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18D-026 City of Northampton Map 18D Lot026 Zone G1(1 00)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0299 Permit Fee$100.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description DRIVE THRU CANAPY SIGN WITH SPEAKER - SIGN J Estimated Cost $3800.00 Building Department Approval by: 04" , ,n� File#BP-2019-0299 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GI(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid bTeof Construction: DRIVE THRU CANAPY SIGN WITH SPEAKER-SIGN J New Construction Non Structural interior renovations Addition to Existing Accessoa 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 INFO MATION 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 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 y/, /� 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. i DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street a Municipal Building Northampton, MA 01060 jv I� i i c rol Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising De/v�icne �,aq� (Application to be filled out in ink or typewritten) Number ..11 ............ Plans must be filed with the BuildiEIVEDn 770P } 1 ( Erection.................. before a permit will be granted. Alteration................. Repair..................... Repainting............... Ci &/ I _ 2015 Rmoval..................g FEE ......PAGE. ....PLO(((((T...))) )). ... IP0(TIONS NArTONA n, ass. �..7..........20./.g To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ................................................................. 1. Location, Street and No. .. ...................................................... 2. Owner's name ....i".?�:�r�r'c�!=t...�1'e ..l" /..1./. . .............................................. 3. Owner's address ... .4.5. A11.`_(q........................... 4. Maker's name ....V..��?'42�. ...?..��?.�7.................. ............................. 5. Maker's address ....1 S.Sa u�'�.gc..'...e. M...�.J.VL�W ..... �2..©�77J .......... . 6. Erector's name ...alb ?'r, 5................................................................�..... 7. Erector's ddress .....4�-- ��?��L�l �?avl. r. /v. �.vA.GI/ ! 1 <(� 0);7 ;7�� �/� .VYu � '' [�e� SIGN KIND OF SIGN / (Designate) 1. Sign will be (check one) illuminated .V... Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? ./.VV.. Marquee ............... 3. Lower edge will be ..T..ft........ins above the public way. Projecting .............. 4. Upper edge will be ...(..ft...7....ins above the public way. Roof ..................... 5. Height .V..ft......ins Width ..G..ft..gins 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..... ....... r 9. Face of building or pole is .......ins back from the street line. 10. Sign will project .7.Z.".ins beyond the street line. 11. Sign will extend .......ft .......ins above the building or of . ,/ 12. Of hat material will sign be constructed? Frame�.ee ��i , t Kielce....................... 13. Estimated cost $.�. . 6..... The undersigned certifies that the above statements are true to the b t of hisknowledge and belief. (Signature o wner or A nt) Page 1 of 3 or THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION / PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 1 /_ [/ Address: r 4 0 060 Telephone: tQ 3� 2. Owner of Property: e/ JCQK /c� � Z j g Address: r G�/'U ( Telephone: /,t/3 3. St tus of Applicant: Owner Contract Purchaser Lessee St V Z� 4. Job Location: —� 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) A�9 LI 1 Slll11/I S '�P fae 7. Attached Plans: Sketch Plan / Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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: Hasa 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: SD aP Pcc ij 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height lt$17 le Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces #of Loading Docks Fill: (volume&location) 13. Certification: 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: (q /�//11� APPLICANT'S SIGNATURE Z /.G/[ bga� 1pu, 4&-41 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 �. . -� - , z �+ City of Northampton Map 18D Lot026 Zone G1(1 00)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0298 Permit Fee$100.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED GROUND - SIGN I Estimated Cost $5800.00 Building Department Approval by: 61" �?