44-063 File#BP-2019-0643
APPLICANT/CONTACT PERSON MOLITORIS THOMAS M&JOAN M&JAMES G&NANCY A
MOLITORIS TRUSTEES
ADDRESS/PHONE 95 PARK HILL RD EASTHAMPTON
PROPERTY LOCATION 949 FLORENCE RD
MAP 44 PARCEL 063 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT 701-7� REQUIRED DATE
Fee Paid V)U J
Buildina Permit Filled out OgL
Fee Paid
!ypeof Construction: REFACING SIGN-STRUCTURE 6PR C-NON ILLUMINATED
New Construction
Non Structural interior renovations
Additionto 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
INFORMATIOIJ P)tESENTED:
Approved I"�Qdditional 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
a II/27/1's
Siinature of Building Officiiif— Date L' —r—
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.
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DEPARTMENT OF BUILDING IN,5TECTIONS'
212 Main Street • Municipal Building
Northampton, MA 01060
INSPECTOR Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number ......37Y......
Plans must be filed with the Buildin Ins (�'� Erection..................( )
before a permit will be granted. v E I VED Alteration.................(
Repair.....................( )
Repainting...............( )
NOV 28 2018 R oval.....
...."� . . . ( ) 03
FEE. .....PAGE........PLOT...�.
DE NS
NORTHAMPTON!MA010 OO NOrth m ,tonMass.
p ...............................20.....
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME ......4Uc1U.r ... (�(,f`12c? plc,{ ..........................
K E'l.�.R+✓. .....�2vi
1. Location, Street and No. .............. ..... .. . ...........................................
2. Owner's name ......I.i.m......!.` 4U. 1. ..........................................................
3. Owner's address ........l gcl.....ap.qoCc 90��
.............................................
4. Maker's name ........ . !... .l..... fv/Z ...........................................................
5. Maker's address ..... ..!...... .[.UC
.....................................................
6. Erector's name .........7�.!n..../.!. �.�(7(�!.�! ...........................................................
G..... ... T��- 'G ...... vD
7. Erector's address ..........�.J l� .................................................
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 0... 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 .0...ft......ins Width ..Ia..ft......ins Temporary.............
6. Face area `/.F.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 orole.
12. Of what material will sign be constructed? Frame ... R.`,........... Face..A/L)
13. Estimated cost $.../.42XZ:.�?. ?.....
The undersigned certifies that the above statements are true to the be is knowledge and belief.
........ .... ...........
��.iv�avv {�t7(�, Ignature 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
L
1. Name of Applicant: /N �{1"!� 0 <
Address: lwr Telephone:
2. Owner of Property:
Address: `>' ��(�/��3�C �Cy 1'� Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain):Cl
4. Job Location: LU 2
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED INcBYY-THE BUILDING DEPARTMENT)S
5. Existing Use of Structure/Property: I C=zL)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
7. Attached Plans: Sketch Plan Site Plan Engineered/Survey d Plans
U '
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW k 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 ac rate 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
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