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31B-038
CAROLYN A. PARKER C O N S U L T I N G • January 14, 2011 City of Northampton Puchalski Municipal Building JAN 9 2011 212 Main Street Northampton, MA 01060 Attn: Mr. Louis Hasbrouck Cumberlaid Farms Building Commissioner V0535 138 King Street Northampton, MA 01060 Delivery: Regular mail Dear Mr. Hasbrouck, Enclosed please find (1) one Application for Permit to Place a Sign, (1) Zoning Permit Application, (1) Location of New Pylon Sign Plan, (1) Existing/Proposed Sign Plan, (1) one photo of the existing Pylon Sign and (1) one detail of the LED price panel by Federal Heath for the proposed pylon modifications for the sign located at 138 King Street, Northampton, MA. Cumberland Farms, Inc. the owner of the property wishes to remove the existing single pole sign with a 6' -0" high x 4' -0" wide price sign, maintain the existing footing (which we discussed during a telephone conversation), install a second footing 6' -7" inbound and install a new double pole sign with a 4' -0" high x 6' -0" wide "Cumberland Farms" and a 4' -0" x 6' -0" LED price sign. They will also remove a 4' -0" x 6' -0" sign from the overhead canopy thus making the overall square footage of the new pylon sign the same. They will be improving the setback by approximately 4' -0" and the sign height will be 1 5' -0 ". The contractor for the project is M & D Services, Inc., 5 B West View Road, Pittsfield, MA a copy of their Worker's Compensation Insurance is enclosed. Also enclosed please find an Agent for Owner Authorization letter allowing me to obtain the permits on behalf of Cumberland Farms. An electrical permit will be obtained by a licensed electrician prior to the LED price panel installation. Lastly, I am enclosing check # 1609 in the amount $30.00 for the Sign Permit fees. If you find everything is in order please return the permit to me in the self - addressed stamped envelope. If you have any questions or require additional information please call me at (774) 239 -2781. Thank you in advance for your time in helping to expedite this matter. S' erely, LZ i2 i2 . Carolyn A. arker Cc: Cumberland Farms File SPECIALIZING IN THE PETROLEUM INDUSTRY Project Management, Permit Expediting, Drafting er Fire Suppression Plans 3 Lorion Avenue,Worcester, MA 01606 • Tel: 508 - 853 -1167 • Fax: 508 - 853 -1176 • Cell: 774- 239 -2781 • capconsulting @verizon.net Lit e/ /Y./ 7(1)13cy ofy/ /5-/xy tv, tff 0 if 7 s. , A 915 r itasthafrivie lye gtvg� -' x A r7 ,g/v // r ; ty�J1�s_od .97) �� da � /V / ly w &/ I N 9/ ,C) 07 hi 6V fq sg -71 11 g7 c7d 9/)// i SI X 1 1 'F.1*. Y D V f .c, Z;'S.'. 1 .: ' ' _ , __ _ _ _ R , .- - ''' .: ' s ue _ , ,. -_ i .a .s Gulf Curtheiland - , F A R M S July 15, 2010 To Whom It May Concern: Cumberland Farms, Inc., with a usual place of business in Framingham, Massachusetts, does hereby authorize CAROLYN A. PARKER CONSULTING to apply for and represent Cumberland Farms, Inc. in filing of any applications for required permits andlor approvals for the LED PRICE PANELS at our store /self- service gas station including, but not limited to, appearing before any governmental agency at general meetings or public hearing addressing such construction/improvement of Cumberland Farms retail facilities. Cumberland Farrns Gulf Group of Companies, Manny Paiva Planning Department Manager COMMONWEALTH OF MASSACHUSETTS MIDDLESEX COUNTY Subscribed and sworn to before me this 15 day of July 2010 by Manny Paiva who is personally known to me. RE DlC� yowl Public tcOMMa+wEAt.Tw nv AUSSACmuarrre I Notary Pub : rs+rr.rv+ r< "l'4y My Low limo EApuea MBrcrctt 15. 