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31D-148 (62) City of Northampton Map 3 1 D Lot 148 Zone CB(100)/ Massachusetts Date issued 11/8/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0562 Permit Fee$60.00 SIGN PERMIT Business Address 18 CENTER ST Applicant InstallerNICK BEHRENS Applicant Installer Address 164 NORTH FARMS RD Work Description BLADE SIGN - FLAIR HOLIDAY MARKET Estimated Cost $40.00 Building Department Approval by: File#BP-2019-0562 APPLICANT/CONTACT PERSON NICK BEHRENS ADDRESS/PHONE 164 NORTH FARMS RD FLORENCE (413)230-9199 PROPERTY LOCATION 18 CENTER ST MAP 31D PARCEL 148 001 ZONE CB000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCL ED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: BLADE SIGN-FLAIR OLI RKET 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 INF ATION 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 Elm Street Commission Permit DPW Storm Water Management Demolition Delay 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. SCI ( � ,A w `a DEPARTMENT OF BUILDING INSPECTIONS s D 177 212 Main Street a Municipal Building Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device 60G (Application to be filled out In ink or typewritten) Number ..�P l ...... Z Plans must be filed with the Buildingn r R E C E I V E D Erection..................( ✓) before a permit will be granted. Alteration.................( ) Repair.....................( ) Repainting...............( ) Q NOV - 7 2018 Removal..... . .......# op..PAGE.APLO(T...i..�.. D DEPT.OF BUILDING INSPECTIONS NORTHAMPTON,M Mass. 20..... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device,or marquee. dd , ^ BUSINESS NAME ...,4I.�......1. .Q.1!ft- ......AA.44rk .t...................................... 1 Location,Street n . .�. .1...x!1 ��...�?. ... ...J.v°� � -` -A 1.'.`!?...0105 ........ Lova Io ,S ee and Be2. Owner's name ... k. ev' .......... ....................................................................... 3. Owner's address �.......? .;� . `'�:....1" G r,�fE�....r.. .:: .... .. .Ca ?a.......... ...... ..... .......... 4. Maker's name..N.c�< �e ��r ............................................ ............... .............................................. 5. Maker's address �. ....1!' �� ��`^� � 'J. ..1. a... �... .�........: ...... �. .........�. 6. Erector's name ..A 41!5........!??: �{n t....................................................................... c� 7. Erector's address ....,. l (in ... ..!`.4a, ...C. iC�.^.: ,..../.: *....� �a .....N SIGN KIND OF SIGN 1. Sign will be (check one)illuminated ....... Non-illumAiqated ...... 2. Will sign obstruct a fire e"pe, window or door? .I 0-- Marquee ............... 3. Lower edge will be . �''ft.... ..ins above the public way. Projecting .............. 4. Upper edge will be ..g..ft... ...ins above the public way. Roof ..................... 5. Height .3...ft..0-ins Wid0.ft.1 9.ins Temporary............. 6. Face area�.,Lsq. ft- ' �� Wali ..................... 7. Inner edge will be .'f..ins from the building or pole. Sidewalk.................... 8. Outer edge will be ...ins from the building or pole. Other..... 9. Face of building or le is ..Z .ins back from the street line. ��c2 10. Sign will project . Ins Wyond the street line. 11. Sign will extend .......ft .. ins above the building or pole. pp I nn rr G 12. Of what material will sign be constructed? Frame .......AQ............ Face......�!".� 13. Estimated cost $.....