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39-041 (8) City of Northampton Map 39 Lot041 Zone GB Massachusetts Date issued 3n12019 0:00:00 Inspector of Buildings Permit # BP-2019-0932 Permit Fee$60.00 SIGN PERMIT Business Address 15 ATWOOD DR Applicant InstallerAGNOLI SIGN CO INC Applicant Installer Address P O BOX 1055 Work Description NON ILLUMINATED WALL SIGN- HAMPSHIRE PROBATE Estimated Cost $2300.00 Building Department Approval by: /// a / cxt )V� fzw-cAv File q BP-2019-0932 APPLICANT/CONTACT PERSON AGNOLI SIGN CO INC ADDRESS/PHONE PO BOX 1055 SPRINGFIELD (413)732-5111 PROPERTY LOCATION 15 ATWOOD DR MAP 39 PARCEL 041 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 1 PT Building Permit Filled out Fee Paid � TvoeofConswctiom NON ILLUMINATED WALL SIGN-HAMPSHIRE PROBATE New Construction Non Structural interior renovations Addition to Existing Accessery 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 INF94tMATION 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 EM Street Commission Permit DPW Storm Water Management Demolitiioo`n DDellaa'y�,—J'/n Signature� of Building Official Date 3 7 / 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. Litij of Norttiumptort =s, 9iasaarhusetts �' '-: \ DEPARTMENT OF SU/LD/NC INSPECTIONS 212 Main Street • Municipal Building brthampton, MA 01060 n_11crr01: Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device pp� (Application to be flllsd out in ink or tyw perlttenl Number .., .e7.f,..w...... Plans must be filed with the Bu Idna Inspector Erection..................( before a germd will be aranted Alteration.................( ) RECEIVED Repair.. ...............( ) Repaintingng...............( ) Removal..................(( C) FEB 2 B 2019 FEEL.PAGE�.PLOI. / No mpt , Mass. F°b^."*.4Q....2$.20..1I .................... TO the Building COmmISSlOner: DEPT OF Bt/1LDIN0 INSPECTIONS ' RTNAMPION,MAn10E0 Application for a permit to place or mal in a sign or other"advertising device, or marquee. BUSINESS NAME ....HCrnp.`Thr.4.....Cxllk.(T....isfOE..A.TCM. i...�x?Kc ............ 1. Location, Street and No. ......I'S..A.�.QQ0i:�.....IJfIY.e................................................... 2. Owner's name.....1�or kfh,n d..—L-DimIelopXWO',...1..4�I.................................... 3. Owners address... ........................ 4. Maker's name ....... 5iGQ...CA:.AO.c........................................................ 5. Maker's address..?0'.&f,..lCI5t1....5piLn4211d....L�{1 .......... 6. Erector's name ...... . llO.ki....Sx-i o,...C,lose....................................................... 7. Erector'saddresskD.. .OX...I0,5.5.... ......... SIGN J KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illuminated ..�.. 2. Will sign obstruct a fire escape,window or door? ..Aio... Marquee ............... 3. Lower edge will be .!S.ft........ins above the public way. Projecting .............. 4. Upper edge will be .f'7.11..3....ins above the public way. Roof ..................... 5. Height .,9.A..3..ins Width ..tt.R..l...ins Temporary............. 6. Face area3v%..q4sq.ft. Wall ...../............. 7. Inner edge will be ..O..ins from the building or pole. Sidewalk.................... 8. Outer edge will be ...I:..ins from the building or pole. Other......................... 9. Face of building or pole is z4 P.ins back from the street line. 10. Sign will project . b..ins beyond the street line. 11. Sign will extend ..a..ft .......ins above the building or p^Ole. 12. Of what material will sign be constructed? Frame ......Y.4.C............ Face......7.Y.(.'.......... 