2 2 0/9 M Commission Expires: Cumberland Gulf Group of Companies 100 Crossing Boulevard, Framingham, MA 01702 508 -270 -1400 J lit_ — CV' CIO ICJ CJ . ..YT t 1/111.1 LJ1f LC1 r - A crrrir LIIJL -PI iZ i J00 1 U• i a.pao,:)..1.1 i 1 ID r. i J. ACORD D CERTIF1 ATE OF LIABILITY INSURANCE °A1 a ' PRODUCER (413) 664 -9366 FAX: (413) X 64 -6504 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Coakley Pierpart Dolan & CollinsIInsurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA1E HOLDER. THIS GERTIFICATE DOES HOT AMEND EXTEND OR 26 Union Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW/. I I North Adams MA 01247 INSURERS AFFORDING COVERAGE , HAM # INSURED -� ��_ _. . . INSURER A Ohio . Casualty Group 1 21002 . MOD Services, Inc 1,,,:r1,eEa Travelctra Property Ca- I:ma1ty : 36ISa. Po Box 702 w^,uaiRc American Fire And Casualty , ?1066 INSURER n _ . - 1 Lalteabaro N A 01237 _ _ L E E 1 COVERAGES I Ht POLICIES OF INSURANCE LISTED BELOW HAVVV E7BEEPI ISSUED TO THE INSUACO NAUEO ABOVE FOR THE POLICY PtP.WO INO(CATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OK CONDITION OF A CONTRACT OR OTHER DOCUMENT WITFI RESPECT TO WHICH THIS CkHtIFICATE MAY BE ISSUED t'IR MAY PCRTAIN, THE INSUKANCE AFFORDED BY TH P0UGIES OF&CRIRED HEREIN IS SUBJECT To ALL 111E TERMS. EXCLUSIONS AND DEMENT IONS OF SUCH POLICIES_ AGGREGATE LIMITS SHOYIN MAY HAVI CEH REDUCED RI/ PAID CLAWS NtAAOVI, -- - -- oaxrNlll a POLICY EFFECTIVE POUCYEAPIRATION' " - -- L124_MW 6 Ert orIM.Eastice __ pitir HISNWHOITYTTI DATE (MUNNXTYTr1 • LIMITS GENERAL UAei.m FAGIi occut:Rencc - i 1,000, X C0MRF_HI;WL G' HL AL UAausry MIEF6 (E .._ s 100, 000 A ■ CLAWS hum f X I OCCUR ERO520SSe46 5/19/2010 5/19/2011 i MEDErPt awj uwl a 1 . 5 , 000 i . __ . _ -_ _ _ :t€RSON1u 4 Any w.yllNr ... s 1,000,"300 ' — Ot1R A X1 EGATE 1 2,000,/00 OWL. AGGREGATE MIT APPLES PER PRODUCTS - GOMPor AGO I 2,000, J00 X I POI ICY I PAicDi 1 ( LOC i I — - A(RaaOpLe LIAINUTY CORRIIINtU saJS;Lt LIMIT 1 . 000 , 000 l ANY AWID 1 s + Ie■ •edmom) H , ALL OV AUTOS ItIA1934c512 ' 1/1/2010 11/1/2011 . B00ILy MJtMY f ' X ! SCHU H* co AI ITO0 fret p° "'l X I r11JtEU AUIOS UUULYNJURY I X - I NON -OWNED AUTOS. (PM Iced. tl ....`_ _ I PHOrt.tti v 0AaARGC 1 $ T t1ARLcE UARGSTY AIRO ONLY-EA ACCIDCNT ? $ Ann - M.rre 1 MICR THAN ERA= ` s _ AUTOONLr AO ; 1 ex.GLEs rumen E1.LA LIAemJTY rAc,I 00Cur ctl(Ce $ , 1,000,000 i. I i , nr� lta ; - , WW1 MATYC . AGGREGATE $ 1,000,000 I ,; - A 1 OCOVCTIOL flO52943646 5/19/2010 + 5/19/2011 T i X RETENTION i 10, 00 s C INERIRmIScO IPENSATWN - T WCS1AiU - O AHO EMPLOYERS' LIAe0.1 tr YTN , x TtOTRt1r'tW(F6 . — _._– ANN PnOMIETOMPMTA$RCX•41r11 t M F t EACH AUCIOUNF $_ 500 , t100 oFFRmt*IaP cxalx>Fh+ 1 11 1Ia•n xsTA52995646 5/19/2010 5/19/2011 •EL. OI$F,A3E- EAettroreE$ 300,000 It WiC11bu utda IAL rnovesloNS bray { - El. DISEASE -POI try Lem s 500 , 000 OTHER 1 I 1 cesen1PT10N or OPeaNnuNSA.00 ATICNmi ve I•CLC51 PJIULUaIONI ADDED sr ENOOIIITENENY ($PEC(AL PROVISIONS Roforancs: Cumberland Para Lad vrojae>: CERTIFICATE HOLDER CANCELLATION (50R) 853 -1176 SHOULD ASV OF THE ABOvEDE9CSNIEDrOuaes WRNS T ,VCIpauTo Carolyn A. Parker Consul tin,T