�"`�� s File#BP-2019-0298 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GI(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Typeof Construction: ILLUMINATED GR D- I 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 INF RMATION 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 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 -Z, , "J 9 li3 lie Signa 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. �ltxsszxr�usPtts h`v� �'4'�a DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 i� i i.c„i ox Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device (Application to be tilled out in ink or typewritten) Number ..'P. 1..... . Plans must be filed with the Building Inspect r I 1 E C E I V E DErection..................( ) before a permit will be granted. Alteration.................( ) Repair.....................( ) Repainting...............( ) J� SEP - 7 2018 Removal..................( > J nIFEE.e..PAGE........PLOT....... DEPT OF BUILDING INSPECTIONS NORTHAMPTO Ps p� ss. ..........�.... ..........20. 0 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME . G!-,t. ....PC,j<GS.................................................................. JJ 1. Location, Street and No. ..S... 4 !r.".c .u.......................................................... 2. Owner's name .yN f 7.1. .�.... Y..P.P. ... .4./1 ............................................ 3. Owner's address ..f; .../ i1. 4........................5....... .1...... ....................... 4. Maker's name .. .X11.p�G .�l../........................................................................... 5. Maker's address ./. As..'�( �3 !'!?C....,11 ..V.Lk... Pctl. E 6. Erector's name ..... .. ..dh� 1�................................................................. 7. Erector's address ....... .. 5....-5 r,i e/ J...!."cWI'. .! ®� SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated .'f... Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? ,Aj6... Marquee ............... 3. Lower edge will be ......ft.... ...ins above the public way. Projecting .............. 4. Upper edge will be ..7...ft..f�. ins above the public way. Roof ..................... 5. Height5....ft. ...ins Width .I.A.4..ins Temporary............. 6. Face area 3sq. 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 si n be nstructed? Frame f�iWla� MA vr... Face 13. Estimated cost $..., . The undersigned certifies that the above statements are true to the bes f his knowledgeand be'ef. q( i�naiure of ner or A nt 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: Address: Telephone: 2. Owner of Property: Address: Telephone: 3. Status of Applicant:_Owner Contract Purchaser Lessee _Other(explain): 4. Job Location: 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) 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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: Hasa 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 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 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&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: / APPLICANT'S SIGNATURE 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 s �, City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0294 Permit Fee$100.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED DIRECTIONAL - SIGN E Estimated Cost $1000.00 Building Department Approval by: a' File#BP-2019-0294 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GIO00V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT 11 A Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ILLUMINATED DIRECTIONAL-SIGN E 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 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 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 �� l 9i31A 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. x TU4 jorf Nart4am{rtun N: DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device (Application to be filled out in ink or typewritten) Number .A.- Plans must be filed with the Buildin Ins a M- 7 Erection..................( ) before a permit will be Granted. RECEIVED Alteration.................( ) Repair.....................( ) Repainting...............( ) 8 Removal..................FEE.�.....PAG ........PLOT....... CTIONSass. �p .........� ...1..............21). . To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME .. Gl!ktW.gW.Yt .........-(......................................................... 1. Location, Street and No. .. Jam.... ... .v.`..............................I...................... 2. Owner's name ... -9 f, . ?!Ti...�1'e J?..�"�Rl.l.il.. 3. Owner's address ...I�`...f !'l� t-.G....-��. :... . .5 .!� L�.......................... 4. Maker's name ....V..��Yi:�1... �?.r1.................. ... 5. Maker's address ...l�S.Sa, ul'. ®l��lP...., �.. . "O­.C*.