39-041 (8) City of Northampton Map 39 Lot041 Zone GB
Massachusetts Date issued 3n12019 0:00:00
Inspector of Buildings Permit # BP-2019-0932
Permit Fee$60.00
SIGN PERMIT
Business
Address 15 ATWOOD DR
Applicant InstallerAGNOLI SIGN CO INC
Applicant Installer Address P O BOX 1055
Work Description NON ILLUMINATED WALL SIGN- HAMPSHIRE
PROBATE
Estimated Cost $2300.00
Building Department
Approval by: /// a /
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File q BP-2019-0932
APPLICANT/CONTACT PERSON AGNOLI SIGN CO INC
ADDRESS/PHONE PO BOX 1055 SPRINGFIELD (413)732-5111
PROPERTY LOCATION 15 ATWOOD DR
MAP 39 PARCEL 041 001 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 1 PT
Building Permit Filled out
Fee Paid �
TvoeofConswctiom NON ILLUMINATED WALL SIGN-HAMPSHIRE PROBATE
New Construction
Non Structural interior renovations
Addition to Existing
Accessery 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
INF94tMATION 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 EM Street Commission Permit DPW Storm Water Management
Demolitiioo`n DDellaa'y�,—J'/n
Signature� of Building Official Date 3 7 /
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.
Litij of Norttiumptort
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9iasaarhusetts �' '-:
\ DEPARTMENT OF SU/LD/NC INSPECTIONS
212 Main Street • Municipal Building
brthampton, MA 01060
n_11crr01: Application for a Permit to Place or Maintain a Sign
Sidewalk Sign, Marquee or other Advertising Device pp�
(Application to be flllsd out in ink or tyw
perlttenl Number .., .e7.f,..w......
Plans must be filed with the Bu Idna Inspector Erection..................(
before a germd will be aranted Alteration.................( )
RECEIVED Repair.. ...............( )
Repaintingng...............( )
Removal..................(( C)
FEB 2 B 2019 FEEL.PAGE�.PLOI. /
No mpt , Mass. F°b^."*.4Q....2$.20..1I
....................
TO the Building COmmISSlOner: DEPT OF Bt/1LDIN0 INSPECTIONS
' RTNAMPION,MAn10E0
Application for a permit to place or mal in a sign or other"advertising device, or marquee.
BUSINESS NAME ....HCrnp.`Thr.4.....Cxllk.(T....isfOE..A.TCM. i...�x?Kc ............
1. Location, Street and No. ......I'S..A.�.QQ0i:�.....IJfIY.e...................................................
2. Owner's name.....1�or kfh,n d..—L-DimIelopXWO',...1..4�I....................................
3. Owners address... ........................
4. Maker's name ....... 5iGQ...CA:.AO.c........................................................
5. Maker's address..?0'.&f,..lCI5t1....5piLn4211d....L�{1 ..........
6. Erector's name ...... . llO.ki....Sx-i o,...C,lose.......................................................
7. Erector'saddresskD.. .OX...I0,5.5.... .........
SIGN J KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ....... Non-illuminated ..�..
2. Will sign obstruct a fire escape,window or door? ..Aio... Marquee ...............
3. Lower edge will be .!S.ft........ins above the public way. Projecting ..............
4. Upper edge will be .f'7.11..3....ins above the public way. Roof .....................
5. Height .,9.A..3..ins Width ..tt.R..l...ins Temporary.............
6. Face area3v%..q4sq.ft. Wall ...../.............
7. Inner edge will be ..O..ins from the building or pole. Sidewalk....................
8. Outer edge will be ...I:..ins from the building or pole. Other.........................
9. Face of building or pole is z4 P.ins back from the street line.
10. Sign will project . b..ins beyond the street line.
11. Sign will extend ..a..ft .......ins above the building or p^Ole.
12. Of what material will sign be constructed? Frame ......Y.4.C............ Face......7.Y.(.'..........
13. Estimated cost $.. ,.on...
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
......... .. . ... . ..... . . .....................
