18D-026 •
Illgi
S FS . . ' , . , '7:31.10, ', • F
iiims ' . . illE , , i
Mr , .
Ill) :
immlig„ . ,
H , , ille. . . .. - ,
v
E
co : , I
. , , .
c p —
.:
,.,
i
, ,
me ...,
,, ,„,
, .. ,
...
..
al)
'IN ...iimse,
PIMP :
j
•
C1/ ,.
3 ,
- - '''.44t-'‘
: ::::, , . „,, 10.4
'i_
,:., ...',': i ' -,
. . .
'' al
3
. ..
....... . ......
- . .
AU NEW! welcome to ��
FORD Of NORTHAMPTON
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.
. 1111/11 : m0 00 de
DATE: l /o/( //O APPLICANT'S SIGNATURE _ 4:7-
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: XAM /LY fond of Noi2.71/4MA10i/ 4/24 FQ44 of iv oiryq n7proN
Address: Sr dAM On/ R 04.0 NoAm?4 t ATov ifl4 Telephone: (VI)) 4 d 4 (o0
0/04o
2. Owner of Property:
Address: Telephone:
3. Status of Applicant Owner Contract Purchaser )C Lessee
, Other(explain):
4. Job Location:
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: fOA11 464a /2.f// /P r /2E CZ:4R' Ur' /(/EW e
vrEc) VCA/Keel f for o /2.E1,4 /it JEaV /cE
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
V //At/6 A t%V YL -r-em p DIZ44 Y irA•vq/E/t„ ON U�+7✓it1 E OF
lhvic ilpv(r.
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special PermitNariance/Find ng 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 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 X 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 )C
IF YES: Describe the size, type and location:
j ! ' n l- \21 L
•
OCT 262010'
(2itg of Nurtl1ttmptun
�TH4MFl s
?�P ati''• ts.�V
li)ttssurrfuzetts
t f r ' DEPARTMENT OF BUILDING INSPECTIONS y am` ., ra
\ y j 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 , a 3 / /3fc -
(Application to be filled out in Ink or typewritten) Number
Plans must be filed with the Building Inspector Erection ( )
before a permit will be (ranted. Alteration ( )
Repair ( )
Repainting ( )
Removal ( )
FEE PAGE PLOT
Northampton, Mass. C7OI762. Z G 20
To the Building Commissioner.
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME . 17: 4/N41/ Cow 4 No!ipwri - o/v 44'4 Anti) OF A
1. Location, Street and No. PA/ /
2. Owner's name
3. Owner's address
4. Maker's name
5. Maker's address
6. Erector's name
7. Erector's address
SIGN KIND OF SIGN
/ (Designate)
1. Sign will be (check one) illuminated Non - illuminated V
2. Will sign obstruct a fire escape, window or door? ..(4a?.. Marquee
3. Lower edge will be ft ins above the public way. Projecting
4. Upper a ge will be ft ins above the public way. Roof
5. Height ft 0 ins Width /Z ft 0 ins Temporary ✓
6. Face area "...sq. ft. 24'✓'a 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 ..Q...ins beyond the street line.
11. Sign will extend 0 ft 0 ins above the building or pole.
12. Of what material will sign be constructed? Frame Face V /N YL
13. Estimated cost $...11r.P.,. iO
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
,rW:
(Signature of Owner or Agent)
op Si Q6 i f kklt.Q tI 6r.
,
,
File # BP- 2011 -0385
APPLICANT /CONTACT PERSON FAMILY FORD OF NORTHAMPTON INC
ADDRESS/PHONE 55 DAMON RD NORTHAMPTON (413) 584 -2400 0
PROPERTY LO TION 55 DAMON RD I
MAP 18D P i.., . c . 4;#(190)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT /� 7 �n , 1`3v
Fee Paid �" (�
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT TEMPORARY BANNER - WELCOME TO FORD NORTHAMPTON
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 HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION
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 17 Variance* - 7 , 2-(i"A (2
) )
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
/ .-
, / k--- . ' et/2g/ 0
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.