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17C-197 CAROLYN A. PARKER C O N S U L T I N G July 2, 2012 City of Northampton Puchalski Municipal Building 212 Main Street Northampton, MA 01060 Attn: Mr. Louis Hasbrouck Cumberland Farms Building Commissioner V0389 /Store 0129 53 Main Street Florence, MA 01060 Delivery: Regular mail Dear Mr. Hasbrouck, Enclosed please find (2) two Applications for Permit to Place a Sign, (2) two Zoning Permit Applications, (1) one Site Photo showing all existing site signage and (1) one detail of the LED price panel by Federal Heath for the proposed sign modifications for the site located at 53 Main Street, Florence, MA. Cumberland Farms, Inc. the owner of the property wishes to remove the existing 6' -0" x 4' -0" price sign from the existing light pole and install (2) two new 2' -6" x 6' -0" LED single sided LED price signs, one on each side of the existing overhead canopy fascia. They will maintain the existing 6' -0" x 8' -0" CF sign installed on top of the canopy and maintain the 4' -0" x 12' -0" wall sign installed at the entrance to the convenience store. Due to the depth of the site and location of the overhead canopy we would not be able to install a double pole pylon sign and meet the required setbacks without a variance from the Zoning Board of Appeals, hence the reason for this proposed style sign. The contractor for the project is M & D Services, Inc., 5 B West View Road, Pittsfield, MA a copy of their Worker's Compensation Insurance is enclosed. Also enclosed please find an Agent for Owner Authorization letter allowing me to obtain the permits on behalf of Cumberland Farms. An electrical permit will be obtained by a licensed electrician prior to the LED price panel installation. Lastly, I am enclosing check #1903 in the amount $60.00 for the Sign Permit fees ($30.00 x 2). If you find everything is in order please return the permits to me in the self - addressed stamped envelope. If you have any questions while reviewing the proposed changes please call me at (774) 239 -2781 to discuss. Thank you in advance for your time in helping to expedite this matter. erely, Carolyn Parker Cc: Cumberland Farms File SPECIALIZING IN THE PETROLEUM INDUSTRY Prujett Management, Permit Expediting, Draftirtg L Fare Snfpressaort Man 3 Lorion Avenue, Worcester, MA 01606 • Tel: 508 - 853 -1167 • Fax: 508 -853 -1 176 • Cell: 774 - 239 -2781 • capconsulting@@verizon.net RE: FW: Cumberland Farms, 53 Main Street, Florence, MA - north gov - Smarter Mail X-CTCH-Refld: str=0001.0A010201.4FF19770.0010,ss=1,fgs=0 X-SmarterMail-TotalSpamWeight: 0 See below Carolyn A. Parker Consutng 3 Lorion Avenue Worcester, MA 01606 (508)853'11G7 office phone (5O8`G53-1176fax (774) 239-2751 oaU P|o�eoonsider the environment before printing this e-mail. From: Carolyn [mailto:capconsulting(&verizon.net] Sent: Friday, June 29, 2012 8:20 AM To: 'Louis Hasbrouck' Subject: Cumberland Farms, 53 Main Street, Florence, MA {�ood mnm|ng Louis. For the above referenced location | had previously sent you an application to install a new double pole pylon sign at this location. You stated we wouid need a hearing in order to oo that. CF at this time wishes to install (2) new 2'-6" x 6'-0" LED price signs — one on each side of the canopy fascia. | have attached drawings showing what we wish to dn, please review the attached and let me know