�"'4�­., . /. . ........ ......... ...... 6. Erector's name ...ex.&f, � A ....................................................................... 7. Erector's address �/r�rt ( SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated AL Non-illuminated ....... 2. Will sign obstruct a fi!rp escape, window or door? A.�... Marquee ............... 3. Lower edge will be . ...ft.... ...ins above the public way. Projecting .............. 4. Upper edge will beaO* . ..in above the public way. Roof ..................... 5. Height ......ft.1#.ins Width . .ft.7..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 r pole.E.�,.-c....... Face... /y 12. Of what material will sign be constructed? Fram . ................ 13. Estimated cost $....�' ......... The undersigned certifies that the above statements a rue to th est of his knowled and b ief. .. ....... ... ..... .. ... .. ( . . ...... Sig natur... of Owner or A t). 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 Address: a v �"Zc0 r �G� Telephone: tQ 3�( `3,5 2. Owner of Property: E?i/fC2/'r Address: y 9-"'d S ( / / Telephone: �t ^�LI 3. ZOther(explain): us of Applicant: Owner Contract Purchaser Lessee Y ✓ �CY 4. Job Location: —�S �% � /uY �?` �a Q�1� Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY TI IE BUILDING DEr ARTMENT) 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) A ) s� b I 7 l iiP J4_S '/�'Q Ze GQ ---r-i E T 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 IF YES: Describe the size,type and location: Are there any proposed changes to, or additions of, signs intended for the property? YES J NO IF YES: Describe the size,type and location: /-0 P�;c r e 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height f17 Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces #of Loading Docks Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. r �- DATE: /4 APPLICANT'S SIGNATURE 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 s i ., City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0292 Permit Fee$100.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED DIRECTIONAL - SIGN C Estimated Cost $1000.00 Building Department Approval by: o4" A4-,,v � File#BP-2019-0292 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 p , PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GIO00V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Iypeof Construction: ILLUMINATED DIRECTIONAL-SIGN C 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 INFQRMATION 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 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 12 , 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. Titu of Yart4amptun `A. Ss sic ' X ��.�, �UlttssttrlTusefts ��, �- ".14Gyy DEPARTMENT OF BUILDING INSPECTIONS. 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device R (Application to be filled out in ink or typewritten) Number .. .........'..... Plans must be filed with the Building I (� �J Erection..................( ) before a permit will be granted. 71�E V E( V E D Alteration.................( ) Repair.....................( ) Repainting...............( ) EP — � zona Removal..................( ) s FEEA PAGE........PLOT....... DEPT.OF BUILDING INSPEGImpt n, Mass. ^ ` NORTHAMPTON.MAO ""�( /�""""""..... '� To the Building Commissioner: Application for a permit to place ormaintaina sign or other advertising device, or marquee. "..l ...!f�.1Li!c r?................................................................. BUSINESS NAME .T 1. Location, Street and No. .. 5.... ... ................................................................................................................. 2. Owner's name .... v!?2�°/.Cyt... t'e ..I" /..1.'/........... . 3. Owner's address ...��... .��.. :... .�.5. .!� �.......................... 4. Maker's name ....�C ' :il....?..� .57................. w. . ... ............................. ...... ............... 5. Maker's address ...:1 a .��2 . . `lJ 6. Erector's name ...U� �?[. �1 h 5..... .................................................................. 7. Erector's address .....( 5... 4!�!CG�I/... �d!'dl � ! ! SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ... Non-illumjnated ....... 2. Will sign obstruct a fire escape, window or door? .:..`6.. 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..14.ins Width ...ins Temporary............. 6. Face area ..y...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.-f.. - l.Ymw, 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 orpole. 12. Of what material will sign be constructed? Frame.414, Mk-........ 