17C-197 7-2-2012 Florence, MA 53 High StreetJuly 2,2012
City of Northampton
Puchalski Municipal Building
212 Main Street
Northampton,MA 01060
Attn:Mr.Louis Hasbrouck
Building Commissioner
Cumberland Farms
V0389/Store 0129
53 Main Street
Florence,MA 01060
Delivery:Regular mail
Dear Mr.Hasbrouck,
Enclosed please fmd (2)two Applications for Permit to Place a Sign,(2)two Zoning Permit Applications,
(1)one Site Photo showing all existing site signage and (1)one detail of the LED price panel by Federal
Heath for the proposed sign modifications for the site located at 53 Main Street,Florence,MA.
Cumberland Farms,Inc.the owner of the property wishes to remove the existing 6'-0"x 4'-0"price sign
from the existing light pole and install (2)two new 2'-6"x 6'-0"LED single sided LED price signs,one
on each side of the existing overhead canopy fascia.They will maintain the existing 6'-0"x 8'-0"CF sign
installed on top of the canopy and maintain the 4'-0"x 12'-0"wall sign installed at the entrance to the
convenience store.Due to the depth of the site and location of the overhead canopy we would not be able
to install a double pole pylon sign and meet the required setbacks without a variance from the Zoning
Board of Appeals,hence the reason for this proposed style sign.
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 fmd 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 #1903 in the amount $60.00 for the Sign Permit fees ($30.00 x 2).If you
find everything is in order please return the permits to me in the self-addressed stamped envelope.If you
have any questions while reviewing the proposed changes please call me at (774)239-2781 to discuss.
Thank you in advance for your time in helping to expedite this matter.
Cc:Cumberland Farms
File
SPECIALIZING IN THE PETROLEUM INDUSTRY
Project Management,Permit Expediting,Drafting &Fire Suppression Plan
3 Lorion Avenue,Worcester,MA 01606 •Tel:508-853-1167 •Fax:508-853-1176 •Cell:774-239-2781 •capconsulting@verizon.net
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street.Municipal Building
Northampton,MA 01060
Application for a Permit to Place or Maintain a Sign
Or other Advertising Device,or Marquee
(Application to be filled out in Ink or typewritten)Number .
Plans must be filed with the Building Inspector Erection (~
beforea permitwill be granted.Alteration ()Repair ()
Repainting ()
Removal.()
Qlity of Nor-tqamvton
~nssndlusdts
INSPECTOR
FEE PAGE PLOT .
Northampton,Mass...'~7.i!/",y...~."..201~
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device,or marquee.
1.
BUSINESS NAME e()m.BE£l~/.B.MD.ElJ.gmS~./N..e.~.
Location,Street and No....£..$.....018./Ai ..§'.r....e.e.-.§.I.;/E.I.:-:??R#'/Y.6E;/J?;/j
Owner's name ..e?!.m..B.6.~8.N.D..F8..e.m.S:.
Owner's address IO{)...C£.().SS/N.G 13.~V:e....E~/N.(ik./9;n mhl ~
Maker's name .E.E.p'.~.g8:.&:..I:IE./l:TII ...J.:/(.,7./V ...Ct!..-:........................c)/~.;:L
Maker's address ;:!t()P.N...B.t?.?T.()g;..;r.IlC/<s..C?N...VI.~E..,..T.X...7s7t:,,~
Erector's name ..Ih ..Y.:..V SEre.VI CI5.-S .
Erector's address t!.t.!.r..8.4.)(..1.t.l4 ...?I?.M.ff.~$.t.)~..Ill.fl.??(;:A3 9-
SIGN
2.
3.
4.
5.
6.
7.
KIND OF SIGN
(Designate)
1.Sign will be (check one)illuminated X ..Non-illuminated .
2.Will sign obstruct a fire esc2je,window or door?.NO Marquee .
3.Lower edge will be !..5.':ft..,..:..ins above the public way.Projecting .
4.Upper edge will be/.t..ft..~..ins above the public way.Roof .
5.Height ~..ft..tz ..ins Width .~..ft..Qins Temporary .
6.Face area J£'sq.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./AJS77?U RT JdD6E CJF .
10.Sign will project .a...ins beyond the street line.eXIS77A1G t:)#C!/-7N1~pY
11.Sign will extend.D ..ft D ...ins above the building or pole.
