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.