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18D-026 (63) City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 10/18/2018 0:00:00 Inspector of Buildings Permit # BP-2019-0456 Permit Fee$60.00 SIGN PERMIT Business Address 55 DAMON RD - DUNKIN DONUTS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description NON-ILLUMINATED WALL SIGN - ADDITION TO PACKAGE * SIGNS MAY NOT DIRECT ATTENTION TO A SERVICE OR PRODUCT SOLD OR OFFERED Estimated Cost $60.00 Building Department Approval bv: File#BP-2019-0456 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-DUNKIN DONUTS MAP 18D PARCEL 026 001 ZONE GI(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Typeof Construction: NON-ILLIJMINATED WALL SIGN ADD N TO PACKAGE New Construction !� � Non Structural interior renovations r4AA N o 1 Addition to Existing c �v J c r Accessory Structure A :=fi i^101 To R Building Plans Included: Owner/Statement or License 0 2 Dc So t,Q o 2 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health We 11 Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay -/ Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Vhj of Nurt4ttntptnn RECEIVED _$ 1 2 2018 DEPARTMENT OF BUILDING INSPECTIONS , 212 Main Street • Municipal Buildings Northampton, MA 01060 UILDING INSPECTIONS INSPEC:TOR Application for a Permit to Place or Maintain a T"AMrTON.Ma°'°"° Sidewalk Sign, Marquee or other Advertising Device (Application to be filled out In ink or typewritten) Number ................L . g. G Plans must be filed with the Building Inspector Erection..................( ) before a permit will be granted. Alteration.................( ) Repair.....................( ) Repainting...............( ) Removal..................( ) FMP PAGE........PLOT....... 1/ ,�G� Northampton, Mass. ...............................20..... To the Building Commissioner: !ti Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME .. Gehl.�Q�?. j........................................................... 1. Location, Street and No. .'.....5.....;eIr-�J................................................................. 2. Owner's name . r ... ... .1 t`? r.................................. 3. Owner's address .... � ?. .Y v4�!�G.!..., ......!!41.2.,r�/�.l` :.1.. ...... 4. Maker's name ..... .Jf .. .�p........................................................... ..... 5. Maker's address .... Gl�s.. !t/' ! l�lZs `+�4'....f !.:V 6. Erector's name ...... e'1. .r............................................................... 7. Erector's address /,Z::F i ow..A.. ...��.*.................................................................. SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illuminated ....... 2. Will sign obstruct a fire escape, window or door? 1.(19.. Marquee ............... 3. Lower edge will be ......ft........ins above the public way. Projecting .............. 4. Upper edge will be ......ft........ins bove the public way. Roof ..................... 5. Height .q...ft.0...ins Width ... ..ft ..ins Temporary............. 6. Face area ..`fh..sq. ft. Wall ..................... 7. Inner edge will be ......ins from the building or pole. Sidewalk.................... 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. 10. Sign will project .......ins beyond the street line. 11. Sign will extend .......ft .......ins above the building or pole. y 12. Of what material will sign b constructed? Frame X. .......... Face� � /th . 13. Estimated cost $......i ...... The undersigned certifies that the above statements are true he b t is knowledge and belief. t� ........................ .......... .. .................. (Signature of Ow 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: AMI/ aozlc Address: /j—.5 / �/11 C Telephone: —12Z /32 2. Owner of Property: � / Address: �� t►�YVS2�1!7� �a5 / ' Telephone:�r'3"-zY`4 p fc 3. Status of Applicant: Owner Contract Purchaser Lessee lZOther(explain): �Th /''ra,,�ry/12r�et f'✓ 9'l`e"Y 4. Job Location: 4 S P � Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) - 5. Existing Use of Structure/Property: L-ek �!r/ ��P�PS Or, 6. Description of Proposed UseMlork/Project/Occupation:(Use additional sheets if necessary) 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 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 IF YES: Describe the size,type and location: Are there any proposed changes to,or additions of,signs untended for the property? YES VI fNO IF YES: Describe the size,type and location: �6�G� 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 a location) 13. Certification: 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: t / �� APPLICANT'S SIGNATURE 7;;'-z Applicant's Email Address (required) 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 �•� POYASIG-01 LSOUZA1 CERTIFICATE OF LIABILITY INSURANCE 09/04/ 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),AUTHORUED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 endorsemen s} PRODUCER License#1780862 CONTACT Lucia