18D-026 (6)32-60592 Northampton CDJR 1 55 Damon Road I Northampton, MA 01060
CHRYSLER pamGE JeepSIGN DETAIL
L
_________________________________
Chrysler Silver (Metallic) Trimcap
Black Day/Night Vinyl
------------------------------;
18"LETTERSET
Square Footage
28.4 ft'
Usage
Chrysler and Jeep Only Dealerships
a Any combination of Chrysler, Dodge, Jeep and
Ram
Description
it Construction: Channel Letters w/ Plex. Face
Color: Black �
Electrical
LED Illumination
[G
32-60592 Northampton CDJR 1 55 Damon Road I Northampton, MA 01060
o 0 o rsE Jeep RAM'WW ELEVATIONS
Mullions and other wall accents to be painted Pelican Gray.
Building to be painted Pelican Gray.
Available wall area for badges to be verified in field prior to installation.
The Commonwealth of Massachusetts
Department of Industrial Accidents
I X71
'--:✓l Office of Investigations
=� I' I Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Comp"satipn Insurance Affidavit: Builders/Contractors/Electricions/Plumbers
Appyican't Information ` 4 ' 4
Please Print Lelzibly
Name (Business/Organization/Individual): CALLAHAN SIGN, LLC
Address: 117 UNION ST P.O.BOX 744
City/State/Zip: PITTSFIELD, MA 10202 phone #: (413) 443-5931
Are you an employer? Check the appropriate boa:
1. [J 1 am a employer with 5 4. ❑ I am a general contractor and 1
employees (full an&or part-time).* , have hired the sub -contractors
` 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 4
ship and have no employees These sub -contractors have
working for me in any capacity.
[No workers' comp. insurance
required.]
3. ❑ I am a homeowner doing all work
myself. [No workers' comp,
insurance required.) t
employees and have workers'
comp. insurance.*.
❑ We are a corporation and its
officers have exercised their
right of exemption per MGL
C. 152, §1(4), and we have no
employees. [Noworkers'
comD. insurance reouired.l
Type of project (required):
6. [] New construction
7. ❑ Remodeling t
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
I LE] Plumbing repairs or additions
12.❑ Roof repairs
13.91 Other sign
*Any applicant that checks box ill must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have
employees. if the sub -contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees Below is the policy and job site
information.
Travelers Indemity CO
Insurance Company Name:
Policy # or Self -ins. Lic. 4: 6KUB-5B74571A Expiration Date:
12/19/2013
Job Site Address: 55 DAMON ROAD City/State/Zip: NORTHAMPTON, MA 01060
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement.may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cert undthe wins a� nd penalties orperjury that the information provided above is true and correct
James P. Callahan ID,t,P/19/2013
413)VW43-5931
Official use only. Do not write in this area, to be completed by city or town official
City. or Town:
Perm itfLicense #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person:
Phone #:
Page 2 of 3
11. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
12. SEE ATTACHED SITE PLAN This column to be filled in by
tha Ruildinn nannrtmant
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 2/19/2013 APPLICANTS SIGNATURE
ES P. CALLAHAN
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
Existing '! '
Proposed
Required by
Zoning
Lot Size
Frontage
Front:
Setbacks:
Side:
+
L: R:
L: R:
'
r
M
' Rear:
4 Y
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: 2/19/2013 APPLICANTS SIGNATURE
ES P. CALLAHAN
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: CALLAHAN SIGN, LLC'— JAMES+ P. CALLA$AN
Address: 117 UNION ST PTTTSFIELD, MA 01201 Telephone: 413-443-5931
2. Owner of Property: ROBERT S. THOMAS
Address: 55 DAMON ROAD Telephone: FAX 2032880233
3. Status of Applicant: _Owner _Contract Purchaser _Lessee
XOther(explain): SIGN CONTRACTOR
4. Job Location: 55 DAMON ROAD NORTHAMPTON. MA 01060
r �
" Parcel ID: Zoning Map # Parcel # bistrict(s) ,
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
USED PREVIOUSLY AS FORD DEALERSHIP NOW CHRYSLER DODGE JEEP RAM
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
SEE ATTACHED DRAWINGS: INSTALL ONE PYLON (8'X12')SIGN, INSTALL DEALER NAME
LETTERS, INSTALL (1) DODGE BADGEI,,, INSTALL (1) JEEP BADGE, INSTALL (1)
RAM BADGE, INSTALL (1) MOPAR AND INSTALL (1) CHRYSLER BADGE
7. Attached Plans: X Sketch Plan X Site Plan Engineered/Surveyed Plans
8
Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW X 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_ NO
IF YES: Describe the size, type and location: REMOVAL OF EXISTING SIGNAGE EXEPT "customer
Are there any proposed changes to, or additions of, signs intended for the property? YES X NO
IF YES: Describe the size, type and location: SEE ABOVE FOR THE ADDITION OF NEW SIGNAGE
4
RECD:` ..�
of Nort4am.pton 2 0 2013
1Rttssttrllugrtts �° ''`�
P , FBUI �i;oG i-JSY'cCT
DEPARTMENT OF BUILDING INSPECTIONS y� e THAMPTON, MA 010E
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) Numberew._/
.l. , � .,?� E�
Plans must be filed with the Buildina Inspector
before a permit will be granted
To the Building Commissioner:
Erection..................(X )
Alteration .................( )
Repair .....................( )
Repainting ...............( )
Removal ..................( )
FEE........ PAGE........ PLOT.......
