24D-085 City of Northampton Map 24D Loto85 Zone RB(100)/
Massachusetts Date issued 5/10/2018 0:00:00
Inspector of Buildings Permit # BP-2018-1156
Permit Fee$160.00
SIGN PERMIT
Business
Address 143 KING ST
Applicant InstallerSIGNARAMA
Applicant Installer Address 784 PAGE BLVD
Work Description ILLUMINATED GROUND SIGN - JN PHILLIPS
Estimated Cost $2000.00
Building Department
Approval by:
d� A . GzftCL
File#BP-2018-1156
APPLICANT/CONTACT PERSON SIGNARAMA
ADDRESS/PHONE 784 PAGE BLVD SPRINGFIELD (413)731-9213
PROPERTY LOCATION 143 KING ST
MAP 24D PARCEL 085 001 ZONE 100 / fV
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
NCLOSE REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstructiom ILLUMINATED GROUND SIGN-IN PHILLIPS
New Construction
Non Structural interior renovations
Addition to E istine
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
14---lu S 10 18
Signature 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 Map 24D Lot085 Zone HB(100)/
Massachusetts Date issued 5/10/2018 0:00:00
Inspector of Buildings Permit # BP-2018-1156
Permit FeeS160.00
SIGN PERMIT
Business
Address 143 KING ST
Applicant InstallerSIGNARAMA
Applicant Installer Address 784 PAGE BLVD
Work Description ILLUMINATED GROUND SIGN - JN PHILLIPS
Estimated Cost $2000.00
Building Department
Approval bv:
THU of Nurt4timptu11 _
ffiIASS Ar11USPtt4 � �`'�
W �z
DER4RTMEAT OF BUILDIAG INSPECTIONS
212 Atnin ;tmlt. • Nflminipal Rgildine
Northampton. MA 01060
INPECTOE Application for a Permit to Place or Maintain a Sign
Sidewalk Sign, Marquee or other Advertising Device
(Applicatbn to be filled out In ink or typewritten) Number .....................
Plans the filed With the Building InspectInspecto RECEIVED Erection..................( >
before a permit will be granted. Alteration..............._( )
Repair_._.............._( )
Repainting...............( )
VAY - 3 2018 Removal..................( )
FEE . . PAGE........PLOT.......
DEPT OF BUILDING INSPECTON$
NOFTHAMPTON.M 0,
....`5. ..!..................zo.(gy
To the Building Commissioner: � r40
Application for a peril to place or maintain a sign or other advertising device,or marquee.
BUSINESS NAME ...J.N...1`.'..!1...1.I.j.PS......................................I.....................
1. Location, Street and NI^ -..........
ISI ki 5
..... .................:...................
......................
iN&0.O S�or
2. Owners name ._ ......L.'U
3. Owners address ........
4. Maker's name ........J! lrv\Iliik.Wi!V1p.1q1 ......................_._.........(.......................,A...___...�_�L
5. Makersaddress .....C�$'C.P9.Cpl-1�.•.....ps-t!.f�i.Cl�..1d..../."I4....aiue7
6. Erector's name .......s�]¢A/}qY1.I�:U2t9QmA...........................'..I.,..(/ �.. .........
7. Erectors address..... .....l..%. E.A.✓V.e...:�.rl�'�/.CIS/..A ..�:�!.ot
SIGN / FOND OF SIGN
(Dealgrlate)
1. Sign will be(check one) illuminated ....... Non-illuminated .......
2. Will sign obstruct a fire escape,window or door? . d.. Marquee ...............
3. Lower edge will be ..$.fl..9...ins above the public way. Projecting ..............
4. Upper edge will be .(.q.fl..0...ins above the public way. Roof .....................
5. Height AP..fl.Q...ins Width .lk..ft-b!Jns Temporary.............
6. Face area ..5.l.sq. I'L Wall .....................
7. Inner edge will be 42-ins from the building or pole. - Sidewalk....................
B. Outer edge will be .q:5.ins from the building or pole. Other—,'... gj ✓02
9. Face of building or pole is .N{y..ins back from the street line.
10. Sign will project..0-ins beyond the street line.
11. Sign will extend ...0.ft .0....ins above the building or ole.
12. . Of what material will sign be constructed? Frame .A P✓n.?nyry......
