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31B-038 (2)
September 16, 2012 City of Northampton Puc&a|mki Municipal Building 212 Main Street Northampton, Mk&111D60 Attn: Mr. Louis Hasbrouck Cumberland Farms Budding Cm,nrnissionmr V)515/S1mre8i45 |�8 King Sunni Northampton, h.1AO|0n0 Delivery: Regular mail Dear Mr. Hasbrouck, Enclosed please find (Z) two Applications for Permit 0m Place a Sign. (2) two Zoning Permit Applications. (1)one Site Photo showing all existing site signage and (1) one detail of the LED single sided price panel by Federal Heath for the proposed sign rnodifications for the site located at 138 King Street. Northampton. MA. Cumberland Farms, Inc. the owner o[the property wishes to remove the existing C-0 4`-O sign from the existing light pole and install (2) two new 2`-h" x 6`-0 single sided LED price signs, one en each side of the existing overhead canopy fascia. Ihey wifl maintain the existing 4'-O" 6'0 (F sign installed on top nfthe canopy. The zone that we are in, Entrance Business (EB), does not allow a pylon sign without variance from the Zoning Board of Appeals, which Carolyn Mimchstates we are very unlikely lo get, hence the reason for this proposed style sign. The contractor scheduled for this site isN0 Signs, 68 Old Derry Road, Londonderry, NH, a copy ()fiber Worker's Compensation Insurance is enclosed. Also enclosed please find an Agent for Owner Authorization letter, allowing me to obtain the permits on behalf ofCumberland Farms. An electrical peonk*i[| be obtained by licensed electrician prior to the price sign installation. Lastly, am enclosing ebeck 1941 in the amount $6O.00 for the Sign Permit fees ($3O-00x2).l[you have any queseions whie reviewing the proposed changes please call mou1(774)239-278i to discuss. Thank you in advance fbr vour tirne i-i helping 10 expeditc this matier. Sincerely, ed / '` '^�� ' - - - C�u_[_ Carolyn ��-l�rkor - ' Cu: Cumberland Farms File SPECIALIZING IN THE PETROLEUM INDUSTRY • :e•-• g lass l .„.• M July 15, 2010 To il,lhorri It i Concrn umbariand Farms, ino., usual pcz of business in Framingham, Massachusetts, does hereby alitolize CAROLYN A. PARKER CONSULTING to apply for and represent Cumberland inc. in filing of any applications for required permits andior approvals for the LED PRICE PANELS at our storelself-sentice QRS atation inchiding, but npt lirrift.z-Jd to 2ppearin9 baiOrE En overnmental ace,ncy ceneral meetincs - Jr public 72 :Lich cbnstructioniimproverrient Cum Farms re fectIes. Ournbeand Farms Gulf Group of Companies, 6'w fi2 f r) lvlanny Paiva Planning Department Mansoer COMMONWEALTH OF MASSACHUSETTS lv1IDDLESEX COUNTY Subscribed and sworn before me this 15' day cf July 2010 by ivianny Paiva who is personally known to me. M ON ‘, tt je 1..totary , ocr44.102_4 :.ass.v Notary PtibFrs.: Q,• - iaere 2oi3 My Commission Expires: Cumbesiaad Gulf Cu-oup cf Com tY3 Coo - ssthg EaTIL—rard, 0170`2 ACORD CERTIFICATE OF LIABILITY INSURANCE °Are cuLtpory :: 12/21 /2011 pRocuc:ER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , ONLY AND CONFERS NO RIGHTS LIPON THE CERTIFICATE Obrey Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1E Commons DrIve Unit 27 , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Landonclerry NH 03053 INSURERS AFFORDING COVERAGE NA:: # ____ ! IttsuREr INDABA HOLDINGS INC C'BA NH SIGNS -;•:=J Peerles_s Insurance 6,0 OLD DERRY RD ■,.., „,=•-i o LONDONDERRY NH 03053 1 COVERAGES THE POLICIESOF INSURANCE LISTED BE L OWHAVE BEEN ISSUED TO THE INF,URED '1^.A.IVED ABOVE EDF THE PC`L ICY P ERIOD IN D.!CAT E NOTWITHSTANDING NlY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT ID R OTHER DOCUMENT WITH RESPECT TO WHICH THIS Z. MAY BE ISSUED OR MAY PERTAN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SLIBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS or SUCH '01,ICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - 0Di: 1 , POLIC,Y - FFECTIVE I PDLICv EXPIRATION I . ' POLICY NUMBER 1 De thIMMDC','N'YY1 I DT " IMY/OrnYYYY) i LIMITS ; GENERAL LIABIL:TY IL.1 CJ 3CUPPENCE , 1 1,000,000 A X : C.i 1.,, CBP82351B3 1010512011 10i05i2012 F ,, , E 100,000 ! l'',.RE.,■.1 rz. A, tr;J j;" _ $ 1,000,000 ,r.a.::.C.