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17C-197 (12) V 45 MAIN ST: G t. • p ;51MAIN STREL'-T •s I•„_`. ,8 "'�'. .,� �� Sell S6rw JE5 ' _,- .. • .e w� ( Self Sere Guff xa , rs lamb ti F a � � z � T � z = a 3 c orn F Z Ln T N 1 I Z m I I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. December 6, _19 95 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 53 Main Street Lot No. 197 2. Owner's name Cumberland Farms, Inc. Address 777 Dedham St. , Canton, MA 02021 3. Builder's name Richard L. Longton for Cumberland FariMdress 777 Dedham St. , Canton, MA 02021 Inc. p 9/9/97 Mass.Construction Supervisor's License No. 000464 Expiration Date 4. Addition 5. Alteration Replace existing gas island canopy with a new 32' x 46' canopy 6. New Porch 7. Is existing bc"�be demolished? Existing canopy will be removed S. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines /A' to front lot line/32' to right lot lot 12. Type of roof 13. Siding house 14. Estimated cost:- $25,000.00 The undersigned cgief above s emcnt4aree o t he best of his, her knowledge d beBy re res ons� app icon! Richar L. .P.—Co ruction Remarks EMEMENEEMEMW 10. Do any signs exist on the property? YES X NO IF YES,describe size, type and location:_ 4' x 12' CF sign, 4' x 6' Drugstore sign, 3' x 12' pizza sign, 4' x 6' sign on top of canopy and Gulf s/s logo on canopy and price sign. Are there any proposed changes to or additions of signs intended for the property?YES NO X IF YES, describe size, type and location: II. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To LACK OF INFORMATION. This columm to be filled in by the Buildinq Dcparbwnt Required Existing Proposed By Zoning Lot size 21,155.73 sq. ft 21,155.73 sq. ft. Frontage 114.65' 114.65' Setbacks - frnnt 61 10' - side L: 41 R: 41 L: 40 R: 32 - rear CANOPY SUMMV height 17' 17' CANETY f2tdi_qcSquare footage 576 1472 %Open Space: (Lot area minus bldg ' &paved parking) pf. -Parking spaces f -of Loading Docks Fill: =(vo.Ziime--& location) 13 . Certification: I hereby certify that the informa i on ned e ein �r. is true and accurate to the best of my kn edg DATE: 12/6/95 - 'Yu �. APPLICANT'S SIGNATURE i ar n n, -unnstruction. NOTE: Issunnoe of a zoning permit does not relieve an applioant's bur en t oompiy with all zoning requirements and obtain all required permits from the Board o He th, Conservation Commisslon, Department of Publio Works and other applionble permit granting authorities. ' ,; FILE # Fi1e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Cumberland Farms, Inc. Address: 777 Dedham St. , Canton, MA 02021 Telephone: 617-828-4900 2. Owner of Property: Cumberland Farms, Inc. Address: 777 Dedham St. , Canton, MA 02021 Telephone: 617-828-4900 3. Status of Applicant: X Owner Contract Purchaser Lessee Other(explain): 4. Street Address: 53 Main Street ��? Parcel Id: Zoning Map# /�r Parcel# 197 District(s): ''.J (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Convenience food store with gasoline dispensing 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Convenience food store with gasoline dispensing 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Vadance/Finding ever been issued for/on the site? NO X 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 X 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: (FORM CONTINUES ON OTHER SIDE) FILE # O 0'5 3 1 .•4 4'� APPLICANT/CONTACT PERSON: ADDRESS/PHONE: 7;7"7 at-�v S-�; d�c � 1/1'I 6C7 PROPERTY LOCATION: � 3 )1 MAP 1761 PARCEL: 7' ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATT MNING FORM FULEM OUT Fee Paid tl c/ THE LLOWING ACTION HAS BEEN TAKEN ON � ICATION: T Approved as presented/based on information presented lhtl` Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health ermit from rvat' n Commission 971patur.e of 1l ector Date/ NOTE:issuanoe of a zoning permit does not relieve an applioant's burden t`o oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applioable permit granting authorltles. 