13. Estimated cost $...? ........
The undersigned certifies that the above statements are true to the bjest of his lin d and belief.
ignature of Owner or Agent)
Page 1 of 3
gitg of Niirt4nm}Tton
�assarbuseiis DEP4RTNEA"T OF EUL0Ll C LVSPEC 7ONS (1)
212 M.m Ftrect • \tlmicipal R, ldma
Northampton. ]U 01000
IN2PecToa Application for a Permit to Place or Maintain a Sign
Sidewalk Sign, Marquee or other Advertising Device
(Applleatlon to be fined out in ink w typewritten) Number .....................
Plans must be filed with the Building Inspector Erection..................( )
before a permit will be Granted. Alienation...... )
Repair.......--..... ... )
Repainting...............( )
Removal.._.............. )
FEE........PAGE........PLOT....._
Northampton, Mass. .......�./(..................20.1g
To the Building Commissioner:
Application for a permit to plaice or/maintain
3 sign or other advertising device,or marquee.
BUSINESS NAME ....J.L.`!....,A1...'..!1_`.. .I.i.P. .....C......................................................
1. Location,Street and "'^ 1Y3- ...k-. ... �? ......................
. ........_...
...... .. .. . .. ..... SMA
2. Owners name..... KW(,DiN tLL�]......F./P....0cIfkm..L..l[kill�`.),INVI/+lAin$1.Spruy�ilfir3
3. Owners address.... H3.. .... 1 � .�0?. ...✓�Ol T6 kHt 1/J. ../.. ! ..�1 � d
4. Makers name ....._S ._. ....................(_. _........ ......... ... . ...._...
5. Makers address.----- Lvd.•... ^ .../.t.4,4...alto-4
B. Erectors name ...._.571¢/�/j�t1Q�=214L'!'lA-....--.._......._....._./.,..(t .,/�./.. ..................
7. Erector's address.....I�!..(.. ...DI.rL��...:�pr .FBF/...(:.".!!....�!.(.f�...t�...
SIGN bND OF SIGN
(oeainnete)
1. Sign will be(check one)illuminated ....... Non-illu7m•j'rrpted .......
2. Will sign obstruct a fire escape,window or door? ........ Marquee ...............
3. Lower edge will be .q...fL(0....ins above the public way. Projecting ..............
4. Upper edge wilt be t..?.JL.(�...ins above the public way. Roof.....................
5. Height .f...ft..Q..ins Width M..fLA...ins Temporary..✓
6. Face area AgA.sq.ft. Wall .....................
7. Inner edge will be .0-.ins from the building or pole. Sidewalk....................
S. Outer edge 'll be ...0- ins from the building or pole. Other.........................
9. Face o ulldin r Ole is(¢ins back from the street line.
10. Sign will lect .ins beyond the street line.
11. Sign will extend ..6)..ft&1...ins above the building or ppQip¢. r
12..,Of what material will"�iggqq,,ppee constructed? Frame ._f..t.!!?MflW!:t.. Face..P9..1t�.Cwbenif,
13. Estimated cost $....�fi.�..........
The undersigned certifies that the above statements are true to me
nest of h[s
�kknq�vwleeddge and belief.
(Signature of Owner or Agent)
Page 1 of 3
(MIM of Xurt4tinytan
.n
/ +�ASSflf11USP1tS �. `� �' 'c
.\ DEf'd/f7HtE;1T OF BUlLDlAC 1NSP8'C7/ONS
212 Atm, �trcot. . Vllni,ipnl Agildi,e
Northampton. MA 01060 .�oC
1,\=PECTO3 Application for a Permit to Place or Maintain a Sign
Sidewalk Sign, Marquee or other Advertising Device
(Application to be filled out In ink ortirpewritten) Number .....................