DA TE tea,. THE tlaStbaG INSURER Nit d(DFAVOR TO NAtl. 10 DAYS w1a MT( 3 Lesion Avenue NOTICE TO TIN; Om VACATE NOLDfR NAMat TO THE tFFt, NUT FAILURE TO 00 00 STALL Worcester r NA 01606 MP084 Ire 0eLI0AT1011 OR LIAe(Lm OF ANY RU(D UPON TN0 IOWA RI AGEMYS 11111 xErlcessITArIVE5 AuiNDItIZEoIIiPRlfotITATIVe Lisa Barnard /LISBSR ACORD 25 (2004101) 0 19884009 ACORD CORPORATION. AU rights rss*ry d. 1N8025 yaw) The ACORD name and tag* are registered marks of ACORD 1 1/4 SPECIFICATIONS: (2) .090 ALUMINUM ROUTED FACE (2) SET 41948 RETAINERS (MITERED) .063 ALUM (6) 1 1/2" N 5/8" x 6" ALUMINUM PIANO HINGE FACE MOUNT CUP N I 0 14 1 .. 1ST SURFACE VINYL GERANIUM RED #1BOC -63 ROUTED ALUMINUM LETTERS W/ PUSH -THRU COPY 71 9/16" FACE I ■ _ _ ,7 / 090 ALUMINUM FACE v (WHITE 620 -3645) CLEAR ACRYLIC BACK 65" / W/ VINYL DIFFUSER I" 2" 1 5/8" nE Urn IITJHL ° BCD utazONCILIDPED \ a! 3/4" CREAK ACRYLIC CUT -OUT LETTERS 0 V_ RED 1VIN LURFACE 3M 3630 -53 n G a \ ., 2,3 \ 1 �'1 1/4" -- 11 O .063 PLUM PRICE FACE DETAIL — 46CF1 LD.enr FACE MOUNT CLIP SCALE: 3/4 " =1' -0" 24" ABLE LED UNIT SCALE: 3/4 " =1' -O" ' This Original drawing i5 provided o5 port Of o " NO. REVISIONS (Alt BY N , JO0 N0: 1 4HEEI N0: ■ 11 FEDERAL L planned project and .5 not to be exhibited, /\ copied or reproduced 4'x6' TP - 1 PROD LED SIGN 01i17 HE rH 2 of Federal Heath Sign without the permission n Company LLC or its METAL FACE PUSH THRU COPY DaAwN PO authorized agent. ® /.\ gda 02 -04 -10 OF: SIGN COMPANY /� 1500 N. BOLTON, JACNSgJNLLE. TN 75700 .....w. /3 =gm . DRAWING N0: Nom 509 -2100 LabandorlesYa.l`�Y , `° .o, r maac a4.o . - - ix � C F2046TP_ 1 LD 2 72 15/16" CABINET 1 1 SOCKETS 582G / 5830 (1 SET) BALLAST ;■ . ;iEw fll _ 410 -24 R.D.M.S. W/ WING NUT & H.H. NUT 1/4x3/4" H.H. BOLT W /(1) L.W. & (2) H.H. NUTS BALLAST DETAIL 01/2 HOLE FOR 03/8` BOLTS 1 1/2" x 5/8" x . 060 LAMP F72 T12 CW HO AL HINGE 6" LG. (1) 6' LAMPS 6" 72 15/16" AL ANG 1/20 1/2x1/16' c‘R MIIMIr (2) 1 3/4" 61961 AL COV 6• 2° M2071 AL FILLER 1 _. ___ ... (2) 72 15/16" >,_ - _ 1111 ( 2) 48 61948 AL RETAINER LI (2) 72 9/1fi (2) 49 5/8 a v 07/8 ELEC .11=1■■■■•••=1111111.111 82038 AL COV HOLE ' I ei t 1 1/4" 2 1/4" , DRAIN HOLE CTRS. ELECTRONIC BALLAST 3" x 3' x 3/16" Al_ ANGLE 2" CABINET DETAIL 82038 AL 605 SCALE: 3/4 " =1' -0" DESIGN PARAMETERS BO MPH WIND SPEED 3-SECOND GUST - EXPOSURE C. COMPLIANT WITH NATONAL BUILDING CODES AND STANDARDS (0C. UDC. ewe, DISC, ASCE 7, ACC! & 460004 06154 MA 001( REFER TO WRITTEN DOCUMENTATION FOR MATERIAL SPECIFICARONS FI FC1117M. COLOR sP9761740095 AMPS .. 1.7 AMPS PRIM CABINET, SPIRT RETAINERS: 0114015 .. 11) 20 CABINET INTERIOR: WPRE 00L5 ... 120 040)NET EXTERIOR FACE: WHITE B20 -3845 CABINET E0TE*WR CABINET: WHITE 820 -3645 phis original a No. REVISIONS DATE e /354 NO: 1 570E1 1 F EDER AL planned project crowing and is s noot f t too be exhibited, Gs port of itea, n 4'x6' TP - 1 PROD LED SIGN 101117 HEATH copied or reproduced without the permission __z2,_ ) of Federal Heath Sign Company LLC or Bs METAL FACE PUSH THRU COPY DRAWN av authorized agent. ® d gdo 02 - - OF: SIGN COMPANY ..eWms� �� 1500 N. BOLT(y0 88�11E, Tx 75766 t) 11BMT�OIIC� (E/) ILLIUM lSAlioo ® CF2046TP_1 LD 2 DRAWING N0: '''' "*"' i ,m % Page 2 of 3 11. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. 