if | can file for permits and what the fees would be, The construction cost would be 54.000.00. Thank you in advance for your tirne, Carolyn Carolyn A. Parker Consulting 3 Lorion Avenue Worcester, MA 01606 (5U8)853'1187 office phone (6O8)853'1176fax (774) 239-2781 cell Please consider te environment before printing this e'mai|. RE: FW: Cumberland Farms, 53 Main Street, Florence, MA - northamptonma.gov - SmarterMail From: "Carolyn Parker" <capconsulting @verizon.net> To: <Ihasbrouck @northamptonma.gov> References: < 2f3b77c3 $41fe99f6$2c48377f$ @com> In- reply -to: <2f3b77c3$41fe99f6$2c48377f$ @com> Subject: RE: FW: Cumberland Farms, 53 Main Street, Florence, MA Date: Mon, 02 Jul 2012 09:26:14 -0400 Message -id: < 02c401cd5856 $41929690$c4b7c3b0$ @net> MIME - version: 1.0 Content -type: multipart/alternative; boundary="----= _NextPart_000_02C5_01CD5834. BA80F690" X- Mailer: Microsoft Office Outlook 12.0 Content - language: en -us Thread - index: Ac1YUgIiXnr5DV3TfGOQ5dFN9 /biiQABCnfw X- SmarterMail -Spam: Commtouch 0 [value: Unknown], SPF_Pass, DK_None, DKIM_None X- CTCH- Refld: str= 0001. 0A010209 .4FF1A19B.0032,ss= 1,fgs =0 X- SmarterMail - TotalSpamWeight: 0 Louis. Can i do one application since the same sign and pay the fee for the two signs ?? Carolyn A. Parker Consulting 3 Lorion Avenue Worcester, MA 01606 (508) 853-1167 office phone (508) 853 -1176 fax (774) 239 -2781 cell Please consider the environment before printing this e -mail. From: L. Hasbrouck [mailto :lhasbrouck @northamptonma.gov] Sent: Monday, July 02, 2012 8:55 AM To: Carolyn Parker Subject: re: FW: Cumberland Farms, 53 Main Street, Florence, MA Carolyn, I'll have an inspector get photos of the existing sign. Can you send in two sign permits (one for each price sign) so we can do the initial review on Thursday? I've attached a copy of the sign application; the cost is $30.00 per sign. Thanks. Louis Return -Path: <capconsulting verizon.net> Received: from vms173001pub.verizon.net (vms173001pub.verizon.net [206.46.173.1]) by maila26.webcontrolcenter.com with SMTP; Mon, 2 Jul 2012 05:42:55 -0700 Received: from CPLaptop ([unknown] [108.49.93.18]) by vms173001.mailsrvcs.net (Sun Java(tm) System Messaging Server 7u2 -7.02 32bit (built Apr 16 2009)) with ESMTPA id < 0M6J00JDJ9Z4J8TL @vms173001.mailsrvcs.net> for lhasbrouck @northamptonma.gov; Mon, 02 Jul 2012 07:42:44 -0500 (CDT) From: "Carolyn Parker" <capconsulting verizon.net> To: "'Louis Hasbrouck ' <Ihasbrouck @northamptonma.gov> Subject: FW: Cumberland Farms, 53 Main Street, Florence, MA Date: Mon, 02 Jul 2012 08:42:43 -0400 Message -id: < 02b501cd5850 $2d8807d0$88981770$ @net> MIME - version: 1.0 Content -type: multipart/mixed; boundary="----=_ NextPart_000_02B6_01CD582E.A67667D0" X- Mailer: Microsoft Office Outlook 12.0 Content - language: en -us Thread - index: Ac1V8XWNn8v9wJa4QTG +ugHOICGczACXrGUA X- SmarterMail -Spam: Commtouch 0 [value: Unknown], SPF_Pass, DK_None, DKIM_None RE: FW: Cumberland Farms, 53 Main Street, Florence, MA - northamptonma.gov - SmarterMail Carolyn, Here's a photo of the existing price sign (with bank banner) at the CF in Florence. We need to know if they intend to remove the whole sign or replace it with something else; it will make a difference. Let me know. Thanks. Louis Hasbrouck Return -Path: <capconsulting @verizon.net> Received: from vms173001pub.verizon.net (vms173001pub.verizon.net [206.46.173.1]) by maila26.webcontrolcenter.com with SMTP; Mon, 2 Jul 2012 07:31:49 -0700 Received: from CPLaptop ([unknown] [108.49.93.18]) by vms173001.mailsrvcs.net (Sun Java(tm) System Messaging Server 7u2 -7.02 32bit (built Apr 16 2009)) with ESMTPA id < OM6JOOI47FOM6SQZ @vms173001.mailsrvcs.net> for Ihasbrouck @northamptonma.gov; Mon, 02 Jul 2012 09:31:37 -0500 (CDT) From: "Carolyn Parker" <capconsulting verizon.net> To: <Ihasbrouck @northamptonma.gov> References: < 5dee1800 $7de2e394$1f3415c6$ @com> In- reply -to: < 5dee1800 $7de2e394$1f3415c6$ @com> Subject: RE: FW: Cumberland Farms, 53 Main Street, Florence, MA Date: Mon, 02 Jul 2012 10:31:37 -0400 Message -id: < 02d401cd585f $64264720$2c72d560$ @net> MIME - version: 1.0 Content -type: multipart/alternative; boundary="----= _ NextPart_000_02D5_01CD583D.DD14A720" X- Mailer: Microsoft Office Outlook 12.0 Content - language: en -us Thread - index: Ac1YXoI2Sk /Rb8NaR467Ca0H7hvOiwAANcww X- SmarterMail -Spam: Commtouch 0 [value: Unknown], SPF_Pass, DK_None, DKIM_None X- CTCH - Refld: str= 0001. 0A010206 .4FF1BOF4.005E,ss= 1,fgs =0 X- SmarterMail - TotalSpamWeight: 0 Ok thanks Carolyn A. Parker Consulting 3 Lorion Avenue Worcester, MA 01606 (508) 853 -1167 office phone (508) 853 -1176 fax (774) 239 -2781 cell Please consider the environment before printing this e -mail From: L. Hasbrouck [mailto :Ihasbrouck @northamptonma.gov] Sent: Monday, July 02, 2012 10:25 AM To: Carolyn Parker Subject: RE: FW: Cumberland Farms, 53 Main Street, Florence, MA You need to do 2 permits because of the way our sysytem is set up. One check is OK. Louis Return -Path: <capconsulting @verizon.net> Received: from vms173021pub.verizon.net (vms173021pub.verizon.net [206.46.173.21]) by maila26.webcontrolcenter.com with SMTP; Mon, 2 Jul 2012 06:26:17 -0700 Received: from CPLaptop ([unknown] [108.49.93.18]) by vms173021.mailsrvcs.net (Sun Java(tm) System Messaging Server 7u2 -7.02 32bit (built Apr 16 2009)) with ESMTPA id < OM6J00M3CBZN62M3 @vms173021.mailsrvcs.net> for lhasbrouck@northamptonma.gov; Mon, 02 Jul 2012 08:26:13 -0500 (CDT) RE: FW: Cumberland Farms, 53 Main Street, Florence, MA - northamptonma.gov - SmarterMail Carolyn, It came through on this email. Just to be clear; is there any plan to replace the bank banner that's hung on the existing price sign (photo attached)? Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587 -1240 Return -Path: <capconsulting @verizon.net> Received: from vms173005pub.verizon.net (vms173005pub.verizon.net [206.46.173.5]) by maila26.webcontrolcenter.com with SMTP; Wed, 4 Jul 2012 07:14:49 -0700 Received: from CPLaptop ([unknown] [108.49.88.203]) by vms173005.mailsrvcs.net (Sun Java(tm) System Messaging Server 7u2 -7.02 32bit (built Apr 16 2009)) with ESMTPA id < 0M6NOOLEM3CWYINM @vms173005.mailsrvcs.net> for Ihasbrouck @northamt tonma.gov; Wed, 04 Jul 2012 09:14:46 -0500 (CDT) From: "Carolyn Parker" <capconsulting @verizon.net> To: <Iasbrouck @northamptonma.Qov> References: < 57f1ce82$4a9219b0$cic044d$ @com> In- reply -to: <57f1ce82$4a9219b0$cic044d$ @com> Subject: RE: FW: Cumberland Farms, 53 Main Street, Florence, MA Date: Wed, 04 Jul 2012 10:10:12 -0400 Message -id: < 040601cd59ee $bb5e2450$321a6cf0$ @net> MIME - version: 1.0 Content -type: multipart/mixed; boundary="----=_ NextPart_000_0407_01CD59CD.344C8450" X- Mailer: Microsoft Office Outlook 12.0 Content - language: en -us Thread - index: Ac1YdR6EixDp971mS /yQfNvJQdRoQABd2O8A X- SmarterMail -Spam: Commtouch 0 [value: Unknown], SPF_Pass X- CTCH- Refld: str= 0001. 