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.
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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*�
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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.
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(Signature of Owner or Agent) 1}I
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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
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Sean T. Sullivan
s.� • ����_'�- Attorney at Law
214 State Street
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Option 1