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32C-012 (6) City of Northampton Map 32C LOt012 Zone CB(100)/ Massachusetts Date issued 3/5/2020 0:00:00 Inspector of Buildings Permit # BP-2020-0969 Permit Fee$60.00 SIGN PERMIT Business Address 112 MAIN ST - COLDWELL BANKER Applicant InstallerGODFREY SIGN LLC Applicant Installer Address 336 BERKSHIRE TRAIL Work Description REFACE EXISTING SIGN - COLDWELL BANKER Estimated Cost $1200.00 BuildinI4 Department Approval by: File#BP-2020-0969 APPLICANT/CONTACT PERSON GODFREY SIGN LLC ADDRESS/PHONE 336 BERKSHIRE TRAIL CUMMINGTON PROPERTY LOCATION 112 MAIN ST-COLDWELL BANKER MAP 32C PARCEL 012 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction:_REFACE EXISTING SIGN- ELL BANKER 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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF94tMATION 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 n 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.- * uthorities:* Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal BuildingNorthampton, MA 01060 P� INSPECTOR Application for a Permit to Place or Maintain a Sign Sidewalk Sign, Marquee or other Advertising Device, ,5'Z Y (Application to be tilled out in ink or typewritten) Number ..................... Plans must be filed with the Building Inspector 6 40—q&I Erection..................( ) before a permit will be granted. �-^ C I\/E D Alteration.................( ) C [ V Repair.....................( ) Repainting...............( ) Removal.......... .. . .( ) €g ?_ 7 700_ �� � ..P . . iZ FEE4�::'.PAGE.?..... .PLOT.O... DEPT.OF tUILDIN( V �Dl tharfijAon, Mtass. ...............................20..... To the Building Commissioner: NORTIAM ON `11� Application for a permit to place or maintain a sign or other advertising device,or marquee. BUSINESS NAME ..LCJ 1-���"�.��L L—YER I C v1ML)!''j�T-%Y..f`'C'A(_T0 ... ......... .......... 1. Location, Street and No. ..l..l 2�.!i`�. -+��..�,� ' ........................................................... 2. Owner's name ...��9.��.C.14 ..�0(.L!'1. !/{,_....................................................... o 3. Owner's address ....1...........................................................................1...................... 4. Maker's name ...C.-z :�7. ... '`..t.LL.L...................................................... 5. Maker's address ..3`3 ... ! ( l'✓ ..�.f"G'?�`..�....0 `� "'`'�1,-z �z? .. ..!!i:� 6. Erector's name .... ! .................................... 7. Erector's address ..3 3 .. r:•••• ti SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? ......... Marquee ............... 3. Lower edge will be a.t.ft........ins above the public way. Projecting .............. 4. Upper edge will be i•y•.ft........ins above the public way. Roof ..................... 5. Height ins Width .l.4e.ft......ins Temporary............. 6. Face area :5-2_sq. ft. x--Wall 7. Inner edge will be ..l...i9p-from the building or pole. Sidewalk.................... 8. Outer edge will be .l..25ins from the building or pole. Other......................... 9. Face of building or pole is N.- .ins back from the street line. 10. Sign will project ( -ins beyond the street line. 11. Sign will extend .......ft .......ins above the building or pole. 12. Of what material will sign be constructed? Frame Of ace..t4.L...Zcr 13. Estimated cost $... 4.�: The undersigned certifies that the above statements are true tothebest of his kno dge and belief. "••.C. ....... ...... .......... (Signature.:f Owner Agent 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: Address: �� G \J �'- `� 1r� ;` ;y�,rw " rlephone: &Q -21-t7- (� 2. Owner of Property: f Address: Telephone: 3. Status of Applicant: Ownerontract Purchaser Lessee _Other(explain): ,,n 4. Job Location: \ \ Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. ExistingUse of Structure/Property: �j +(� ) . ry �o l c%��c E� ��.�. _ � ✓/L `##z��J lct Ss'a 0"&'&,L.,-.{ 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) L-�C�� �(\i✓ S \ �C� Lam_ `3 \!yl S) f-t:y "A'4; ���1.aCwc_l,ly u � � ww�.;�•_'�, ,�tt. �"I c�:3 t-�c:.��t-� 7. Attached Plans: Sketch Ian Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 KNOWS 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: e, ce Crvx� 6 J. t o .t Are there any proposed changes to,or additions of,signs intended for the property? YES NO IF YES: Describe the size,type and location: Page 2 of 3 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 De artment. 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: Z 2-4 -202C/ APPLICANT'S SIGNATURE-(, Applicant's Email Address (required) 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. Page 3 of 3 AC 0F� DATE(MM/DDJYYYY) CERTIFICATE 4F LIABILITY INSURANCE 12/26/2019 THIS CERTIFICATE IS 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 INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu Of Sur.. PRODUCER CONTACT NAME: Christina Barrett Aquadro&Associates PHONE (413)586-7373 AIC No AIC.,,): (413)584-0859 Ext: 355 Bridge St,P.O Box 357 ADDRESS: chrisbna@aquadroinsurance.com INSURERIS)AFFORDING COVERAGE NAIL 0 Northampton MA 01061 INSURERA: Main Street America insurance 29939 INSURED INSURER B; SEIGEL GODFREY SIGN LLC INSURER C; PO BOX 127 INSURER 0: INSURER E: CUMMINGTON MA 01026-0127 INSURER F: COVERAGES CERTIFICATE NUMBER: CLI88708972 REVISION NUMBER: THIS IS 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 CONTRACTOR 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 IN POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MMIDOIYYYY MMIODIYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000 CLAIMS-MADE ®OCCUR PREMISES JES omerence $ 500,000 MED EXP(Any one person) $ 10,000 A BPT6486N 12101!2019 12/01/2020 PERSONAL&ADV INJURY $ 1,000,000 k1EM'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2.000,000 POLICY❑,TCT F-1 LOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER Interior Sprinkler Cr 5 25,000 AUTOMOBILE LIABILITY COMBINED INGLE UMI 5 Ea ac idem ANY AUTO BODILY INJURY(Par person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON40WNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident HNTPD 5 UMBRELLA LIAS OCCUR EACH OCCURRENCE 5 EXCESS LUIS HCLAIMS-MADE AGGREGATE S DED I I RETENTION$ S WORKERS COMPENSATIONI ER OTH- AND EMPLOYERS'UABIUTY YIN STATUTE ER ANY PROPRIETORIPARTNER)EXECVTIVE NIA E L EACH ACCIDENT S OFFICERMEMBER EXCLUDED El (Mandatory In NN) E L.DISEASE-EA EMPLOYEE S It ves.descvibe urv]er DESCRIPTION OF OPERATIONS bek. I I I I E L DISEASE-POLICY LWR S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be aMadled If come space is regWrM) AMHERST FITNESS,AMHERST CROSSING,AMHERST MA 01002 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE//. j ��6y�� VVL ©1988-2015 ACORD CORPORATION. Ali rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD SIMPLY HAIR a A RESIDENTIAL COLDWELL BANKER COMMERCIAL COMMUNITY REALTORS RENTALS r } s , SIMPLY HAIR a mion Y COLDWeu. BANKeR 0 � UPTON-MASSAMONT REALTORS 4. + COLDWELL BANKER RESIDENTIAL COMMERCIAL COMMUNITY REALTORS RENTALS Each Off—19 1M—ce tty Owned M 0—led. COLDWIELL BQM[K[E�3 RENTALS