0A010208 .4FF45003.00AD,ss= 1,fgs =0 X- SmarterMail - TotalSpamWeight: 0 Louis, Attached please find the Sign Applications and Zoning Permit for the CF gas station in Florence, M A- I am sending the originals to you with the permit fees by mail but am not sure if the mail would make it to you by Thursday. Please review and call me with any questions and nave a Happy 4 of July Carolyn PS - I am also faxing this as it got rejected by your server, Carolyn A. Parker Consulting 3 Lorion Avenue Worcester, MA 01606 (508) 853 -1167 office phone (508) 853 -1176 fax (774) 239 -2781 cell Please consider the environment before printing this e -mail. From: L. Hasbrouck [ mailto: lhasbrouckPnorthamptonma.gov] Sent: Monday, July 02, 2012 1:06 PM To: Carolyn Parker Cc: Brenda Church Subject: RE: FW: Cumberland Farms, 53 Main Street, Florence, MA RE: FW: Cumberland Farms, 53 Main Street, Florence, MA - northamptonma.gov - SmarterMail RE: FW: Cumberland Farms, 53 Main Street, Florence, MA Fri 7/6/2012 9:31 AM From: L. Hasbrouck To: Carolyn Parker Cc: Carolyn Misch Carolyn, I've reviewed the permits for the price signs at Cumberland Farms in Florence. The signs will require a special permit from the Zoning Board of Appeals is accordance with Northampton's sign ordinance, sections 350 -4 and 350 -7.2 (M). I've attached a copy of the relevant sections of the ordinance and a copy of your application. You may apply for the special permit through the Planning Office. I've copied Carolyn Misch on this email. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587 -1240 Return -Path: <capconsulting @verizon.net> Received: from vms173003pub.verizon.net (vms173003pub.verizon.net [206.46.173.3]) by maila26.webcontrolcenter.com with SMTP; Thu, 5 Jul 2012 06:07:23 -0700 Received: from CPLaptop ([unknown] [108.49.90.156]) by vms173003.mailsrvcs.net (Sun Java(tm) System Messaging Server 7u2 -7.02 32bit (built Apr 16 2009)) with ESMTPA id < 0M6O0098HV45OLV1 @vms173003.mailsrvcs.net> for Ihasbrouck @northamptonma.gov; Thu, 05 Jul 2012 08:07:21 -0500 (CDT) From: "Carolyn Parker" <capconsulting @verizon.net> To: <Ihasbrouck @northamptonma.gov> Cc: "'Manny Paiva "' <MPaiva @cumberlandgulf.com> References: < 653b3fea $50ce0ce8$390074f9$ @com> In- reply -to: <653b3fea$50ce0ce8$390074f9$ @com> Subject: RE: FW: Cumberland Farms, 53 Main Street, Florence, MA Date: Thu, 05 Jul 2012 09:07:21 -0400 Message -id: < 045a01cd5aaf $lde5aba0$59b102e0$ @net> MIME - version: 1.0 Content -type: multipart/alternative; boundary= "----= _NextPa rt_000_045B_01CD5A8D.96D40BA0" X- Mailer: Microsoft Office Outlook 12.0 Content - language: en -us Thread - index: AclargQ +3MIcjX5gQgaPW +xO /CuwwQAACzSg X- SmarterMail -Spam: Commtouch 0 [value: Unknown], SPF_Pass, DK_None, DKIM_None X- CTCH- RefId: str= 0001. 