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18D-028 (4) City of Northampton Map:Lot 18D-028-001 Massachusetts Date issued 04/20/2023 Inspector of Buildings Permit # BP-2023-0489 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 - C Estimated Cost $12220 Building Department Approval by: Jonathan Flagg File #BP-2023-0489 2'OR 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 -C New Cons&ruction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Ihriveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN_FORMATION PRESENTED: Approved Additional permits required(see below) PLAIINING 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 11 _ LI/ Sig ture of Building Official 6 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 ,'g0 C. ?o- 4; ti.. S� .�._ c�C " Massachusetts ��? A i DEPARTMENT OF BUILDING INSPECTIONS S, 212 Main Street • Municipal Building �d CD Northampton, MA 01060 SJ' 0 Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee 6t100_a 99' (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 ( ) 4 Removal ( ) FEE.O.°...PAGE PLOT Northampton, Mass. ...h.Rr.i.1.....IS . 2008 Application for a permit to place,-� or maintain a sign or other advertising device, or marquee BUSINESS NAME WC.btte.c....4..Griflo .,k 1. Location, Street and No. 6....1\.4C. O....14m.Q...S{r.eeA 2. Owner's name Lc e.bber A..C3r.,.an .1i '' II 1 1 3. Owner's address 't, 400h....t c3...3.1• IVAr. hcm.pkc )....M.H..o.l0.cpa 4. Maker's name ICE'r.1.0.q. ST Co• \c c 5. Maker's address --P0.. A...i0.55...5Prig?s.224...E0A...o.1.lo.t:..lf,?5.5 6. Erector's name 4 '.06'1..338r)...L..Gx..inC., 7. Erector's address ...P0...BJX. 100.5...S ?Xi OPEACi-..rn.B...v\1,0 SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non-illuminated ✓ 2. Will sign obstruct a fire escape, window or door? ...IIJ.b.. 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.d...ins Width ..t1..ft..19.ins -3eebteAc*- Temporary 6. Face area ctsq. 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 ..4..ins beyond the street line. 11. Sign will extend ..CS .ft ins above the building or pole. 12. Of what material will sign be constructed? Frame Face..}1.C:.( ).e. 13. Estimated cost $ia.a.aL`a..0a The undersigned certifies that the above statements are true to the basest of his knowledge and belief. (Signatur o ner or Agent) Page 1 of 3 • • THIS FORM IS PART OF THE SIGN PERMIT APPLICATION 3 isc, C File No. ZONING (INFORMATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:"li A3(1��; 8S-1 c C - � c . Address: 03BOY, 1b'`5 i•S cle4 (`MA 01\O1 Telephone: 41,5• 13a-5\k\ 2. Owner of Property: 1>1: p'c } avime k Vaob Address: (6 1\10t iji J\• k ioc\ cis n. i :\ Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Ather(explain): a3n \C i.‘1ec I cc '6e( 4. Job Location: O V•1Oc A\'\ t1'‘S \fe Q-\ Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) /n 5. Existing Use of Structure/Property: l .c c(lcr cc t Cl` / b 35:(1e SS 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) 1\)PL6 ncx> Alvminc1-pd 1? ? 9 e11e15 pcinkeci je-k\er\c' 2>c tie(,-% lasc replore ei.,5k-,ns , no C.hnnse,s in 3A e5 - 3ee. 5 eAch 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 1✓ YES IF YES: Enter: Book Page and/or Document#O 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 v/ NO (� IF YES: Describe the size,type and location: �0()•�1ko(YNITIrAPC\ �S,Cci5 �"rok--11, 100;\6ns,5116pc-c, cP!bkYi\d',r,s �e> ac;c c��ci;�\;c �;,��h nom ac Peu-1 Ic 1Jc oh R5 its a 7e. - See. 3KekcheS• Are there any proposed changes to,or additions of, signs intended for the property?( YES _11� NO i IF YES: Describe the size,type and location: u' �j,l•_ j c�C) }'cts1't 0- 1A S�de3 OQ boAck1() cep\etEc. PXf�hC1G i�Th (lecy ,C c, Ike (' hcc' e 1c' �i i-e• � .S'Kekc,he J �3 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 Department. Existing Proposed Required by Zoning Lot Size 1.pgl Ac«S j.p4► Acce� Frontage Front: Setbacks:(for sign)Side: L: R: L: R: Rear: Building Height )41 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: '10Ifi;1,g;A APPLICANT'S SIGNATURE 0..Q 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 9; 9 Office of Investigations ''''''(4 Lafayette City Center .' 