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18D-047 410 Massachusetts - Department or Public Safet, Board of Building Regulations and Standards Construction Supervisor License License: CS 81; Restricted o MARTIN G ARONOVITZ .. ......457 ....---_,...---43,0ee Expiration: 9116/2011 ( ommis‘k ner Tr# 3565 • Chent#: 27012 BACKBAYSIG ACORD. CERTIFICATE OF LIABILITY INSURANCE 9/29/2010 '" Pltaat el THIS CERTIFICATE IS ISSUED AS A MATTER OF FORMATION HUB International New England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 293 BaHardva,e St HOLDER. MS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCES BELOW. Wilmington, MA 01887 978 657 - 5100 INSURERS AFFORDING COVERAGE HOC IT *WNW N3J4rtit A Valley Forge 2050$ Back Bay Sign LLC N11JRt11 is Continental Casualty Company 20443 425 Riverside Ave. mots C. National Fire Ins Co of Hartfor 20478 Medford, MA 02155 1411Jett t 0 A1SJKt11 t COVERAGES THE POLICIES OF INSJRLAMCE LSTED 5FLOW NAVE SEEN ;SURD TO THE IN9JREO NAMED ASO4g -FOR THE POLICY PERIOD INDICATED. 40r1111-- ISTVOI o ANY REQI I REMEIT, TERM OR DMZ OF ANY CONTRAC' OR OTHER DOCUMENT WITH RESPEC TO WHICH T 5 CERTIFCA MAY SE ISSLED OF U:Ar PERTAIN TIE iNSLRAJICE.AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SLISJECT TO ALL '- +.E' EXCLUSIONS AND CONDITIONS OF SJCH POLICES. AHGREDATE -MIS SHO'A% MAY HAVE SEEN REDJCED SY PAD CLAMS ytPppL Y bH rt C lY NXY e 0 I xnRAt1 ttK Mor r tyre a II4NANt NOLKVN LIerlrIN aA TUnr.unrxrrr l P aAtt 1 LAMS A OENEKALLAtutY P1077753046 10/0212010 10/0212011 tALIIOa:011 tsCE 11,000.000 X amitetcela dieweu. UAtitltY , rfuhuxr t 1f..A., 5 300,000 1 CLAMS MAUI ®OCCL4 1110 txr 'Any ar Ptre:t 515 X WAIVER OF SUBRO C110$00141 API Al 1 AIN P T x1_000,000 X BLANKET ADDL INSDS MFG./CONTRACTORS c arom. MTaittnet 12,000.000 Atm. AttzNftaAtt MO Af• X11. uE11 pew:. ts- wawa. c»' LOU s2.000.000 1 rtt.KY r T q n LOC C A4ta410eaLe 111411.111 2091767332 10/0212010 1010212011 ca1hlaNttl srE Lt Ail' *IV( *IV( AUF Mw ,_ WC XI,*bedMY( 51,000,000 _ ALL CStrbIU AJTOU LUI $L `' W.UA) S X S'..tit7.31.t0 AL MS Mot peon: X MOW ;COOS 1101.40,1V:Wtt X 1ip%{YYht0 AJ10$ 1 LIAMAL* $ :fr.xUnsp GASma$1.10/U.IYY At10 ONLY - aoAi.UUtvf 1 R ,AAY AWL .A. T O MAN to A*_Y. S MTUONLY. Mr ' 1 B ott11s, uAwttLLA MY LI/4K P1077753032 10102/2010 10/02/2011 FJ1i7t tx:LLA11ENCt 55.000.000 T OMR QctA°YSwAIJt .An1 0ATt 55,000,000 1 Ct0.1011 l.t S X KtItNTK1!I S 1 0000 $ A WORMS LO1MW10AttONMMi WC177753404 1010212010 10102/2011 X 1 °,a'jsI r nt twK1.00013' LUtlw.rtY AM' N10NY1s10$1 1KtNtttxtcJ1 En . EACH ArXautrrt 51,000.000 =craw txtupeT t:. LustAst • to tNsilrtE 0.000,000 Ji tot e•Avb utde ruin n�A $Nti.'1A. 47tL�� S1 O btea. t L. DIttASt • fSY:GY - act 51,000.000 A o PROPERTY P1077753046 1002/2010 1010212011 636.000 �PROP/OTHERS 0t4/OFF SITE 75,000. EACH OtLC1ts+ TI ONOfOPILAMIAKSILOCAtiONS1W $11CL15It1CW1140 !ADDEDEYE1ro0NS* t111I110EOALPItO'.tPIOM • • CERTIFICATE HOLDER CANCELLATION 10 Days for Non - Payment owls ANY OP tilt A10114t $0111t0 POLKNtS It CANCELLED IUONt 011t1010/1A MN DAVE ntettOP, Mt *14410 *UUKEII WLL ENDGLYON YO KEEL _30_ L OATS MAW ttS NOTKt 10 Mt CERMWttAt1 1414EK NAMOS TO Mt 1..1l1. SKIT t'ASMtt 10 00 SO SNALL 4111003t $10 OIU0AT1001 OK LI*$ILISY Of PAY NINO UPON TNt M WPN:N, ITS *Gem OK NUS ACORD 2512009401) 1 of 2 0S435695/14435693 i e 1SI$ 22003 ACORD CORPORATION. All %Ws fumed. CF002 The ACORD name and logo are registered marks of ACORD . . 