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12C-019 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 b Zoni 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 Spac #of Loadi Docks Fi . (voiume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: "3 I APPLICANT'S SIGNATUR -- 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 1. ame of Applicant: A ress: Telephone: 2. Owner f Property: Address: Telephone: 3. Status of Appli nt:—Owner Contract Purchaser _Lessee _Other(explain). 4. Job Location: Parcel ID: Zoning Map# Parcel# District(s) (TO B ILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Prope 6. Description of Proposed Use/Work/Prot ct/Occupation:(Use addition sheets if necessary) tt 7. Attached Plans: Sketch Plan Site Pla Engineered/Surveyed Plans 8. Has a Special PermitNariance/Finding ever bee issued for n the site? NO DON'T KNOW YES IF YES,date iss d: IF YES: Was the permit recorded at the egistry of Deeds? NO DON'T KNOW Y IF YES: Enter: Book Page and/or Document# 9. Does the site contain a broo body of water or wetlands? NO DON'T OW YES IF YES: Hasa permit b n,or need to be,obtained from the Conservation Commi ion? Needs to be obtalne Obtained ,Date issued 10. Do any si/Deribe the property? YES NO IF YES: e size,ty pe and location: Ar There any proposed changes to,or additions of,signs intended for the property? YES NO IF YES: Describe the size,type and location: P ge2of3 • ,��, C�i�>� l�f �ar�l�ttrtt��un � �s't55At"tj1l5Ftt8 ids '`' r%�: DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building \t Northampton, MA 01060 ">`l JN�FPEf,70R 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 ..................... Plans must be filed with the Building Inspector Erection..................(X) before a permit will be granted. Alteration.................( ) Repair.................... ) Repainting...............( } Removal..................( ) FE AID...PAGE........PLOT....... Northampton, Mass. ...............................20..... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME .. - /..... U...i,�k1=? 1. Location,Street and No. ....... . . n.... .r. }. ._.�-.t��.G.i.;r. `j.1�.4'1r 1 tj..� `12��N(� �✓`� 2. Owner's name ....C-1.- ..-G� ..- 1,,.i'.�'� �a : !.� 1.91......... I E, © . j '� /APrAI� ST 3. Owner's address ...... ...L f S -•„-,,,,- '�� ( Q 4, Maker's name ............................................................................................................. 5. Maker's address .......................................................................................................... 6. Erector's name...... 1! .... .V G. I&A. ........................ 7. Erector's address -......... .` t .... L`..CL :�.!.t-.- 7 �.. y.. :(.!�L'.is �••1�., t i i SIGN KIND OF SIGN (Designate) 1, Sign will be (check one)illuminated . Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? ......... Marquee ............... 3. Lower edge will be ......ft........ins above the public way. Projecting .............. 4. Upper edge will be ......ft........ins above the public way. Roof..................... 5. Height ......ft......ins Width ......ft......ins Temporary............. 6. Face area .......sq. ft. Wall ..................... 7. Inner edge will be ......ins from the building or pole, Ground ................ r-D n 8. Outer edge will be .......ins from the building or pole, Other..5ca( E.,k 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? Frame ........................ Face.,..................... 13. Estimated cost $........................ The undersigned certifies that the above statements are rue to the best of his knowledge and belief. .. (Signature of Owner ent) Page 1 of 3 City of Northampton Map 12C Lot019 Zone URA(100)/R1(97)/WSP(89)/ Massachusetts Date issued 4/24/2014 0:00:00 Inspector of Buildings Permit # BP-2014-1106 Permit Fee$0.00 SIGN PERMIT Business NORTHAMPTON RECREATION Address NORTH MAPLE ST - ARCANUM FIELD Applicant InstallerNORTHAMPTON CITY OF ARCANUM_FIELD RECREATION DEPT Applicant Installer Address Work Description ERECT ILLUM SCOREBOARD Estimated Cost Building Department Approval by: