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24A-221 (4)
21 LOCUST ST-EASTHAMPTON SAVINGS BP-2017-0224 GI #: _ COMMONWEALTH OF MASSACHUSETTS Mpp-Block:24A-221 CITY OF NORTHAMPTON Lot:-00I Permit: Building CAtegorv;Sign BUILDING PERMIT Permit# BP-2017-0224 Proiect# JS-2017-000380 Est.Cost: $4152.00 Fee:$60.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: GRAPHIC IMPACT SIGNS INC Lot Size(;o. ft.): 10715.76 Owner: WESTGATE LLC Zoning:M3(1001 Applicant: WESTGATE LLC AT: 21 LOCUST ST - EASTHAMPTON SAVINGS Applicant Address: Phone: Insurance: 21 LOCUST ST NORTHAMPTONMA01060 ISSUED ON:8729/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: ILLUMINATED WALL SIGN - EASTHAMPTON SAVINGS BANK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House it Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: FeeType: 'Date Paid: Amount: Building 8325/2016 0:00:00 $60.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner File H BP-2017-0224 APPLICANT/CONTACT PERSON WESTGATE LLC ADDRESS/PHONE 21 LOCUST ST NORTHAMPTON PROPERTY LOCATION 21 LOCUST ST-EASTHAMPTON SAVINGS MAP 24A PARCEL 221 001 ZONE NB(I001/ THIS SECTION FOR OFFiCIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid _ a b I a Building Pernilt Fillesi out -FeePaidPaid Typeof Construction: ILLUMINATED WALL SIGN-EASTHAMPTON SAVINGS BANK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildin 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 Signature of Building I f ficial 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 Manning&Development for more information. 0 1 % 201 { i y of Nortkumpton �asgttr useiis J �� f ii l of apo °,w° � ►t��/ 'n DEPARTMENT OF BUILDING INSPECTIONS '� -r"_ 212 Main Street r Municipal Building A ° 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 lad Pia ; must befi-! 'h1 - au'.0 ,,peclor Erection { ) be(..= n .- ; wi rr nailed, Alteration ( ) Repair I ) Repainting ( ) Removal ( ) FEE PAGE PLOT Northampton, Mass. if I 20. (p To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device,or marquee. BUSINESS NAME ..C,?,rr.ha!nlojbnl....Scw t.!i fra...iant,W- 1. Location, Street and No. ..2] Lid c,s.($.t St'a.z`'r 2. Owners name tan-44f.4...)&As1rl 11We,.:bak 3. Owner's address ..24...1.„G.Ya.S, St.....N.arYh,c,w.�lan1 NIA 4. Maker's name..C;-&dlytlils......(Mpacrf CO:r.ik, kc. 5. Makers address.?6 -eft'1 Y4!'e- t ts6tt4 .A&A oldot 6, Erector's name S'elA C 7. Erector's address 5/4m e_ SIGN KIND OF SIGN (Designate) 1. Sign will be(check one) illuminated Non-illuminated 2. Will sign obstruct a fire escape,window or door? ...8.1.0.. Marquee 3. Lower edge will be .2..ft.Q....ins above the public way. Projecting 4. Upper edge will be .(i. f1 3 ins above the public way. Roof 5. Height ,A...ft.3...ins Width ..E...ft..(l..ins Temporary 6. Face area ./3...sq,s Wall >e--- 7. Inner edge will be 4✓!ins from the building or pole. Ground 8. Outer edge will be .15.Ins from building or pole. Other 9. Face of building or pole Is%cv.., back from the street line. 10. Sign will project .0...ins beyond the street line. 11. Sign will extend .Q...ft ins above the building or pole. 12. Of what material will sign be constructed? Frame ....R1i.dn ;!-^ ^nt. Face 13. Estimated cost $ Li s52.av The undersigned certifies that the above statements are truelbestof . k i vledge and belief, ignature of O e . Agent), Crnk11't Lahr& zeau. ee i a 'y S . tont Page 1 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 G,z4'rrL I/nro.1- -Si3 a )r Address: St' LLtA-4,-r. (Rye- P,TISc-u AA Telephone: too 13 .D.27 2. Owner of Properly: Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser _Lessee ✓Other(explain): e+."