( f Owner or Agent)
Page 1 of 3
AGn.rV Q At"o Jt SN, dpi
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THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File N0.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Nameof Applicant^QO�Ic gt!]fl �.. SOC
Address: spula;Qeld Telephone: 1�3- 38a-,511\
2. Owner of^roperly., r.�l� �.,nri
Address: Yn�t)a9,_Qnnr Yvn MA gird Telephone: 41A -49Q AYE_
3. Status of Applicant:_Qmer _C`ontract Purchaser _Lessee
✓Other(eaplein): SnJn nLu.. ,9n.J Grp iq9+n1)i
4. Jab Location: 1 MA
Parcel ID: Zoning Map# 39 Parcel# o1n1 District(s)
(TO BE FILLED IN BY THE BUILDING
5. Existing Useof Stmeture/Properfy: rP.
5. Description of Proposed Use/Work/Proj((e��ctlOcoupation:(Use additional sheets if necessary)
io
S now n kApr}.F�
7. Attached Plans: / Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermiWariance/Finding ever been issued for/on the site?
NO DON'T KNOW YES f IF YES,date issued: I p1 k,'31 ri
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES IX
IFYES: Enter: Book 07a4 Page IS and/or Document# 1-470A
9. Does the site contain a brook,body of water or wetlands? NOEL 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 properly? YES_ NO ✓
IF YES: Describe the size,type and location:
Are there any proposed Manges to,or additions of,signs intended for the properly? YES ✓ NO_
IF YES: Describe the size,type and location: Q(w Sell, n� (o44er R
oArfk ,,njcri 4h rnnop,l ng per �1y,eiC1.
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 Buildina Detainment.
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 panting)
#of Parking Spaces
#of Loading Docks
Fill: (volume&location)
I
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: APPLICANT'S SIGNATURE
Applicant's Email Address (required)
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 Heafth, Conservation Commission,
Department of Public Works and other applicable permit granting authorities.
Page 3 of 3
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LETTERS ARE P WHITE PVC PAINTED METALIC SILVER
NIS STUD MOUNTED
T6 Cf MN 6 TE E.QUIM
AC0.TY Lf Ifil!]II SAY!
wus°m 1'�rse DMISC/DEVELOPMENT ASSOCIATES.PLT
°A M° DEVELOPMENTS ASSOCIATES.CDR ink
AdvancedAd ustment Service, Inc.
Property and Lia6iCtyA�Cjusters
60 Cottage Street, rEasthampton, ,A 01027
Thione: 413-282-0150 Tat 413-527-5144
To,T qwe: 800-791-5432
February 26,2019
Building Commissioner or Inspector of Buildings
c/o Town Offices
210 Main St.
Northampton, MA 01060
NOTIFICATION UNDER M. G.L.c. 139,§311
Re: Insured: Spencer,Richard&Paula
Policy#: HP3151236
Date of Loss: 02/25/2019
Type of Loss: Tree fell on house
Our File: 19-02103-OOP30
Loss Loc.: 86 Cahillane Tern , Florence, MA 01062
To Whom It May Concern:
Advanced Adjustment Service, Inc.,is the independent adjuster retained by Bay State Insurance
Co. to investigate and adjust the captioned claim for damage to a building or other structure at
the property listed above.
Pursuant to M. G. L. c. 139, §3B,Bay State Insurance Co.hereby notifies you that payment of
$1,000.00 or more maybe made in connection with the captioned claim. If the city/town intends
to initiate proceedings under M. G. L.c. 139, §3A;c. 143, §9,or c. 111, §127B,please forward
the notice required under M. G. L. c. 139, §3B,to my attention within the time provided under
that statute.
Sincerely,
Jeff Popoli Ext. 2207
Advanced Adjustment Service,Inc.
cc: Bay State Insurance Co.
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