12.Of~hat material will..~be ~nstructed?Frame m.!::7».L ....Face..P~17C
13.Estimated cost $../.::>.O.().~.()O
The undersiqned certifies that the above statements ~?J:"tp ;~~~n.d.~11~f
~~~of Owner or Agent)
3'jJ)£ltJlJ nV£,A/VE
Page 1 of3 t<JlJe~6 O~I mA-o/IoLJh
77V--0l-39 ?OL7?/
Page 2 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No._
1.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
Name of Applicant:en,eo ""YAI 1//1;;2)::,6£(/lGE/JD
Address:&./l{~!!6'1tfP¥/E~alMte Telephone:77'1-d23cr-c:27J>1•
Owner of Property:<!vmBI5R.LRAID F ,t},e17?S'
/00 ~J)SS/A/G BLVO .
Address:E;e,9m/A/G #am"mA-OIZO.::a2Telephone:6P8"-a270 -1$LoCJ
2.
3.Status of Applicant:_Owner _Contract Purchaser _Lessee
XOther(explain):/-JeEN'r 7t:>t:JL.d AI'£R .
Job Location:63 O?BI.A/aT~Er,E~R.EAlC6'J m.19
ParcellD:ZoningMap#17e Parcel#197 District(s)_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
Existing Use of Structure/Property:G fiS STRr 10IJ'/'eoJJ"£'IJI ej...)e,e,STtJR..E
4.
5.
6.Description of Proposed UselWorklProjectlOccupation:(Use additional sheets if necessary)
S9m£use
IAIG
7.Attached Plans:--'x"Sketch Plan __Site Plan __Engineered/Surveyed Plans
8.Has a Special PermiWariance/Finding ever been issued for/on the site?
NO__DON'TKNOW~YES__IFYES,dateissued:_
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 X DON'T 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?YESX NO__
#A /JU S 'G i I /1 'X'/"-,I (j'rn''''IF YES:Describe the size,type and location:..J..-tvrr /IV T..0<.-'L"'-.....J=e.>(pIXgl CP ON e;:JA!IJPY ROOF (J-;Z)
+.3-,I K¥'p,e/~£S/GIJ (ro BE 7eff/(lc)V5rj)
Are there any proposed changes to,or additions of,signs intended for the property?YESX NO__
IF YES:Describe the size,type and location:IN8,nLL:@,)Iv £tV d/.!.,h 1/X't:,!..t)II
L£:D FJelce SIGNa ~tVE tJAI £f'.re-H SIDE
Or CEtIJt)PV FR'SVr:J
11.ALL INFORMATION MUST BE COMPLETED;PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12.This column to be filled in by
the BuildinQ Department.
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:7/~;;L 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 of3
CfLity nf Nnrt4amp-tnn
DEPARTMENT OF BUILDING INSPECTIONS212MainStreet•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 befiled with the Building Inspector Erection (~
before a permitwill be granted.Alteration ()
Repair ()Repainting ()
Removal.()
FEE PAGE PLOT .
Northampton,Mass ~.ty...~."..2o/~
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device,or marquee.
1.
BUSINESS NAME e(/m.BERj!/.BAJ.D Ff}l?mrS~./N.C.!.
Location,Street and No....~.a....m.8./AI ..§.r.~.§/';I E??!.R!r/Y..eE;/)'7/1
Owner's name ..e.?!.m..8.t.:::.~9.N.D..F8..£.m.S..
Owner's address ~~~c;l?~::G;;l3/"V;.~~/N~U/j~m~?,(),;L.-
Maker's name ..r ~'E1 '£.8 "lI.s...<7.N.~.
Maker's address 16~(!P.N ..B..t}.?T.4u.-;..J./i..Ck;·5.0,6.lVI4.E.-/..T.x...7.s7~~
Erector's name ..I?1..o/.-:..v.S.£g..VIr:::-E..~~.
Erector's address I!.t!..'..B.4.X:..7.t.!.4....?8All1.§t1.()~..Ill.&.{?(;;A3 9-
SIGN
2.
3.
4.
5.
6.
7.
KIND OF SIGN
(Designate)
1.Sign will be (check one)illuminated X~.Non-illuminated .
2.Will sign obstruct a fire_esc2fe.window or door?.NO Marquee .
3.Lower edge will be 1.6...ft."r':':ins above the public way.Projecting .
4.Upper edge Wfi,iIIbel.7.ft ..~..ins above the public way.Roof .
5.Height ~..11...ins Width .~..ft..Q.ins Temporary .
