23A-068 (10) MBS
molding business services
y � ywft
�9w s
4
I
I
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
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 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: Molding Business Service
Address:100 Main St„2nd Floor, Florence,MA Telephone:-413-341-3050
2. Owner of Property: Gaurang Patel
Address: 94 Maple Street, Florence, MA 01062 Telephone: 413-586-0667
3. Status of Applicant:_Owner _Contract Purchaser x Lessee
_Other(explain):
4. Job Location:_100 Main St. Florence,MA
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)
n/a
7. Attached Plans: —x—Sketch Plan —x—Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW—x— YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW—x- 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—x— 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:
existing builiding designed with sign bar for future signage locations
Are there any proposed changes to,or additions of,signs intended for the property? YES NO
IF YES: Describe the size,type and location:
SEP 2 3 2015 CC vrf Xort4amptan
Northmbing gMAO1 Massar4usrtts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main SLreeL • Municipal Huilding
Northampton, MA 01060
1��1 1 C'TOIl Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee 1510—lf/
(Application to be filled out in ink or typewritten) Number ....c .JCS..�.
Plans must be filed with the Building Inspector Erection..................( x )
before a permit will be granted. Alteration.................( )
Repair.....................( )
Repainting...............( )
Removal..................( )
FEE........PAGE........PLOT.......
Northampton, Mass. ............Sept 22...................2015.....
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME Molding Business Service...................................................................................................
1. Location, Street and No. 100 Main St., 2nd Floor, Florence, MA.............................................................................
2. Owner's name ...........................................................................................................
3. Owner's address ........................................................................................................
4. Maker's name ...FastSigns..........................................................................................................
5. Maker's address ...777 Riverdale St.,West Springfield,MA...................................................................................
6. Erector's name ...same as above.......................................................................................................
7. Erector's address .......................................................................................................
SIGN KIND OF SIGN
(Designate)
1. Sign will be(check one) illuminated ....... Non-illuminated ...x....
2. Will sign obstruct a fire escape, window or door? ...no...... Marquee ...............
3. Lower edge will be ...10...ft........ins above the public way. Projecting ..............
4. Upper edge will be ...12...ft........ins above the public way. Roof .....................
5. Height ...1...ft...10...ins Width ...9...ft...6...ins a } erry.............
6. Face area ...17.5....sq. ft. � all ............x.........
7. Inner edge will be ...0...ins from the building or pole. Ground ................
8. Outer edge will be ...0.25....ins from the building or pole. Other ...................
9. Face of building or pole is ...n/a....ins back from the street line.
10. Sign will project ...0....ins beyond the street line.
11. Sign will extend ...0....ft .......ins above the building or pole.
12. Of what material will sign be constructed? Frame ......alum.................. Face......alum.................
13. Estimated cost $.......900.................
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
..............................................................
(Signature of Owner or Agent)
File#BP-2016-0400
APPLICANT/CONTACT PERSON MOLDING BUSINESS SERVICE
ADDRESS/PHONE 100 MAIN ST FLORENCE01062(413)341-3050
PROPERTY LOCATION 100 MAIN ST
MAP 23A PARCEL 068 001 ZONE GB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid mpg
Building Permit Filled out
Fee Paid
Typeof Construction INSTALL NON-ILLUM WALL SIGN-MOLDING BUSINESS SERVICE
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
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
City of Northampton Map 23A Lot068 Zone GB(100)/
Massachusetts Date issued 9/28/2015 0:00:00
Inspector of Buildings Permit # BP-2016-0400
Permit Fee$60.00
SIGN PERMIT
Business MODLING BUSINESS SERVICE
Address 100 MAIN ST
Applicant InstallerMOLDING BUSINESS SERVICE
Applicant Installer Address
Work Description INSTALL NON-ILLUM WALL SIGN - MOLDING
BUSINESS SERVICE
Estimated Cost $900.00
Building, Department
Approval by: