10B-021 File #BP-2022-0830 f oLk
APPLICANT/CONTACT PERSON:null Charipak,Inc' CKIFLE: MORCT 4ur0)
I River Rd.LEEDS, MA 0I053(413)584-5446(280)
PROPERTY LOCATION 1 RIVER RD
MAP:LOT 10B-021-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Pen • out
lee Paid $100.00
Type ofC struct' : NON-ILLUMINATED GROUND SIGN -CHARTPAK
New Construction
Non Structural 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 Perm its Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Penn it from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Wa ter Management
Demolition Delay
Signature of Building Official Datc
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.
* Va dances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
1 City of Northampton Y'�'`
Massachusetts ,4? !<<
G
f' i w' Es
` DEPARTMENT OF BUILDING INSPECTIONS 2'• Jfi'
�' 212 Main Street • Municipal Building y0'•. '1�
Northampton, MA 01060 rsy `100
t" _ 0.a Application for a Permit to Place or Maintain a Sign
c.DQ
`" Zo Or other Advertising Device, or Marquee .7 - g ?J0
M
_c (Application to be filled out in ink or typewritten) Number
J r
. n 4
Erection ( )
hip,a wit • Alteration (�)
i , u,` Repair ( )
o Repainting ( )
oval ( )
FEE (r PAGE aPLOT 0 5 y
Northampton, Mass. 20
Application for a permit to place or maintain a sign or other advertising device, or marquee
BUSINESS NAME .C.kGV.._
1. Location, Street and No. .....Z14-fit' .acta 1•> .A..S
2. Owner's name ...Q hOC k aNC
3. Owner's address I .NJ.Q.0 01 k S.....l.1?.A 0/C6S
4. Maker's name 61Q.a.C.v9)NZY,.
5. Maker's address
6. Erector's name
7. Erector's address
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? .1Y10 Marquee
3. Lower edge will be ft ins above the public way.1,' Projecting
4. Upper edge will be ft ins above the public way. NA Roof
5. Height-- ft2a.ins Width ft.3Co.ins Temporary
6. Face area .a...sq. ft. Wall
7. Inner edge will be,4...ins from the building or pole. round
8. Outer edge will be p....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 .Q. ..ft ins above the building or pole.
12. Of what material will s' n be constructed? Frame ✓C h'c Face.i '.brand
13. Estimated cost S..lc'
The undersigned certifies that the above statements are tr e best o his knowledge and belief.
1-
l
(Signature of Owner or Agent)
Page 1 of 3
�1P AeWI' AvAr'TfAK , ( 0t'
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING (INFORMATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: `�r,F C (_4,12_.
Address: / 2hkct A 1e()c1s �� o1a53 Telephone: 01 �56.'j-5'1ay !
2. Owner of Property: e /\ 4t?c.t(c
Address: / 2 Jar ZietA S Al? 00S3 Telephone: 4//3-564-;Sy4'(b
3. Status of Applicant: Owner Contract Purchaser Lessee
�f(Other(explain): ���� pC c ( + IQ�ip� -roc C46, nt/
c
4. Job Location: ( C-1J.yC ark Z► 1•QQ,ck$ Cf\p, O t053
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
?e A4OU al 1 () S 4, 1 e ?-,5k S' r\� --t ASAci l b:VjC,A o c
�oh13le ?oat -�
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW Die-, 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 � 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
?o►t
IF YES: Describe the size, L�type and location: 5 j(�cc\'r^ . 7- p\.c g iN X di,X ?ri-.)
V'es&-V. 44FAXA4, O& Jam`
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
1. 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
7049 ldNS
Lot Size
3 �1 �3.�; y
Frontage J
Ng* L{GC;
Front: /f/
Setbacks:(for sign)Side:
L: R: L: R:
Rear:
Building Height C?06'1
Facade Square
Footage
# of Parking Spaces
lO
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: " ('3 22)--- APPLICANT'S SIGNATEfkE
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,
Department of Public Works and other applicable permit granting authorities.
FILE #
Page 3 of 3