Mendes HUB international New England PHONE 508 235-2210 FAX 222 Milliken Boulevard ( No,Eoy( ) (A/C Nor Fall River,MA 02721 EgL :Lucia.Mendes hubintemational.com INSURER(S)AFFORDING COVERAGE NAI:S INSURER A:Valley Forge Insurance Company 20508 INSURED INSURER B:Continental Casualty Company 20443 Poyant Signs,Inc. INSURER C: 125 Samuel Barnet Blvd. INSURER 0: New Bedford,MA 02745 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. NOTYMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. INSRTYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'000 CLAIMS-MADE a OCCUR 1077924068—A 09104r2018 09/04/2019 MAGE TO RENTED SES $ 100'000 MED EXP(Any oneperson) $ 15'000 PERSONAL S ADV INJURY $ 1,000,w GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,OOII'OOII POLICY❑X JECT 1XI LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Ea arxr .SINGLE LIMIT $ 11000,000 X ANY AUTO TSCIO77924M 09/04/2018 09/04/2019 BODILY INJURY r arson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY ODILY INJURY Per accident $ HIRED NMp AMAGEIONLY A $ B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LWB CLAIMS-MADE 1077924054 ()9/04/2()1$ 09/04/2019 AGGREGATE $ 10,000,000 DED I X I RETENTION$ 10,000 $ A AND EMPLOYER9EL B�ITY Y/N X STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/D(ECUTIVE 0782091627 09/04/2018 09/04/2019 E.L.EACH ACCIDENT $ 1,000,000 MBER EXCLUDED? N❑ N/A I In NNHH)) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.LDISEASE-POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE Poyant Signs Inc. ACOORDDAPNCCE VM THE POLICY�vls NOTICE E WILL BE DELIVERED IN 125 Samuel Barnet Blvd. New Bedford,MA 02745 AUTHORIZED REPRESENTATIVE r ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P y nt r � � '61AM15 KNrP o a Project:15226 Dunkln'Donuts -w-t -=M lK-.- "` � =-i `r•' Sales:Richard V.Poyant Date 8 1 tt .0.2.18 T..,.a.` .: Designee ST Nete: Pro ed North Elevation This is an original unpuhlished drawing created by Poyant Slgos, Inc.It is submitted for your personal use in connection Min a project being planned for you by Poyant signs,Inc,It is not to to shown to anyone outside your organixatlon,nor is d to be reproduced,copied or exn oted in any fashion until transferred. Revisions'. -. _ .M_ _-1y . a signage snow,11 cwaad oy Etl , _a . . } _.. PoY�,�=au�s�aDoF-1,a 3Yawe—dint'TywenonH�og,w .� P117 .-'- - '_ pI ved By, 77� Date: «a tel(_a.. _ .-• �.,Z ...�- +.... � -.._� - ..... _..._ ...,.... _ _�_ ._ ,,- ._..� -_ _.._ � . _ _.µ1l Awnings H Pro sea west Flavatiorr Option A MMW2A21 of2 8'-0'(96')Overall When installed Pbyant 2'-6-(30')Panel 3' ploe 2'-6*(30")Panel 3*p4e 2'-6"(30*)Panel 1 7/6" I IiarueI DUNKIN* DONUTV GOFFEA.11l v LVI VA Project I DIM Durkin'Donuts Sets;all td,a,ripen Date;02 06,15 Dqvll"r:ST 40 Note:16 This an oVisl unpublished=0 4M drs0V omated by Floyant ftyis. Inc,ft is submitted for your nwith piclact cift olanrod for you by PovW.S",ft.ft Is not to be lhwtin to anyone outside Your icla View orpnizAtiol,nor Is I to be BB3 P10".44 reproduced.copied ot exhibited in vV WNon until transferred. Mechanical cal Fastener "ap—Is Wall P.,., 1660 Llra specifications colors&Materials Un, Gam .-I*x V Alumdnum Tube Qty;1 Set point Countersunk Screw' -Boit as Required Single,Face Non Illuminated Wall Mural Panels PMS 1650:Gloss Finish 3mm OmsgaBond- for Existing Wall Conditions Panel with Full CavffagaDigital Print I I Aluminwir,tube frame mounted to well with 1/81 break Dotal Print Applied 1 1/8'Breakformed Aluminum formed aluminum and required fasteners:1/6"break First Surface Over Arourd FLA Perimeter;1 1/8'x 2 1/2formed aluminum painted PIAS 185C (Qty 3 Total:I of Each) App-Md ': I CountersSCre" Outside Painted PMS 1050 Fasteners on returns painted PMS 1850 Opaque Olgliall Prinfla)wftn Adhesive Becker (Face&Tubs Get Installed Together} Face to be 3mrn OmagaSond flush mounted to tube frame 91and UV Protectant With full coverage opaque digital pint Date; 1" *See detail C /C Sign EWdor-Side Section View Wall Mural Panels Option A 111MV i V 6'-11 5" 6'-0" 1'-48 ^mo10i i -- 55"DISPLAY AND ! INET YBOT ERS) ' 2, 5 4' i Eli L c•)00I Q f\ � c)-zt i Q b AmwI I —00 7.5"X 9" CD SPEAKER J MIC HOUSING NOTE: �--------- s TWO DUPLEX OUTLETS • ONE USED FOR OCB • ONE USED FOR DISPLAYS M. ■. CLIENT: PUNKIN MADE IN THE USA NOTE: �� ���!"IIE�YI'!=f Inc'• THIS�f N OROINAI.,COPYRIGHI ED DRAMNO e! DATE 01/24/2018 UNL.'iRUCTUPB Ir C.i MON SUBtrtED FOR YOUR 8540 COBB CENTER DR. RErzroNALusEuacoNNEcrloNwrtHAaRo!ear BEING NED FOR YOU BY LIRUCTURES,IN PLA.NC STE 100 KENNESAW, GA 30152 LOCATION: OTjgggyLYorEou�DErouR ED.OR a<NBITED IN AN FORM WITHOUT PHONE:(770)-499-2000 STORE:### THE EXPRE:WRrtrencolUlITOf"PUMAHTTO ASSEMBLY#: iEF*ANDCONDITION;.COPYRIGHT 02082)1?, ra PHONE:(800)-386-9864 FILE LOCATION:z:\ee----Projects\Dunkin Do s`,i----xbs 2019\ft—to",N3vi----Pro21m1esry Desce^\ae i`WOR`a TURES.WC AURGHrsREExseDL4 OE 203162-02 SALES: DANA McDOUGAL DESIGNER: D CARTER SCALE: NTS SHEET: 1 OF 1 I