2 Avenue de Lafayette, Boston, MA 02111-1750 " � www.mass.gov/dia Worke s' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Legibly Name (Businless/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 appropriat box: Type of project(required): 1.0 I am a employer with 20 4. 0 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. El Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and h$ve 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.❑ I am a hom�eowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [1No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other -- comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 entities have employees. If the s b-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 Insuranc Company Policy#or Self-ins. Lic. #:A0130589005 Expiration Date:06/21/23 Job Site Address: (A - ) �j► 3i City/State/Zip: My-Akyllyprkni MR Attach a copy of the workers' compensa ion 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 imprisonme t, 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 a ised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage erification. I do hereby certi 'l\nd"the ains and penalties of perjury that the information provided above is true and correct. 1 Signature: �; 1 '�-- Date: e4, 1 \a,3 Phone#: 413-7 2-51 1 1 . Official use Only. Do not write in this area,to he completed by city or town official. City or Town: _ Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Departm nt 31:City/Town Clerk 4.0 Electrical Inspector 50PIumbing Inspector 6. Other -_____--____. Con fact LHun: Phone#: • AC� DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 Suzanne R.Mlinarcik The Dowd Agencies, LLC PHONE - FAX - 14 Bobala Road (A/c,No.Ext►:413-437-1042 I(A/C,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 INSURER C: PO Box 1055 INSURER D: 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 SUER - POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MWDD/YYYY) A X COMMERCIAL GENERAL LIABILITY A0130589003 6/21/2022 6/21/2023 EACH OCCURRENCE $1,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $500,000 MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY XE 4 X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY A01305139004 6/21/2022 6/21/2023 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED y NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) S A X UMBRELLA LIAB X OCCUR A0130589006 6/21/2022 6/21/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED _ X RETENTION$n $ A WORKERS COMPENSATION A0130589005 6/21/2022 6/21/2023 X AND EMPLOYERS'LIABILITY YIN STATUTE OTH- ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 N OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $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 1 EXISTING PROPOSED d ...�.. :; .. :: 0 P 7 ,- Wsebber& WEBBER& grinnell -. ,. GRINNELL , )) I N S U R A N C E INSURAI�; ),,_ Illit ., ahe ' NEA�1N ��GGGG • s SI t Lr{ I win .. sit ! t} .,o,• _ 1 I i t 7' r;i ii 14; 3 � 7 ... ilo 1‘1!7,'::� .. - � �� w' �` 7 .� sec a_ .. ,:.4- ..-r. _.4,_ -_- 132" 138" 116" — — 116°' WEBBER& .t°t A GRINNELL Co WEBBERANDGRINNELL. c OM 6 HEALTH 1NSURANC . _ .._ 6 AN ALERA GROUP COMPANY COPY: 1/2" PVC PAINTED BLACK & PMS 2995C 104" BACKER: PAINTED GREY (P172-11 C) BACKER: PAINTED GREY (P172-11 C) v AUTO COPY: 1/2" PVC PAINTED WHITE BOTTOM PANEL: PAINTED TO MATCH 2995C HP WHITE VINYL BOTTOM PANEL: PAINTED TO MATCH 2995C • ORIG. DATE:12-27-23 REV. DATE:02 23 23V REV. DATE:00 00-00 W-MISC/WEBBER&GRINNELL-NORTHAMPTON, MA-8 NORTH STREET.PLT ORDER# 00000 gnoll REV. DATE:O 1-04-23 �/ REV. DATE:04-17 23V REV. DATE:00 00 00 1 n col REV. DATE:O1-16-23V REV. DATE:00-00-00 REV. DATE:00-00 00 WEBBER&GRINNELL-NORTHAMPTON, MA-8 NORTH STREET.CDR Inc. CUSTOMER: LOCATION: CONTACT: SALESPERSON: PROJECT MANAGER: THIS DESIGN IS THE EXCLUSIVE APPROVED PROPERTY OF AGNOU SIGN AGNOLI SIGN COMPANY,INC. WEBBER&GRINNELL WEBBER&GRINNELL HARRY HARRY �L ELECTRIC SIGN COMPANY INCORPORATED 722 WORTHINGTON STREET REYNOLDS WHALEN — AND All RIGHTS TO ITS USE SPRINGFIELD,MA 01105 8 NORTH STREET 8 NORTH STREET DESIGNER: SCALE: RELEASE DATE: OO-00-23 TEL.(413)732-5111 NORTHAMPTON, MA NORTHAMPTON, MA LANCE Q"—1' Q" - 6, woxeew,;vw.vwvwo-r=s5\C. 0, ee OR REPRODUCTION ARE RESERVED