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18D-028
City of Northampton Map:Lot 18D-028-001 Massachusetts Date issued 04/20/2023 Inspector of Buildings Permit # BP-2023-0492 Permit Fee $60.00 SIGN PERMIT Business Address 8 NORTH KING ST Applicant Installer AGNOLI SIGN CO INC Applicant Installer Address P 0 BOX 1055, SPRINGFIELD, MA 01105 Work Description NON - ILLUMINATED WALL SIGN WEBBER & GRINNELL - A Estimated Cost $1250 II Building Department \C3 Approval by: Jonathan Flagg File #BP-2023-0492 2 -OK APPLICANT/CONTACT PERSON:AGNOLI SIGN CO INC P O BOX 1055 SPRINGFIELD, MA 01105(413)732-5111 PROPERTY LOCATION 8 NORTH KING ST MAP:LOT 18D-028-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $60.00 Type of Construction: NON -ILLUMINATED WALL SIGN WEBBER&GRINNELL -A New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INlORMATION 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 . ( rI ge/?.3 • Sign ture of Building Official Date f 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,Depar i ent 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 o Planning&Development for more information. Cityof Northampton ��L) oyM $ �- s " Massachusetts •�Sl �'t� f ,t '4' '. al y DEPARTMENT OF BUILDING INSPECTIONS ! 47 212 Main Street •• Municipal Building -s• :C1 � , Northampton, MA 01060 sSNh, ,`;‘' Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee 2p-113„u 9z_ (Application to be filled out in ink or typewritten) Number..,? Plans must be filed with the Building Inspector Erection before a permit will be granted. Alteration ( ) Repair ( ) Repainting ( ) Removal v ( ) �4 FEE WPAGE I PLOT Northampton, Mass. ...A.pr.l.....f`a++." 20p78 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME 4 b, t .('....4..Gr.Rt�(lR1k. 1. Location, Street and No. U....NQr.V.h....1S:m.Q...S-kree:l 2. Owner's name A2C.bbE(' E.a a.nne.A1 3. Owner's address 15.Kor.:h....Ki .... • klar am.Ftk.t)....M.A....W.co.4. 4. Maker's name R8floil....aT.....cc:0...\C1C 5. Maker's address -PO.. .RX...IQ55... PCSPQ.PQa..n1A..0.1.1ai:..i05.5.... 6. Erector's name 4 nQki..$• 38r1...CO .If.1C' 7. Erector's address ....`ISO .... 1JX. 10.5.5...Sp.r3 t.►eta,..'m..A...v..)M:..14o.5 SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non-illuminated ..1... 2. Will sign obstruct a fire escape, window or door? ...No.. Marquee 3. Lower edge will be ft ins above the public way. Projecting 4. Upper edge will be ft ins above the public way. Roof 5. Height .a...ft.3..ins Width ..a..ft..$.ins / 1'-r X i�'3" Temporary f 6. Face area c ),Asq. ft. Wall Y 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 cP..fF(.s back from the street line. 10. Sign will project .C ...ins beyond the street line. 11. Sign will extend ..4..ft ins above the building or pole. 12. Of what material will sign be constructed? Frame Face..Face. ciii2k.nd 13. Estimated cost $...lao©..c..... The undersigned certifies that the above statements are true to th/�eybest o his knowledge and belief. (Signatur o wner or Agent) Page 1 of 3 SSc) (I THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING (INFORMATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: fe-)3ci \ aSn CO- \c c . Address: }�(�Bc x Ia J'S � �P\C�l, (YEA 0W:)\ Telephone: /4 13• '` 301-511\ 2. Owner of Property:ff (yQ�,1�Pr 4- rIc'c e I I Address: 55 Notc Y'' 5\• Inc�(1CY`c1 \IN"), mATelephone: 3. Status of Applicant: Owner Contract Purchaser Lessee /Other(explain): S� (� 10 tco\\ec I jocC of 4. Job Location: $ S}CeeA Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: roc mecc t!1` / 1:1) ',ne SS 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) ),-)Pun ritbatxd (-mob pts`ry w AA-1 V\().j\ Ie P�CI� ILi 1Je� loe : t cecAn_cc_ Plot ;c•S, m ehnneps n S19-e • 7. Attached Plans: /Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special PermitNariance/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 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: I•kg\•;\1cc cj}e('\ S`�Q(l� cc) bu;Ac%nG•5, oP boc\d; 1?e(*cc;c e)(:3 icc w;kh (leas ac r c c ' L_Arc's - See. S .e*CheS• Are there any proposed changes to,or additions of, signs intended for the property? YES V NO IF YES: Describe the size,type and location: thew 5; OC) }'-tf' c (?c k 5;C1e3 OP boAd;c) rep\eu'_ e �fic c,Nr!•h (viz l cso. no e henaes \n e���e• Ke C • S Ile S Page 2 of 3 Sign Pt' 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 j.Ogl Accps j.c cce Frontage _ TJfJ� Front: Setbacks:(for sign)Side: L: R: L: R: Rear: Building Height Façade Square Footage #of Parking Spaces 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: Vic WA APPLICANT'S SIGNATURE (1.914, 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 The Commonwealth of Massachusetts =5111= Immo ` Department of Industrial Accidents ti= Office of Investigations ==$1' c\ Lafayette CityCenter rE'�f� 2 Avenue de Lafayette, Boston, MA 02111-1750 ��' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pldmbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Agnoli Sign Company, Inc. Address:722 Worthington Street/PO Box 1055 City/State/Zip:Springfield, MA 01101-1055 Phone #:413-732-511 1 Are you an employer? Check the appropriate box: Type of project(requ red): 1.© I am a employer with 20 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New constructs n 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in capacity. employees and have workers' any P Y. $ 9. ❑ Building additidn [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] I. c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those ent ties 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. Insurance Company Name:Middlesex Insurance Company Policy#or Self-ins. Lie. #:A0130589005 Expiration Date:06/21/23 c Job Site Address: n OC:kr-kk) i, City/State/Zip: MN-Or ' i %AA 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 certi �lo\nd/ he pains and penalties of perjury that the information provided above is true and correct. 1 Signature: '; Date: 441 i'1443 Phone#: 413-7'2-51 1 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): I❑Board of Health 20 Building Department laity/Town Clerk 4.❑Electrical Inspector 50PIUmbing Inspector 6.0Other Contact Person: Phone#: • ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVV) 6/27/2022 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 such endorsement(s). PRODUCER CONTACT The Dowd Agencies, LLC PHONE Suzanne R.Mlinarcik FAX 14 Bobala Road (A/c,No,Ext):413-437-1042 (AIC No):413-437-1442 Holyoke MA 01040 ADDRESS: smlinarcik@dowd.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Middlesex Insurance Company 23434 INSURED INSURER B: Agnoli Sign Co., Inc. 722 Worthington Street INSURERC: PO Box 1055 INSURERD: Springfield MA 01101-1055 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:824472810 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 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF I POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYYI A X COMMERCIAL GENERALLIABILITY A0130589003 i 6/21/2022 6/21/2023 EACH OCCURRENCE $1,000,000MAGE TO CLAIMS-MADE X OCCUR PREM PREMISES(EaENTED occurrence) $500,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY X 128: X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: S A AUTOMOBILE LIABILITY A0130589004 6/21/2022 6/21/2023 COMBINED accid SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident $ AUTOS ONLY AUTOS X AUTOS ONLY X AUTOS ONLYY (Per a�dent)�MAGE HIRED y S S A X UMBRELLA LIAR X OCCUR A0130589006 6/21/2022 8/21/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION S n $ A WORKERS COMPENSATION A0130589005 6/21/2022 6/21/2023 X AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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. Evidence of Insurance AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD EXISTING PROPOSED f -ri, ...Of r �'a lea' � �r — .. �� -. _.. c:,-,_, =BER&GRINNELL Webber & grinnell REMOVE "- _ " .0`.., - .- 14 jam`.,,, ,, _ I . 14:17.71r=1161101., mt V... ..::: ,,,- 1 1.. -*' tea...-..--�. �� . .:�s}YC1111� ��1.F— —. _ .--1-32 1/4 IJI CV 1 r. WEBBER &GRINNELL AN ALERA GROUP COMPANY 101 " 70" 1 71 " DIBOND PAINTED TO MATCH DARK GREY (P172-11 C) HP WHITE & HP OLYMPIC BLUE VINYL VHB TO SECURE ORIG. DATE:12-27-22 REV. DATE:O1-16-23V REV. DATE:oo-oo-oo W-MISC/WEBBER&GRINNELL-NORTHAMPTON, MA-8 NORTH STREET.PLT ORDER# gnoll REV. DATE:Ol-04-23 LV REV. DATE:02-23 23V REV. DATE:00-00 00 00000 OMER: lgn CompInc. CU. DATE:OI-Ob 23 W REV. DATE:LOCATION: 23V REV. DATE:coNTAcroo 00 0o SW sBB oR&GRIN NEL cNORT G HAMPTON, MA-8 NORTH STREET.CDR THIS DESIGN IS THE EXCLUSIVE APPROVED PROPERTY OF AGNOLI SIGN PAGE: AGNOLI SIGN COMPANY,INC. WEBBER&GRINNELL WEBBER&GRINNELL HARRY HARRY ELECTRIC SIGN COMPANY INCORPORATED 722 WORTHINGTON STREET REYNOLDS WHALEN — SPRINGFIELD,MA01105 8 NORTH STREET 8 NORTH STREET DESIGNER: SCALE: „r,,,pE,,,,,,,,CCOl,,K AND ALL RIGHTS To ITS USE TEL.(413)732-5111 NORTHAMPTON,MA NORTHAMPTON, MA LANCE 0"=1'-0" RELEASE DATE: 00-00-23 Cr>.,m=V30 WOE ou,� OR REPRODUCTION ARE w.:ou was