11C1118 C • . cy M One CVS Drive, Woonsocket RI 02895 — 401 - 765 -1500 Letter of Authorization 07/12/2011 Re: CVS Store# 447 366 King Street Northampton, MA 01060 -2333 To Whom It May Concern: Icon Identity Solutions has been contracted by the CVS /pharmacy Company to provide new exterior signage for the above referenced location. As the representative of the ownership of the above mentioned property, I hereby authorize Icon Identity Solutions and agent, Back Bay Sign, to obtain all necessary permitting documents and install new signage for the CVS /pharmacy at the afore referenced address. Sincerely, Ron Weeden Manager, Construction & Property Admin EM Phone: 401.770.7924 Email: rjweeden @cvs.com w '`. k 'x'' wan ' `.....5 Y - X. _ 1 v". I - 1 1 Existing Sign #9 Existing Sign #10 Existing Sign #11 9" "DTP and 7" "Full Service" & "Drop Off Only" S/F • D/F ❑ 9" "Drive -Thru Pharmacy" S/F • D/F ❑ 9" "DTP and 7" "Exit F.C.O. Letterset S/F • D/F ❑ Illuminated F.C.O. Letterset Yes ❑ No • Illuminated Yes ❑ No • Illuminated Yes ❑ No • 1 Proposed Signage Not To Scale Unless Noted - LEAVE EXISTING LEAVE EXISTING LEAVE EXISTING AS IS AS IS AS IS NO CHANGES NO CHANGES NO CHANGES 9 EXISTING NON-ILWM. F.C.O.LETTERSET 10 EXISTING NON- ILLUM. F.C.O.LETTERSET 111 EXISTING NON - ILLUM. EC.O.LETTERSET CVS RECOMMENDATIONS PROJECT #: SUBMITTAL IS: ❑APPROVED DATE: 06/02/11 SCALE: 0753 ❑ APPROVED AS NOTED CLIENT CONTRACTOR Rev. 1: 00 /00 /00 N.T.S. The Icon Companies ADDRESS: 366 King Street ❑REVISED AND RESUBMIT DATE Rev. 2: 00 /00 /00 DRAWN BV: CITY /STATE: N MA LOCATION #: FILE PATH : C \CVS pharmacy \Locations 2011 \Project 753\ �� �' ZIP: 01060 2333 p Rev. 3: 00 /00 /00 Phan 0447 753 -0447 Northampton MA.cdr Rev. 4: 00 /00 /00 PAGE PMF # A : t;) i 1 Rev. 5: 00 /00 /00 8 Icon mammy Solutions ImaeeCm Maintenance Services Drawings are the exclusive property of Icon Identity Solutions Inc,. Any unauthorized use or duplicatlon Is not permitted. w , __. 8 - � t t Ei 1 , a g a as Existing Signage - Elevation ,,.r�..� $' Existing Sign #5 36" "CVS /Pharmacy" Letterset S/F • D/F 1=1 *; ` Illuminated Yes • No ❑ -�� Existing Sign #6 18" " Food Shoppe" Letterset S/F • D/F CI Illuminated Yes ❑ No • Existing Sign #7 .. 18" 1 Hour Photo" Letterset S/F • D/F I=1 0 ..