Plans must be fled with Me Boildino Inspector Erection..................( )
before a permit will be granted. Alteration...__.__.__( )
Repair.._.---.........
I )
Repainting...............( )
Removal..................
( )
FEE........PAGE.......PLOT.......
Northampton, Mass. _.._w5.�.�..................20.19
To the Building Commissioner:
Application fora permit to place or maintaina sign or other advertising device, or marquee.
BUSINESS NAME —2N...P.h)...[I.).P.S....`A............................I........................
..
1. Location, Street ars kl' N3 k1 ` ..
2. Owner's name ..... Kw(,WN [.L.G...��R....4DI�l'�Gd. ...K4.�.�.''.�..Id�IN1Nm5�. �r�w.lv�/'1F
N.3
tt �l plO>
3. Owner's address ....`..�..1........ 1�. k7...✓.`.'.p!'74 }!.��. r../.:'!.!7 .Q�,�Yct'�
4. Maker's name ....... JA.A1�)7h�. {! p. ...............................................,.{..�_....I...............
5. Maker's address .....C$J�.{..l`.'aQ.�A;1L4/ '.....�P(�.lt! ( 1 .1�...1.'.'117....D..aoI4
6. Erector's name ......s-J7.gA �. U2 Q} 'I ................7........�t.�......../... .............................
7. Erector's address ..._Z!!.1..A@i....✓ ,JL ...i
SIGN (J KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ....
1.. . Non-illuminated .......
2. Will sign obstruct a fire escape, window or door? Na... Marquee ...............
3. Lower edge will be ...ra.ft.. ...ins above the public way. Projecting ..............
4. Upper edge will be ..`P.l..ft..D...ins above the public way. Roof .....................
5. Height 2—ft..o..ins Width ..uk-ft..o.ins Temporary.............
6. Face area ...$..sq. ft. Wall .....................
7. Inner edge will be ..0..ins from the building or pole. Sidewalk.................... 1
8. Outer edge will be . ..ins from the building or pole. Other........
9. Face of building or pole is .L!r Yins back from the street line.
10. Sign will project .O...ins beyond the street line.
11. Sign will extend ...i�P.ft ..0....ins above the building or pole. I_
12. Of what material will sign be constructed? Frame ..14&WfIpry�.... Face...Pa.lrccicbcr).A,
13. Estimated cost $....hW?........_„
The undersigned certifies that the above statements are true t th best ofhis kn ledge and belief.
....... ........................
(Signature of Owner or Agent)
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—lip I 1pn
Address: lephone:
2. Owner of Property 1 G Yl U-C C 1 C,��Illlk ?.6✓'A.a
Address: I� � lLlu�?�� /V®rTU11MMdlepe: c{�� '
6
3. Status of Applicant:_Owner _Contract Purchaser _✓Lessee
Athertexplain): CfanFrptkrQ,S ica�O�g7�q mq y�
4. Job Location: I4, KI--rr I,i,,((��CJf. /V(9( Yl') M fl p i7,o
ParceIID: Zoning Map#Parcel# D2i;6 District(s) 613
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: R£4nzt d — OnSS t P RJTOM0T W6
6. Description of Proposed Use/Work/ProjecVOccupation:(Use additional sheets if necessary)
It II
II Ih f Bahl BO*,64X 6)
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
6. Has a Special PeirniWariance/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 ✓ VES
IFYES', Enter: Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO r�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'. Describe the size,type and location: 6900nb 1"4✓l — V(214 Y1Q�KIYPI�Ff 11
of k, -In SIDE-wiliac 2xy t 4 X 9,6 o A sii
Are there any proposed changes to,or additions of,signs intended for the property? YES ✓ NO
IF YES: Describe the size,type and location:g9' i Fit I41) j GROJ ab 51Qyl f
ji WAU Moviii l /626Tgox 70 F2Oz- 112 PE.
