23D-052 (8) File#BP-2005-0746
APPLICANT/CONTACT PERSON AMERICAN LEGION POST#28 HOME INC
ADDRESS/PHONE 63 RIVERSIDE DR FLORENCE ()584-5519()
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid L,P(5 dO
Typeof Construction:_ERECT ILLUM PORTABLE GROUND SIGN
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
INFORMATIONSENTED:
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: § 7 /3 Ino,ee S /�D 1Lop�
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 Co •• 'on
------ 2(---el' o2/(_ ///a5---
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.
lie No.
Z 1?ING :``R :C LIC_ LT ON ( 10 . 2)
i.ii ti
FTwA_ Tv�P'� OR PRINT .21-I=L MTFORkfAT.II3
1. Name of Applicant A l' t g R I A iv I-E(91 Q 1'
Address: L 3 RI Y E R S 1 r E DR Telephone: 5 R L - ,5- I
2 Owner of Property: SA AI E.
Address: SAM E Telephone:
3. Status of Applicant _Owner Contract Purchaser Lessee
V- Other(explain): M.$f ,46 ER
4. Job Location: ["3 1? si t7 DR
Parcel Id: Zoning Map# 3 D Parcel# 6 2 . District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property P g i v,- T 67 I - P,r t/ r c D u1El/1 iv;
6_ Description of Proposed UselWorkProject/Occupation: (Use additional sheets if necessary):
r'ocf hfe Si n Loh con be i‘e nem(e(i. kaevi 1-)04 Lin u5e. -
may � may not be It kited. pet ciln oc ci.irTams- ance5.
J
7. Attached Plans: Sketch Plan v Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department rF es.
8_ . Has a Special Peer'rniwariance/Finding ever been issued for/on the site?
NO ✓ DONT KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?V
NO DONT KNOW YES
IF YES: enter Book Page and/or Document lit
9. Does the site contain a brook,body of water or wetlands? NO V DONT 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 HER SIDE) -
10. Do any signs a on ate pf .tf. __ V NO
IF _ _ ear ‘ a
6/mac eN f Ro _e goe).
.'r.rG 1.1.. e ,.m' ^.:,,,:ii .haarr-.-..:T'a nr art r. `Pt£4:' z€fig•=_arf-e - •:a;� :v_ ft7S_..
'`fr s, e.,„_.. size,type wld a'�..�.. r=:
11. AT-T. 77070iMATIONs BE '. Cl v, or PERMIT CAW BE D )iL D DUE TO
ram OF INFORK rof.
by the acd ms..; L- t
rRequired
- Existing Proposed . By Zoning
Lot size 1
Frontage '1 1 .
Setbacks -frnnt t $' I N f G'-
- side L: 9`O ' R:/55` L: J/&R: gi1;
- rear , 10 ` J /1/ `�
Building height A ,'i Jo' I Afr,- I l
Bldg Square footage A p j' �i 7OD /V/C •
%Open Space: -
(Lot area minus bldg /t2/' 1- it/C--'
&paved parking).
# of -Parking Spaces A.pe 70. Ai/&
# 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.
D7 TE:_ APPLICANT`s SIGNATURE j 2 i
NOTE: E�uanoa c,.` a tuning permit:does not relieve sn applioent's b e to oomnpfy width a
sorting(soing( requirement end obtain ernrequired permas from the t3oard of eetth. Conserrati
Commission, department of PUblio.Works and other epptioabie permit arantinQ authorities
FILE I
No
-_'•c i5- Erection — _( )
r"''� ((� ` .i % ........1 Alteration' ----( )
Plans must be filed with the Building Ins ot� i Repair — -( )
i
- N 2 $ 5 _Repainting--------------( )
before a :rrnic will be granted, .a A Removal____---__.--- )
E _ ,
S
/0-.1: ' L—r—r.cW''Slrlf 0,(16
, r 1M. D,,:FL-Cit,.:.4..,,V. n ' „ ,i7.1
kf_Liq .cri, IA u ta : o._ _wit J i_U ',5.
• Application for a Permit to Place or lVIalntain a Sign
or other Advertising. Device
(Application to be filled out in inlc or typewritten)
14-!1- PAGE PI-0 C
• Northampton, Mass.._....--_.... --- 19
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device. or marquee.
BUSINESS NAM' E...A- 1.E.R.L6A-Ai L.E.G Actg.
1. LOCATION, STREET an d No. - ., .--._•.-., .i-•{l-t.. -.c.1'. ., .. .--.__._..J2 ..._.._.-7—.•_.-...._.-. .._.__.,_...._.._..
2- Owner's name______._.____..__15.A.11_
3. Owner's address____-.__--....5A_ _...... __...._...• -_
4. Maker's name...60.4 E14r_ ER13l14......._...._.._SU.FER4OR Pr2C7.!)-.tie 7-
5. Maker's address_...________..W..El _ .___._._.___._ __•- _.._........__._...---. ..._.__ _______,_. . —
-
6 Erector's name__.___.-..-....___._.._.W/.ti4_ _.-_-•.__-__ ____.._ _
7. Erector's address._.._!-..._.__.-_ ,A _ _._._-.._._...
•
SIGN • KIND OF SIGN
/ (Designate)
1. Sign will be (check one) illuminated.--.../..._...non-illuminated
2. Will l sign obstruct a fire escape, window or door?_../ D4arquee_�.._ —_-_
��JJ//���� Projecting_ ..:......_
- 3. Lower edge will be....�' `_f t.___..___._ins. above the public way.
4. Upper edge will be.. A..ft. ins- above the public way. •_
Roof - .
__ M.__..-
Temporary_.._./-•---_-.._..._
o- Height--._..i._ft__ -_ins. Width_.........ft-_Q._..-_ins. .
Wall
6. Face area. ..2..sq. ft. _
be-N/A—insi. Inner edge will be.. _ins from the building or pole.
Ground.... .dRrA4I.-t
8. Outdr edge will be _...ins_.from the building or pole. Other
9. Face of building or pole is.._/2 i•ias-back from the street line. .
10. Sign will projec .-_ins. beyond the street line.
11. Sign will extend_.i 44....ft.._._...._....ins. above the building or pole.
12. Of what material-will sign be constructed ? Frame_M.E.1.At Face PLASTIC
13. Estimate cost.3g.5 �e
The undersigned certifies that the above statements are true to the
best of his knowledge and belief. - '
[Sigh_ tz �u Y% r of Agent l
i
a.—/r R I I V
T-r � Y f�r-rF *—rs-rs . ' T -r r-' rr-.Tr ' 9
I to',tL.s t , y t t A,
t'.n.•Iul Will ' 1 ! f +
��mot Flom.; ;{ �, �'
Scat You ;
! CONo BOARD
• .
ase Section I } t s f :wai•t ru tic closed °�� l AIRES O; a '
Seated I ) ITERS
, , i , . , , , , ,
. lrl x
. El . Lai- , ;
No Please y , k i
Sutokine Seat 1 i i ' '
Section Yourself • IIIC 9-A 512
e
Smoking w
in Designated Smoking 6 MODE1 A t 8*80YV
I 40" X 96
:i SDfiE O
1R 4
A ONES OF Off " 12 �:RS " LETTERS
in any restaurant environmentA
I .. ---- -4..v.:Ed-i-. _ „, .'" / 4,ir
llrfi4
tional messages necessary for -r°`
itened to a 10" black wrought 9-A-510
'size rate.) 10 lbs. In Stock
9-A-514
SALE $105.00 9-A-548
SALE $105.00 OUTDOOR CHANGEABLE SIGNS
SALE $105.00 Available with attention-getting flashing arrow or as econo-boards with-
out arrow, either lighted or non-lighted. Lighted signs utilize
NOW SERVING PLEASE _ fluorescent tubes inside box and standard household bulbs in the arrow.
em Take Signs include a set of 300 - 8" characters, black letters with red numbers
�e to Number on 87/8"H clear backgrounds. For UL approval, add the optional 9-A-530
cient = upcharge which includes a ground fault circuit breaker (lighted models
mers only). 2 Year warranty. Specify White or Yellow face and Black or Red
_icket 835083 frame. Ships from KY. Dimensions Lbs. SALE
'lease � f, :.:� i •
9-A-510 Lighted sign with arrow 40" x 8' 235 $435.00
)ush- ,,J' ' 9--A-512 Lighted economy sign 4' x 8' 200 385.00
et of _�
9-A-514 Lighted economy sign 40" x 6' 145` '360.00
r. , 9-A-516 Unlighted economy sign 4' x 8' _ 200 295.00_..
0.00 ,-. ' 9-A-518 Unlighted economy sign 40" x 6' 145 280.00
kgv
9-A-525 Additional set of 300 8" black letters/red numbers 50.00
3.40 f-'` 834616 Same as 9-A-525. In Stock 52.00
710150 9-A-548 Storage case for 8"-10" letters SALE $110.00
9-A-530 Optional upcharge for UL approval. (Lighted models only)
SALE $55.00
nefits
The Now SERVING
- � t ;
)tand, 4 SIDEWALK SIGN '
wing" Sign comes with 250, 4" block letters. Also available ,s
8lbs. with a battery powered amber blinking light kit 44
Yellow or Orange '
(not included). Specify White, �,,��
5.00 sign. 24"W x 45"H. 30 lbs. Ships from KY.
ive
9-A-543 Sidewalk Sign SALE $120.00 ,-,.
9-A-545 Amber Light Kit SALE $35.00 J t F _.
MORTGAGE LOAN INSPECTION
LOCUS REFERENCE
Book 2079 Page 224
Book 432 Page 30
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AND: Lawyers Title Insurance Corp, l American Legion Post 28 Home , Inc