12. /� / l /� j 4/+s , V/ . T 72 ���M�� r is column to be filled in by ///��• �•✓ /�—��7 /� d ✓ Y / •:'��� �S�1he Building Depa 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. DATE: 1//1/// 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 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: CJ ../ri�,i,Yi�z pig/2/6 IN _ r�'r, �7 �c� "-7 Address: a � � I�� /Qv ic;; , ``, Gvd E4. i» r1 / Tele 2. Owner of Property: / / 7'1�V —e2 g1 P W � .e/c..t 9.4/Z to Address: i2..-AI99../..(/0 •j92, "23/9 diAlielephone: 3. Status of Applicant: Owner Contract Purchaser Lessee £ XOther(explain): /a G ' C/T �l ,e. iditiZa - siE.6 1, /'/ , 4. Job Location: /3Y ? / t //0 s //e....67 6 V Parcel ID: Zoning Map # /8 Parcel # 0:3(! District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Qi9 a rig' /d /Ci / it/ VV A//66 (/c C.7 72)/GG 6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary) Reo2o46 Si/116 46' pz'L & p, /(,6 ol6/(i /.q f°° 7-4V6 , //(/YT,Q.G 4 , c$',ge ,iz' A z vq r j' /4/80 .9,€ 7 /1VJS'TQ•GL ,6Z) 2)00e3, 1 P,Y.1 -- Mf l "/ /2 2 //,s 7. Attached Plans: Sketch Plan XSite Plan Engineered /Surveyed Plans ,5/4,( 8. Has a Special Permit/Varianc�e/ ever been issued for /on the site? NO DON'T KNOW /V 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 IF YES: Describe the size, type and location: ice/ma/4 ,�/72 1� vif/€ 322 OxhoPY. (6 /ic6 9 • YHgM o TUB of NorflTumVlun s r% , . tiff es c! �lassarl7usetts * � ` `` Lu: DEPARTMENT OF BUILDING INSPECTIONS c 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 Plans must be filed with the Building Inspector Erection ((? before a permit will be granted. Alteration Repair ) Repainting ( ) Removal ( ) FEE PAGE PLOT Northampton, Mass. / 201/ To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ...CW4fiet R 1 QAJ c FAOR/ 9 .1 J 1. Location, Street and No. /Se �lifi 2. Owner's name . g!(w! 7 4-� ... . .PW 6 3. Owner's address/ C DSSl4/6 5L i-g-o/724v. 9J7) _ £/ Q 4. Maker's name F 94 £� 5. Maker's address 1 JQ 0N. .8.6 s7 7X / `5766 6. Erector's name .1 t: 4 V /CEV 7. Erector's address I"? ° - ( F©X 70 , , z A 5 (B,� /rte 19123 SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated X Non- illumin ted 2. Will sign obstruct a fi,r,gg escNpe, window or door? . *t Marquee 3. Lower edge will be . " " /....ft... ins above the public way. Projecting 4. Upper ed will be /5_ft. iggs above the public way. Roof 5. Height1 ins Width ( ..ft ins Temporary 6. Face area 7 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 oriole 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 o_rpol / 12. Of what material wil4�Ign ,,gg on tr}�cted? Frame !.{f ✓ � � Face �T /C /� 13. Estimated cost $.j,.4 CJt -C'!1 The undersigned certifies that the above statements are •. a to the • est of •' k edg - and belief. i ,710 /; / (Sign . / re of Owner or Agent) File # BP- 2011 -0638 ra APPLICANT /CONTACT PERSON CAROLYN A PARKER CONSULTING ADDRESS/PHONE 3 LORION AVE WORCESTER (508) 853 -1167 PROPERTY LOCATION 138 KING ST MAP 31B PARCEL 038 001 ZONE HB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid /5,9 y Tvpeof Construction: REMOVE CANOPY SIGN & REPLACE GROUND SIGN - CUMBERLAND FARMS 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 INFORMATION PI�,E SENTED: 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: § 350-7i Finding Special Permit Variance* V 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 / Signs a of Building icial 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.