�. Illuminated Yes I] No • Existing Sign #8 18" "Drive- Thru/pharmacy" Letterset S/F • D/F III Illuminated Yes 111 No • Proposed Signage - Elevation _— Proposed Signage Not To Scale Unless Noted — LEAVE EXISTING LEAVE EXISTING LEAVE EXISTING LEAVE EXISTING ASIS ASIS ASIS ASIS NO CHANGES NO CHANGES NO CHANGES NO CHANGES 5 EXISTING ILLUMINATED LETTERSET 6 EXISTING NON- ILLUMINATED LETTERSET 7 EXISTING NON- ILLUMINATED LETTERSET I $ I EXISTING NON- ILLUMINATED TERSET PROJECT #: SUBMI TTAL IS: ❑APPROVED DATE: 06/02/11 SCALE • RECOMMENDATIONS CLIENT CONTRACTOR N.T The Icon LET Companies C V S 0753 ❑APPROVED AS NOTED Rev 1: ADDRESS: 366 King Street ❑REVISED AND RESUBMIT DATE Rev. 2: 5: 0OO /0 /00 /00 O O DRAWN BY: CITY /STATE: Northampton, MA LOCATION #: FILE PATH: C \CVS pharm acy\Locations 2011 \Project 753\ Rev. 3: 000 /00 /00 0 /00 /00 PMF • � � • Rev. 4: 000 /00 /00 PAGE 7 #: 1 C O Ill. 1 pha ZIP: 01060 -2333 oaa7 753 -0447 Northampton MA.cdr Dravdngs are the exclusNe p ropert y of Icon Identity Solutions Inc,. My unauthorized use or dupficabon N rmt Perm.... RBV. 00 0 00 0 — ie.n iaemmr sowu.ne imaeecere x.me"enae sn„me. El t::: :::::: El l ittli It:3 n I Irc 1 Ittli n 44 4% Existing Signage - Elevation t Existing Sign #2 18" "Drive- Thru/pharmacy" Letterset S/F • D/F ❑ «� Illuminated Yes ❑ No • "' i Existing Sign #3 , 18" "Food Shoppe" Letterset S/F • D/F ❑ 1 Illuminated Yes ❑ No • 111 Existing Sign #4 36" "CVS /Pharmacy" Letterset S/F • D/F ❑ Illuminated Yes • No ❑ % VW' - . Proposed Signage - Elevation Proposed Signage Not To Scale Unless Noted - LEAVE EXISTING LEAVE EXISTING LEAVE EXISTING AS IS AS IS AS IS NO CHANGES NO CHANGES NO CHANGES 2 EXISTING NON- ILLUMINATED LETTERSET 3 EXISTING NON- ILLUMINATED LETTERSET 1 I EXISTING ILLUMINATED LETTERSET RECOMMENDATIONS PROJECT #. SUBMITTAL IS ❑ APPROVED PAT 06/ 02/11 SCALE _ The Icon Companies* CVS 0753 ❑ APPROVED AS NOTED CL EM CONTRACTOR Rev. 1: 00 /00 /00 N.T.S. L ADDRESS: 366 King Street ❑REVISED AND RESUBMIT - - / DATE Rev. 2: 00 /00 /00 DRAWN BY CITY /STATE: Northampton, MA LOCATION #: FILE PATH: „.0 \CVS pharmacy\Locations 2011 \Project 753\ Rev. 3: 00 /00 /00 mo • 0447 753 -0447 Northampton MA.cdr Rev. 4: 00 /00 /00 PAGE #: i C� i l Y 1 Y 1 S " u- ,, ZIP: 01060 2333 p Rev. 5: 00 /00 /00 6 "•• "me••D• "• m•aec a "•me•• "••senke• MaCY Drawings are the exam'. property of Icon Identrty Solutions Inc,. My unauNonaed use or duplication Is not permitted — a1■ IM ~— 43' /z "h X 74 "w Visual Opening w/ 2" Retainer 1 b •- 3012 "h X 70' /4 "w CIITS MRB w/ 1" Retainer m pharmacy DRIVE -THRU PHARMACY Existing Signage - Elevation 1 b Existing Sign #1 Monument with MRB S/F ❑ D/F • ■ Illuminated Yes • No ❑ Proposed Signage - Elevation _°._ Proposed Signage Not To Scale Unless Noted — 743/4" 5' I 1 C11 NOTE: Variance $1000 & 30 -90 days to process w/ 10% woman! chance pharmacy EMB allowance by variance (manual board is allowed) DRIVE -THAD PHARMACY — 0.0 SQ.FT. QTY: 2 14.85 SQ.FT. QTY: 2 1a CUSTOM REPLACEMENT FACE 1 b 2' -7" X 5'4" EMU . V RECOMMENDATIONS PROJECT #. SUBMITTAL IS ❑ APPROVED SCALE: CLIENT CONTRACTOR DATE: 06/02/11 N.T.S. The Icon Com1Janies / / 0753 ❑APPROVED AS NOTED Rev. 1: 00 /00 /00 ADDRE 366 Ki ng Str ❑REVISED AND RESUBMIT DATE Rev. 2: 00 /00 /00 DRAWN 8Y: CITY /STATE: Northampton, MA LOCATION #: FILE PATH: C \CVS pharmacy \locations 2011 \Project 7531 Rev. 3: 00 /00 /00 mow,. 