4 - k", FILE APPLICANT/CONTACT PERSON: ADDRESS/PHONE: 2 7 7 ' PROPERTY LOCATION: MAp PARCEL: 07 ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7()NTNC�FnRM M,TFI) OITT Fee PAid IRnildin2 Permit Filled mit Fee PAif] 77 7 TV13g, nf Cnnqtnyrt*nn, New Cnnqtr_Urtinn ./i 77"o,' e,-- lRemndelin2 Tnterinr Addition tn ExktinZ Structure Cd A cressno4 ()wner/Occit nnt 'StaternentnO.irenst-ii ' LL,` P I �) .� ,Sptq nf Pinng /Pint Pinn TBE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: _L.-I'Approved as presented/based on information presented Denied as presented: —Special Permit and/or Site Plan Required under: § —PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under.§ w/ZONING BOARD OF APPEALS —Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS —Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health WcJl Water Potability-Bd Health —Permit fro Con; tion Comm, I Signature of Building lnspeaLQL,/ Date NOTE:Issuanoo of am zoning permit does not relieve an appiloant'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 applioable permit granting authorities. 10. Do,any,signs exist on the property? YES X NO •%. : IF YES,describe size,type and location: 4' x 12' CF sign, 4' x 6' Drugstore sign, 3' x 12' pizza sign, 4' x 6' sign on top of canopy and Gulf s/s logo on canopy and price sign. Are there any proposed changes to or additions of signs intended for the property?YES NO X IF YES, describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col— to be filled is k by the Building Department Required Existing Proposed By Zoning Lot size 21,155.73 sq. ft 21,155.73 sq. ft. Frontage 114.65' 114.65' Setbacks - frnot 6' 6' , - side L: 41 R: 41 L: 40 R:-32 CANOPY - rear Wldnq height 17' 17' CANOPY fildgcSquare footage 576 1472 %Open Space: (Lot area minus bldg &paved parking) # :of. -Parking spaces # rof Loading Docks Fill: =(vo1-lime--& location) 13 . Certification: I hereby certify that the inform i on ned F�ein is true and accurate to the best of my kn _edg DATE: 12/6/95 APPLICANT's SIGNATURE IcRiara E. Egn n, - s rue ion NOTE: Issuanoe of a zoning permit does not relieve an applicant's bur en t comply with ail zoning requirements and obtaln all required permits from the Board o He th. Conservation Commisslon, Department of Public Works and other applionble permit granting authorities. FILE # DEC 71995 Fi l e No ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION --91 VT .5-- 6��t.3.3/4 1. Name of Applicant: Cumberland Farms, Inc. Address: 777 Dedham St. , Canton, MA 02021 Telephone: 617-828-4900 2. Owner of Property: Cumberland Farms, Inc. Address: 777 Dedham St. , Canton, MA 02021 Telephone: 617-828-4900 3. Status of Applicant: X Owner Contract Purchaser Lessee Other(explain): 4. Street Address: 53 Main Street Parcel Id: Zoning Map# �(?— Parcel# 197 District(s): � (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Convenience food store with gasoline dispensing 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Convenience food store with gasoline dispensing 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitNahance/Finding ever been issued for/on the site? NO X DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO X 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: (FORM CONTINUES ON OTHER SIDE) ' FILE # 9 6 0 5 21 APPLICANT/CONTACT PERSON- -j ADDRESS/PHONE: Ct-� ��- �✓ a� / PROPERTY LOCATION: MAP_ ,/7� PARCEL: j�j'' 1� ZONE _ THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 70NING FORM FULED OUT Fee Pnirl ]Rvvildin2 Permit Filled njit Fee Pnid Addition t�Exisfln2 Striirtivre `i THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION- Approved as presentedfbased on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received& Recorded at Registry of Deeds Proof Enclosed _Variance Required under: §_ 1 /�w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health P mit from se ation Commission Si ature of Buil g pector -_ a NOTE:hmuanoe of a zo g permit does not relieve an a pi ant's burden to oomply with all zoning requirements and obtain ail required permits fro the Board of Health, Conservation Commission, Department of Publio Works and other app ioable permit granting authorities. 