-PLC.:-.I'L $ 2,000,000 1. I GEN1 AGGREGATE L rmir , 1E7. PER '..,_ PR K.:1 - COMP,IOP AC.C= t .,.; 2,000,000 ,, 1 X ; ...-.k rcy ' I ,r--n Air OMOEILE LIABILrty , cce, 5 Ntir t 1 A X i Am &ff.:, BA8803961 1010512011 10/0512012 j ovr.rNED 'UT_ eoIr-11/.,k1. ,. sc.rc. I (Pes , I ; .....1.110:-. . ODDLY I1. ....11,1P', , $ NoNEro AJAcs PRLPERrr` DA:AAC-E 4 ' - GARAGE LIABILITY ALf rjnj, Y - IA A1:CIDENT ; E I-- , NO AL■l I ' 0 T I T/-1,4N 1 A'arc■ Ot1.,_f - 1 . , ....7•C : 5 EXCESS / UMBRELLA LIABILITY . s....C.' DC( UPREPF2E E 1,000,000 A I X ) ;; ' .-t.,,,t,,,, FAA CU8806761 '1010512011 1010512012 1, 7-1-1.1 , $ ) $ ' OD Dt ACTIKE WORSERS COMPEN Vg TAT1- y i SATION - A F - ANO EMPLOYERT LIABILFTY Y ,...i0 HAUS ,--, i 1 N ' . Arry P IT RCPB1r.. W EI -- I r WC4465680 , ' 1010512011 .r.. S I l OTH- !" F .: 1010512012 ' E l EACH ACC ICENI $ 500,000 01' F ICER/F/Eh.efiTt E.KaLIDED`," 1 ! (Mandatory in NH) E L DISEA'Sr - EA ENP":)YEE $ 500,000 11 yeS. Co,scntle LcrtNI 1 cnr, 'Ann 5pAL pRovt.,901.1S b.r.s.-• E L DISEASE - P'0.1 ICY LIMI" E ovv,uuu ..„. ! OTHER , I ' , 1 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS I CERI1FICATE HOLDER CANCELLATION SHOULD ANN OF THE ABOVE DESCPJBED POLICIES BE CANCELLED seforrE 11-1 EXPIRATION DATE TROP,E0F, T ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ' NOTICE TO THE CERTIFICATE HOLDER NAMED TO TliE LEFT, ern FAIL URE E TD DO SO SHALL IMPOSE NO OBLIGATION OR LIASILLM( OF ANY FUND UPON THE INSURER, ITS AGENTS OR REPRESENTATFVES. AUTHORIMD REPFLENTATIVE ACORD 2512009101) 01988-2009 ACORD CORPORATION. All rights reserved, Tho ACORD name and logo are registered marks of ACORD ... -I i 1 i n . ceo 7,7'.1 , r ..... — 'r 1 h. 444% by /1 . rp: A,... t : - */ e ',.., 1 , . r‘s. is 1 W... ..a. .....ii. i 3 ■ (•) Op• 1 , i , 1 1 1 1 ...,..., - 1 --,... 1 4. --, \ - o in tccatolnr: KI.E% 4 , LAattic Okitdi, Pcmi-mcittAM V: ..., .... 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Th's column o b fi!leri in by 3 r- Existing Proposed Required by Zoning Lot Size Frontage Front: Setbacks: Side: L: R: L: R: Rear Building Height Bldg Square Footage % vpen Space: - (Lot area minus bldg ad 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: 9/./ APPLICANT'S SIGNATURE 0.4( ■ dr NOTE: Issuance cif a zoning permit does not relieve an applicant's burden to compty 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 /5 Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPL.ICATION pL TYPE OR. PRINT ALL INFORMATION 1 . Name of Applicant: _OA/e101. ,/ er 7 Address: /*phorie 232/ Owner of Property, /197 A A. le%4 S'S/A. - ;PI V27 e)/ - c27e) -7 60 3. Status of Appiicarit. Owner Contract Purchaser Lessee K <9646,Q 7 — Job Loeraton, A3 5" /&A/C Parcel la Zoning Map # Parcel # District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of SuucturelProperty 6/94,S" St 09 6. o TOte- Des:mption of Proposed Use/WomiProject/Occupation (Use additional sheets if necessary) V,E; oeX(672A/ S / 7:1Z 6) 7. Attached Pians: Sketch Plan )( Site Plan Engineered/Surveyed Plans 8. Has a Special PerrnitNarianceTinding ever been issued forfon the site? NO DON'T KNOW X YES IF YES, date issued: IF YES: Was the permit recorded al I.he Registry of Deeds? NO DON'T KNOW X YES IF YES: Enter Book Page_ and/or Document 9. Does the site contain a brook, body of water or wetiands? 