13. Estimated cost $.. ,.on... The undersigned certifies that the above statements are true to the best of his knowledge and belief. ......... .. . ... . ..... . . ..................... ( f Owner or Agent) Page 1 of 3 AGn.rV Q At"o Jt SN, dpi _ - .___ , - - J' �t -i y ;I i THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File N0. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Nameof Applicant^QO�Ic gt!]fl �.. SOC Address: spula;Qeld Telephone: 1�3- 38a-,511\ 2. Owner of^roperly., r.�l� �.,nri Address: Yn�t)a9,_Qnnr Yvn MA gird Telephone: 41A -49Q AYE_ 3. Status of Applicant:_Qmer _C`ontract Purchaser _Lessee ✓Other(eaplein): SnJn nLu.. ,9n.J Grp iq9+n1)i 4. Jab Location: 1 MA Parcel ID: Zoning Map# 39 Parcel# o1n1 District(s) (TO BE FILLED IN BY THE BUILDING 5. Existing Useof Stmeture/Properfy: rP. 5. Description of Proposed Use/Work/Proj((e��ctlOcoupation:(Use additional sheets if necessary) io S now n kApr}.F� 7. Attached Plans: / Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special PermiWariance/Finding ever been issued for/on the site? NO DON'T KNOW YES f IF YES,date issued: I p1 k,'31 ri IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IX IFYES: Enter: Book 07a4 Page IS and/or Document# 1-470A 9. Does the site contain a brook,body of water or wetlands? NOEL 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 properly? YES_ NO ✓ IF YES: Describe the size,type and location: Are there any proposed Manges to,or additions of,signs intended for the properly? YES ✓ NO_ IF YES: Describe the size,type and location: Q(w Sell, n� (o44er R oArfk ,,njcri 4h rnnop,l ng per �1y,eiC1. 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 Buildina Detainment. 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 panting) #of Parking Spaces #of Loading Docks Fill: (volume&location) I 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 Heafth, Conservation Commission, Department of Public Works and other applicable permit granting authorities. Page 3 of 3 gnoli [tV2,CPMFTrt A51W)dOR9 �— RI YYP!Sf./9lR AI iCaAWIAl 1M 15PMCYA qlM -- �■■ ■r- 1 #000 �9r 303112" BTJ� 1331/2" OOi Wrt: 013219 6Y.WE 013619 1 LETTERS ARE P WHITE PVC PAINTED METALIC SILVER NIS STUD MOUNTED T6 Cf MN 6 TE E.QUIM AC0.TY Lf Ifil!]II SAY! wus°m 1'�rse DMISC/DEVELOPMENT ASSOCIATES.PLT °A M° DEVELOPMENTS ASSOCIATES.CDR ink AdvancedAd ustment Service, Inc. Property and Lia6iCtyA�Cjusters 60 Cottage Street, rEasthampton, ,A 01027 Thione: 413-282-0150 Tat 413-527-5144 To,T qwe: 800-791-5432 February 26,2019 Building Commissioner or Inspector of Buildings c/o Town Offices 210 Main St. Northampton, MA 01060 NOTIFICATION UNDER M. G.L.c. 139,§311 Re: Insured: Spencer,Richard&Paula Policy#: HP3151236 Date of Loss: 02/25/2019 Type of Loss: Tree fell on house Our File: 19-02103-OOP30 Loss Loc.: 86 Cahillane Tern , Florence, MA 01062 To Whom It May Concern: Advanced Adjustment Service, Inc.,is the independent adjuster retained by Bay State Insurance Co. to investigate and adjust the captioned claim for damage to a building or other structure at the property listed above. Pursuant to M. G. L. c. 139, §3B,Bay State Insurance Co.hereby notifies you that payment of $1,000.00 or more maybe made in connection with the captioned claim. If the city/town intends to initiate proceedings under M. G. L.c. 139, §3A;c. 143, §9,or c. 111, §127B,please forward the notice required under M. G. L. c. 139, §3B,to my attention within the time provided under that statute. Sincerely, Jeff Popoli Ext. 2207 Advanced Adjustment Service,Inc. cc: Bay State Insurance Co. JP:js