10. Do,any.signs exist on the property? YES X NO IF YES, describe size, type and location: 4' x 12' CF sign, 4' x 6' Drugstore sign, 3' x 12' pizza sign, 4' x 6' sign on top of canopy and Gulf s/s logo on canopy and price sign. Are there any proposed changes to or additions of signs intended for the property?YES NO X IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This columm to be filled in by the Building Department Required Existing Proposed By Zoning Lot size 21,155.73 sq. ft 21,155.73 sq. ft. Frontage 114.65' 114.65' Setbacks -frnot 6' 6' - side L: 41 R: 41 L: 40 R: 32 CANOPY - rear EXMRV height 17' 17' fiRd:qcSquare footage 576 1472 %Open Space: (I_ot area minus bldg &paved parking) Parking Spaces 9 rof Loading Docks Fill: (vol-iime--& location) 13 . Certification: I hereby certify that the informa i iron ned e in ;f is true and accurate to the best of my kn edg . DATE: - 12/6/95 APPLICANT's SIGNATURE Rimarct L. Lo'nlgton, V;V-u5nstruction NOTE: Issuanoe of as zoning permit does not relieve an applioants bur en t oomply with all zoning requirements and obtain ell required permits from the Board of He th, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # DEC 71 Fi.I e No. ,� 996 ZONING PERMIT APPLICATION 010 . 2 PLEASE TYPE OR PRINT ALL INFORMATION --���Z� �1 � '�C' 1. Name of Applicant: Cumberland Farms, Inc. L � ivC Address: 777 Dedham St. , Canton, MA 02021 Telephone: 617-828-4900 2. Owner of Property: Cumberland Farms, Inc. Address: 777 Dedham St. , Canton, MA 02021 Telephone: 617-828-4900 3. Status of Applicant: X Owner Contract Purchaser Lessee Other(explain): 4. Street Address: 53 Main Street Parcel Id: Zoning Map# Parcel# 197 District(s): �L2 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Convenience food store with gasoline dispensing 6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary): Convenience food store with gasoline dispensing 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Vadance/Finding ever been issued for/on the site? NO X 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 X 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: (FORM CONTINUES ON OTHER SIDE) FILE # 960521 APPLICANT/CONTACT PERSON• Lf-/ADDRESS/PHONE: PROPERTY LOCATION: 13 ���r�11 j MAP PARCEL: 2 ' ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fe Addition t�Vxiqfing r L[i THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presented based on information presented 7Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: §_,,, WZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health P mit from se ation Commission ` SijSaturle of Buil g pector a NOTE: lasuanoe of a zo g permit does not relieve an a pl ant's burden to oomply with ail zoning requirements and obtain all required permits fro the Board of Health, Conservation Commlealon, Department of Publio Works and other app lot permit granting authorities. 1' II II If II II 11 2 1/2" 10" o II II II II ---;3/4" ! I f I I I I I I I 6" X 6" X 1/4" PLATES I 4 PER STUB I I I I I II 6" 3" , 1/4" 6" TS 8 X b' X 1/4 STUB QUANTITY _'-_ DATE s /l-7-% qce, �♦ M Mohawk Metal Products Co., Inc. 2175 Beechgrove Place Utica, NY 13501 315-793-3000 CQMtEMLAM toP iG1+rte[ (IN0 !a NfaO[ fNCJ1 PIPS �P PNSI WPM4TOl1. "/I[3/r"K go" IOr[ItY AYQt twat+ ONO Pa r a�' 2NA am MN A� cum" "M-%Of r,L.Oi for M"94Ct[1X1Dtq FAxu eva eEwft Stamm w"to Dtcofo. �i Raw On R J/4'mu f to x 1/r to"too [soma!U+YY1t[ A�{MI OON�CCIIOI l 1tf101 W itNl MOII[ wuurAt giu 1 Lt4C[ I '64"W.AMC[ t �ioat 1 jJw+6!