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32A-122 (6) AGNOLI SIGN COMPANY, INC. 722 WORTHINGTON STREET, 6• SIGN C EXISTING PROPOSED f , s - I ■ tart t s 132" -107" - NORTHAMPTON: 10 3/8" & 7 1/4" f► COOPERATIVE BANK: 6 1/4" & 3 1/2"" p I,n =�I //�\ • TAGLINE: " & 2 1/4"" N CV ® IJ u IJ Ll I IJ U v IJ�/ �1 IJ ll LOGO 22" Cooperadve o Cnk N A os nn of Gre,,enfld d C oo o°ma- 1v Dank ■ LOGO: 1/2" WHITE PVC WITH DARK BLUE HP AND TRANS TURQUOISE VINYL ■ NORTHAMPTON COOPERATIVE: 1/2" PVC PTD WHITE TAGLINE: 1/2" PVC PTD WHITE STUD MOUNTED TO BRICK WALL CUSTOMER: LOCATION: STORE NO: CONTACT: DRAWING CODE: DATE: 2-2-15 REV. DATE 2-12-15 SCALE: NORTHAMPTON COOPERATIVE BANK NORTHAMPTON COOPERATIVE BANK SALESPERSON: HARRY NORTHAMPTON COOPERATIVE BANK/67 KING STREET.PLT DESIGNER: N 2-18-15 67 KING STREET 67 KING STREET REV. DATE 2-6-15/ �� DESIGNER: LANCE NORTHAMPTON COOPERATIVE BANK/67 KING STREET.CDR NORTHAMPTON, MA NORTHAMPTON, MA DESIGNER: Ns/ NOTES: THIS DESIGN IS THE EXCLUSIVE PROPERTY OF AGNOU SIGN COMPANY INCORPORATED AND ALL RIGHTS TO ITS USE OR REPRODUCTION ARE RESERVED i AGNOLI SIGN COMPANY, INC. o 722 WORTHINGTON STREET, SPRINGFIELD, . 6• SIGN C EXISTING PROPOSED +i gnaw maim a�a•rrrw - �..._ a �i i 132" - -107" 1 NORTHAMPTON: 10 3/8" & 7 1/4" (� COOPERATIVE BANK: 6 1/4" & 3 1/2""• �= /�\ II\\ //II ID T • TAGLINE: 3" & 2 1/4„u u { U u IJ W IJ IJ IJ LOGO 22" r-- Coonl-lwad'v(a D dosoon of Gmenfie N Coo o e rcalye o o nk ■ LOGO: 1/2" WHITE PVC WITH DARK BLUE HP AND TRANS TURQUOISE VINYL ■ NORTHAMPTON COOPERATIVE: 1/2" PVC pTD WHITE TAGLINE: 1/2" PVC PTD WHITE STUD MOUNTED TO BRICK WALL CUSTOMER: LOCATION: STORE NO: CONTACT: DRAWING CODE: DATE: 2-2-15 REV. DATE 2-12-15 SCALE: NORTHAMPTON COOPERATIVE BANK NORTHAMPTON COOPERATIVE BANK #QQQ SALESPERSON: HARRY NORTHAMPTON COOPERATIVE BANK/67 KING STREETYLT DESIGNER: �/ 2-18-15 67 KING STREET 67 KING STREET REV. DATE 2-6-15 NORTHAMPTON, MA NORTHAMPTON, MA DESIGNER: LANCE NORTHAMPTON COOPERATIVE BANK/67 KING STREET.CDR DESIGNER: N/ NOTES: THIS DESIGN IS THE EXCLUSIVE PROPERTY OF AGNOLI SIGN COMPANY INCORPORATED AND ALL RIGHTS TO ITS USE OR REPRODUCTION ARE RESERVED The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnvestigations v I Congress Street,Suite 100 .Y Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly 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): 1.21 1 am a employer with 25 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑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.[1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§](4),and we have no Signs employees. [No workers' 13.❑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 atfdavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such $Contractors that check this box must attached an additional sheet showing the name of the subtcontractors and state whether or not those entities 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: Massachusetts Employers Insurance Company(MEIC) Policy#or Self-ins.Lic.#: MCC20020004032014A_ _ Expiration Date: Job Site Address: _—_.__.__. _.__ _.— . City/State/Zip: _ 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 D1A for insurance coverage verification. I do herehr certi it under the pains and penalties o/per'rrrr that the in ormation provided above is true and correct. J . r I 11honr Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:_.____ ,.__�� __ Phone rs 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 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'S SIGNATURE NOTE: Issuance of a zoning permit does not relieve an applicants 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 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: JM\1 ��_( �oc Address: C i IGI" Id Telephone: 2. Owner of Property: ?t' �-A l`).) AddressArl i( 2)\(Qp !r C ccYl�c tl, Telephone: 3. Status of Applicant:_Owner —Contract Purchaser _Lessee Other(explain): o. 4. Job Location: C Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: C-"nn yl 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) e ,, C� 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 Z 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: 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: 1 t ""e ,-,(P P X :5A,r,)C.' `iew c� cry 10(— 17-o!h neLu (---D DLs- � �c� FEB L 4 r C t nfi nd ttm}ztun " 9eCtric,Plumbing&Gas Inspections t Northampton,AAA 0109@ 21q DEPARTMENT OF BUILDING IN.SPECTION.S X06 ca` 212 Main Street • Municipal Building Northampton, MA 01060 i.V�hr:CTON 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 Buildinq Inspector Erection..................( ) before a permit will be granted. Alteration.................( 1 ) Repair.....................( ) Repainting...............( ) Removal..................( ) FEE........PAGE........PLOT....... Northampton, Mass. ...............................20..... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device,or marquee. BUSINESS NAME ...NQO Q:(YJoc ......U)(DQQC.OA k arY....1 �.�5............................ 1 1. Location, Street and No. AD A....!(X'. ..��SF.E'.�........�lr, ��m.p�C�?.�..��............. �n 2. Owner's name ..Nc�t �4 f�lp 1 .... ( 'c.Q�I V e....�C��k�................................... 3. Owner's address o1sn. ...0 kwek.......�1�[ h. 'C p�CY�,....AA...CJ.C.00.......... 4. Maker's name ..P' ....C :cAC\� :....r..._...............................(.�....................... 5. Maker's addressat�..l�rCS.��A X..l.4`J ...� i,f1 t1a.Q�,..��.t:1101 ►C:SJ 6. Erector's name ...!1.C�.:�G.��.. : J...s�:.. (X':.................................`........................... 7. Erector's address la- ... SIGN JKIND 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 .s ..ft........ins above the public way. Projecting .........e.. 4. Upper edge will be ..4..ft........ins above the public way. Roof..................... 5. Height )...ft.a...ins Width ..11..ft.4..ins Temporary ..... .... . 6. Face area a3'8sq.ft. Wall ....► . 7. Inner edge will be ..c ..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 .j� ...ins back from the street line. 10. Sign will project .(P ins beyond the street line. 11. Sign will extend .Cb...ft .......ins above the building or p le. me 12. Of what material will sign be constructed? Fra .....NC............. Face..... L.......... 13. Estimated cost $.....0 1W......... The undersigned certifies that the above statements are true t the,(best of his knowledge and belief. ........ :. .. 'C!` ............................. (Signature of Owner or Agent) File#BP-2015-0819 APPLICANT/CONTACT PERSON AGNOLI SIGN CO INC ADDRESS/PHONE P O BOX 1055 SPRINGFIELD01105 (413)732-5111 PROPERTY LOCATION 67 KING ST MAP 32A PARCEL 122 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tyneof Construction: REPLACE NON-ILLUM SIDE WALL SIGN -NORTHAMPTON COOPERATIVE BANK 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: xJApproved 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 elay Signat e of lding 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. * 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 Map 32A Lot122 Zone CB(100)/ Massachusetts Date issued 2/27/2015 0:00:00 Inspector of Buildings Permit # BP-2015-0819 Permit Fee$30.00 SIGN PERMIT Business NORTHAMPTON COOPERATIVE BANK Address 67 KING ST Applicant InstallerAGNOLI SIGN CO INC Applicant Installer Address P O BOX 1055 Work Description REPLACE NON-ILLUM SIDE WALL SIGN - NORTHAMPTON COOPERATIVE BANK Estimated Cost $1455.00 Building Department Approval by:,