31D-137 (3) File# BP-20I7-I25 I ify.
APPLICANT/CONTACT PERSON SIGN TECHNIQUES INC
ADDRESS/PHONE 361 CHICOPEE ST CHICOPEE (413)594-8886
PROPERTY LOCATION 201 MAIN ST
MAP 31D PARCEL 137 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
FNQLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid (,(�
Building Permit Filled out ,/I�/
Fee Paid
Typeof Construction: WALL SIGN - DIRECTOR -FIL
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 CTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P ESENTED:
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 pr Variance* V
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
— / _ S/v/l -J
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.
te. n— 1 � C2tg of Northampton
S10.assur7uselts
RP4RrMEV[ OF BUILD/NG INSPEcno
N9
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41% Main Mtreet • Municipal Building
Nortnurnotou MA 01 unit
nSi , ;.I. Application for a Permit to Place or Maintain a Sign
__ Sidewalk Sign, Marquee or other Advertising Device
(Application to be filled out in ink or typewritten) Number
Plans must he filed with the Budding Inspector Erection (A)
before a permit will be granted. Alteration ( )
/ Repair ( )
3
i 0 1 Repainting ( )
y,
li \ Removal I )
FEE PAGE PLOT
�/
Northampton, Mass. ...1.—� - 20 /7
To the Building Commissioner:
Application for a permit to place or pmaintain a sign or other advertising/� �devivice, or marquee.
BUSINESS NAME ./ar gct_e_,R /a-v(c11L+c✓�-
1. Location, Street anted No. /7 / / "' n1K' u7•
V/e/✓AS �(/ / /
2. Owner's name 'Si/cif
os ,/ � _!1}.p./ ,� /�pU`�S ^14e(� /
3. Owners address
pp ./. .. 4:14 ./(12(..A4c c.494376... c d/O c
•
4. Maker's name ..Lit) /�T� zaleccox Ax.
5. Makers address ....�f C-hie r e Jf �/a/ ,L_& 0/o/3
6. Erectors name ...d%.� .. ..Te.hai Q& ,/,„
7. Erector's addressJ/GL.... &f 0541244 .chi . C,422/ "Leak, 003
SIGN KIND OF SIGN
\/ (Designate)
1. Sign will be (check one) illuminated Non-illumin,ted ...). .
2. Will sign obstruct a fire esca e, window or door? N� Marquee
3. Lower edge will be .. ...ft.. ..ins above the public way. Projecting
4. Upper edge will be .O..ft... ....in abo e the public way. Roof
5. Height ./...ft ....ins Width . .ft.7...ins Temporary
6. Face area YYJJ sq. ft Wall ..k
7. Inner edge will be . ins from the budding or pole. Sidewalk
8. Outer edge will be ..Z..ins,liqqm the building or pole. Other
9. Face of truil or ole is .74?.ins back from the street line.
10. Sign will project ....,,C..ins b yond the street line.
11. Sign will extend ..Q ..ft . ..ins above the building or pgle. /�,"I''"
12. Of what material w�i/lI/g,)9,, be constructed? Frame aw,40mm Face./.40, 1
13. Estimated cost $_.ZOZJ
The undersigned certifies that the above statements are true to th best of his knowledge and belief.
(Signature of Owner or Agent)
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION L
1. Name of Applicant: / e / x 'J Inc.... A , �y}a�{nj,(l,/,`"[+/
Address: (36/ _� ./ es.• •, � . .. t _.( 003 -..- e:J7T CTQ4"'
2. Owner of Property:(J erriD S (!//r at, r`�
Addres5:/ 4 aO — 1 ...._I 4) 44 It ..a 0/ObQlephone:
3. Status of Applicant Owner _Contract Purchaser lessee
YOther(explain}_ �
(�-(
4. Job Location: /97 - I ,GI( t crt.fI
Parcel ID: Donley Map# Parcel# Uistric[(s}�-„,,,_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property: ( /” klealf
6. Description of Proposed Use/Work/Proj et/Occupation:(Use additional sheets if necessary)
../2 sr - / ireeib
7, Attached Plans: Y.,Sketch Plan _Site Plan _Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued ter/on the site?
NO Sil_ DON'T KNOW 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 ele 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 c_ eri-^ 4.9141
IF YES: Describe the size,type and location:
Are there any proposed changes to,or additions of,signs intended ter the property? YES__, , NO X
IF YES: Describe the size,type and location.___ .._.
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.
I i
Existing Proposed Required by
II
Zoning
Lot Size
Frontage _ —
Front:
Setbacks: — — ---
Side:
L: R: L: R: _
Rear:
Building Height
Bldg Square
Footage
% Open Space:
I I i
(Lot area minus bldg and
Paved parking)
#of Parking Spaces F
#of Loading Docks j FI
Fill: 8 location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge. j ' �/�
DATE: 'S- a7- / 7 APPLICANT'S SIGNATURE `G�.�-"`41.4._
�7it�y o LP/1nhC4fliQwf. /t o
Applicant's it ddre (required) U
NOTE: Issuance of a zoning permit does not relieve an applicants 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.
Page 3 of 3
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