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24D-171 (6) File# BP-2020-0434 A L5 0 APPLICANT/CONTACT PERSON VALLEY SIGNWORKS �QN ��,NQ(21►�)�`� ADDRESS/PHONE 3 RAILROAD ST HADLEY SFR � PROPERTY LOCATION 218 STATE ST MAP 24D PARCEL 171 001 ZONE URC(100)/ � � l THIS SECTION FOR OFFICIAL USE ONLY: � PERMIT APPLICATION CHECKLIST C. E OSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid NeLor Typeof Construction: NON ILLUMINATED GkQLLW6SIGN 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 P ELATED: 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 va Signa re 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. Chi jorr Xar�l�ttmxnl UO ' usScrkfusptts " ``c�� ,L'I DEPARTMENT OF BUILDING INSPECTIONS ` 212 Main Street . Municipal Building Northampton, MA o1o6o )i 1,SPEC` OR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device 20 _ 4f 3q (Application to be filled out in Ink or typewritten) Number ..0d9 r........... Plans must be filed with the Building Inspector Erection.................. before a ermit will be ranted. Alteration.................{ ) Repair.....................( ) Repainting...............( ) FEE...,..•.PAG E2q..PLOT.I71. (2W To the Building Commissioner: Northampton, Mass. ...............................20..... tj" -F' Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ....-Se'r., .......5 Utli•.!��,...AMONR/At......(. ... 9. Location, Street and No. ,.. 1 S �,Jv_ V., a�a���w,.-.� Fc— t 3� .`........... .......... ,. ..,............. ,. !'''.A......,p?G T . 2. Owner's name ............ CCl I 1 fi*� /l �C✓1 J (/ 3. Owner's address......... ...G�� r� y�... .............. 4. Maker's name ....tGr�5 .......Cn`'' �� V ll S n w ark-5.....,...... ................... ..... ............... 5. Maker's address .., .... r" J S�', 14 �. u N�1a G 1C,3 S ......•...........' .+........................................... 6. Erector's name ........................ 7. Erector's address .......................... SIGN KIND OF SIGN 1. Sign will be (check one) illuminated ....... Non-illuminated ..,/ (Designate)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 ,*3...ft-0..ins Width .:F_ft.0.ins Temporary............. 6. Face area ,? ...sq, ft. Wall .............. 7. Inner edge will be ......ins from the building or pole. Sidewalk.................... 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 extend .......ft .......ins above the building or pole. 12. Of what material will sign be constructed? Frame ., ......... Face.. end r��•� 13. Estimated cost ± The undersigned certifies that the above statements are true to the b of his no a and belief. i S I (Signature of Owner or Agent) 1}I i Page 1 of 3 i THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: S eLn� ' '• S(111i ve, Address: Sq Lc — U�1 r L �" Telephone: C 13 —'.S3 !- 0II '9ce II 2. Owner of Property; -S L/J t/ aq �j f c m /—L C, Address: S� L"yy stir/W 1,4,Lq Telephone: o / 3. Status of Applicant: Owner Contract Purchaser Lessee _Other(expiain): / 4. Job Location: Parcel ID: Zoning Map# Parcel# District(s} (TO BE FILLED IN BY THE BUILD ING DEPARTMENT) 5. Existing Use of Structure/Property: d F 1� r C-P, 6. Description of Proposed UseNVork/Project/Occupation:(Use additional sheets if necessary) Pur VP '4 SX�C�v w-k-P. q.. xq S S . 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? / n NO DON'T KNOW YES„4 IF YES,date issued: Sr gyp e�/ 1 rm/r 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—,--)-N- 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 11. ALL]N FORMATION 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 Zoninci Lot Size Frontage Front: Setbacks: Side: L: Rear: Building Height G� S Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces C) #of Loading Docks 1 v GNE Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. -�iA DATE: r 3G APPLICANT'S SIGNATURE C- sc,/li V41 Applicant's Email Address (required) 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 Wealth, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 all. a r mak• Sean T. Sullivan s.� • ����_'�- Attorney at Law 214 State Street =K a EEO' � . MIT x r. on 5x3 ' 4x4" 4x4" Option 1