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 19. Do any signs exist on the property? YES Xs. NO IF YES: Describe the size, type and location:_g_b9L1._ t,..5/6 1 XL2 060.e. Of pA LEL, e) AI c9AriZ?1- Root: r.6" 5/ EA/ / A '3 9AJ 1 Are there any proposed changes to, or additions of, signs intended for the properly? YES_ NO_ / 'Y IF YES: Describe the size, type and location, Ai rg (2 ) -2 t //<,/ S /D 6 PR e)/us - ,5/ F 6 I: 9. r+ii-- vLIVCV SEP , 2012 (Situ of ,rori! y—tur ∎ 3 • QF T �0 r- - c * - lI nzsarhusr tt s , r �s DEPARTMENT OF HLrIl.IJ1NC, 1?�' s�'��_T17N5' , 31:. tel: k4, := Lr`t r vY',..fi 1 . i t „12,t); 4 ��` �� 'ir ` :;stet MA (i )bc Application for a Permit to Place or Sign Maintain a Si N ;: Er.. ; I: PP 9 Or other Advertising Device, or Marquee igi J (Application to be filled out in Ink or typewritten) Number y . -. ., ..,.,., Plans must be ilex with file Bulcino Insrector Erection._ ......... .... - ( ) before a permit wir be granted. Alteration..... .........( ) Repair .... ... ...( Repainting..............( i Removal.. ... . .„ ... ., ( FEE.. .... ..PAGE .... // ...PLOT....... Northampton, Mass. .._... -$. ...... 2G 10 the Building Commissioner, Application for a permit to place or maintain a sign or other advertising deviceoormarquee. BUSINESS NAME ..,.� t// !. _ �l � � ....._,__ 1 Location, Street anc No. ..t.3.S ".... ... 1. i.. . . . .6.. c .7.r .. .. ..................... 2. Owner's name COM . '6,X �4- ,t ` , ,. n. GJ W rl ......, _,..., � r./ 3. Owner's addresst4'n .. S / v . 6... 54V.. /[Y ,_ y a n /9 0/ 4. Maker's name . E.-PE )? /-r ... ,1.7 Ee9 7 :1'r -- 5. Maker's address Zca f .. zOO�! r✓.. /.Y c wAY�. ,6 . 7 L 07,5 2 6. Erector's name . "A( 4J` ,...,, .,.._ ............:. .............. . ......................... 7. Erector's address .(P4....Ql- K.�'._, .....Y... , .. .1U.... ,... T J C. SIGN KIND SIGN OF SIG (Designate) 1. Sign will be (check one) illuminated .A. Non- illuminated ....... 71- 1.- 2. Will sign obstruct a fire escape, window or door? 1.51.E . Marquee .. 3. Lower edge will be/ ft.- UU,....ins above the public way. Projecting 4. Upper edge wig) be/.7.ft...4 above the public way. ' — Roof . .......... ... . 5. Height r ..ft. .ins Width .. ,ft. ©.,ins Temporary, 6. Face area /C.sq. ft; Wall .....,2S....._._. 7. Inner edge will be ins from the building or pole_ /W09 Ground ................ 8. Outer edge will be _.ins from the building or pole.N /f9 Other . ��,...... 9. Face of building or pole is . ins back from the street line. /N5' r/9. -/.. 10. Sign will project ., f ins b�,yond the street line. C /v 2y 11. Sign will extend ._.Oft ... ._.,ins above the building or pole. 12. Of what material will sign �b cons ucted? Frame :X. .,. Face. p4,4 13. Estimated cost $.. /.,, �_ The undersigned certifies that the above statements are true I. the best of his knowled. Knd b Il l _...,......_ . ._. ...... ,...... .... . ,...... . ,..„.. (Signature • Owner or Agent) File # 13P-2013-0314 APPLICANTICON1 ACT PERSON CAROLYN! A PARKER CONSUL ADDRESS/PIIONE 3 LORION AVE WORCESTER (508) 853-1167 PROPERTY LOCATION 138 KING Si - CUM13ERI„A3` FAFth4S MAP 31B PARCEL 038 001 ZONE 1-1110_001/ • • 1118 SECTION FOR OFFICIAL 1 ONLY PERMIT APPLICA1 iON CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 13 Permit Filled out ,q9/ Fee Paid v,col REMOVE PRICE SIGN FROM POLE & ENSTALL LED PRICE ON CANOPY New Construction Non Structural interior renovations Addition to Exit CCSSCITY SITIVC71.1 Buildimi Plans Included: Owner/ Statement or License 3 sets of Plans /Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PUSENTED: Approved ZAdditional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: Intermediate Project: Site Plan ANDIOR Special Permit With Site Plan Major Project. Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER; .,$ 3S — 1 ) Finding Special Permit 1/ 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 Comnnssion Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay i i ( Signrture 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 he strict standards of MGL 40A, Contact Office of Planning & Development for more information.