18D-027 (7) File#BP-20I&143? /G`)�^Ft k (/S+ . P/
APPLICANT/CONTACT PERSON SAXTON SIGN CORP "" p ` �uiil
ADDRESS/PHONE 1320 Route 9 Castleton (518)732-7704(102)
PROPERTY LOCATION 96S BRIDGE RD-FORD OF NORTHAMPTON
MAP I SD PARCEL 027 001 ZONE HB(100)_/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATI(Q,N CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid CkUn
Building Permit Filled out
Fee Paid
TweedConstriction; REMOVE EXISTING GROUND SIGN AND REPLACE WITH NEW NON
ILLUMINATED OVAL MONUMENT SIGN
New Construction_
Non Structural interior renovations
Addition to Existing
Accessory Stricture
Building,Plans Included:
Owner/Statement or License
3 sets of Plans i 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 Variances
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 CH Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
•�ael.
4:5
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.
(City- of Nnrtlpzmptnn
2Rassarljusetts
g rt e, pserorau.r,: - I
e voar .v •ARPMeNT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building tid'yS^0
Northampton, MA 01060
ISSFI;(.loN Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number
Plans must be filed with the Building Inspector Erection ( )
before a permit will be Granted. Alteration ( )
Repair ( )
Repainting ( )
Removal ( )
FEE PAGE PLOT
Northampton, Mass. 20.....
To the Building Commissioner:
Application for a permit to place}- or maintain a sign orrother advertising device,or marquee.
r.
BUSINESS NAME ... P,2a....of..AIQOA-.lttnp1a1
II 6
1. Location, Street and No. ./n�la.fi �C.t4
2. Owner's name "DM gesi t4. /7 /
3. Owner's address .1.74A3 R9.Cc4g
�I. /:,�l...�e;flr� Kms` aims n.f. a)3'{-1
t:
4. Maker's name . to A..i +3-�..L1-A :).ltCs TAX--
5. Maker's addressajpSS ZA?i(.Pfnr_t1y Vrgtnia:.l��..i<.�..yf.E:..�31s
6. Erector's name ...``Nkxa.SSg.n..CP (II
7. Erector's address .i2oTa
3 .. wIL.R...CLSkJJ, 4W (24)33
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated
2. Will sign obstruct a fire escape, window or door? An) 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 ft ins Width ft ins Temporary
6. Face area .3.1..sq. ft. Wall
7. Inner edge will be ins from the building or pole. Ground X
8. Outer edge will be ins from the building or pole. Other
9. Face of building or pole is /5!..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
13. Estimated cost $2QQ0
The undersigned certifies that the above statements are true to the b st of his knowledge and belief.
A
(Si ature 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
1. Name of Applicant:5 twt Sr/za en/4)
Address: ,. .., _ !. • .... . 12035 Telephone:SIR-ry37.770'-1
2. Owner of Property::(A Y r}D J/41-/I
Address: Telephone:
• 1
3. Status of Applicant:_{ Owner _Contrarct Purchaser Lessee
'E Other(explain):•
4. Job Location: ,
Parcel ID: Zoning Map# ` Parcel# Distrtct(s)
(TO BE FILLED IN BY THE BUILDING( DEPARTMENT)
5. Existing Use of Structure/Property: Utt bhJLetSein
B. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary)
c 1
.• ..n. A e t' el_—. Sr .( . Etg melt, lL .GS c ___rvr(P '' -r
7.-14-a rf e) e ytI4L flus; rDLA QVo-i ea.•. •a_
7. Attached Plans: V- Sketch Plan Site Plan Engineered/Surveyed Plans
a. Has a Special PermiwVariance&Finding ever been issued for/on the site?
NO DON'T KNOWYES !C IF YES,date issued: ?il1A,t3
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 IS 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 g NO
IF YES: Describe the size,type and location: . • . y., ...._. " 100 r•
Are there any proposed changes to,or additions of, signs intended for the property? YES tit NO
IF YES: Describe the size,type and location:PP nyn,lrn'q g 1'�..... rnt b t
1
..a a . .<_. . _ e , _ e• t_'.u. .. .. . "S __
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.
Existing Proposed Required by
Zoning
Lot Size
Frontage alarm
/rte /S
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height
Bldg Square
Footage
% Open Space:
(Lot area minus bldg and
Paved parking)
#of Parking Spaces
#of Loading Docks
Fill: (volume 8 location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge. A /,
DATE:5q2//l LP APPLICANT'S SIGNATURyLZz..
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.
FILE#
Page 3 of
FO F-31 Monument
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LINCOLNI
Title: Ford_F-31 Mounument Customer: Ford Architectural Graphics, Inc.
Date: 9/12/12 Drawn by: M.McCaslin
Customer Rep: N/A Scale: 1/2"=1'
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