0A010204 .4FF591AC.006A,ss= 1,fgs =0 X- SmarterMail - TotalSpamWeight: 0 No they will not have any bank signs on the property. Carolyn A. Parker Consulting 3 Lorion Avenue Worcester, MA 01606 (508) 853 -1167 office phone (508) 853 -1176 fax (774) 239 -2781 cell Please consider the environment before printing this e -mail. From: L. Hasbrouck [mailto :Ihasbrouck @northamptonma.gov] Sent: Thursday, July 05, 2012 9:03 AM To: Carolyn Parker Subject: RE: FW: Cumberland Farms, 53 Main Street, Florence, MA beiland Guff F A n M S July 15, 2010 To Whom It May Concern: Cumberland Farms, Inc., with a usual place of business in Framingham, Massachusetts, does hereby authorize CAROLYN A. PARKER CONSULTING to apply for and represent Cumberland Farms, Inc. in filing of any applications for required permits and/or approvals for the LED PRICE PANELS at our store/self-service gas station including, but not limited to, appearing before any governmental agency at general meetings or public hearing addressing such construction /improvement of Cumberland Farms retail facilities. Cumberland Farms Gulf Group of Companies, Manny Paiva Planning Department Manager COMMONWEALTH OF MASSACHUSETTS MIDDLESEX COUNTY Subscribed and swum to before me this 15 day of July 2010 by Manny Paiva who is personally known to me. itc+cary ��c :io car-. ��snr� NotaryPubllti :.�,��,,,, t4 { arty' cltn asist 5 ,o2 80i 3 My C E area M ommission Expires: as88 _ Cumberland Gulf Group of Companies 100 Crossing Boulevard, Framingham, MA 01702 508 -2270 -1400 A � ° RO® CERTIFICATE OF LIABILITY INSURANCE 5i2ii2oi2 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 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 a Diane Wojcik Coakley Pierpan Dolan & Collins Insurance (AC Ext): (413) 664 -9366 (AC, No): (413)664 -4723 26 Union Street ADDRiESS: dwoj cik@cpdcinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # North Adams MA 01247 INSURER A :Ohl() Casualty Group 24082 INSURED INsuRERB:TravelerS Indemnity Co of CT 25682 M &D Services Inc INSURER C : American Fire And Casualty Co. 24066 PO Box 702 INSURER D: INSURER E : Lanesboro MA 01237 INSURER F COVERAGES CERTIFICATE NUMBER:2012-2013 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 W LIMITS LTR INSR VD POLICY NUMBER (MM /DD/YYYY) (MMIDD/YYYYI GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 X COMMERCIAL GENERAL UABILITY PREMISES (Ea occurrence) $ A CLAIMS -MADE X OCCUR BK052995646 5/19/2012 5/19/2013 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY n ,1F a ^ LOC 8 AUTOMOBILE LIAEIUTY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED BA1934C512 1/1/2012 1/1/2013 AUTOS X AUTOS BODILY INJURY (Per accident) $ NON -0WNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ Medical payments $ X UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS UAB CLAIMS -MADE AGGREGATE $ 1,000,000 DED IX RETENTION$ 10,000 US052995646 5/19/2012 5/19/2013 $ WORKERS COMPENSATION WC STATU- OTH- C X TORY I BAITS FR AND EMPLOYERS' LIABILITY N ANYICE PROPRIETOR/PARTNER/EX EXCLUDED? ECUTIVE YI N / A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) XwA52995646 5/19/2012 5/19/2013 E L DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased or Rented BK052995646 5/19/2012 5/19/2013 ACV Equipment DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Contractors Equipment Policy: $140,000 Equipment Leased, Rented or Borrowed from Others The certificateholder is listed as an additional insured with respects to General Liability when required by written contract or agreement; and is listed as Loss Payee 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. AUTHORIZED REPRESENTATIVE Diane Wojcik /DIAWOJ 9 d ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. 1NS025 (onions) m T6n ARAPfl nmmga and Innn ro nanietanari marls of ARAPn s: 22 a WLV SICK _ r _ I � 70 5/8" FACE 1 1 1/2' x 5/8" x .060 AL HINGE 6" LG. B" „ 72' Al_ ANC 1/221 1/2x1/16" (2) 1 3/4 6' 6" /---I 02071 K FILLER II —\ I _ (2) 72 15/16' :rt1 1 (2) 30' �/ 01940 AL RETAINER (2) 72 9/16' (2) 29 5/8" m • M m g n ` —V L 1 1/4' In 2 1/4" DRAIN HOLE CTRS. ' 3" x 3' x 3/16' AL ANGLE 2' 14 1/2" / / 01/2' MOUNTING HOLES CABINET DETAIL SCALE: 3/4 "41' -0" SIESSOL&BEEICiSS 90 EAN WIND SPEED 3- SECOND GUST- EXPOSURE C. COMPW22T w1M NATIONAL WILDING CODES AND STANDARDS (N0. INC. BOCA AMC. ARCE 7. ACCT ! KNRNN 0ESION 1004000) RUR a *ERTEN 000202 N7411024 FOR 1MIERM. SPECIFICATIONS .7 ,Wpg PANT CABINET, SKIRT It RETAINERS: CIRCUITS ... (1) 20 CABINET INTERIOR: mew VOLTS ... 120 CARNET EXTERIOR FACE WOE 620 -3618 CABINET EXTERIOR CABINET. win 320 - 3046 This original drawing is provided as port of O 'NO. 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Corpus c "n c nnrwa � Revision 4: - By m ii: t rn SIGN COMPANY Willowbrook - W ui is pi Columbus Cumberland Far 1 1 www_ FederaiHeam. torn e. Weste K u - r a - `• � .�N `^ ^..,. , r,._ r .,+. r mS sbeewumber: or T s r r r Atlanta amps Daytona Beach-Winter Park Client Approval/Date' O. "^° ° rr F le s igg 1500 North Bolton • Jacksonville, Texas 75766 Des,yn. Number 1 (9031 589 -2100 • Fax 1903) 589 -2101 Building Quality Slgnage Since 1901 Landlord Approval/Date +xr •.oak c ouuo ua .xo .o.o x o o. , .rr s a r ....rid r fir c too. 1, & 'el in P-4,6 OF pie();z2e)skiD 0P x 6"- 0" LED p,e/CE SiG 722 8E IN 3"1 PISOULAPI LWAILEADIRD TAX Al S rm z7 INCLUDED 77/V -G /--7- ,.•!1; F 9 3" C7 ,,g 53 ri7.11/t/ SeEET /269 w 6/a/ "9 LS' ' N/96 E. J / a -77 /dQ/Y -110 P a Yd U/ ,, Q' �` f/� �--� ' S � & /VS . IdC7 -6° S p'Q' / S N(2 E ' J/ S ) Y '?Id X77 ( /s/ ) P� 9 X ? ; IC C) 776,--/AY T'J --• 40 £ / /S 2.7 /mod 3I 0 14/9g /6/ ai _ 7 44 iry 9/ s- --/ -0 N/-yip SS - 776 1 N /t--L /W W -- 9d' , J /S -92?' 7V/1. SYX 9 -__ 1 rYi d a �� ii 4,4; i,„1_,..._ -. R .. . _ , . . ,r4_,Ivi : 'i'''..''' -44 Y - 971 rxU�✓ r . ■ I. E# r 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: 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 7/)21/ 1/ APPLICANT'S SIGNATURE _ r i , ' ' - ;L... 4. 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 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant CQie0 ky// Ph Lek, 6.96,6A jr) Lek /0N V EN Address: �o ?P ,��_', c�ST"�� f /2, 6,66 Telephone: 77'V . - -- .23'5--Q27SY 2. Owner of Property: CUina lei ./ ?A/D Address: L� 9/r / /./.) f}J 6/ ? Telephone: e 27 4 / ' a 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): /46 k/.f r 7 el461 it/,&E 4. Job Location: 63 ,+ /O(,i 377 , 'd_. REAlC6', 19 Parcel ID: Zoning Map # / E TC Parcel # / ' District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: G /9S S / /9 r/0 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) o ', ' -- PRO O ' E" 7"6 , E/r 7 V EX/57 /NF 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 YES IF YES: Enter: Book Page and /or Document # 9. Does the site contain a brook, body of water or wetlands? NO X, 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 NNO ` / IF YES: Describe the size, type and location: #_L —' W/9,11-. :57G /G A/ 1 T ' X /0‹... / (/CI} # a2. ' x Cr OA/ egAtecy Ec cr (r ) #3- 6' x V' p,e/ez Si& J (rho Are there any proposed changes to, or additions of, signs intended for the property? YES X NO v / IF YES: Describe the size, type and location: /,4J S / /T,c. (, ,) ! J E 4) ..2 ""'-4 "!