18-007 (15) City of Northampton Map 18 Lot007 Zone
Massachusetts Date issued 4/29/2021 0:00:00
Inspector of Buildings Permit # BP-2021-1245
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 AWNING SIGN
Estimated Cost $3000.00
Building Department
Approval by:
2 -Ok
File#BP-2021-1245
APPLICANT/CONTACT PERSON ACE SIGNS INC
ADDRESS/PHONE P 0 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
F ED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid OS)
Building Permit Filled out .1§g Fee Paid
Typeof Construction: AWNING SIGN
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
, , ��CN a9 of
Sign ture 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
'' �1 Massachusetts 'SN'£-s/�'<<
j, I ",.4., wF x
• &i& DEPARTMENT OF BUILDING INSPECTIONS 44 j
it 212 Main Street • Municipal Building J`% Pa
V 0 Northampton, MA 01060 s y�^--� 0
-'•, Application for a Per ,' o Place or Maintain a Sign
Or other Advert ice,,or Marquee / qiii
(Application to be filled o i�Y tpi e}written) Number J
Plans must be filed with the Building Inspector APR Erection (/j
before a permit will be granted. 2 6 7Alteration ( )
2O2/ Repair ( )
r ► Repainting ( )
„13 O � !' ,` R oval ( )
/Aisi
----" cN MA)o S F,E"`E��'.�...PAGE PLOT
Northampton, Mass. Ar›.‘'' A-3 20 2 1
Application for a permit to place or maintain a sign or other advertising device, or marquee
BUSINESS NAME k Veu t % 24 Q.-
1. Location, Street and No. Z% tO N rift', i''"% C) S4
2. Owner's name G_1'a-‘•`t ('Q r.1." .
3. Owner's address \so Sir L • i t v2-4 G k"--ii.t lit,,,,,-- Q 16 iv
4. Maker's name P"—e C t`% 5 Z4"t-
5. Maker's address ,k r? 3 7 4 $ v Cl d (iti i14- V I i ta 1
6. Erector's name 4 te 51-Si'►'`q 4--‘“--
7. Erector's address kc) ( v3,- 3 3 7y c-{(9l1,14 vvt - a 116 (
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non-illuminated
2. Will sign obstruct a fire escape, window or door? A)6 Marquee
3. Lower edge will be .4.Z..ft...0....ins above the public way. Projecting
4. Upper edge will be .(.2-.ft .6:. ins above the public way. Roof
5. Height ... ..ft cc ins Width ..5..m 6 ins Temporary
6. Face area sq. ft. Wall
7. Inner edge will be .O..ins from the building or pole. Ground
8. Outer edge will be *....ins from the building or pole. Other >i,/ /11-.)n•1
9. Face of building or pole is .I.U..ins back from the street line.
10. Sign will project ..O...ins beyond the street line.
11. Sign will extend „Oft ..d...ins above the building or pqj9. L¢/f 144r.
12. Of what material will sign be constructed? Frame a"— Face ri'`"
13. Estimated cost $..3°Va a a J
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
(Si nature of Owner or A•9 '-.
Page 1 of 3
D
Notes:
s Frame: 1"Sq Aluminum
o S'%, Fabric:Sunbrella 6008 Black
Full
48" Fabric AFabricttechment:TSsides Bottom,Wrap and Tek Remainder
F4.0•� di Black
i , Mill Finish Framing.
hit
Quantity: 1 Shed Awning.
41
4_19 7/8" Notes:
�_ [3,-41 . -Font: Quenbach Bold Condensed
-Graphic Color:White
-Size 8"Tall
5:ss yr 1111111,
.-9, 17'
III 2l6 I.
I� 9 /z•
,,
II
34 3/4'
,,,,11
r.:,
,
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING (INFORMATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: `' ' CArtA .-. J✓"
Address: Po ? Si 3 31-4l Se A._ Telephone: 4i 3 4)44) •G544
2. Owner of Property: G•Q.v'...kk
Address:Ito S� i1fin,�` C�}e.-tl-cLeA Telephone: "i(3 -s � - 73 .3
3. Status of Applicant: (y► Owner Contract Purchaser Lessee
.Other(explain): St G-N C_ 44-`'f u
4. Job Location: Z\ Le YJ r1."
Parcel ID: Zoning Map#_ Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Q.Cc1.1/4-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
DA•v+It'cN. Cx_
7. Attached Plans: l 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: d-U.. S cMo
Are there any proposed changes to,or additions of,signs intended for the property? YES L7NO
IF YES: Describe the size,type and location: • C`-.1 f`� ^«--
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:(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: 241 7=3 I 2 I APPLICANT'S SIGN (---) c.....1±)
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
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:
2.t w te) 0 v . �ltr ci S4-.