0447 753 -0447 Northampton MA.cdr Rev. 4: 00 /00 /00 PA #: icon i • i1 S e pl ZIP: 01060 2333 Rev. 5: 00 /00 /00 5 Icon Meant, SotutIone ImeneC "e Maintenance evrvkei S Drawings ere the exclusive properly of Icon Identity Solutions Inc,. My unauthorized use or duplication Is not permitted Overview Photos ,. ip . ` RECEIVING ENTRAE Photo 13 Photo 14 Photo 15 I R♦ : Photo 16 Photo 17 Photo 18 NOTES: : P ROJECT # S UBMITTAL IS: ❑ APPROVED DATE: 06/02/11 CVS OVERVIEW PHOTOS gLENTCOMMDTOR N.T.SCALE. s. The Icon Compan 0753 ❑ APPROVED AS NOTED Rev. 1: 00 /00 /00 ADDRESS: 366 King Street ❑ REVISED AND RESUBMIT /_ / DATE Rev. 2: 00 /00 /00 DRAWN BY: CITY /STATE: Northampton, MA LOCATION #: FILE PATH: .,.0 \CVS pharmacy\ Locations 2011 \Project 753\ Rev. 3: 00 /00 /00 PMF O , 0447 753 -0447 Northampton MA Rev. 4: 00 /00 /0o PAGE #: / , pharmacy ZIP: 01060 2333 Rev. 5: 00 /00 /00 4 mun idmub snimbne m.u.c.. n.mu.n.sw.m.. Drawings are the exclusive property of Icon Iderdily Solutions Mc, Any unauthorized use or duplication is not permitted. Overview Photos , � �''''.4 ii q = 11111111 ' insisrasairmismiwwww„-.....mirmweriow v- ° -,- - Photo 7 Photo 8 Photo 9 • ,A;> te ,„,, , ,, fi r " ,, .._ 4.4 111! .........-.1.-....-7, r x , y-, ^{ R � an o- . 111 nom.. z„ Photo 10 Photo 11 Photo 12 NOTES: P ROJECT #: SUBMITTAL IS: ❑ APPROVED DATE: 06/02/11 SCALE' • CVS OVERVIEW PHOTOS CLIENTCONTRACTON N.TS. - The Icon Companies 075$ ❑APPROVED AS NOTED / / Rev. 1: 00 /00 /00 ADDRESS: 366 King Street ❑ REVISED AND RESUBMIT DATE Rev. 2: 00 /00 /00 DRAWN BY: • CITY /STATE: Northampton, MA LOCATION #: FILE PATH: -C \CVS pharmacy \Locations 2011\Project 753\ Rev. 3 : 00 /00 /00 � yy 0447 Rev. 4: 00 /00 /00 PA #: 1 O I11. 1 l 11 r ZIP: 01060 -2333 753 -0447 Northampton tMA.cdr Drawing: are the adorn property of Ron Identify Solutions Inc,. an unau hoaaea use or auyliealan Is not permitted Rev. 5: 00 /00 /00 3 ImapeCare Maintenance Service. Overview Photos `*,.,_` " s ± ' a e fi r. - - j 9 . Photo 1 Photo 2 Photo 3 f- " r .. A Photo 4 Photo 5 Photo 6 NOTES: PROJECT #: SUBMITTAL IS: ❑ APPROVED SCALE m OVERVIEW PHOTOS CLIENT CONTRACTOR DATE: 06/02/11 N.T.S. - The Icon Companies V 0753 ❑ APPROVED AS NOTED Rev. 1: 00 /00 /00 ADDRESS: 366 King Street ❑ REVISED AND RESUBMIT — / / DATE Rev. 2: 00 /00 /00 DRAWN BY: CITY /STATE: Northampton, MA LOCATION #: FILE PATH: C \CVS pharmacp�Locations 2011 \Project 753\ Rev. 3: 00 /00 /00 PMF i� .�ha 0447 753 -0447 Northampton MA.cdr Rev. a: oo /oo /oo PAGE #: O JJJ phei ZIP: 01060 -2333 Rev. 5: 00 /00 /00 2 nn Ynnu r sol�m • mapeGre YelMenmce Services Drawings are the exclusive property of Icon Idantdy Solutions Inc,. Any unautllodzed use or duplicalicn Is not permitted. . � . . i.',..i4:,,* i .... vs! , ,_ :lit r, ' II t . 1 ' Ell Mon . � • St ~'. =~-- ^ . . _ Kin. . - , .„_ ,,,,, . - ,,,,, - : ,..--zi 1 0i , --- ,,- m - - - --- - - � — �= — � � � � - - ;'. _� _ , .. 1,... , ,,,,s ..,-.