._........_.....ins. Width_....4'......ft._..Z__�ns.
i �/ W all....._.....G.._...._.......................
6. Face area.._;Y?..._sq. ft. C/a {'�`? /t
C7_ I round.................._........._...........
7. Inner edge will be/4!t_`�_h"1rS_from the building or pole.
�-T- Other................._.........................
8. Outer edge will be-1P-_-._iprs-from the building or pole.
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 pole.
12. Of what material will sign be constructed? Face......._..._1 ! . J•--•
13. Estimate cos t_.it!: }
The undersigned certifies that the above statements are tru o the
best of his knowledge and belief.
( ignature of Owner or Agent)
NOTE: In order that this application may be accepted, the data called for above must be set forth Mf,
(T 17 A DT V -.-a —TrT T v
10. Do any signs exist on the property? YES 1/ NO
IF YES,describe size,type and location:_
rom e /l fls y ,WE'
e) 7 SI Q 6-Q flai I L
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location: L-06 U ) n /��( t TU f-C P K cc
1i c, A)S W[I(L N P j )4 SSA t(4f
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO
LACK OF INFORMATION.
This C07— to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &paved parking)
# :pf -Parking Spaces
# �of Loading Docks
Fill:
Avol-ume--& location)
13 . Certification: I hereby' certify that the information contained herein
(,I . is true and accurate to the best of my knowledge.
DATE: , —cl APPLICANT's SIGNATURE � \
NOTE: issuanoe of a zoning 9 permit does not relieve an pplloant's burden to comply witty„ Ii
g requirements and obtain all required permits f m the Board of Health. Conservation
Commission, Department of Publio Works and other applioable permit granting authorities:.
'.`;� FILE #
JM U 0 igg Fi 1 e No. %�?117 1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: V MSC 6!ur e 1) d c3 1A I Ve g,, i A L l C', Fe
Address: l I U� Telephone:
2. Owner of Property: ^T\ N J /K!c:
Address: /9 L P le o idt , S ( Telephone:
1
3. Status of Applicant. Owner Contract Purchaser L-- Lessee
Other(explain): /z,7 fir_ %-iQv i� SE' '<'►'y (� �'�:1�(f'S
4. Job Location:
Parcel Id: Zoning Map# � _ Parcel# C ( District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property _ i�r� 'ILL 1H,
6. Description of Proposed Use/WorkfProject/Occupabom (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitVariance/Finding ever been issued for/on the site?
NO DON'T KNO�.N 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 " 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)
FILE # n J .� 3
APPLICANTICO TACT PERSON: ��1t�, ��(2- P4119
ADDRES'§VHONE:
PROPERTY LOCATION: / , �r t 2r 4W ti/2%
NIAP t PARCEL: ZONE
THIS SECTION FOR�OFFICIA.L USE ONLY:
PERNHT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Paid
Bililding Permit HIM nut
New Construction
lRemodeling Interior
Arressnq4 Structure
ffivner/Ocrupant-Statement or License 3Y ..
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOR
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation Commission
Signature of Building Inspector Date
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public), Works and other appiioable permit granting authorities.