IV Of .o..;,,. •hrn I MA 0 1 0 C, v
r 1�
Property Owner Name: i f✓�-CA, ��
Address: t q! 0 j l i t t I ?i, C70}t1v : `-t-A-(64 , kA4 O/oo
Phone: It(3 S i g 1 J3 Fax: 41 -5 S G i 3 Z
Email: '41 r _ v\ - yr 5 0 0 V''S , C 6
Propirty n ature
STATE OF W-+�.h Sc C.C'L-+Q"C'iS __COUNTY OF ihAin0 S "-"
2 `
The foregoing instrument was acknowledg d befor this_ .7 L VA a�'i' 20 24 day of oy
vai
•
who is personally known to me or has produced 4- N ,iiri� at+oni $n
and who(did)(did not)take an oath. '.r`�,,,,<cA N.OF''%
/j C•UtM1ti+�aSilM �'lK fJl�° _Commission Number ` 16:ic �e`IR? q3
�+K 4 i 1 .��+ .� IF.F
}mac:t( mi *,_
s <Y,P.,- t,\>/c) i•
-'e?v'Mow£;-.act
REMINDER: This letter must be on letterhead,signed by the prope 44t31 ""ss
or agent and notarized.This original letter must be mailed or delivered to:
FASTSIGNS of Clearwater/2781 Gulf to Bay Blvd/Clearwater, FL 33759
4091414 micas uj mammal ACCIE(:III]
:. =„itiM'' Q lie of Investigations
�;l , Washington Street
.• . Boston,lilA 02111
ivww.mass.gov/din
Workers' Compensation insurance Affidavit:Builders/Cuutructors/Eleetricians/Phunbers
Aitt) ile ut nt'urms4tion
Please Print:Legibly
Name(Busluea or' om ulividuui):_____Ace signs, Inc.
Address: 477 Cottage Street P.O. Box 3374
City/State/Zip: Springfield, MA 01101 Phone#: w : u- N .
Are you au empkwer't Check the a ppropriate hoz
1. I tun a employer with____.10 _ 4. Q I am a genemi contractor and 1 Type of project(required):
pro (fu l and/or perm time). have hired the subcontractors 6. Q New construction
2.0 I tun a sole proprietor or punnet, iisted on the atinhed sheet. 7. 0 Remtodelin
ship and have no employees Those sub-contractors have S
working for me in capacity. ❑Dettrolition
[No workers' any employees and have workers' 9. Building addition
comp.insurance cntnp.insrtrance.t 8
3.❑ require 5. Q We are a corporation and its 10.0 Electrical repairs or additic
l am a homeowner doing all work officers have exercised their
myself. ' . ILO Plumbing repairs or additic
Y [No workers comp. right of exemption per!AUL
• insurance required.]t c. 152,§1(4),and we have ino 12,❑Roof repairs
employees. [No workers' 13.0 Other.__ _141 gr:_____
` - - _ comp.insurance requited.). _ _
`fir appltu,wt abut okmacs box e t twat ohm aWt trot wn anctiun below who i.._
t Iitwwowmre who submit this atBdevit indk�tit�they an ��'workers'compensation policy intonation.
t�thin cheek chit box mast attaobed an additional cheer wince and that wine
oft asuboutside oonaetars west to submit t a new nt3 Mow
nictitatingtie sunk
employees. lithe sub-ixianaetors have b v'!°8 the uaurs the polio ul<'aetocs and whether or nor those entities have
employees,they roust rimvido Moir workers'Dump pniloyuumbnr.
I um an employer that b providing workers'compensation insurance for my enrployees. Below is the policy and Jab site
kveurmatlon.
lnsutunce Company Name: . AIM Mutual Insurance Co.Policy#or Self-ins.Lic.#: WM2800$0029512016A
Expiration Data: 4!01!2 01.k,
Job Site Address: It le W di-4-i-. ir(1"�'t S i-- city/Stutz/Zip:W A -tom--y 4.-,, Nrtk
Attach a copy of the workers'cowpausatiou policy deelarntiou page(showing the policy number and expiration drat
Failure to secure coverage as required prom.Section 25A of MGL c. 152 can lead to the
Erne up to$�1,500.00 and/or ono-year' imposition°f criminal penalties of
tine
up to$250.00 0Q 6 as well as civil penalties in the form of a STOP WORK ORDER and a
y agnunst the violator. Be advised that a copy of this statement may be forwarded to the Office of
investigations of the DIA for insurance coverage veritcadon.
I do hereby car • .. the pas ru .of perJwy that the information provided above is true and correct s i
Suture
Dorm <1 l! 1-1 -2-
Phan@ th 413 739-3814
Official are natty. Do not write iri this urea,to be completed by city or owes official^ _.
City or Town:
-•-- __ _PermitILicwuse#
Issuing Authority(circle one);
1.Board of Health 2.Building Department 3.City/fawn Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other y
Contact Person: _ Phone 1k