13. Estimated cost $J.d7015........... The undersigned certifies that the above statements are tru to the b st of his knowledge and be ief. .. . .. ... . .. . ... . ..... (Signature of ner or Ag 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: I ( ' l Address: vc0 �G© Telephone: V tQ l 3d 3,5 2. Owner of Property: f?/ /`/C2� /Q. Address: y GZ vU ( Telephone: �t// �L/ 3. St tus of Applicant: Owner Contract Purchaser -Lessee St tdg✓ lCs� 4. Job Location: Parcel ID: Zoning Map# Parcel# District(s) (TO DE FILLED IN DY TI IE BUILDING D❑'ARTMENT) 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) b� 7. Attached Plans: Sketch Plan /Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 IF YES: Describe the size,type and location: Are there any proposed changes to, or additions of, signs intended for the property? YES 1 NO IF YES: Describe the size,type and location:, ;P 'e R (`,e& 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height 1,$17 H Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces # of Loading Docks Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: / ( APPLICANT'S SIGNATURE,,;; App Icant's Email A dres 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 i i i r �. City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0290 Permit Fee$100.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED DIRECTIONAL - SIGN A Estimated Cost $1000.00 Building Department Approval by: Y R 2S F ri ��J File#BP-2019-0290 � r' F oorCy CuT APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 Q �� PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GIO00V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Tyneof Construction:_ILLUMINATED DIRECTIONAL-SIGN A 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 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 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 Signa a 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. TU4 of Njord4amptan , � ,�lAassttrl�usetts �� � DEPARTMENT OF BUILDING INSPECTIONS yam. 212 Main Street e Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device (Application to be filled out in ink or typewritten) Number .. ................ Plans must be filed with the Buildin Ins ectorR EffCEED Erection..................( ) before a permit will be granted. Alteration.................( ) Repair.....................( ) SRepainting...............( ,> n �moval.................. ( FEE........PAG .18 PLOT....... DFPT OF BUII_C)ItiG INZPFTIONS 7 P NORTHAMPTON,M IC n, Mass. ........./. ...................20/. To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ..P"../61 ?...!!:�.I'Ll�c,'! ................................................................ 1. Location, Street and No. .. S...� ..gd.t..................................................... 2. Owners name .... l�Yl�i'/�tL?t...�C.e4�+?..�"�'� 1.' 3. Owner's address ...I6... 1........... . f�:�!' �t .G....�.�:...�.''./S.Q..11.T? GZ.......................... 4. Maker's name ....V..I��Y42rr'11... 1'4.`1.................. .............................�'.�}...... ............... 5. Maker's address !'k... .W ............... ......... ...... 6. Erector's name ... A .................................................................�..... 7. Erector's address .....( ... ?IG�lQ��Y� ��F��' c �� ✓ 1 ��^� SIGN KIND OF SIGN ' (Designate) 1. Sign will be (check one) illuminated . ... Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? Marquee ............... 3. Lower edge will be ..1.4-ft........ins above the public way. Projecting .............. 4. Upper edge will be .,2 t...G...ins above the public way. Roof ..................... 5. Height ......ft..N—ins Width . 0ft..7...ins Temporary............. 6. Face area ..a...sq. ft. Wall ..................... 7. Inner edge will be ......ins from the building or pole. SidewaLk..........�s . 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 .d1Y4,tY.AW..AA....... Face.!:�1. 13. Estimated cost $...[:W. ::......... The undersigned certifies that the above statements ar rue to a best of his knowledge nd belief. �V .............. .. ;/Ir .. . .............. (Sign re of Own 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: 1 I //-- Address: v eco �G© Telephone: 2. Owner of Property: ei l[ Q,f /c2 �/ Address: y a-'- S ( �"I Telephone: 3. St tus of Applicant: Owner Contract Purchasers-Lessee St Y ✓ l (C' 4. Job Location: Parcel ID: Zoning Map# Parcel# District(s) (TO DE FILLED IN DY TI IE DUILDING D❑'ARTMENT) 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) AA I��t -lV>, .S - � ?. Attached Plans: Sketch Plan /Site Plan Engineered/Surveyed Plans 8. Has a Special Perm itNa riance/Find ing ever been issued for/on the site? NO DON'T KNOW 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: Hasa 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 1 NO IF YES: Describe the size,type and location:^5Q PC' C e 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height lc$17 1( Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces #of Loading Docks Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: ( 'l APPLICANT'S SIGNATURE 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0296 Permit Fee$60.