�R............. The undersigned certifies that the above statements are true to the best of his knowledge and belief. (Signature of Owner or Agent) THUS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: <<'/�\ Bak re fx j Address: I ( i A/ &n r ,Fh�wci- MATelephone: 4 2. Owner of Property: '�n�n F Fjy I-e ((tt � r Address: 3�� �.A',9 ��. A&,j Q&r,f, L,� 7 011&lephone: L41 s� Sib –0.3 3. Status of Applicant: Owner _Contract Purchaser Lessee _Other(explain): L r 4. Job Location: IR t' l c r S GC �Me�n n 0 -- 1 Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: lye O} L+►tT n � / i�<r,C J Pt'� . 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) 7. Attached Plans: `Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a.Sppeecial PermitNariance/Finding ever been issued for/on the site? NOv DONT 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? NOII-�'— 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 10. Do any signs exist on the property? YES 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: 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: /2 V-/C, 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 a location) 13. Certification:l hereby certify that the information contained herein Is true and accurate to the best of my knowledge. DATE: I / y APPLICANT'S SIGNATURE FLA I EZ 144 d1^ m r,kc - (o,� coma, Applicant's Email Address( Ired) ce,II - (4 1-3) kiC) -1) 0 NOTE: Issuance of a zoning permit does not relieve an applicants 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. Peae 3 of 3 f p{ rr# 5 � SS 3 51'� rf{} \ ti l{ 1 Yom' i Et v x 1pfn yrs I -,w �,, Ja � vat b 1 r 114 �► �'''�► } 5`4) ��� y( 1 ' vs�( r3 S1ry ��001� 7 �r� �� 4p *S-i n'a W ort s qj ":1"I.� 10 \At I r�-dqjd 1 DATE(MMIDD/YYYY) ACOR CERTIFICATE OF LIABILITY INSURANCE 118 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER48),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cordScab holder b an ADDITIONAL INSURED,Me p~Ns)must have ADDITIONAL INSURED ptevlsbm or be endorsed. N SUBROGATION 18 WAIVED,subject to the bans and conditions of me policy,lwtsin policies nuy requite an endorsement A statmlent on this CMINIcate doss not confer dghts to die CwHiNcab holder In Neu of such s). PRODUCER CONTACT MANE: Christina Barrett Aqusft 3 AssociNas , (413)588.7373 No (413)584-0859 355 Srtdge St.,P.O.Box 357 dwistinmosquedrolnsumnce.com INIIIIIIIIIIIIIIIIIII)AFFORDINGCOVDIIAGE MAIC e Nomempton MA 01061 Mlellnen A: Travelers(nsunwm Company INS~ IMS11INER a: Flair Holiday Market INStom C: 184 North Fame Road NNJRRRD., INSURER a: Fb wwe MA 01062 SRP: COVERAGES CERTIFICATE NUMBER: CL18102909362 REVISION NUMBER: THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RUM L TYPE OF epURANCE POLICY NIIMSlR Uw= X COMINERCIALODlRALLIAeSJTY EACH OCCURRENCE ! 1,000,000 300.000 CWM84AADE �OCCUR PREMISES III MED EXP ons s 5,000 A 880.00SM579968 10/24/2018 10/24/2019 PERSONAL A ADV 1WRY 111 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ! 2,000,000 x POLICY LOC PRODUCTS-COMPIOPIIGG ! 2ODO•000 OTHER: ! IWTOMOSLELMSILITY COMBINED SINGLE LIMIT Es sockleW ! ANY ACRO BODILY INJURY(Per pww) S OYMED AUTOS ONLY SCHEDULED BODILY INJURY(Pur saddo d) ! HIRED PWNO'N�NED ! AUTOS ONLY AUTOS ONLY Pn U! LMd1 OCCUR EACH OCCURRENCE ! L>t0mum CLAIMS-MADE AGGREGATE —. ! DED I RETENTION! I YYOIIM m COMP20"TION AND S!lPtafm LIAeSJTY YIN TAT TE AMY PROPRIETORIPARTNERIEXECUTNE ❑ NIA E.L.EACH ACCIDENT ! Pknd lwy to NM) EXCLUDED? OFFICIIR M NM) E.L.DISEASE-EA EMPLOYEE 6 If 0E8CRIP�TION OFOPERATIONSbelow E.L.DISEASE-POLICY LIMIT S DEK;ItlPTION OF OPERATIONS I LOCATIONS/VdIIC1.EJI NOa 101,AAdNk"Relurb Sd»du*may be Nlselyd a mon spew M Ingldna) CERTIFICATE"OLDOR CANCE61A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE IMLL BE DELIVERED IN CITY OF NORTHAMPTON ACCORDANCE WITH THE POLICY PROVISIONS• BUILDING DEPARTMENT 212 MAIN ST,#100 AU AWK NORTHAMPTON MA 01080 e171 I I _j / 019SS-2015 A?)ft CORPORATION. AN fthts momod.