■...",, '''''''''''''''''' ' '''''''''"— ' - ' ::7:::::::; ' ' '' ,,Pittia:: :2'..1 ,,,,,..e...............,,,,... -__~ 's_, - �� ~' ---=47__ - _ Sign #: ,----- ID i Photo 4t----____________ ,,,-,- 1 . , (indicates lacing) PROJECT #: S UBMITTAL IS: • ADDRESS: 38 6 1 6 T K E / I n; C L N t 0 AP PROVED AS NOTED YkLocations 2011‘P---roject/7c5:c/ '"--.°R L==3 i DATE: 06/02/11 scALE: ‘. 8 , . CITY/STATE: Northampton, MA LOCATION #: FILE PATTI The Icon Companies* 01060-2333 0447 0,4 % , no we the exclusive prupert o f i hi."' 1C011 i'.°'"IThi'll C. ....... CVS/ph * 4ii -- v --- \±[tij pRT D A M ri 366 King Street �._� Northampton, Massachusetts 01060 -2333 ifreorh Existing Location Overview Loc: 044 t I Site Signage Summary cvs .,, EXISTING PROPOSED " pharmacy (1) Existing Monument Sign w/ MRB (1) Proposed Reface & Add EMU DRIVE - THRU PHARMACY (2) Existing "Drive -Thru Pharmacy" Ltrs (2) Leave As Is (3) Existing "Food Shoppe" Letterset (3) Leave As Is „ (4) Existing "CVS /pharmacy" Letterset (4) Leave As Is #,$ {, (5) Existing "CVS /pharmacy" Letterset (5) Leave As Is (6) Existing "Food Shoppe" Letterset (6) Leave As Is (7) Existing "1 Hour Photo" Letterset (7) Leave As Is , -i 4 (8) Existing "Drive -Thru Pharmacy" Ltrs (8) Leave As Is . (9) Existing DTP Canopy F.C.O. Letters (9) Leave As Is (10) Existing DTP Canopy F.C.O. Letters (10) Leave As Is . (11) Existing DTP Canopy F.C.O. Letters (11) Leave As Is ! HERMIT Ati r DATE 7%3 /J Proposed Signage Overview The Icon Companies NOTE: Variance $1000 & 30 -90 days to process w/ 10% approval chance • • PRICING: $ EMB allowance by variance (manual board is allowed) 1 CO 111 S " Icon Wantlry solutlonc Imepecu. MWtmuice service. 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 = ein is true and accurate to the best of myknowtedge. DATE: 1 IC (h APPLICANT'S SIGNATURE A f 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 S2 UM 2 � REC::‘,: ; 2 Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATI - N „ P Ng oroso File No. ZONING PERMIT APPLICATION LEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: batil. 1 C i 1A- Z .1 / l � � 1 U� 5 ph 0 1 « I (I11 ?.O (1is t Address: � . _ � L, .� , 1 � . �elep one: 0 . Lf 7C 2. Owner of Property: �� 'f .4 G ' /70 Address: 1, C I C d VI e yV(?oleicv ;K{; / � � Telephone: L/0 /7 / 3. Status of Applicant: Owner ontract Purchaser _._Lessee _Other(explain): �l 0 J j V ( OVIt C"f oy 4. Job Location: ' gV C ( K1 '`r Parcel ID: Zoning Map # Parcel # District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: CV-1 / r t'44/11J(,J 1 ,,`,- I"5 6. Descri tion of Proposed Use/Work/Project/Occ • ti: (Use additional insets if necessa ) Descri ‘trA((k 6\i'\ 0 ' 1 Z 17 if x �' Elt S ' � c ,SQ " , , i i • ' l'S WA i j 1, II ' ,_. ... r, .L.. afro of QC' €k�i' - f ace I io l fr /'' . .3% f), PI i 11 7. Attached Plans: X Sketch Plan 1/4 S l ite Plan Engineered /Surveyed Plans 8. Has a Special PermlNariance/Finding ever been issued for /on the site? NO DON'T KNOW x1 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 x NO ,"� IF YES: Describe the size, type and location: QGgt I� A ' Are there any proposed changes to, or additions of, signs intended for the property? YES NO IF YES: Describe the size, type and location: 3t 6 1 echom'c gles5ayt, d ip / y a ( f��fh f(�l / N1 r►--e.