Northampton, Mass. FEBRUARY 19 20.13
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME ..NORTHAMPTON CHRYSLER DODGE JEEP RAM
...................................................................................
1. Location, Street and No. 55 DAMON ROAD NORTHAMPTON, MA
..........................................
2. Owner's name .... ROBERT ,S._ THOMAS
.....................................................................................
3. Owner's address .55 DAMON ROAD
.......................................................................................
4. Maker's name ....PRINCIPLE USA INC
............................................I............................
5. Maker's address .2.035 LAKESIDE CENTRE WAY #250 KNOXVILLE, TN 37922
..................................................................I.................
6. Erector's name ., CALLAHAN SIGN, LLC
..............................................................................................
7. Erector's address ... 117 UNION ST PITTSFIELD, MA 01201
............................................................................
SIGN
KIND OF SIGN
1. Sign will be (check one) illuminated X..... Non -illuminated ....... (uesignate) NORTHAMPTON
2. Will sign obstruct a fire escape, window or door? ....X.... Marquee ...............
3. Lower edge will be ...... ft ........ ins above the public way. Projecting ..............
4. Upper edge will be ...... ft ........ ins above the public way. Roof .....................
5. Height ......ft.IS.ins Width ..?-. ftlJ... iWs8 Temporary
6. Face area � .-Aq. ft. Wall ..X .
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 or pole 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 r
12. Of what material wi si��lObe constructed? Frame�o.. vhum ePLEX
...... Fac .......................
13. Estimated cost $..... .................
The undersigned certifies that the above statements are true to,1he best of his knowledge and belief.
.......................................
(Sign ure of Owner or Agent)
JAME� P. CALLAHAN
qK
File # BP -2013-0766
APPLICANT/CONTACT PERSON CALLAHAN SIGN COMPANY
ADDRESS/PHONE P O Box 526 PITTSFIELD (413) 443-5931
PROPERTY LOCATION 55 DAMON RD
MAP 18D PARCEL 026 001 ZONE GI(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiny, Permit Filled out
Fee Paid
T_yneof Construction:_ ERECT ILLUM WALL SIGN - NORTHAMPTON
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
INFO JRMATION PRESENTED:
/Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR
Major Project: Site Plan AND/OR
ZONING BOARD PERMIT REQUIRED UNDER: §_
Finding Special Permit
Special Permit With Site Plan
Special Permit With Site Plan
Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW
Septic Approval Board of Health
Water Availability Sewer Availability
Permit from Conservation Commission
Well Water Potability Board of Health
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.
City of Northampton Map 18D Lot026 Zone GI(100)/
Massachusetts Date issued 2/26/2013 0:00:00
Inspector of Buildings Permit # BP -2013-0766
Permit Fee$30.00
SIGN PERMIT
Business NORTHAMPTON
Address 55 DAMON RD
Applicant InstallerCALLAHAN SIGN COMPANY
Applicant Installer Address P O Box 526
Work Description ERECT ILLUM WALL SIGN - NORTHAMPTON
Estimated Cost $4000.00
Building Department
Approval by: