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18D-028 (3) City of Northampton Map:Lot 18D-028-001 Massachusetts Date issued 04/20/2023 Inspector of Buildings Permit # BP-2023-0490 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 ILLUMINATED WALL SIGN WEBBER& GRINNELL- D Estimated Cost $2280 Building Department Approval by: Jonathan Flagg \55 - File #BP-2023-0490 Z_0 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: ILLUMINATED WALL SIGN WEBBER&GRINNELL -D 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 INFORMATION PRESENTED: X 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 I' 'i(a0/9'3 Si4iature of Building Official I 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,Coiservation 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 5'S HAM ' Massachusetts 44 i►- 'e t• H .. .-• i I DEPARTMENT OF BUILDING INSPECTIONS ra •�„ * ,-r 212 Main Street • Municipal Building yJti ��� '� Northampton, MA 01060 Sf; ,�J h, Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee69— A - 'MO (Application to be filled out in ink or typewritten) Number Plans must be filed with the Building Inspector Erection ( J before a permit will be granted. Alteration ( ) Repair ( ) Repainting ( ) ill. ( ) FEES _, PAGE PLOT Northampton, Mass. „APO.' 'it. 20013 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME t boec.... ..Go.nnk.►‘ 1. Location, Street and No. U....N.Q?C.V.h.... .m3... {.re.eA 2. Owner's name L e.b.bec �..t t.�.f)fack1 , I 1 3. Owner's address . .11�QLo h....ii,,n...3 t• Q-.4hcec.c?}„„s)....ffl.H....t ts..lo 4. Maker's name R O.o.I;.....3.ioS) C o. \c c 5. Maker's address -PO.sC7o)C...10.55...SP s.c.n1►Q ...j:QA...3.1kU.t-..I5.5 6. Erector's name t)6i..3.i8r)...Co. .iL)C.,, 7. Erector's address ....E0... . 0X,. 10.5.5...S96 t.►.e,af..M.P...v 1\O.`:..1.4.J5 SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ../... Non-illuminated 2. Will sign obstruct a fire escape, window or door? ...1JPc. Marquee 3. Lower edge will be ft ins above the public way. Projecting 4. Upper edge will be ft.. ins aboy9 the public way. Roof 5. Height .4...ft.4..ins Width ..19.ft..1_ ins Temporary 6. Face area lla..sq. ft. Wall '1� 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 or pole. 12. Of what material will sign be constructed? Frame Face...t€)(Q 13. Estimated cost $.a..a$(D..ac.... The undersigned certifies that the above statements are true to the best of his knowledge and belief. (Signature of wner or Agent) Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION jSC File No. ZONING (INFORMATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: (-)3(Y)\ S,C Address: - 1 2)(_. , lQ:j (R c� cp\Cl, cock d‘‘p\ Telephone: 413- '�3-3\1\ 2. Owner of Property: (�Q TjPr r c c'ce l Jk. ti W(1C 1 b eCe 20 Address: {pt� h �>c p�. (�j� Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee /Other(explain): a3n 10,5c2\,pc I rnclKef 4. Job Location: $ tNIp;M1 '‘1S a Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) / 5. Existing Use of Structure/Property: ( .ecc\ecc tCL\ / b_;,5'%ne SJ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) \elm \fln.E1 \e e ,r c g c1e lager � e 40 cep lcce ( ,n pi . ;11om-,noliocr act S,cj e_L-,&(\o-k- t-)t, Ch+�- - 3Kekch, 7. Attached Plans: ✓Sketch Plan 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 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: t\\p()•,\\, rn�eC� ( ;n ' }"got 1-30-;\c1,c1s,5;de3 cP b6;\d;c -RePcc;c �xc.��,c ;kh nears Pc c C tL 1 • ohci—p3 - See. 3 .ecCIeS. Are there any proposed changes to,or additions of, signs intended for the property? YES / NO IF YES: Describe the size,type and location: Deus �;J5- CSC) c-t llt t 5 de3 bo�id;� k� cep\CIF'. Fx;�fic ;��1�1 ke ^, no e hocir Page2of3 S►gc> � 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 .Oct1 Acts j.pq► Acce� Frontage Front: Setbacks:(for sign)Side: L: R: L: R: Rear: Building Height 1 L► 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: 1.1I f;1,93 APPLICANT'S SIGNATURE C1.14,lik, 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 Department of Industrial Accidents S _( .� Office of Investigations _ Lafayette City Center =44-„� .�' 2Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers 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#:413-732-5111 Are you an employer? Check the appropriate box: Type of project(required): 1. ■❑ I am a employer with 20 4. ❑ 1 am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ lam a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9 Building addition [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' right of exemption per MGL Y comp. 12.❑ Roof repairs insurance required.] c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box k I must also fill out the section below showing their workers'compensation policy information. t Ikntcowners 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 entities have employees. lithe 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. Lic. #:A0130589005 Expiration Date:06/21/23 Job Site Address: J-}\) �j, City/State/Zip: y-Wy , 1.44; 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 cerli ad the alas and penalties of perjury that the information provided above is true and correct. Signature: Date: 41 Ma1/43 Phone#: 413-7 2-51 1 Official use only. Do not erite in this area, to he completed by city or town official City or Town: Permit/License • Issuing Authority(check one): l❑Board of Health 20 Building Department 3DCity/Town Clerk 4❑Electrical Inspector 5E1'It mbing Inspector 6.DOther i'i,tttact Person: Phone `. ,)ACORCP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �,..-- 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 NAME: Suzanne R.Mlinarcik The Dowd Agencies, LLC PHONE FAX 14 Bobala Road Lac.No,Extr 413-437-1042 (ac,No):413-437-1442 Holyoke MA 01040 ADDRess: smlinarcik©dowd.com INSURER(S)AFFORDING COVERAGE NAIC A INSURER A:Middlesex Insurance Company 23434 INSURED INSURER B: 1 Agnoli Sign Co., Inc. 722 Worthington Street INSURERC: PO Box 1055 INSURER D: i 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 POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMM/DD/YYYY) IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY A0130589003 6/21/2022 6/21/2023 EACH OCCURRENCE S 1,000,000 AMAGE TO CLAIMS-MADE X I OCCUR PREM PREMISES(EaENTED occurrence) S 500,000 MED EXP(Any one person) S 5,000 HGENEPERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RAL AGGREGATE i S 3,000,000 POLICY X JEt'aT X LOC PRODUCTS-COMP/OP AGG' S 2,000,000 OTHER I $ A AUTOMOBILE LIABILITY A0130589004 6/21/2022 6/21/2023 COMBINED SINGLE LIMIT 1S 1,000,000 ANY AUTO (Ea accident) INJURY(Per person) S OWNED X SCHEDULED BODILY INJURY(Per accident) S AUT ONLY AUTOS X HIREDOS X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) S A X UMBRELLA LIAB X OCCUR A0130589006 6/21/2022 6/21/2023 EACHOCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X RETENTION 6 n y $ A WORKERS COMPENSATION A0130589005 6/21/2022 8/21/2023 X AND EMPLOYERS'LIABILITY STATUTE OTH- ER ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? n NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below 1,000,000L DESCRIPTION OF OPERATIONS I LOCATIONS!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 722 Worthington Street P.O.Box 1055 Agnoli Sign Co. Springfield, MA 01101-1055 (413)732-5111 fax(413)787-2169 Memo To: City of Northampton,MA—Building Department From: Amanda Pfeffer RE: Webber&Grinnell—New Signage—8 North King Street Date: 4/18/23 Enclosed are the sign permit applications for the new proposed signage at the above location along with the sketches of the new signage.Can you please review and process these applications?I have enclosed check#2640 in the amount of$240.00 for the sign permits.I have also enclosed a self-addressed,self-stamped envelope for the permits to be mailed to us upon completion. Please let me know if any additional information is needed or if you have any questions or comments. 1 EXISTING PROPOSED MC'aWeer ` v - °.`, =- WEBBER&GRINNELL grinnell _- = INSURANCE INSURANCE . __. . ,_ _ _,. . _ . _ ., . , _ , , , . ....:_,. . . __ ., .. .. . . . . „i i ..., e ‘ . , . , , a ia. .... _ oil . : ., . : , , . , . , , ., , , _ : ; ., . , , r ' r _i ,._i , : . , ._-- -,,;___,„..: ...... _ , __,,, -Amp . i.--- �-�~ �� • ___ _ o _ _ '44 -coo« _ " _ ter- _. — _..-.: 11 _ EXISTING CABINET --228" -- co A - NsuRANCE ,..,,,. i WEBBER &GRINNELL AN ALERA GROUP COMPANY LEXAN PANEL WITH OPAQUE GREY (P172-11 C) / TRANS OLYMPIC BLUE VINYL CABINET PAINTED TO MATCH 2995C BLUE ORIG. DATE:12-27-23 REV. DATE:04-17-23V REV. DATE:00-00-00 ORDER# gnoll REV. DATE:Ol-04-23 �/ REV. DATE:00-00-00 REV. DATE:00-00-00 W-MISC/WEBBER&GRINNELL-NORTHAMPTON, MA-8 NORTH STREET.PLT 40000 1 n Company REV. DATE:O1-16-23V REV. DATE:00-00-00 REV. DATE:00 00 00 WEBBER&GRINNELL-NORTHAMPTON, MA-8 NORTH STREET.CDR gInc. CUSTOMER: LOCATION: CONTACT: SALESPERSON: PROJECT MANAGER: THIS DESIGN IS THE EXCLUSIVE PAGE: AGNOLI SIGN COMPANY,INC. WEBBER&GRINNELL WEBBER&GRINNELL HARRY HARRY O APPROVED PROPERTY INCORPORATEDINCORPORATED 722 WORTHINGTON STREET 8 NORTH STREET 8 NORTH STREET REYNOLDS WHALEN SPRINGFIELD,MA 01 105 - r 0-0 q F VW,,•AC K AND ALL RIGHTS TO ITS USE 1 ) NORTHAMPTON,MA NORTHAMPTON, MA DESIGNER: O SCALE: O RELEASE DATE: 00-00-23 TEL. 413 732-5111LANCE "= �� l0.01�;q,�,_;0.WC0',WO, OR REPRODUCTION ARE — i-ruu,0,+wvwnvw15.UI,. RESERVED