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED WALL SIGN WEST ELEVATION - SIGN G Estimated Cost $2600.00 Building Department Approval by: 04" File#BP-2019-0296 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GIO00V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid !ypeof Construction: ILLUMINATED W L SIG -WEST ELEVATION-SIGN G 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 INFO MATION PRESENTED: proved 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 963 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. Tibj of Nart4amptan r/ j1RAS�EtCtflxSPttB �r mi h: DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 4P Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device G� .. _ q(40 (Application to be filled out in ink or typewritten) NumberH3e7.A.!.. . .. Plans must be filed with the Buildinq Ins ect r RECEIVED Erection..................( ) before a permit will be aranted. i Alteration.................( ) Repair.....................( ) SEP - 7 2018 Repainting...............( & > Re-ioval..................( ) FEL `UPAGE........PLOT....... 'T OF Fil1iI.DING INSPECTIONS (7Fr NC,MHAMT'TON,MA01000 Northarl'ion, ass. .........` ..?.............20.x.75 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME .. ................................................................. 1. Location, Street and No. .. S.... . 9 4 t .. . . ............................................................ 2. Owner s name ... 19`t�!!12 Y!. ,h...�,Cep?�'►...!` ?/..1.'/. 3. Owner's address ... ... !'k,�r.G.... :... .�./S � R.......................... 4. Maker's name ....V.el?!Q-iri ... �'4.�1.................. ... 5. Maker's address ...l a2 .s�, 1'.IJ .... Y...... �''y/-.4..�t. .... . 6. Erector's name ...o 11 ?!r2i. � A .............................. 7. Erector's address .....( ... !�fl Q1��1!� �. F,P� GI 1 �G� 0 ;7 uVgl��i avt - W,�//e/Q 0`RT�'I SIGN KIND a OF J 1. Sign will be (check one) illuminated .✓.... Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door?A). 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 .7....ft.7./.ins Width ..(p..ft,3..$ns Temporanr./........... 6. Face area K?,'�.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 o Ppole. 12. Of what material will sign be constructed? Fra 2144 Face.99�'A� 13. Estimated cost ......... The undersigned certifies that the above statements are truce to the st of his knowledge and belief. (Signatur of Owner orYagt) 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: I Address: / vc0 Y �GD Telephone: 2. Owner of Property: Cit lfG2d'! 6//0 Address: y 6t'- ( Telephone: 3. St tus of Applicant: Owner Contract Purchasers/ Lessee St 'fGui Y$✓ l �y 4. Job Location: S 197�111� �J— lul Yl 721d j/ l Q Q�' q) Parcel ID: Zoning Map# Parcel# District(s) (TO DE FILLED IN DY TI IC DUILDING DEr ARTMENT) 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occu//ppaation: (Use additional sheets if necessary) A 9 11 i KhVJ,,4 S ,��2 ZeX XfP ? Attached Plans Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 obtainedObtained 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 J NO IF YES: Describe the size, type and location: jv "p Pu r (� Q 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height rr7 Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) # of Parking Spaces # of Loading Docks Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. r DATE: / APPLICANT'S SIGNATURE h.p,v 9 5 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 City of Northampton Map 18D Lot026 Zone G1(1 00)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0295 Permit Fee$60.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED WALL SIGN NORTH ELEVATION - SIGN F Estimated Cost $2600.00 Building Department Approval by: File#BP-2019-0295 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GIO00V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction:_ILLUMINATED WALL SIGN NORTH ELEVATION-SIGN F 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 INF RMATION 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 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 7/ k-14i9 c 3 t �a Signature of lding 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. of Xurt4amptun ✓ �,4,: -�r,' S1s,..:{.�:.,sic J1Aassar4usetts e DEPARTMENT OF BUILDING INSPECTIONS �vZ� 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sign, Marquee or other Advertising Device Sidewalk QC i(Applicatlob to.be filled hidiE iDtype ritten) Number ..(b.9...�......!.`� a/ I tJ Plans must be filed with the Building Insr ector Erection..................( ) before a permit will be granted. Alteration.................( ) SEP - 7 2018 Repair.....................( ) Repainting...............( ) % R-,. val..................( ) DEPT.OF BUILDING INSPECTIONS NOM H.AMPION,MP.n'n6o FEE.. ....PAG E........PLOT....... Northampton, Mass. ...........(�/./.7............20.1.49 To the Building Commissioner: Application for a permit to place or/maintain a sign or other advertising device, or marquee. BUSINESS NAME ..T.).G,.V.c.....?.. l>.1.'o!c ................................................................. 1. Location, Street and No. ..JS....P�'vi'✓ ?..... .� t ........................................................... 2. Owner's name .... h!?2.... yt... Rhe ..1` �1.'/.................. 3. Owner's address ...I ...( !'11 � .G....-��. :... .+?.S.Q. .!� �........................... 4. Maker's name ....���' CC.:.Y.... .�7 ,n, r 5. Maker's address .... � ................ ...... .. ... . ... 6. Erector's name .... l ? t. 1 h ....................................................I...........�..... 7. Erector's address N© �l, �ia�> SIGN KIND OF SIGN / (Designate) 1. Sign will be (check one) illuminated .✓... Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? .ko-. 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 .'j...ft.7,i�ins Width ..�;-A3.'.Y.ins Temporary........... 6. Face area q.T=3sq. 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. rV 12. Of what material will sign be constructed? Frame ....... Face 13. Estimated cost $.. ........ The undersigned certifies that the above statements are true the bes,of his knowledge and belief. .A/4, (Signature of e fent) 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: 1 Address: r ' 060 Telephone: 2. Owner of= ltlr-1el ,CP," p� `c� Address: r Telephone: �( C/ �a-,L/ 3. St tus of Applicant: Owner Contract Purchaser s-Lessee St Q✓ l ICY 4. Job Location: SS � /�j Y � Q loco Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY TI IE BUILDING DEr ARTMENT) 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) A9 � 11i !<I/17Iw5 - Z-e4;fP 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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: Hasa 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 1 NO IF YES: Describe the size,type and location: SA <�' Pu C'�a' �e 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height r517 Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces #of Loading Docks Flll: (volume Mocation) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: �� APPLICANT'S SIGNATURE �711 6 , 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 r r City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0300 Permit Fee$100.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED PYLON SIGN - SIGN K Estimated Cost $18000.00 Building Department Approval by: cy" � File 9 BP-2019-0300 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GI(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ILLUMINATED PYLONS N-SJO K 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 INFO MATION 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 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 �._ 9113 11 $ 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. ■ O11 DEPARTMENT OF BUILDING INSPECTIONS f 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidew777 ee ertising Device ' Vr royewri n) Number .A ' � P.... .......... Plans must be filed with the BuildinJ Erection................before a permit will be granted. Alteration.................- 7 2018 Repair.....................Repainting...............Removal..................UILDING INSPECTIONS �1�,(��NOR THA MA01060 EE PAGE .......PLOT....... Northampton, Mass. .......... . ..............20 To the Building Commissioner: Application for a permit to place or/mai-ntaiiinn a sign or other advertising device, or marquee. BUSINESS NAME . 4�!c��' '?...! 'l�. yC ................................................................. 1. Location, Street and No. ..els...Y� �Lh...l,.� z ........................................................... 2. Owner's name ...J�l�1?2YI ...`�e�..I" 1.'!............................................... 