32C-171 (8) sf
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Erection..........................( )
Alteration......................( )
Plans must be filed with the Building Inspector, Repair.............................( )
Repainting...................( )
before a permit will be granted, Removal..........................( )
Titv of A"orthampton, Mass.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE....cW. I AC;C.:3..:..L... PLAT...'..;'!.....
Northampton, Mass.
To the Building Commissioner:
Application for a permit to place or maintain a s or other advertising device, or marquee.
BUSINESS NAME......
�j..... ... ��'
...... L!- :�...4.. ....."-... ....�...........
1. LOCATION, STREET�nd No. ........ �� ...�1.....� �rc. .... ..............................................................
2. Owner's name.......!/,.. .. 4, ' .zn6a....................................................................................................
3. Owner's address.....»..1.(:........ :.'.........4.. „- .....................................................................................
4. Maker's name...............0%t2Z`L ... J.....».....................................................................................................................................................
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5. Maker's address........ ................................................................................................................................................................
6. Erector's name............. !.....................................................................................................................................................................
7. Erector's address.......A� ................................................................................................................................................................
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated..................non-illuminated............... (Designate)
2. Will sign obstruct a fire escape, window or door .fY..�..... Marquee......................................
i Projecting..................................
3. Lower edge will be.......,.........ft...................ins. above the public way.
..............ft...................ins.above the public way. Roof.................................................
11 4. Upper edge will be
5. Height..11.. . . .......
...ft.........�.......ins. Width...? .�...ft....... ins. Temporary.................................
t.
6. Face area...!.l.:Z: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....:...�1..f'.l1�................
9. Face of building or pole is..................ins.back from the street line.
10. Sign will projectd.::..&J1 e.ins.beyond the street line.
11. Sign will extend...I.Y!Z&..ft...................ins. above the building or pole.
12. Of what material will sign be constructed? Frame................................................ Face.dlzo.. .... ....
13. Estimate
The undersigned certifies that the above statere are true to the
j fy_ best of his knowledge and belief. r
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na re of Owner OC Agent) ---��•����������.•�..•.*.
NOTE: In order that this application may be accepted, the data called for above must be set forth P ixi P
CLEARLY and FULLY.
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00133
Date Filed
File No.
ZONING PERMIT APPLICATION (910 . 2 )
1 . Name of Applicant : /I
Address :. 1 ,S� _ Telephone :
2 . Owner of Property:Address : Mat,z;.z,,tt, Telephone :
3 . Status of Applicant: X Owner Contract Purchaser
Lessee Other (explain: )
4 , Parcel Identification: Zoning Map Sheet# Parcel#
Zoning District (s) (include over ays)
Street Address
Required
5 . Existinq Proposed by Zoning
Use of Structure/Property `
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project : (Use additional shgets
if necessary) 4."> ?,
6
c 'd Z r 4 Ey tZ tt / J n
7 . Attached Plans : txSketch Plan Site Plan
8 . Certification :_ I hereby certify that the information contained herein
is true and accurate to the best of my knowledge .
t Date : //j�j j Applicant' s Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
_i/Approved as presented/based on information presented
Denied as presented--Reason:
Sp cial' Permit and/or Site Plan Required:
nd ' g Requi d: Variance?quired
n a t u r o wilding ctor �J Dat
NOTE: Issuance 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.
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