23B-089 -A van ed Small d Engine
sales & service L. L.C.
413m586m3OOO
3h"' X. q
c--s ?-. 00 3 9-0
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
Fill: (volume&location)
13. Certification: I hereby certify that the information contained here is true and accurpte to th best
of my knowledge.
fDATE: �J / APPLICANT'S SIGNATUR
'v _J
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
y� PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: j � �(� / �—I/n e
Address: 2tg# 7 6 l (J Y Telephone:
2. Owner of Property: a.7-e�)
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser ! Lessee
_Other(explain):
4. Job Location: AO 7 I—oca S S
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
7. Attached Plans: ' -Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW t--' 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-4z-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
IF YES: Describe the size,type and location:
Page 2 of 3
r� Cit of Northampton
Massachusetts ,
2�' EP OF BUILDING INSPECTIONS pi
212, Street * Municipal Building
rthampton, MA 01060
INSPECTOR c& rmit to Place or Maintain a Sign
Electric, mg 1 North
rtising Device, or Marquee
(Application to be filled out in ink or typewritten) Number .....................
Plans must be filed with the Building Inspector Erection..................( )
before a permit will be granted. Alteration.................( )
Repair.....................( )
Repainting...............( )
Removal..................( )
FEE........PAGE........PLOT.......
Northampton, Mass. ...............................20.....
To the Building Commissioner:
Application for a permit to pla e r maintain a ign or other ad7yrising d evice, or rgarquee.
BUSINESS NAME .... C ... .......0 ... .�i2. ...................
1. Location, Street and No. ./0..7... .hl Gf ..... .:......................
..............
2. Owner's name .. ..,�.��Yt`?
3. Owner's address ... ..
4. Maker's name .....12�Av
................................................................................
5. Maker's address .A. ...... ./� .. L....... !(L�C.C�� .......:..C.'..................
6. Erector's name ..........................................................................................................
7. Erector's address .......................................................................................................
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ....... Non-illumina ed .
2. Will sign obstruct a fir escape, window or door? .,/V? Marquee ...............
3. Lower edge will be . ft........ins above the public way. Projecting ..............
4. Upper edge will be. l .ft........is above the public way. Roof .....................
,
5. Height . ..ft......ins Width ..V..ft......ins Temporary....
6. Face area a X. q
.s .
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 ...................
9. Face of building or pole is .......ins back from the street line.
10. Sign will project .Q...ins beyond the street line.
11. Sign will extend .0—ft ...ins above the building or pole.
12. Of what material will sicifil be constructed? Frame ........................ Face.............C....,
13. Estimated cost $....ZK..........
The undersigned certifies that the above statements earee to the est o#is owled nd belief.
� ..........................
(Signature of Owner or Agent)
Page 1 of 3
File#BP-2015-0157
APPLICANT/CONTACT PERSON MORTIMER ANDREW
ADDRESS/PHONE 87 GRANT ST PLAINFIELD (413)634-5656 Q
PROPERTY LOCATION 187 LOCUST ST
MAP 23B PARCEL 089 001 ZONE SI(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building,Permit Filled out
Fee Paid
Typeof Construction: ERECT NON-ILLUM WALL SIGN-ADVANCED SMALL ENGINE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATIOESENTED: �' l
Approved Additional permits required(see below)
I S7-1 KA�T
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 Ste 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
7 1t
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 23B Lot089 Zone SI(100)1
Massachusetts Date issued 8/11/2014 0:00:00
Inspector of Buildings Permit # BP-2015-0157
Permit Fee$30.00
SIGN PERMIT
Business ADVANCED SMALL ENGINE
Address 187 LOCUST ST
Applicant InstallerMORTIMER ANDREW
Applicant Installer Address 87 GRANT ST PLAINFIELD 01070
Work Description ERECT NON-ILLUM WALL SIGN - ADVANCED
SMALL ENGINE
Estimated Cost $340.00
Building Department
Approval by_