6.Face area.l ..sq.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 orpole is ins back from the street line.I"NS-mu.nr gD6 E ()F
10.Sign will project C ins beyond the street line.l?XtSI7N'G C'J)I e.n#opY
11.Sign will extend.D ft D ...ins above the building or pole.12.Of~hat material will.§lan be ~~tructed?Frame 172£T/.1.L ....Face..P.~77C
13.Estimated cost $../..:)O.O.~.v.U
The undersigned certifies that the above statements are
(Sign ture of Owner or Agent)d ~tJbtJA/,4·veItl013toaee.e <S'r6e/"m/l t)/6{)~
'77lf'-;l39 -;27E?1Page1of3
Page 2 of3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No._
1.
ZONING PERMIT APPLICATION
PLEASE lYPE OR PRINT ALL INFORMATION
Name of Applicant:CIlIZlJJ..-Y/~p/J12k;~(~GE.A/r)
Address:&/;f,lii'itffl¥%~(J/Mte '"Telephone:77V·-;2.3Z--.:27J>/,
Owner of Property:C-Vm8£R..LR AID F /},en)5'100 C/'J)SSI'§G BLVOAddress:F~Bm/A/G #e~mA-OI7i>.;2Telephone:5lJ1S-.270 -1¥-o{J
2.
3.Status of Applicant:_Owner _Contract Purchaser _Lessee
KOther(explain):fJG J:,Io..l'r To tJLUA/£R_
Job Location:53 I'J?BIAI .8T.t€EET,ELt1REIJC611??~
Parcel 10:ZoningMap#17C Parcel#/91 District(s),_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
Existing Use of Structure/Property:G itS .5'rR r10IJ I eoIJ"£'IJI £/...)ee,S/-[)K.-£
4.
5.
6.Description of Proposed UselWorkiProjectlOccupation:(Use additional sheets if necessary)
S8mE'USE
ING
PRCJPoSIC 'ro l2£mov£EXIST-
7.Attached Plans:~Sketch Plan __Site Plan __Engineered/Surveyed Plans
8.Has a Special PermiWariance/Finding ever been issued for/on the site?
NO__DON'T KNOWA-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 X DON'T 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?YESA NO__
IF YES:Describe the size,type and location:#:1.-tU~LL S /G AI if ;X /;z J (j-R,)
::Itt!L-~/)(:fl CF ON MAltJPy"ROOF (r,e)
+3-t:/X~I P£It!..-£SIGAl (TO BE leJ3/(JOVJ5rj)
Are there any proposed changes to,or additions of,signs intended for the property?YESX NO__.f/))J ."'\-1 I /1//f IjIFYES:Describe the size,type and location:IN or n i.L ~Iv£t.V 0('-to X co -()
LEZ)Pf(!.IC/3 SIGNa t2NE ON £)'f-t!.-H SIDE
fJP CRIJ{)PV FPSV./9
11.ALL INFORMATION MUST BE COMPLETED;PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12.This column to befilled in by
th B deuilinQDepartment.
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:APPLICANT'SSIGNATURE&I..~,k
NOTE:Issuance of a zoning pennit does not relieve an applicant's burden to comply with all zoning
Requirements and obtain all required pennits from the Board of Health,Conservation Commission,
Department of Public Works and other applicable permit granting authorities.
FILE #~_
Page 3 of3
EX/aT/NG ~'l'TE S/qN/lGE
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SIGN COMPANY
www.FederaIHeath.com
TSOD North Bol[on •jacksonville,Texas 75766
1903)589-2100·Fax 19031 589-2101
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This origlnol drowlng is provided as port of aplannedprojectandisnottobeexhibited,
copied or reproduced without the permission
of Federal Heath Sign Company LLC or itsauthorizedagent.C
NO'1 REVISIONSAOOEDWHITETO LED CAU.OUT 02~;.~,1:F 2'6'x6'SF -1 PROD LED SIGN
METAL FACE PUSH THRU COPY
RE.V'D RED TO IMTCH ALL CAUOlITS FOR CUMBERLAND 03.01.111 ASF
JoB NO;
,,0423 O,HALL
DRAWN BY:
ASF 01.31.'1
DRAWING NO,CF2026SF _1LD
1
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2
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CAROLYN A.PARKER CONSULTING 05-04
3 LORION AVENUE
WORCESTER,MA 01606
1903
53-7102/2113
2
DATE
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