31B-273 (5) 04`�1lAMp1.
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CITY OF NORTHAMPTON 9w r ;;41
MASSACHUSETTS ; *� r:0;
.`At r,.,
INSPECTOR OF BUILDINGS �� , . DATE 4/13/95
SIGN PERMIT vi'r4 PERMIT NO. 257
PERMIT FEE$ 20.
BUSINESS Therapeutic Associates, P.C.
ADDRESS 9 Center Court
OWNER Lilly Gaev
ADDRESS • 608 Westhampton Road
Ferguson Signs
APPLICANT
ADDRESS 241 King Street
PERMIT TO: Erect a wall mounted sign 2'x3' , non-illuminated
ESTIMATED COST$ 500.
BUILDING DEPT.
BY
Anthony L. Patillo
Assistant Building Couuuissioner
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': Alteration ( )
Plans must be tiled with the Building Inspector, Repair ( )
Repainting ( )
before a permit will be granted, Removal ( )
it if N.art4amptan, ' Otr 5
•
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE PAGE PLOT
Northampton, Mass., ..1..2..Z.. 19..75-
To the Building Commissioner: -FRG ie 19 EtrTl c. 1 ;oc ,i.-ES 1 J e
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME --------c.--- -"L- (IA" `/ll� �CJG Ci
�-Q .
1. LOCATION, STREET and No. , � ,
2. Owners name �— 1'L �c v r �, 1
3. Owner's address l� c �N 1`�,l „ ��..,,...1....
of
4. Maker's name address,,,
*- ��
(�NS
5. Maker's address �41 KIVAG- STErceFF . VJure.,S .kea n
6. Erector's name SPfmC
7. Erector's address
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated non-illum' ed (Designate)
rult
2. Will sign obstruct a fire escape, window or door . U Marquee
3. Lower edge will be 0 ft. 0 ins. above the public way. Projecting
4. Upper edge will be.,,-------ft. i------i-ns. above the public way. Roof
5. Height....oa ft 0 ins. Width..... ft Q ins. Temporary
6. Face area 11G1......sq. ft. AF-ak 3b0 So F-(- isr cL.00p_ Wall
7. Inner edge will be ins from theiuilding or pole. Ground
8. Outer edge will be....� ins. fr the building or pole. OtherV 1 --I—
9. Face of building or pole is •-- ins. back from the street line. OV:Litn
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 sig i be constructed ? Frame Face WOOD
13, Estimate cost,.. 0Y..l.
The undersigned certifies that the above statements are true to
best of his knowledge and belief.
(Signature of Owner or ni)
NOTE: In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY. r 'r.::i
Date Filed • File No.
ZONING PERMIT APPLICATION (§10 . 2)
L .
1 . Name of Applicant: L I L L- .
Address: 1 �; Telephone: � 1,f� - �
- �J
•
2 . Owner of Property: . njc
Address : Cr‘ C,w-`,g Telephone: L- - - .�T .- , cb5
' 3 . Status of Applicantr Contract Purchaser
Lessee xplain )
4 . Parcel Identification: Zoning Map Sheet# 3I ' , Parcel# 9%13 ,
Zofiing District(s) (include ov� ays) p
Street Address ' wcVV i„ ,
Required
5. Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to 1/6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear •
Lot size
Frontage. •
•
Floor Area Ratio
•
- %Open space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs --• /
Fill (volume & location)
6 . Narrative Description of Proposed W rk/Project: (Use additional sheets
if necessary) S'I C (5,e Di-TA Il )
f
7 . Attached Plans: X Sketch Plan Site Plan
. 8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: ""1-/-- ^q Applicant' s Signature: /7 ,R--./
(Y9
THIS SECTION FOR OFFICIAL USE ONLY:
t� Approved aspresented/based pp on information presented
Denied as presented--Reason:
Special' Permit and/or ite Plan Required:
Finding Required: variance Re uired:
• . 7111-440 - ,
/ic r---
Signature of B Jlding Inspector * c' Dal
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, Depanmont of Public Works and other appiicabio permit granting author-Rios.
it'1)-
. FERGUSON
SIGNS
241 KING ST. • NORTHAMPTON, MASS. 01060 • 413-586-8462
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411-A
PERMIT P ICATION CHECK LIST
PAGE j '� PLOT 13 ZONE YES NO DA'[E
1 , ZONING FORM APPLIC I (_, Ali":
2 . PERMIT APPLICATION 11 (. .---
3 , owNER OCCUPANT STATEMENT / LIC , # IF NOT
4 . 3 SETS OF PLANS /PLOT PLAN _
5 . NEW CONSTRUCTION ,
6 . CURB CUT .
7 , WATER AVAILABLITY FORMS
8 . REMODELING INTERIOR
9 , ADDITION
10 . ' SBORY STRUCTURE .
1 . G N / AWNING ' ""```, ,�'',` A,`'o ls L'
12 , PERMIT FEE - CHECK ONLY - MONEY ORDER 553lib L'
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE ,
14 . UNDER SECTION 127 — CMR 780
1 5 , FORM A ,,
16 . FILL 1 p4-/b' ' \i1-61(\ J 0'''t.t h !uU c ' ,___,I
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