- - - (lit of Norti Tampion A,.,,,,--,-,„ + - , 4 .-..- Illassatritustits ,.. ,.. * ... , , ... DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building srs Ilv ar,■' Northampton. MA 01060 INSPECTOR 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 Building Inspector Erection ( .„ ) before a permit will be granted. Alteration ( X) Repair (X Repainting ( ) Removal FEE PAGE PLOT Northampton, Mass. 7 1 1 t 2 To the Building Commissioner: Application for a permit to place or maintain l sign or other advertising device, or marquee. BUSINESS NAME CY J61 f 0 atil(t 1. Location, Street and No. 3 6 Kii -l a Owner's name L V -C (0 gimilkk 3. Owner's address ( &i° 4/ / 0 Or 4. Maker's name 101, ,4144-1 f II , Mi 5. Maker's dress . I r-11/41 a r I, elk i tit ft (47 :v. 6. Erector.Pame 1611, „, plipi,„ 7. Erector's addressq/ tA vc 1 411.4.. vf49#4 it O I SIGN KIND OF SIGN -)C (Designate) 1. Sign will be (check one) illuminated Non-ilium inAt3d 2. Will sign obstruct a fire escape, window or door? N Marquee 3. Lower edge will be ft ins above the public way. Projecting 4. Upper edge will be ft in le the public way. Roof 2. 5. Height ...ft..1...ins Width ) ft ..ins Temporary 6. Face area sq. ft. i 1 5 Wall 7. Inner edge will be ins from the building or pole. Ground 3 C 8. Outer edge will be ins from the building or pole. Other 9. Face of building or pole is ins back from th s treet line. 10. Sign will project'\ .... ins beyond the street line. 11. Sign will extend ...N...ft .......ins above the building 'or pt,,,,, I, , , 12. Of what material will ggn t: constructed? Frame vvrtilt Face INIA. 13. Estimated cost $ 41. , 0 i l The undersigned certifies that the above statements are tru t the of his no no ledge nd belief. e ignat of Owne ge 6 File # BP- 2012 -0086 19r115) -L N\ APPLICANT /CONTACT PERSON BACK BAY SIGN ADDRESS/PHONE 425 RIVERSIDE AVE' MEDFORD (617) 230 -4434 j PROPERTY LOCATION 366 KING ST MAP 18D PARCEL 047 001 ZONE HB(100)/URB / /WP lA r THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED PATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out _ . Fee Paid Typeof Construction: REPLACE PYLON SIGN & REPLACE MANUAL BOARD W /ELE RONIC MESSAGE DISPLAY New Construction 1f\ ' P , Non Structural interior renovations 1 'j ° h Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 . re of Buildin 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. v t City of Northampton Map 18D Lot047 Zone HB(100) /URB / /WP Massachusetts Date issued 7/28/2011 0:00:00 Inspector of Buildings Permit # BP- 2012 -0086 Permit Fee$30.00 SIGN PERMIT Business CVS Address 366 KING ST Applicant InstallerBACK BAY SIGN Applicant Installer Address 425 RIVERSIDE AVE Work Description REPLACE PYLON SIGN & REPLACE MANUAL BOARD W /ELECTRONIC MESSAGE DISPLAY - MUST BE STATIONERY MIN 10 MINS Estimated Cost $6000.00 Building Department Approval by: