18D-039 (13) City of Northampton Map 18D Lot039 Zone
HB(1 00)/WP(80)/
Massachusetts Date issued 7/22/2021 0:00:00
Inspector of Buildings Permit # BP-2022-0055
Permit Fee$100.00
SIGN PERMIT
Business
Address 388 KING ST
Applicant InstallerSIGN DESIGN
Applicant Installer Address 170 LIBERTY ST
Work Description MOVING SIGN DUE TO ROAD WORK - D'ANGELO'S
Estimated Cost $17000.00
Building Department
Approval by:
1 . .)4 , d 1 .
File#BP-2022-0055
APPLICANT/CONTACT PERSON SIGN DESIGN
ADDRESS/PHONE 170 LIBERTY ST BROCKTON
PROPERTY LOCATION 388 KING ST
MAP 18D PARCEL 039 001 ZONE HB(100)/WP(80)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out tJ�
Fee Paid
Typeof Construction: MOVING SIGN DUE TO ROAD WORK-D'ANGELO'S
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:
XApproved 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
SigL,:ture of Building Official i 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 Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
� ," 212 Main Street • Municipal Building
Northampton, MA 01060
Application for a Permit to Place or Maintain a Sign
Or of ; Advertising Device, or Marquee f/-, > 4�
( pplica . lied out in ink or typewritten) Number
Plans must be filed withihe Buildi gins or C Erection ( )
before a permit will be granted. /V/& Alteration ( )
,f0 O Repair ( )
15 Repainting ( )
OFp �Q�, Removal ( ) Q
AORTtigM�o,N� FEE`0...PAGE PLOT d 3 l
l� /n/sA• ,
Mq°706°-41)rth- pton, Mass. 20.....
Application for a permit to place or maintain a gn or other advertising device, or marquee
BUSINESS NAME �`an cj. l.Q.S
1. Location, Street and No. 3 % 3 h. -;
2. Owner's name ..i.3. 1G�!).. l�U�� <<�
3. Owner's address ..PC ..20K 6I O . 6i cL 4 V" 1 ►t o O. . --79
4. Maker's name ...5.!8r.)..h .1.9h i t -
5. Maker's address ..n o....L.1l r4-} Sf Brz YY)r o O I
6. Erector's name ... SLc n Lbk°s`5{) 1 no
7. Erector's address .1 / r '� `� d
SIGN KIND OF SIGN
r 'X 1 St`1 n rj J 1 Git', 7 4)u rm
S4 196 n5 bved d.(N._ - (Designate)
1. Sign will be (check ne) illuminated Non-illuminated ....RadWc'4-
2. Will sign obstruct a fire escape, window or door? 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 sq. ft. Wall
7. Inner edge will be ins from the building or pole. Ground
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 Face
13. Estimated cost $ 1 7.p.0.0
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
V.,O,Pili, )Ui/tC-LA`)) v ,k_C,11 -623 fo,c(
(Signature of Owner or Agent)
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING IINFORMATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: S�13 n I n ]no,
0360 Address: ' I 0 AJ ,r J'/ &U CJc.I i 4 A Telephone: �E ' `I 5 - 7 7 Q 1
�"� �
2. Owner of Propee1rty:I� T-rr 15<-e. I�Oy V f.'�C (C��rt et � \ p�MC ( Q V e it Lc(/1
Address: PV t?u X S 19 W 1 &i 9e0---DT- Telepho e:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): �1 JC h Cd rnPa-0Li
4. Job Location: 3 pP IC.0 ti
Parcel ID: Zoning Map# 1$6 Parcel# () 39 District(s) 00
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S
5. Existing Use of Structure/Property: tr04 113 06- 1 O 1 2) C5 bl 1 Sh trradd-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
1A )e 6 tA'D. rbv€ e e sal s+ 6j 5') b c c_k due
-Va t ► Xk d vy i d e h ►vt3 lP r S e
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 1
IF YES: Describe the size,type and location: Sn°U)rl Or) O-- �� `a-9()L'
Are there any proposed changes to, or additions of, signs intended
►fyo�r the property? YES '� NO
IF YES: Describe the size,type and location: m O v� YLC� 1�1 6
Page 2 of 3
11. ALL INFQRM_ATIONA ST BE COMPLETE_D.;_PERMIT CAN BE DENIED DUE TO LAOIC_O F INFORMATION,
12. This column to be filled in
by
the
Building Department.
