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PROPOSED SIGN
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FACE
36"
PROPOSED SIGN
FACE 2 4811
Sep 23 15 01 : 18p WhiteStone - Go Graphix 413-525-9941 p. 3
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 eight
Bldg Square
Footage
%Open pace:
(Lot area minus bldg and
Paved parki g)
#of Park ng Spaces
#of Loading Docks
Fill: (volume&location)
13. Certifica ion: I hereby certify that the information contained herein is true and accurate to the best
of my kr owledge_
DATE: 'I 'Z `Z OIS APPLICANT'S SIGNATURE
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,
DepartmE nt of Public Works and other applicable permit granting authorities.
FILE#
Page 3 of 3
Sep 23 15 01 : 18p WhiteStone - Go Graphix 413-525-9941 p. 2
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 pplicani: New E C-&-wA ACU-S
Address: 6 fa\aE PWOUJOO FONT 0J, MA Telephone: G1
2. Owner of roperty: PAATr MAC DONAU)
Address: 70 eAGFIAN ST, CNiCOpFf—, PM Telephone:
3, Status of Applicant:_Owner _Contract Purchaser Lessee
_Other,explain):
4. Job Locati n: 110o rQNfi ST, Ng&LNANVIO►�
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Us e of Structure/Property:
6. Descriptior i of Proposed Use(VVork/Pro}ect/Occupation:(Use additional sheets if necessary)
7. Attached Mans: % Sketch Plan Siie Plan Engineered/Surveyed Plans
8. Has a Spe ial Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 1K YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOWS YES
IF YES: Enter: Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO X_ DON'T KNOW YES
IF YES: Flas a permit been,or need to be,obtained from the Conservation Commission?
Needs to t a obtained Obtained , Date issued
10. Do any signs exist on the property? YES A NO
IF YES: Describe the size,type and location: PiZtMACdLN RJADINQ SI(a0 #IT- ldL
I•t Ck-• 2.- S I DFD PW -l^17
Are there any proposed changes to,or additions of,signs intended for the property? YES _ NO
IF YES: IDescribe the size,type and location: ONE PooifloAIAL blafrT10NAL Sl(w
D AT 61Z- tJ.
j
4 4.4
t
Sep 23 15 01 : 17p WhiteStone - Go Graphix 413-525-9941 p. l
TifiJ of Xort4nmpton SEP 2 4 2015
4 �IRttssttrtfusrlis
UMbing g Qas insPeatk><te
on,MA 01060
i DF.PAYTMF,NT OF BUILDING. INSPECTIONS
y 212 Muir heel . Muniuipal Building 4J'r,
Northampton, MA 01060
i��l-1a rt>l; 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 tie Buildinci Ins ector Erection..................(% )
before a permit will be gr nted. Alteration.................( )
Repair.....................
( )
Repainting...............( )
Removal..................( )
FEE........PAGE........PLOT.......
Northampton, Mass. ...............................20.....
To the Building Comm ssioner:
Application for a pe-mit to place or maintain a sign or other advertising device,or marquee.
BUSINESS IN AM . w.. NCrLN,!�lA..TU ATO691±--A-CUE Z------------------------------------
1. Location, Str I et and No. .1.IN....C.O.N..F.....ST................................................................
2. Owner's name 14' TT......Q.1Pl! .00Ntf ID
3. Owner's address .M:Q....9XGH.15!q ...AT,,,••,CM I GOPt~F r..MA
4. Maker's nam e GS?.....5?QR.P!-i!? ................................................................................
5. Maker's address .3.1.......3 tV7'ON...WJ\I6........ ..:. rMr-
6. Erector's name .Cp......GAPSO I?C...............................................................................
7. Erector's add ess 3 ....... frAS\ ! oN�MF1tP+7�.r .....M...p..t.
...........
SIGN KIND OF SIGN
(Designate)
1. Sign will be check one) illuminated ....... Non-illuminated .A...
2. Will sign obstruct a fire escape, window or door? "N'0... Marquee ...............
3. Lower edge ill be ......ft........ins above the public way.iI Projecting ..............
4. Upper edge Vill be ......ft........ins above the public way.N/A Roof .....................
5. Height A-1... ..O..ins Width .3...ft..O..ins Temporary.............
6. Face area .. Z..sq.ft. Wall .....................
7. Inner edge ill be ......ins from the building or pole. Ground ...?C..........
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 .......ins beyond the street line.
11. Sign will extInd .......ft .......ins above the building or pole.
12. Of what material will sign be constructed? Frame .......
13. Estimated cost $........................
The undersigned ertifies that the above statements are true to t best his knowledge and belief.
.. . ....... ..........................
I atur ner or Agent}
File#BP-2016-0406
APPLICANT/CONTACT PERSON NEW ENGLAND TREATMENT ACCESS
ADDRESS/PHONE 45 ORCHARD RD SWAMPSCOTT01907(617)838-2168 Q
PROPERTY LOCATION 118 CONZ ST
MAP 39A PARCEL 020 001 ZONE GB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiny,Permit Filled out
Fee Paid
Typeof Construction: ERECT DIRECTIONAL SIGN-NEA Gt?N
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
INFORMATION 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
,-,,47a =J/ LA_ �-/;
/S
Signature f Building Officia 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 39A Lot020 Zone GB(100)/
Massachusetts Date issued 9/28/2015 0:00:00
Inspector of Buildings Permit # BP-2016-0406
Permit Fee$60.00
SIGN PERMIT
Business NEA
Address 118 CONZ ST
Applicant InstallerNEW ENGLAND TREATMENT ACCESS
Applicant Installer Address
Work Description ERECT DIRECTIONAL SIGN - NEA - CONZ ST
Estimated Cost
Building Department
Approval by: