18D-026 (62) City of Northampton Map 18D Lot026 Zone GI(100)/
Massachusetts Date issued 10/18/2018 0:00:00
Inspector of Buildings Permit # BP-2019-0455
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 - ADDITION TO NEW
PACKAGE
Estimated Cost $6000.00
Building Department
Approval by:
File#BP-2019-0455
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 GIO00Y
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 1,000,
T eof Construction: ILLUMINATED RO -ADDITION TO NEW PACKAGE
New Qonstruction
Non Structural interior renovations
Addition to Existing
Accessory Structure
BuildingPlans 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
/D I '
Signature of Building OfAicial 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.
RECEIVED
' Tits of Nart4ampton
12 2018
�lttssArlfusrkts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal BuildingsILDING INSPECTIONS
Northampton, MA 01060 AMPTON.MA 01060
1N,-,PECT0R Application for a Permit to Place or Maintain a Sign
Sidewalk Sign, Marquee or other Advertising Device�� S-
(Application to be filled out in ink or typewritten) Number ..............
Plans must be filed with the Buildina Inspector Erection..................( )
before a permit will be-granted. Alteration.................( )
Repair.....................( )
Repainting...............( )
I11Removal..................( )
�Y^CtWY►O� FEE..4�.PAGE........PLOT.......
Northampton, Mass. ...............................20.....
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESSNAME ...... Yh.... ............................................................
1. Location, Street and No. PA................ ...................................
2. Owner's name .. .. ...................................
3. Owner's address .... ..1?.... eL..3.:. ,......V�! dam...``....................
4. Maker's name ... ;�1 :!!... ..................................................................
5. Maker's address ...1 .J�..Sc ! 1.�1n°!..... ?! .`. rll tl .4. ... ... .. �.� Le L*_
6. Erector's name ......°`? :��....................................................................
7. Erector's address .... m�,S� •• �x /?.�1 . ..: !!. 1rV..!!.�L�: ' � / `�c�
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ....... Non-illuminated .......
2. Will sign obstruct a fire escape, window or door? ./V .. Marquee ...............
3. Lower edge will be ......ft........ins above the public way. Projecting ..............
4. Upper edge will be .10.ft.I....ins above the public way. Roof .....................
5. Height .f j.ft.. ..ins Width .4,..ft./:L.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 o po J
12. Of what material willsign be constructed? Frame ......... N. Face..�l .�-
13. Estimated cost $. ...i:;�;t
The undersigned certifies that the above statements are tr a to the be to his knowledge and belief.
. . ..................
Z(Signa ure ner or Agent)
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION '� •
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINTALL INFOR ATION
1. Name of Applicant: "
Address: l d f Telephone: �'..�ZI 1.3
2. Owner of Property: '
o / e.f
Address: < C" Z OTelephone: 'f f/ 3 2 �G[a710
3. Sta of Applicant: Owner Contract Purchaser Less e ff_e
Other(explain): �r �
4. Job Location: Ct
Parcel ID: Zoning Map# Parcel# District )
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use addition I sheets if necessary)
da
E .- L d14 W1 LeleP01L
7. Attached Plans: t 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:
ct 9 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
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: 1Z APPLICANT'S SIGNATURE
D Q V 11141 1, 1PPe;/&j)15
Apple ant's mail Addre s (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