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18-007 (14) City of Northampton Map 18 Lot007 Zone Massachusetts Date issued 4/23/2021 0:00:00 Inspector of Buildings Permit # BP-2021-1192 Permit Fee$60.00 SIGN PERMIT Business Address 216 NORTH KING ST Applicant InstallerACE SIGNS INC Applicant Installer Address P 0 BOX 3374 Work Description ILLUMINATED WALL SIGN - TRULIEVE - FRONT Estimated Cost $2500.00 Building Department Approval by: I 165.1a/ Zo1( File#BP-2021-1192 APPLICANT/CONTACT PERSON ACE SIGNS INC ADDRESS/PHONE P O BOX 3374 SPRINGFIELD (413)739-3814 PROPERTY LOCATION 216 NORTH KING ST MAP 18 PARCEL 007 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid (5,P v^ d0 Building Permit Filled out Fee Paid Tvpeof Construction: ILLUMINATED WALL SIGN- TRULIEVE-FRONT 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: )( 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 iC/T LI/9' /a,1 Sig ature 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. * 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 rat.. Massachusetts r':: 0;1 '''.,,x' DEPARTMENT OF BUILDING INSPECTIONS Street • Municipal Building , 41 Northampton MA 01060 $�a � '� 212 Main �` or Maintain a Sign Application for a Permit to Place Or other Advertising Device, or Marquee .? / (Appii• -. ..- .• •i •i_o/rjypewritten) Number • V E V I . Erection {6 Plan fr • h Alteration......... ( ) OatgLe_a nP_rmit thi{be grantee 1 Repair { } Repainting ( ) APR 2021 i 1 Q moval ( ) l FEE"':....PAGE. ...PLO. DEPT.OF BUILDING INSPECTIONS NORTHAMPTON.MA 01060 Al...., i \2_ 20 2i Norirramptun rkieSS. Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME 1. Location, Street and No. p 2. Owner's name G.DAr\d t'`""J'"'u__ 3. Owners address 4. Maker's name ... +!1!r5t'.•% •5!15 5. Maker's address �. c x��S ' -' -‘•6, Erector's name � tl� ' 7. Erector's address i? .. .A.K 337-* S, k la tt KIND OF SIGN SIGN (Designate) 1. Sign will be (check one)illuminated V Non-illuminated e 3. Lower edge will be Marquee 2. Will sign obstruct a fire escape,window or door? .6•8.. Mo II ft....0•-ins above the public way. Projecting 4, Upper edge will be .t.3..ft v ins above the public way. Roof 5. i. Height D ins Width l' ft ins Temporary. .... .... 6. .. t 6. Face area -• Wail 1,� -.sq.ft. Ground 4 7. Inner edge will be © ins from the building or pole. Other 8. Outer edge will be . .•.ins from the building or pole. 9. Face of building or pole is/14 ins back from the street line. 10. Sign will project la.ins beyond the street line. ��11����� 11. Sign will extend 0 ft 0 ins above the building or pole S'f-_ Face...�� ""'r'r 12. Of what material will sin be constructed? Frame �' 13. Estimated cost $ 2. o-`)3 The undersigned certifies that the above statements are true to the best of his knowledge and belief. (Signature of Owner 411 .ent) Page 1 of 3 by s ':7 a £ '' ' r u t ..,.,....,, , ,ii..4.,,,,,..., 4 , '`',1.i4i...' .' ' •' • /.4. 1 t . . , ` ! ::': 1 '''' *4..b..4 s '''' ' ''''''' . iii:,, -.. 4 ,tc,,i . ,. > ' . .., i ..,:.::.::::,:„:‘,..'.**:::: • � ENTRANCE Building Front / Roadside Directional Proposed Single Face Backlit LED Sign Cabinet 24"H x 120"W (20sf) / 1 .80 foot candles ° Attached Sign Code: 1 main frontage wall sign AND 1 side frontage wall sign per structureat 25sf if not facing residential Proposed cabinet dimensions: 24" x 120" = 20sf *** Meets Code *** 9 , ,,„„„ 4 24" :w * r ,,, r . ,,,, , „, , . ,, , ,„ ‘, .. _.�_..�_ _ _ _____ 120" ' 40 TRULIEVE #57133 - FRONT SINGLE SIDED BLDG CABINET/ DIRECTIONAL FASTSIG S' tr NORTHAMPTON, MA Single face,LED directional cabinet. 1,80 font cardias.Full color translucent vinyl an.i$7S More than fast.More than signs" 4 lRwhite acrylic faces.White alum cabinet and returns.*Electric must be present forn to illuminate. Clearwater,FL{727.797.1177 • • 216 North King Street sign www gns.com/249 4 Northampton, MA 01060 Proposed Singleface Cabinet Dimensions:24"h x 120"w=20 total SF FL STATE LICENSED ES#12001844 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING (INFORMATION ''"�`' PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:....' """` C-''"t'i 'r . t N,ti'w Le%c- Address v � 3 7'' -)� & t ilk Telephone: 41‘3 " `0 51'A- 2. Owner of Property: e-tfll �•t �"L ��� Address: `�O SL1/4c v--(ex t 42^4. ` L �+ Telephone:; • 17 .S 4-73•33 3. Status of Applicant: Owner Contract Purchaser Lessee c't5Ther(explain): .5-1 +°1 Ca � x#/c 4. Job Location: 02-l(p /\)tl .j fir,-. St Parcel ID: Zoning Map# Parcel# District(s)�_ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: zt-4-Q- 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) „L 51714-c..._ oZ '3 _LJI c.'-s,.� xr r—e4 '- ram-"/ , . 