Page 2 of 3
11. ALL INFORMATION MUST BE COMPLETED' PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12 6R,OVYlb � kV/� This Buw1uilding
beartnefilled nby
'\ ��/ the Buildin De anment
Existing Proposed Required by
Zoning
1
Lot Size 25K 2?_II, 5
Frontage CdS�'-1 c`�t}✓�t�
Setbacks: Front:
Side: L: R: L:SAr R:—WE
Rear: 2loO l • S AM
Building Height I q ��. IyFTSp
/ Im
Bldg Square � 1 I `i 1 vo_
Footage `T 1146 c5 F}VY)15
(
Open Space:
(Lat W� AJO C oon�
area mbldg inus and 1n,
Paved parking)
#of Parking Spaces —
jam r—
#of Loading Docks
FIII: (volume 8lacation)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 0 APPLICANT'S SIGNATURE
' f iddre, • 6001
AGDvtvYmA6!r4 d)
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.
Page 3 of 3
11. ALL INFORMATION MUST BE COMPLETED:PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12 . \� � G t i Thiscolumnbefitted in by
),(/ CJ1 the Building Department
Existing Proposed Required by
C r
Zoning
Lot Size �GJx2�y.5 ( ✓�L
Frontage
Setbacks: Front-
Side: 2EPFL: 2 5(V- ;z;45D�L: 25PTR:
Rear: Z 27 6 VT
Building Height FT SR-m�
Bldg Square / '/
Footage y l� 0
Open Space: / t
(Lot area minus bldg and
Paved parking) �J
#of Parking Spaces C✓L inn 1�� vin y
#of Loading Docks
Fill: (volume Vocation) /0//4 /NIA
13. Certification: I hereby certify that the Information contained herein is true and accurate to the best
of my knowledge.
DATE: J ✓ /� APPLICANT'S SIGNATURE C. CC6�t"�
0-i MP/)f /9004 /4 n)l"
Applicant's Erhail Address re red)
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.
Page 3 of 3
/ J =
�VI T/de Y LL i
Phillips \
a„
6Ft x 8.5Ft & 2Ft x 4Ft
4Ft x 10Ft Internally Illuminated LED Light Box. Double Sided Light Boxes
Cut Vinyl Full Reverse Per A Phillips Style Guidelines Reface & LED Retrofit
Reflex Blue & PMS 185 Red Reflex Blue & 185 Red
IMMUANT:Please a eiw attached proof for size,la out and content.Colors inproof are not representaIiva of the finished product due to indly dual monitor settings. Upon output
we use the CMYK or R'0 color values sup lied in[he�ile Ifacolor match is regui red,a Pan, re(PMS)color number must be provided with[heartwork.Please reply tothis email for
approval or any changes.Your approval a�Cnowledges that the proof is correct and that we may proceed with production,
784 Pa eBlvd.-Springfield, Ma. 01104 x413-731-9213-413-731-9175 + design@mass-signs.corn
mis design and drawing subminea mr vour revi aid Name. Company:
approval Is me exclusive properly of phone. Fax' E-mail'
TAMMM It may not be reproduced,cgpaid,exhibited or utilized for
anypurpaa, in part ora whole byany individual Comments:
without carmen consent of I File: Date:
The Commonwealth of Massachusetts
Department oflndustrialAccidents
Office of Investigations
1 Congress Street, Suite 100
r` Boston,MA 02114-1017
www.mass.gov/din
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Leeibly
Business/Organnizagatt,rio�
qn Name: /, ¢
Address: M p/�i1w p
City/State/Zip: /voyo Phone #:
Aree you an employer? Check the appropriate box: Business Type(required):
1.EJ I am a employer with_3 employees (full and/ 5. ❑ Retail
or part-time).- 6. ❑ Restaurant/Bar/Eating Establishment
2.❑ I am a sole proprietor or partnership and have no 7, ❑ Office and/or Sales(incl. real estate, auto, etc.)
employees working for me in any capacity.