>lfol OoNi�Ol f 1 1 rlt L ft.NNEC11144 ll i ¢+410 >>0 rsr lap+"ruu re rIP11MI 00 or DOCK FLOM rW To who W FWKA"fall. L ruc�,P.rta lr�►n�itt vNi aac all, PQ[IL1R 1W If"" (tsrsu"VI'm o'r=4F "°'°°("d� ..DtcKIM4 9EG1� WW AL DECK PM TO PUWFA CONNEOti@I C t/P - SF ROOF LIVE LOAD WIND LOAD ____• BASED ON FLAT ROOF SNOW BASED ON GI DEAD LOADS DECK / FAS1 FASCIA WT. STRUCTURAL CONCRETE - 20GA FASCIA BRACES rUSE (a) 1/2' Ain BATS FOR PURLIN TO CROSS REAM CONNECTION COLUMN TS-Fr-X_kXl-4- CLEARANCE FINISH GRADE ' .f MOHAWK METAL PRODUCTS, INC. (315) 793-3000 CUSTOMER: CUMBERLAND FARMS 5 OF 5 LOCATION: FLORENCE, MA JOB NUMBER: 964344 CANOPY SIZE: 24 ' X 28 ' DATE: 5/22/96 SIZE QUANTITY DESCRIPTION COLOR CHK BY - -- - SHROUD ACCESSORIES ---------------------------------------------------------------------------- 24" X 16 ' X 20GA 2 SHROUD FACE BLACK 24" X 8 ' X 20GA 4 SHROUD FACE BLACK 13" X 16 ' X 20GA 4 SHROUD END CAP BLACK 23-1/2" X 84" 8 18GA SHROUD RACK GALV #12 X 1-1/4" TEK 5 85 TEK SCREW W/WASHER GALV #10 X 3/4" 85 TEK SCREW W/WASHER GALV #8 X 1-3/4" 85 PHILLIPS PAN HEAD TEK 2 BLACK MOHAWK METAL PRODUCTS, INC. (315) 793-3000 CUSTOMER: CUMBERLAND FARMS 4 OF 5 LOCATION: FLORENCE, MA JOB NUMBER: 964344 CANOPY SIZE: 24 ' X 28 ' DATE: 5/23/96 SIZE QUANTITY DESCRIPTION COLOR CHK BY #12 X 7/8" 30 TEK SCREW W/NEOPRENE WASHER GALV #10 X 3/4" 800 TEK SCREW W/NEOPRENE WASHER GALV' #8 X 3/4" 250 TEK SCREW WHITE #8 X 3/4" 20 TEK SCREW BLUE W/DECAL, 9" X 21" 6 40OW SMH RIC LIGHTS FLAT LENS WHITE 3/4" X 2-1/2" 8 STRUCTURAL BOLT W/NUT & WASHER BLACK 1/2" X 1-1/2" 32 STRUCTURAL BOLT W/NUT & WASHER BLACK, MOHAWK METAL PRODUCTS, INC. (315) 793-3000 CUSTOMER: CUMBERLAND FARMS 3 OF 5 LOCATION: FLORENCE, MA JOB NUMBER: 964344 CANOPY SIZE: 24' X 28' DATE: 5/23/96 SIZE QUANTITY DESCRIPTION COLOR CHK BY 18 ' 0" X 24GA 1 4" X 10" GUTTER WHITE 5 ' 0" X 24GA 2 4" X 10" GUTTER (TAPERED) WHITE____ 2" X 10" 2 RUBBER END DAMS BLACK 10 ' 0" X 24GA 6 PERIMETER TRIM 3" X 7" WHITE 12 ' 0" X 24GA 2 SLOPED TRIM RT 7 TO 3-3/4 WHITE__ 12 ' 0" X 24GA 2 SLOPED TRIM LFT 7 TO 3-3/4 WHITE_, MOHAWK METAL PRODUCTS, INC. (315) 793-3000 CUSTOMER: CUMBERLAND FARMS 2 OF 5 LOCATION: FLORENCE, MA ;JOB NUMBER: 964344 CANOPY SIZE: 24 ' X 28 ' DATE: 5/23/96 SIZE QUANTITY DESCRIPTION COLOR CHK BY 8 ' 0" X 24GA 10 S. METAL FASCIA 36" BLUE W/DECAL" 6 ' 2" X 24GA 4 S. METAL FASCIA 36" BLUE W/DECAL___ 40 It X 24 GA 4 CORNER CAP 5" X 5" BLUE W/DECAL_! 2" X 2" X 20GA 12 FLAT FASCIA BRACE 36" GALV 2" X 2" X 20GA 16 SLOPED FASCIA BRACE 36" GALV 2" X 4" X 24GA 14 TOP TRIM ANGLE 98" ANY -1/2 X 2-1/2 X 20GA 14 TOP SEAM ANGLE 12" GALV,� -1/2 X 2-1/2 X 20GA 14 VERTICAL SEAM ANGLE 26" GALV_� r i- • -- -- MOHAWK_ METAL PRODUCTS, INC. (315) 793-3000 CUSTOMER: CUMBERLAND FARMS L OF 5 LOCATION: FLORENCE, MA JOB NUMBER: 964344 '''r 3 1 1996 CANOPY SIZE: 24' X 28 ' DATE: 5/23/96 SIZE QUANTITY DESCRIPT'I'ON COLOR CHK BY TS 8 X $ X 1/4 2 COLUMN Z ' 0" R. OXIDE_ (NO BP) (TP ID ), r314- 3" X 4" X 10 ' 3 DOWNSPOUT WHITE__ 11 X 22 X 8" 10GA 2 COLLECTOR BOX (CUT IN HALF") R. OXIDE__ 3" X 24GA 4 PIPE BANDS WHITE__ 4" X 6" X 24GA 2 COVER PLATE WHITE__ W 14 X 22 2 CROSSBEAM 20 ' 0" R. OXIDE W 10 X 12 2 PURLIN 28 ' 1" R. OXIDE__ W 12 X 14 2 PURLLIN 28 ' 1" R. OXIDE__ 11 ' 6" X 20 GA 42 DECK PANEL P-16 WHITE 1/8" X 3" 88 DECK PAN CLIPS R. OXIDE__ a z z 't3 "h D 3 o cM o ;� Z > � o CIO Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 617-828-4900 Alterations a NORTHAMPTON, MASS. May 30, 19 96 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 53 Main Street Lot No. 2. Owner's name Cumberland Farms, Inc. Address 777 Dedham St. , Canton, MA 02021 3. Builder's name Richard L. Longton for Cumberland Address 777 Dedham St. , Canton, MA 02021 arms, Inc. Mass.Construction Supervisor's License No. 000464 Expiration Date 9/9/97 4. Addition 5. Alteration Refurbish existing 24' x 28' canopy 6. New Porch danopy 7. Is existing TiWii'f lb be demolished? No 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 6' to front lot line/41' to right lot line 12. Type of roof 13. Siding house 14. Estimated cost:- The undersigned certifies that the above statements are we to the best of his, her kno and belief. Signature o re risible appicarnt