3. Owner's address ...I�...( �'k�r.G.. :... .Q.//,5..F..11. 4A1_(Q.......................... 4. Maker's name ....���Y4ZL:�1...? .�7.................. ............................. .. ...... ............... 5. Maker's address ...:� .Sa �. ®lo...P....M... .J.VL' ............... 6. Erector's name ...a(� ?!;'2. �T .............................................................. ... ... 7. Erector's address .....� ...�-�w1.... �IVK " . P,�i/ � !.CI 1 �G� (J a�?1� Y T� IA SIGN KIND OF SIGN� 1. Sign will be (check one) illuminated Z. Non-illuminated ....... (Designate) 2. Will sign obstruct a fire escape, window or door? ,IIP.. 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 .I,,�..ft......ins Width ..WA.��ins Temporary............. 6. Face area .7.7,.?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 .3.S.'.Ahs back from the street line. y 10. Sign will project ..0...ins beyond the street line. 11. Sign will extend ..O..ft .......ins above the building or pole. 12. Of what material will sign be constructed? Frame .�Akm4t.w.. Face. 13. Estimated cost $....I.S761�10.... The undersigned certifies that the above statements are true to thebest f his knowledge and belief. ........... ...... ..... .. .... (Signature of er 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: 1 Address: vc0 �G� Telephone: 2. Owner of Property:Imel 'C2*1 /Q Address: y � (al- M Telephone: 3. St tus of Applicant: Owner Contract Purchaser Lessee St /CV z�' 4. Job Location: Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY TI IE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) 9I� i Sly/� S -S�e �Iae�z�P r 7 Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 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: SA <) R, C e 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height 7 Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces #of Loading Docks Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 7-12 1 APPLICANT'S SIGNATURE 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 i r Corporate 0ffce 125 Samuel Barnet Boulevard New Bedford,M1102745 Northam New England 3 Bud Way#19 Nashua,NN 03063 Pj,-)ya n t Landlord Authorization Date: z Z�'-Z&zii To whom it may concern: Owner of the property located at Do hereby consent to allow Poyant Signs, Inc. to act on my behalf pertaining to permitting and installation of signs and/or awnings for the property named above. Sincerely, _,/XZ Address: D/ Telephone: 3 Email: �Lr —�f Deeded name of property: 800.544.0961 1 poyantsigns corn i �� POYASIG-01 LSOLIZAI ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 09/04/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTACT Lucia Mendes NAME: ----._.--.. HUB International New England PHONE FAX 222 Milliken Boulevard (A/c,_No,Ext):(508)235-2210 (A/C,No): __- Fall River,MA 02721 k53:Lucia.Mendes@hubinternational.com INSURER(S)AFFORDING COVERAGE _ NAIC N INSURER A Nalley Forge Insurance Company 20508 INSURED INSURER B:Continental_Casualty Company _ 20443_--_- Poyant Signs,Inc. INSURER 125 Samuel Barnet Blvd. INSURER D: New Bedford,MA 02745 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR IN WV M/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR .1077924068 09/04/2018 09104/2019 DAMAGE TO RENTED 10p000 PR MISE Ea occu nce $ MED EXP(Any one $ 15,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 I7 POLICY JET x LOC PRODUCTS-COMP/OPAGG $ 2'000'000 OTHER. A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ X ANY AUTO T6C1077924040 09/04/2018 09/04/2019 BODILY INJURY Per arson $ OWNED !— —'SCHEDULED AUTOS ONLY AUTOS SSWN BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONED PPeOr acEciRdent AMAGE $ B X UMBRELLA LIAB X OCCUR I EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE C1077924054 09/04/2018 09/04/2019 AGGREGATE E 10,000,000 DEC) X RETENTION$ 10,000 A WORKERS COMPENSATION ^ PER TAT T ORH AND EMPLOYERS'LIABILITY WC182091627 09/04/2018 09/04/2019 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ FFICERIMEMgER EXCLUDED? N N I A (AAandatory In NN) E.L.DISEASE-EA EMPLOYEE E 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO ant Signs Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. 