Existing Proposed Required by
Zoning
Lot Size
Frontage
Front: •
Setbacks:(for sign)Side: L: R: L: R:
Rear:
Building Height
Facade Square
Footage
#of Parking Spaces
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: I 13 \2_,1 APPLICANT'S SIGNATURE (A_ El 0 l 0 LIVIILt- it-
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
Page 2 of 2
Are-) ',...:,:,.:y ,::„..::::',-,--ass
Do
Massachusetts Department of Transportation
Highway Division
ASSIGNMENT OF RELOCATION PAYMENT
•
Claimant: Landd Corporation d/b/a D Angelo Grilled Sandwiches
City/Town: Northampton
Parcel No: 23-25-C,23-f E-S
Project: Reconstruction of Damon Road F.A.P#: N/F'A
Landd Corporation d/b!a D Angelo Grilled Sandwiches intending to claim a Relocation Payment, requests
and authorizes MassDOT,to pay on the Claimant's behalf,to Sign Design,Inc
the Assignee full payment of the claim in the amount of SS17.750
The specific amount payable is to be determined by MassDOT in accordance with prevailing regulations
governing Relocation Payments after satisfactory performance of the work,and upon receipt of an invoice
from the Assignee.Thc invoice will be itemized showing type ofwork performed and material costs.
Claimant shall certify that the work has been satisfactorily completed. Any obligation to the Assignee in
excess of the amount approved by MassDOT will become the sole responsibility of the Claimant.
The Claimant and Assignee acknowledge that MassDOT has reserved the right to deny a Relocation
Payment to the Claimant or to his Assignee. The Claimant and Assignee further acknowledge that the
Department does not guarantee the amount or time of payment under this agreement.
The Claimant and t c Assignee certify that neither has given or promised additional undisclosed payment,
rebate,bonus,or commission and neither will receive such undisclosed payment,rebate,bonus or
commission as an inducement for the consummation of this transaction.
The Claimant and the Assignee understand that the selection of the Assignee and the acceptance of the
materials used and the work performed is the sole responsibility of the Claimant and that MassDOT is not
responsible for the performance or quality of material and workmanship.
The Claimant and Assignee authorize MassDOT to issue any and all payments to the Assignee.
The Claimant authorizes MassDOT to deduct any payment under this assignment from the total Relocation
Payment now due or hereafter to become due from the Commonwealth of Massachusetts,in connection
•
with this claim only, and the Claimant and the.Assignee agree to execute forms as may be necessary to
qualify for such payment.
WITN ESS our hands and seals this :17f
!`I a y 20.1
Claimant's Signature&Title Date S// )
Assignee's Signature&Title 1 Date S /� /
.
(FXIIIRIT as 17-27 Revisal I/lS!1 Il
5/16/2019
Commonwealth of Massachusetts
Division of Professional Licensure
• Board of Building Regulations and Standards
•Consl;r4iCtiontStY rvisor
CS-068112 spires:08/21/2022
RALPH R FERRIGNO,JR
81 JOHNSON'FARM ROAD
•
NEWBURY NH;03255
/ ``.
\ .
Commissioner dad K. loft citj
Construction Supervisor
Unrestricted -Buildings of any use group which contain
less than 35,000 cubic feet(991 cubic meters)of enclosed
space.
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.gov/dpl
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Sigh Design, Inc.