� t� `4O LED PR I aE S iG 4 i2N t /t e i - e i S /DE Page 2 of 3 3' H - ,„ r (!H1j of NurtI nmptnn illassar)7usetts .. ��. . - : * A DEPARTMENT OF BUILDING INSPECTIONS k :! ) 212 Main Street • Municipal Building ' ':ps �'� ``C% Northampton, MA 01060 '' �� INSPECTOR Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee / 3 (Application to be filled out in ink or typewritten) N umber Plans must be filed with the Building Inspector Erection (V ) before a permit will be granted. Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) FEE PAGE PLOT �s Northampton, Mass. \/'L 9 , ..20/a2..3 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME a .9 .? ./9 in s.5,. /NC • 1. Location, Street and No. 578 71 l % T .=`.1-f.� AI a4 /)9,9 2. Owner's name t slim 1 f - D • 3. Owner's address 1412 .. Coe ©SS 6 eL VZ . rn M? 4. Maker's name .EeD ` �R L t`fE/ 7W \Y /V 4� c , C 5. Maker's address A.5 /V L72 -1 f�C1:1/�!�1 � Cam` 6. Erector's name e.y / ...... / � 7. Erector's address ", • 00 74•) A/ES I 9/23 �J SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated X.. Non - illuminated 2. Will sign obstruct a fire escape, window or door? . Marquee 3. Lower edge will be { _ft..6! ..ins above the public way. Projecting 4. Upper edge wil be%.Z .ft..(a. .. fini�ss above the public way. Roof 5. Height ca ..ft.. .ins Width .6. .ft Dins Temporary 6. Face area .I ..sq. ft. Wall 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. /At15779 4. $7 ,5 ' 6 10. Sign will project � ..ins beyond the street line. X, iQ ON C9/ti/v /jf 11. Sign will extend . ..ft O. ...ins above the building or pole. 12. Of what material will sin be c structed? Frame /.72E Face. Eel C. . /.. 1 13. Estimated cost $.Q.°.QU The undersigned certifies that the above statements are to the best of is knowledge and belief. I► (Sign ture of Owner or Agent) L7 .Cjv# (''rt f 1 fr - x, o de Page 1 of 3 Woe/a. ,6a 7 /n/9 6/h `774' - 023 9 -027D File # BP- 2013 -0032 APPLICANT /CONTACT PERSON CAROLYN A PARKER CONSULTING ADDRESS/PHONE 3 LORION AVE WORCESTER (508) 853 -1167 PROPERTY LOCATION 53 MAIN ST - CUMBERLAND FARMS MAP 17C PARCEL 197 001 ZONE GB(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 /?°,3 Typeof Construction: INSTALL LED PRICING ON CANOPY 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 DENTED: Approved dditional 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 it,LAA J � ZONING BOARD PERMIT REQUIRED UNDER: § 350 7 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 7n Signature of Building Ofcial 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. 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: 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: ia h:� APPLICANT'S SIGNATURE 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 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: GR/e0 ky P/9-e , 696 / yr) /e/CA.4 . 10 Address: .-C.