7. Attached Plans: ketch 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: Are there any proposed changes to,or additions of,signs intended for the property? YES `eV. NO IF YES: Describe the size,type and location: Jw'J —"-- t.J'a /( f Page 2 of 3 11. ALL INFORMATION MUST BE COMPLETED:PERMIT CAN BE DENIED.DUE_TQ LACK OF iNFORMATJON. 12. This column to he filled in by the Building Department. Existing Proposed Required by Zoning Lot Size Frontage Front: Setbacks:(for sign)Side: L: R: L: R: Rear: Building Height Facade 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: , /2-/L f APPLICANT'S SIGNATUR 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 ��- r.,Gro moos of,inuu true xcc ent kt= -- r Officeof Investigations N . ,x 601) Washington Street ,'` ,w Roston, A 02111 .noass.gov/dk, Workers' Compensation Insurance Affidavit:Bufiders/Contractors/Electricisn 'lumbers Au ligaAttinfo tlo>n Pi Print 'bl Name(Busiue /Orga ionllodivid al): Ace Signs, Inc. Address: 477 Cottage Street P.O. Box 3374 City/Stlitaip: Springfield, MA 01101 Phone#: Are you au employer?Check the appropriate box: 1.55 I am a employes with,, 10 4. 0 I am a general contractor and I Type of project(required): employees(full and/or putt.titne).* have hired fttesub-contractuts 6. El New construction 2.❑ l am a sole proprietor or partner- listed on the attar, j sheet; 7. 0 Remodeling ship and have no employees Those have 8. 0 Demolition for workingany capacity. employees and have workers' [No workers'comp.insurance comp,insurance.: Q• [3 Building addition required] 5. 0 We are a corporation and its 10.0 Electrical repairs or additic 3.❑ lam a homeowner doing all work officers have exercised their 11. myself[No workers'comp. right of exemption per MOL �Plumbingrepairs or additic 12.0 Roof'r�pairs i insurance rerequired.]t' c. 152,§i(4),and we have to employees.[No workers' 13.®Other S i can_ comp.insurance required..]' t*A ay appliattat that damn box4imum al=alleutihnsuctionbelowthowing*elrworkers'compensationpolicyinfrmation. Homeowners who submit this affidavit indicating they tun doing all work dad then hire outside mintraotars must submit a new affidavit indicating Contractara that check this box mast attached an additional sheet showing the name of the sub-em*sebus and state whether or northern entities have t employees. If the sub-contractors have employ,they must provide their wormers'wrap.policy Slumber. I am an employer that Is prophase workers'compensation insurance for my employees. Below is the policy and job site information. Insurance company Name:. w AIM Mutual Insurance Co. Policy#or Self-ins.Lic.#: WM28008002951 ✓„___ Expiration Date: 41 01/2 01 Job Site Address: 2t i i--. t.,— (. S 1_aA CityiState Zip:V A- r--y -1 V Attach a copy of the workers'compensation policy declaration page(shoeing 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 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 of up to S250.00 a day against the violator. Be advised that a copy of this statement may be fbrwarded to the Office of .Bivestigarlons of the DIA for insurance coverage verification. I do hereby cer modes.the paltrs a ofperjrxry that Me i for motion provided above is true and correct t �� __ Dc ice- - � Phone#; 413 739-3814 Official sae only. Do riot write in this.area,to be completed by cly or town official City or Town: ___ Permit/Lic�euse# Issuing Authority(circle one): -.__ 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Letter of Authorization from Property Owner **** NOTE this letter MUST be notarized! Letter of Authorization This letter serves to allow Lucke Enterprises, Inc. doing business as FASTSIGNS of Clearwater & FASTSIGNS of Largo, Lic #ES12001844 and Ace Signs, Inc. permission to secure permit(s) to perform sign installation(s), removal(s) or any sign maintenance necessary at our property located and doing business at: 2E ;Y tJ bv-4-.. 6t S-1-. f01 _ ( AA,A C I r J _ Property Owner Name: Lw w r- , Address: q 04. hi �L :+ c,f a( r l O fj(AO Phone: i1'(S SEA 1 3 Fax: .S,1 ‘ 4F 3 2— Email: ' � .►., y v~vk s to 0 v'k5 c 71.01Pfr"1 Pro. -rty o17111";' ature STATE OF T S t C--L#-CtAS COUNTY OF ry0) S " The foregoing instrument was acknowledged before.nr this J day of M d` ► 20 2 t.by CIA' aid -e /4,„ r�-c i Til 7 who is personally known to me or has produced kt — rpY ilif n and who(did) (did not)take an oath. GL t i-a S `rt" exf' Commission Number vd�}s <. c'4: * IY � '� * _ 4A'.4AY P>>�)'�` REMINDER: This letter must be on letterhead, signed by the proper or agent and notarized.This original letter must be mailed or delivered to: FASTSIGNS of Clearwater/2781 Gulf to Bay Blvd/Clearwater, FL 3375?