Address: 170 Liberty Street
City/State/Zip: Brockton, MA 02301 Phone#:508-580-0094
Are you an employer? Check the appropriate box: Type of project(required):
1.0 I am a employer with 65 4. [] I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
shipand have no employees These sub-contractors have
8. [l Demolition
working for me in any capacity. employees and have workers'
insurance.t 9. [] Building addition
comp.[No workers' comp. insurance
required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no ]3.� Other Signs
employees. [No workers'
comp. insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I an:an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Roger Keith & Sons Insurance Company
Policy#or Self-ins. Ljc. #:WC 9080309 • • - Expiration Date;01/21/2022 •
c ' 10t m i)tU>'1 /Y1 CI"
O
Job Site Address: o <`n c) `-� • City/State/Zip: flo I r
Attach a copy of the workers' compensation polio declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: �,1, 1 LQ j /C-C-k A&D Date:
Phone#: 508-580-0094 lx Rya,. f Og - 02 LI 5 - rJ r g'I e eJ)
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
122272
Version 02
Pylon Relocation REINSTALL EXISTING LIGHT 07-06-01
ONTO NEW POST :a
• Remove Existing Pylon,Including Concrete Footing ` ``
• Reinstall as Shown-Reuse Existing Light and Install onto New Post Or'. '_ Mass DOT
• New 10"x 10"Steel Posts(Painted TBD) ' s=
• Direct Burial into Concrete Footing(36"x 36"x 36") •
-` - -#-.,�e D'Angelo Grilled Sandwiches
'ANG C� �•
388 King St
-•¢ti - ILLED SANDWICHES ' Northampton,MA
•
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ILLED SANDWICH •
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PROPOSED - PHOTO SCALE 1.20 -` �- �----- — v,--- `-'*a+=
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REUSE EXISTING LIGHT
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4 SIGNDESIGN
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. " ) A N 0 VISUAL COMMUNICATION SOLUTIONS
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170 Liberty Street
• q l f . Brockton,MA 02301
�u p,yµ 508-580-0094
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SCALE 10 p
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+ '`C EXISTING - PHOTO SCALE 1:20 � "�' SHEET
36" 36" 01 of 0 2
I
M2020 This a c merit and the designs heron were maucu
expressly Inc INS mien(and remain the property of Sign Deng
Inc.They may nol be reproduced or used for any olher putpc::i
without the wrnten conaenVauthoritalion o1 Sign Design_Inc.
The colors printed on Ns page are sway representational oca
should nor be copied or reproduced in any way and;Of used
connexion with this piolect.Rele,to color spec sheet for prop•:
number mulch and System selection.
122272
Version 02
07-06-01
I COUNTY I I rn L END PROP. SHLO ALT. L=57't �,
4 7 3G 17 Mass DOT
15 Iv NO. 8637 (SECTION 1) ��`0
- .�____ _.._.—__ ._, +70.96 48S 16 D'Angelo Grilled Sandwiches
END PROP CITY L' _ o -._-I{ "' —�+ ;) - �_ -- .. �� 388 King St
ALT. NO. 8637 END PROP. SHLO Z R'L r Northampton,MA
(SECTION 2) ALT. NO. 8637
\\,,, ,
(SECTION 2) s
1940 - 1962 SHLO 1tril. r ( �. , . ,
COUNTY
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L LO 5277 •
t tRi=T.) 7 - li
f i L=56't
A. L=73':
j ,_ L=129'f
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EXISTING LOCATION
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13't- 3.0.) - , 411444441ftmomp, , \ \
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B.O.) .
illgarikivia ARCEL 26-C 19 t .•+�' , , /
LLENDAVE, LLC 4. 7,10- `- kb
,
REA ABOUT 508 S.F. ` PARCEL 23-25-C —i �0 '' ' PROPOSED LOCATION P
BRIAN J. MCLAUGHLIN (L`' j o�22 ,�
...
BEGIN PROP. AREA ABOUT 611 S.F. I / G>" g� `` IP
S.F. CITY ALT. + 8�. G' �45 l
(SECTION A) BEGIN PROP CITY i g`� 6141
ALT. NO. 8637
(SECTION 2) , B.. 0 )
i, SIGNDESIGN
VISUAL COMMUNICATION SOLUTIONS
N/F 170 Liberty Street
NDAVE, LLC
'G 7212/25 PARCEL 23-28 v I Brockton.±j 508 580 009401
'G 193/103 BRIAN J. MCLAUGHLIN
AREA ABOUT 430 S.F.
BRIDGE RD % -
Ron Ferrigno
BRIAN J. VMCLAUGHLIN \vo \ -
BK/PG 9403/64 `.
PB/PG 193/103 j -
388 KING ST Kelly Young
N CW
PROPOSED - NOT TO SCALE Proposed Highway Layout Line: --_
, ! \ SCALE 1/8"=1'-0"
PROJ No.. 608236
NORTHAMPTON - BRIAN J. MCLAUGHLIN - PARCEL SKETCH Existing Highway Layout Line SHEET
02 of 02
Property Line: —
a-.2020 This document and the designs herein were produced
expressly lot this project and remain the property or Sign Design
Inc.they(nay reel be reproduced or used for any other purpose
without the written consenVauthutreationot Sign Design,me
The colors printed on this page arc strictly representational and
should not be copied or reproduced in any way defter used in
connection with this molest.Peter ix color spec sheet for proper
number match and system setee ion.