Richard L. Longton, V.P. o struction Remarks 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES, describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or- PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Th.x cola to be fiS2ed in by the B=1&Ln9r Department: Required Existing Proposed By Zoning Lot size 21,155.73 sq. ft. Frontage 114.65' Setbacks 6 - side L: 41 R: 41 L: R: - rear CANOPY iidkxg height 17' CANOPY &di_qcSquare footage 672 %Open Space: (Lot area minus bldg ' &paved parking) _of "Parking spaces #' %f Loading Docks Fill: '4vo1-time--& location) 13 . Certification: I hereby certify that the information contained herein rl is true and accurate to the best of ny know dge. 7t'rl MBERLAND ARMS, INC. By: ,a �� DATE: May 30, 1996 APPLICANT's SIGNATURE RidWard L. Lon to V.P.-Construction NOTE: Issuanoe of in zonin g p ermit does not relieve an a pplioants burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commiss{on, Department of Pubiio works and other applloable permit granting authorities. '.',. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION � - /— '0 1. Name of Applicant: Cumberland Farms, Inc. '�C) 5 Address: 777 Dedham St. , Canton, MA 02021 Telephone: 617-828-4900 2. Owner of Property: Cumberland Farms, Inc. Address: 777 Dedham St, Canton, MA 02021 Telephone: 617-828-4900 3. Status of Applicant: X Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 53 Main Street Parcel Id: Zoning Map#� Parcel# 197 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/RVOPX4f� Canopy 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Refurbish existing 24' x 28' canopy 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO X 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 X 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: (FORM CONTINUES ON OTHER SIDE) � � a�� FILE # ' " " `:i •� �v l APPLICA.N T/CONTACT PERSON !' ✓ 'I c �/L A.DDlItSS/PHONE: `:_.. ' PROPERTY LOCATION: MAP f PARCEL: f `7 ZONE Cyl TIM SECTION FOR.OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FH,T,Flr) MIT Fee PAid Building Permit Fill,-d n1vt Fee Pnid 7 ArressaryStriirtnre Owner/Orriipant Statement or License H TI3ELLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presented based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received& Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from C o nservation scion Signature o Building for Date NOTE:issumnoe of a zoning permit does not relieve an applicant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. — City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT � e 2. Structural Components in Place* 3. Complete Building* No. 446 Office of the Building Inspector Zoning Form No. 961047 Date 5/31/96 Fee$40.00 Check# 22389 Page, 17C parcel 197 ,Zone GB Section 127 ❑ Yes © No BUI]LDING PERIN/H1 * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Cumberland Farms/Ray smith before Building Inspections has permission to Refurbish existing canopy Inspection on Site—Foundations situated on 53 Main street - Florence Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE MI ES Certificate of Occupancy ` wilding Inspector �- �0�+1 I1�Il Sil�� City of Northampton REQUIRED INSPECTIONS t 1. Footings and Walls vim' e BUELDING, DEPARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 446 Zoning Form No. 961047 `._/ Date 5/31/96 Fee$40.00 Check# 22389 Page, 17C Parcel 197 ,Zone GB Section 127 ❑ Yes © No BUI]LDING PERN *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Cumberland Farms/Ray Smith before Building Inspections has permission to Refurbish existing canopy Inspection on Site—Foundations situated on 53 Main Street - Florence Inspection, of Plumbing—Rough provided that the person accepting this pemiit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection--Finish CT k' H Smoke Detectors(Fire Department) Other THIS CARD MUS , A CONSPICUOUS PLACE ON THE MI ES '0;A Certificate of Occupancy wilding Inspector - .___ �e f+! li�f l!Sil Jr