[No workers' comp. insurance required] 8. ❑ Non-profit
3.❑ We are a corporation and its officers have exercised 9. ,❑,�,, Entertainment
their right of exemption per c. 152, §1(4),and we have 10.(y'Manufacturing
no employees. [No workers' comp. insurance required]** I l ❑ Health Care
4.❑ We are a non-profit organization, staffed by volunteers,
with no employees. [No workers' comp. insurance req.] 12.❑ Other
*Any applicant that checks box 41 must also fill out section below showing their vorkers'compensation policy information.
**If the corporate officers have exempted themselves.but the corporation has other employees,a wvrkere'oompensadon policy is required and such an
organivathm should check box 41
I am an employer that isproviding workers'
ncorn
/genatiioon insurance for my employeeselow is the policy information.
Insurance Company Name: � LfJ/h
Insurer's Address: Onf 11Ar7L(I F&'Y)Yl Prf/,9-/J54Yyllr'f14,zJ/Y.I�C7'4(,
/ L�
i �
City/State/Zip: /�fd t�_}.1-q '/ O
Policy#or Self-ins. Lic. # 7fo WC-6, I\ I / 7757 Expiration Date: O
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 e. 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.
Ido hereby certifJJJJ''''��f�ut er the pains andpeenylltti�tessoof perjury that the information provided abs is true and correct.
Sig at re' /� �i5�c3��6
Phone#:
Official 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. Licensing Board 5. Selectmen's Office
6. Other
Contact Person: Phone#:
www.mass gov/dia
04 (Policy Provisions: WC 00 00 00 C)
97
RT INFORMATION PAGE
WEG WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY
INSURER: TWIN CITY FIRE INSURANCE COMPANY
ONE HARTFORD PLAZA, HARTFORD, CONNECTICUT 06155
NCCI Company Number: 14974 THE
Company Code: 7 HARTFORD
SN
fix
RENEWAL
POLICY NUMBER: F76 WEG RT9784 00
� Previous Policy Number: INEW
m
� HOUSING CODE: 76
1. Named Insured and Mailing Address: P & G GRAPHIC SOLUTIONS INC
(No.,Street,Town, State,Zip Code) - (SEE )
n
N
a 784 PAGE BLVD
�^ FEIN Number: 264066938 SPRINGFIELD, MA 01104
State Identification Number(s):
Maw UIN:
L
The Named Insured is: CORPORATION
Business of Named Insured: SIGN MANUFACTURING-ELECTRICAL
Other workplaces not shown above: 784 PAGE BLVD
SPRINGFIELD , NA 01104
2. Policy Period: From 05/19/17 To 05/19/18
Mass 12:01 a.m., Standard time at the insured's mailing address.
Producer's Name: AUTOMATIC DATA PROCESSING INS AGCY
s
PO BOX 33015
SAN ANTONIO, TB 78265
Calls Producer's Code: 250717
® Issuing ice: THE HARTFORD
0 3600 WISEMAN BLVD.
SAN ANTONIO TR 78251
(877) 287-1316
em
Total Estimated Annual Prium: $2,168
a Deposit Premium:
>ti9� Policy Minimum Premium: $224 MA
e Audit Period: ANNUAL Installment Term:
The policy is not binding unless countersigned by our authorized representative.
Countersigned by ��`r"o7° Cl1G �cLa� 05/18/17
Authorized Representative Date
Form WC 00 00 01 A (1) Printed in U.S.A. Page 1 (Continued on next page)
Process Date: 05/16/17 Policy Expiration Date: 05/19/18
ORIGINAL