— 4. Job Location: 24 N 20 Af Parcel ID: Zoning Map# Parcel it District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: einal 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) (fit Xl' of Ng ra.�,;�/ i!/✓mri✓xRd s f4c..,c/E rya. ch.,rviel /e/kgs c,nw, . .6.%r N< 4i.. i tefu.c.ur r F: q_Msu— tuhtk (Octy Q' (at/241- S fippaoved L✓rY+, 4.412' ✓µh4 /I x,xii.,nW -d �c+tr c.ti.i� L 'r $ /�vpo.�¢.r�^Yi lc .Yace�-+'y . ON2 Alufi.iU:>, ynx/v took.«/ csi dY//ooa rata 1 ...r.a, r._ht)k 4& ned-1C �•+e. .-- . 75f. 7. Attached Plans: _Sketch Plan Site Plan Engineered/Surveyed Plans i/Io..v.;enA� 8. Has a Special PermitNariance/Finding ever been issued for/on the site? NO DONT KNOW✓ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: Enter: Book Page end/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 V NO_ IF YES: Descdbe the size,type and location: '71-->,c-4. t sora 4, ecilacfar---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: ay/tCa We are ns.,.c,,,c6 /ix)O 719u; n-a Fa.<�� Lug.ate' x` Pcp 7) 6xr rfd..J "2v " 47,44 it Page 2 of 3 11. ALL INFORMATION MUST BE COMPLETED:PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION, 12. This column b be Red in by —....—.... The Building Department. Existing Proposed Required by I Zoning Lot Size Frontage 1 f/ Front: Setbacks: Sick: L: R: L: R: ._.._.. Roar Building Height Bldg Square Footage J %Open Space: (Lot area minus Nldg and /// Paved parking) A144— #of Parking Spaces /11/f— *of Loading Docks y // Fill:miens k,a.san) , /n' —.— 13. Certification:t hereby certify that! the information contained herein is true and accurate to the best of my knowledge. 1 / DATE: 7/u/L APPLICANTS SIGNATURE I m NOTE:Issuance Oa zoning permit does not relieve an applicants burden to comply with all zoning Requirements and obtain all required permits horn the Board of Health.Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE# Page 3 of it graphic Impact signs ut eW 458 JJIc inkErs f x4134gJ...., _I ‘ , SiifSnP.00111 � Wpb try ,,.. q a Centex,. rJ .; 422 . ?f`"1 ,4 , bank£9 ... ... .......a+r':., ..«."...s�:a,.0 . ,::::,.,. . :e' ;.« 'i" ars e- s '. � al � i' y ,"`- 4 NitpYYuFMM w+ µ a,.asr�.„ap, y✓M xrt x �xro: 4..er,..°n ".1II'tmn*.t..sM **�IYMaR�1 h•t, • v •t J tic ESB&nk npSaneW1M16Itt4WS Iasotre IRebsaollt retllt * ACa4SW9riEi'.i Mtn belnt t*S*smi . seyM 111 oration:xviw�ow..x4 *new gaaa'aal hOtlaem MMww/ts.! ltiteRM9tl11M..pd�*tdSP ts.••bYDYNf xYDMIbMYiYW5tm*tl sr�..x: ant> "MwmiMrttipmaw[mekttgslp Mdtah¢naGeb'ne) onu: Brans Joe a'. 111111* 0.mn by IN a. ESB Bank 4 t.. 21 Locust St. Northampton,MA Bev 7/20/16 (t)...aham panel with routered out"26 . E n f M i t HOImATM'rcrbayt..panelAdded with : 3116'white aeryt&...new white t£D (,,,„, re's^ module illumination behind ,,./ __ � ...n,.. copy area is for x 96.0” 7 Sr 24 HOUR ATM '"""`°"""10 r, MSc,IDWIVWF 6 overlay entire'fascia sign cabinet with a .. nun-ithminated OWL pan aMr)ays g d # , I 7. ..: I. tit n,..^� ra 1 .:".. ^ e'er 24 HOP 31 ATMroctelratt 2.1 m a +ahlann.m bankC y '04fyp; k Lam. , w"�wa R �fw bn Mw �._'fNMf Ipe.r_v�__ n 1,"'W - -. MA-9 `- ' = 0 exit f s. I • • 1. r <. "{ a.F .;.. t T ; l‘ V•II II I•i! . v- EA Wife:z 4.61 : r ^ tq STHAA�P70N SAVIN L_ ANK Air I LILO 1 ammilt 4 / ali :lel i q Itr (, n91e �� ` 2 19's4 77., iV � n `O{)C3 a9'1L52" 'te eiev 29G e.✓e1a� '��d CERTIFICATE OF LIABILITY INSURANCE DATE l WDDEDEVYYYY) /2015 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 CONTACT Lisa Bernard NAME: Coakley Pierpan Dolan 6 Collins Insurance Agency PHONE jive No EMI' ra..: (413)664-9366 Ax (-3)664-47"26 Union Street EMAIL lbernard8 cpdcinsurance.coon INSURER(S)AFFORDING COVERAGE NAIC# North Adams MA 01247 INSURER A Main Street America Ins. CO. 29939 _ INSURED INSURER Oaf Insurance Company 14788 GRAPHIC IMPACT SIGNS, INC. INSURER Caranite State Ins Co 575 DALTON AVE --- ___ INSURER O: t . INSURER E: PITTSFIELD MA 01201-2908 INSURER F: COVERAGES CERTIFICATE NUMBER:2015-2016 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. NOTIMTHSTANDING 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. LTR ADDL SUER A CLAIMS-MADE X OCCUR AND POLICY NUMBER IMXVDMYYYYI 8/19/2016LIMITS (LTR TYPE OF INSURANCE POLICYM/DD,rvF MM/D POUCYEXP IMWDWYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE rHD b 2,000,000 uREMIS TO[ aocuEL • 500,000 --... PREMISES[Ea occurrence) $ BPF9690P 18/19/2015 MED EXP(Any one person) ,b 10,000 PERSONAL.3 ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 POLICY( X 1 PRD- JECT LOC , • PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER EPLI $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ 1,000,000 __ (EesaWNJ) B XI1ANY AUTO BODILY INJURY(Per person) ' $ .ALL OSCHEDULED M9F9690P 8/19/2015 8/19/2016 BODILY INJURY{Per accem) $ AUTOS AUTOS , _ -0 IIXIRED AUTO$ AUTOS EDWN I PROPERTY DAMAGE $ (PP PEsSent) LRE X UMBRELLA LIAB ', X OCCUR EACH OCCURRENCE $ 5,000,000 B ( EXCESS LIAB CLAIMS-MADE AGGREGATE _ $ 5,000,000 I DEO RETENTIONS COF9690P 8/19/2015 8/19/2016 $ WORKERS COMPENSATIONPER 0TH- !AND EMPLOYERS'LIABILITY y' STATUTE ER. ANY PROPRIETOILPARTNERIEXECUTIVE T�N EL.EACH ACCIDENT $ 1,000 000 OFFICER/MEMBER EXCLUDED' N NM C (Mandatary in NH) —- WC005849357 8/19/2015 8/19/2016 I EL.DISEASE.EA EMPLOYEE S 1,000,000 ny describe Linmr DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT I$ 1,000,000 DESCRIPTOR OF OPERATIONS I LOCATORS I VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Office of Building Inspector ACCORDANCE WITH THE POLICY PROVISIONS. Municipal Building 212 Main Street AUTHOm2ED REPRESENTATIVE Northampton, MA 01060 �T r Lisa Bernard/LISBER (� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS026 rm1m , The Commonwealth of Massachusetts Department of Industrial Accidents s-=Stil= Office of Investigations e V.1-111,, S=::1;- 1 Congress Street, Suite 100 !'1= _ • ti Boston,MA 02114-2017 +'+ wwwmass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organizationt[ndividuat): Graphic Impact Signs, Inc. Address: 575 Dation Avenue City/State/Zip: Pittsfield, MA 01201 Phone#: 800-458-2376 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 16 4. 0 I am a general contractor and I employees(hill and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P h' 9, ❑ Building addition [No workers' comp. insurance comp. insurances required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]uit c. 152, §1(4),and we have no q ] employees. [No workers' 13.0 Other Signs comp.insurance required] *Any applicant that checks box NI must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. [Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subarontncton have employees,they must provide their workers'comp.paliey number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andfob site information. Insurance Company Name: Granite State Insurance Company Policy#or Self-ins. Lie. #: WC005849357 Expiration Date: 8/19/16 Job Site Address: 2/ L0e4jsr CSe` City/State/Zip: ,i/ el p,l 'Okioo Attach a copy of the workers'compensation policy declaration page(showing 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 a 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 fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. .1 do hereby certify under the pains� Jand penalties of perjury that the information provided above is true and correct. Signature: (/,Lr..Ose- (--J Pate: tilt //it, Dont#: rOD 9.1-R 0237 (a Oficial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Numbing Inspector 6.Other Contact Person: Phone#: as _. .....