125 Samuel Barnet Blvd. New Bedford,MA 02745 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD © Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-024491 Expires: 12/19/2019 LEONARD M POYANT 2676 ACUSHNET AVENUE '� NEW BEDFORD MA 02745 Commissioner d CALIFORNIA DEPARTMENT OF FORESTRY and FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL REGISTERED FLAME RESISTANT PRODUCT Product: Reqistration No. DPF 390 F-02101 Product Marketed By: ARLON GRAPHICS LLC 2811 S. HARBOR BLVD SANTA ANA, CA 92704 This product meets the minimum requirements of flame resistance established by the California State Fire Marshal for products identified in Section 13115, California Health and Safety Code. The scope of the approved use of this product is provided in the current edition of the CALIFORNIA APPROVED LIST OF FLAME RETARDANT CHEMICALS AND FABRICS, GENERAL AND LIMITED APPLICATIONS CONCERNS published by the California State Fire Marshal. - Expire: 6/30/2015 De ty State Fire Marshal FH-8 lo! City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 9/13/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0297 Permit Fee$100.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description NON-ILLUMINATED CLEARANCE BAR - SIGN H Estimated Cost $1300.00 Building Department Approval by: 044-t� h��q � I File#BP-2019-0297 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GIO00V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: NON-ILLUMINA EARANCE BAR-SIGN H New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildinp,Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION PRESENTED: proved__Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. ,. C�i�>y of �ur�l�ttm�r�un .r., src� d$ y: DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device (A 1 irkvmpewri n) Number .P94O.'.1.......... Plans must be filed with the Buildin Ins a or Erection..................( ) before a permit will be granted. Alteration.................( ) 2018 Repair.....................( ) SEP Repainting...............( ) 5 (C,,v H moval..................( ) DEPT OF BUILDING INSRFCTIONS FEE.`.....PAG ........PLOT....... NORTHAMPTON,MA 01060 f Northampton, Mass. .........r ...7.............201. To the Building Commissioner: Application for a permit to place or//maintain a sign or other advertising device, or marquee. BUSINESSNAME ................................................................ 1. Location, Street and No. t ........................................................... 2. Owner's name ...X�: �`�. t...�l��'s3'r.. (..r`. 3. Owner's address ...��..f -':V a4 .G..-��. :... .4.S.Q..11. � GZ.......................... 4. Maker's name ...jpelx .. .. rz.51................... ................................ ...... ............... 5. Maker's address ...:1'5.�� . U?Z. ..o......P....mv... Ye .......... 6. Erector's name ... ��A .......... 7. Erector's address .....( ... !�G�C1.... 1�?d�lt� fP.� 1 �G (I ?�� SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illuminated F...... 2. Will sign obstruct a fire escape, window or door? &.e.. Marquee ............... 3. Lower edge will be .q..ft........ins above the public way. Projecting .............. 4. Upper edge will be ...`S.ft.... ..ins above the public way. Roof ..................... 5. Height ..j(..ft......ins Width ..C.ft. 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..�7��"-r��.�%p 9. Face of building or pole is .......ins back from the street line. 10. Sign will project .7.24"ins beyond the street line. 11. Sign will extend .......ft .......ins above the building or pole- 12. ole12. Of what material will sign be constructed? Frame . ee .dApiAt4ce....................... 13. Estimated cost $ ..... The undersigned certifies that the above statements are trueto th best of his knowledge and belief. .. .. .............................. (Signat a 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: I ( Address: l vc0 V G� Telephone: 2. Owner of Property: e/[r P," /a // / Address: y GZ vU S ( i"i Telephone: �( �3 3. St tus of Applicant:_Owner Contract Purchaser -Lessee ZOther(explain): Y ✓ ,Cy 4. Job Location: Ss allot' �(4 j�11� 'I��/ e D1/) Parcel ID: Zoning Map# Parcel# District(s) (TO DE PILLED IN DY TI IE DUILDING DCI ARTMENT) 5. Existing Use of Structure/Property: 6. Description of Proposed Use/ Work/Project/Occupation: (Use additional sheets if necessary) A J4 Ze!6a ee 7, Attached Plans: Sketch Plan / Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 IF YES: Describe the size,type and location: Are there any proposed changes to, or additions of, signs intended for the property? YES 1 NO IF YES: Describe the size,type and location:, Q <., PC,, r e 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 Front: Setbacks: Side: L: R: L: R: Rear: Building Height 1,$17 Bldg Square Footage % Open Space: (Lot area minus bldg and Paved parking) #of Parking Spaces #of Loading Docks Fill: (volume&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANTS SIGNATURE Z � 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 i i