�P�iF'�'��T"'�/c/ /� /'fG4 Telephone: 77V 3 5 27 2. Owner of Property: a✓( Pig ;S' /00 c cpss:/y Lv457 Address: /'=/e A/77/A./ (7 X71 W 2Telephone: e 7 / V a 3. Status of Applicant: Owner Contract Purchaser Lessee X Other(explain): /G k 7 4. Job Location: 53 #92.9/4) 7j j) &/E/ C- ' /2219 Parcel ID: Zoning Map # / 7C Parcel # /Y7 District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ��,,��yy 5. Existing Use of Structure /Property: G Rs S / • 2 ri 0 ft /p f t; 2AJV e/J.J5 /4 6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary) \519/22,e" / }I3Z _ pR tic v 7Z /ZE/r) V,E" /N6 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 /X 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 ,�1� / / IF YES: Describe the size, type and location: / ' 10/91i. SIG /4► 9 /< / 2 1 (ee/e . _ G7 / X,''/ U/</ e,R/1bPy RCOC (7e) 44- 3- 6` )0/ Pie /CE $ /G/V1 (ro 86 vV za) Are there any proposed changes to, or additions of, signs intended for the property? YES NO r IF YES: Describe the size, type and location: //�/ ,rh'/C � J / Etc) =�'1 1 -6 " 6 /1 L P/ /GE S/GAI s dN, 6A/ . )9 H s /2E V r� /V V Y `® v L- i% Page 2 of 3 HAM Guilt of NortItttnpton e �?%� r Oti S sf', G/ SIR MS B FIr1tSPtt3 r mo w? ,, 7. t{ ` ft z y . AF . ; DEPARTMENT OF BUILDING INSPECTIONS'. i a r 3 ti b °' r- 212 Main Street • Municipal Building 4 , . .� . Northampton, MA 01060 INSPECTOR Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee / � . 3 - ) (Application to be filled out in ink or typewritten) Number �V / Plans must be filed with the Building Inspector Erection ( V) before a permit will be granted. Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) FEE PAGE PLOT .mss Northampton, Mass. 1:L.z- .3..20/42 -4 To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME .. COD 8ER4RAID i l' 9/�- in MS5., / 1. Location, Street and No. 5 /271VA 'S 4 , /o i C 42=09 2. Owner's name .. /207 8 4- ND .. ,c;t!9 4e S 3. Owner's address /a... Coe 0 SS//L/6 4'L V,:e , JAI g/4 /VW 4. Maker's name .EE .6.. . ... `.S. i .�? .. L 75-,66 5. Maker's address /s2.O. �.. ?L7 ►!9.1. .. V/ .t. t . ..1 X... 6. Erector's name /99 9L 0 &E � � Q 7. Erector's address ) • 274X / - ✓A/ j»& 49 /c SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated X.. Non - illuminated 2. Will sign obstruct a fire escov e, window or door? .lid.C3 Marquee 3. Lower edge will be 15 .ft..u...ins above the public way. Projecting 4. Upper edge wil be /.Z.ft.. r...in above the public way. Roof 5. Height a .. ft .. . ins Width .4..ft Dins Temporary 6. Face area J' .. sq. ft. Wall X 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. pt i57 ,9-7 6. D, 10. Sign will project ..ins beyond the street line. X/ .5 c N &Q,Vd 11. Sign will extend . S ..ft O....ins above the building or pole. 12. Of what material will sin be c� structed? Frame /.?2./2II,.t.... Face. PAC 13. Estimated cost $.. /.Q.E.U, The undersigned certifies that the above statements ar1 o the best of his knowledge and belief. (re of Owner or Agent) 3 1.40-e1 /i!/.6 Page 1 of 3 a)d C.'6" tS T 1 mg �)J/2 � r 77y - 02,39 -2 2 File # BP- 2013 -0031 APPLICANT /CONTACT PERSON CAROLYN A PARKER CONSULTING ADDRESS /PHONE 3 LORION AVE WORCESTER (508) 853 -1167 PROPERTY LOCATION 53 MAIN ST - CUMBERLAND FARMS MAP 17C PARCEL 197 001 ZONE GB(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 /!O 3 A3D Tvpeof Construction: REMOVE GROUND SIGN PRICING SIGN & INSTALL LED PRICE SIGNS ON EACH SIDE OF CANOPY 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 A TION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P SENTED: 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 4^ ,�U�` 1? , ZONING BOARD PERMIT REQUIRED UNDER: § 3,50 7, .Z /1!. ('" ,, r c, 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 C 7 /ei `Z./ Signature of Building 0 cial 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.