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18D-026 (69) City of Northampton Map 18D Lot026 Zone GI(100)/ Massachusetts Date issued 1/10/2019 0:00:00 Inspector of Buildings Permit # BP-2019-0785 Permit Fee$60.00 SIGN PERMIT Business Address 55 DAMON RD - HOT HEAD BURRITOS Applicant InstallerPOYANT SIGNS Applicant Installer Address 125 Samuel Barnet Blvd. Work Description ILLUMINATED WALL SIGN - HOT HEAD BURRITOS Estimated Cost $7500.00 Building Department Approval by: File#BP-2019-0785 APPLICANT/CONTACT PERSON POYANT SIGNS ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800)544-0961 PROPERTY LOCATION 55 DAMON RD-HOT HEAD BURRITOS MAP 18D PARCEL 026 001 ZONE GI(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLIC CKLIST E CLO ED REQUIRED DATE ZONING FORM FILLED OUT X i A Fee Paid Buildine Permit Filled out Fee Paid Typeof Construction: ILLUMINATED WALL SIGN-HOT HEAD BURRITOS 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 INFrMATION 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 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. f TitY4 of Xort4am.pton DEPARTMENT OF BUILDING INSPECTIONS ,, 212 Main Street • Municipal Building va Northampton, MA 01060 fAV... INSPECTOR Application for a Permit to Place or Maintain a Sign �aC! Sidewalk Sign, Marquee or other Advertising Device (Application to be filled out in ink or typewritten) Number .tSe l R......... Plans must be filed with the Building Inspector : C(�`E v E D Erection..................( before a permit will be granted. �-v Alteration.................0 Repair.....................( ) 9 209 Repainting...............( ) .JAN RPAGE.JRPLOT.-.O'��3C oval..................( ) F . .... DEPT.OF BUILDING INSPQECTIONS f, NORTHAM ...............................20.....CI To the Building Commissioner: "6 I Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ....Ar. .................................................. 1. Location, Street and -No. ....` —T.. Q .....� d..................................................... 2. Owner's name .....Il.. ??.../, vow.......................................................................... 3. Owner's address ........................................................................................................ 4. Maker's name ...... .. . ... ..5................................................................ 5. Maker's address ....t! ....... ...) !.(I.d....Npw.... ...... J 6. Erector's name ....1�4 !j?. ........................................................................................ 7. Erector's address .........�i�Q ... ....................................................................................... SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ....... Non-illumin ted ....... 2. Will sign obstruct a fire escape, window or door? ..! P.. Marquee ............... 3. Lower edge will be ......ft........ins above the public way. Projecting .............. 4. Upper edge will be ......ft........ins above the public way. Roof ..................... 5. Height .. ...ft......ins Width ..V..ft..9.ins Temporary............. 6. Face areW..35sq. 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 Bole. � ,,�� 12. Of what material will sign be constructed? Frame (.. . . . Face..XlCrr zi:G........ 13. Estimated cost $...Z.�k�....... The undersigned certifies that the above statements are true to the best 9f his knowledge and belief. ................... (Signature of ner or Agent) Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT AL INFORMON 1. Name of Applicant: Address: / elephone: Y�Q�vC1T`3,5—3 2. Owner of Property: Address: 4'�') �,� 2 Telephone: 3. Statu of Applicant: Ow per ; ontract Purchaser Lessee f _Other(explain): ✓ 4. Job Location: Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: T', az n 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) ell 7. Attached Plans: ketch 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 l NO IF YES: Describe the size type and location: K,nZ Ph' f }7i/ Z r-e-'p � Are there any proposed changes to,or additions of,signs intended for the property? YES NO IF YES: Describe the size,type and location: 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&location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT'S SIGNATURE r G206) �51 te-m Appli is EmAll Address r uired) 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 Corporate office 125 Samuel Bamet Boulevard New Bedford,MA 02715 Northam New England 3 Bud Way#19 Nashua,NH 03063 PeDyant ld.ng Your Bard Landlord Authorization Date: /2/ /2n i e? To whom it may concern: Owner of the property located at Do hereby consent to allow Poyant Signs, Inc. to act on my behalf pertaining to permitting and installation of signs and/or awnings for the property named above. Sincerely, Address: � lJ» Telephone: Email: Deeded name of property: BOo.54t.0es1 �poyarrtsigns.com Comrnonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-024491 Expires: 1211912019 LEONARD M POYANT 2675 ACUSHNET AVENUE NEW BEDFORD MA 02746 Commissioner C04 i-106111 POYASIG-01 LSOILIZA1 k.1-- CERTIFICATE OF LIABILITY INSURANCE D0 104120Y8 �� 09/04/2018 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(les)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 endorsement(s). PRODUCER License#1780862 CT Lucia Mendes HUB International New England a,Eo,Exe:(508 235-2210 �,No): 222 Milliken Boulevard Fall River,MA 02721 Lucia.Mendes@hubintemational.com INSURE S AFFORDING COVERAGE NAIC# INSURERANalley Force Insurance Company 20508 INSURED INSURER 0:Continental Casualty Company 20443 Poyant Signs,Inc. INSURERC: 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. 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR 1077924068 09/04/2018 09/04/2019 OR AGE TO RENTED $ 100,000 MED EXP An one person) $ 15,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'0001000 POLICY IA j T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident)X ANY AUTO T6C1077924040 09/04/2018 09/04/2019 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUUTryOSSyyN p BODILY INJURY er accident $ AUTOS ONLY AUTOS O Y P OPER�t AMAGE $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1 O,000,OOO EXCESS LIAB CLAIMS-MADE 01077924054 09/04/2018 09/04/2019 AGGREGATE $ 10,000,000 DED I X I RETENTION$ 10,000 A WORKERS COMPENSATION X PERT, OR AND EMPLOYERS'LIABILITY ANY PROPREIETOR/PARTNER/EXECUTIVE YIN 0182091627 09104/2018 09/04/Z019 E.L.EACH ACCIDENT $ 1,000,000 QFFIW M in BER EXCLUDED? a N/A 1,0-0,000 1(nia IW NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,600 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Po ant Signs Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y g ACCORDANCE WITH THE POLICY PROVISIONS. 125 Samuel Barnet Blvd. New Bedford,MA 02745 AUTHORIZED REPRESENTATIVE ?'9 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Hot Head Burritos 55 Damon Rd. Northampton, MA 01060 Design Development January 6, 2018 an t Poy ltling Your Brand Specifications Qty= 1 44.85 Sq Ft 3 t/z" Internally Illuminated Channel Letters on Raceways 3 Pe�..)ya nt 11 2 /e' S Flame Head Logo is -5'deep channel letter with aluminum returns P1 blue. lding Vout Rune 6'-10 hs' -3/16"white high impact acrylic face with surface applied custom printed graphics on trans white vinyl V2. Smile 125 Samuel Barnet Boulevard Is blue vinyl V1. New Bedford,MA 02745 - 1"trimcap painted P1 blue. 800,544.09611 poyantsigns,com -White LED illumination&power supplies -Mounted to custom fabricated 19"(H)raceway;painted P2 o ! beige to match wall(logo, letters,sign on same raceway). �' --�' • �, Hot Head Letters Hot Head Burritos T 1 -5"deep channel letter with aluminum returns P1 blue. 3/16"white high impact acrylic face with surface applied t custom printed graphics on trans white vinyl V2. 55 Damon Rd, Northampton,MA 01060 ainted P1 blue. White LED illuminationl &power supplies TV= I = Mounted to custom fabricated 19"(H)raceway,painted P2 -- beige to match wall(logo,letters,sign on same raceway). Project: 15684 Hot Head Burritos Sign Elevation-Front ViewSi n Elevation-Side View Burritos Capsule Sign A Scale: 1/2'=1'-0" B Scale: 1/2'=1'-0' -5"deep channel shape with aluminum returns P1 blue. SSaales:lBill 1viigan,Jr. -3/16"white high impact acrylic face with surface applied trans blue vinyl V1. Letters are stencil cut from background. Designer: PS - 1"trimcap painted P1 blue. -White LED illumination&power supplies -Mounted to custom fabricated 19"(H)raceway;painted P2 Note: beige to match wall(logo,letters,sign on same raceway). This is an original unpublished drawing created by Poyant Signs, Inc.It is submitted for your *All power supplies housed in raceways personal use in connection with a project being planned for you by Poyant Signs,Inc,It is not to be shown to anyone outside your organization,nor is it to be Colors&Materials reproduced,copied or exhibited in any fashion until transferred. Paint Paint Match PMS 7687 C Revisions: P1 - Blue of 06,19 P2_ SW 7714 Oak Barrel ...E , '.,..��"` "■+....e Vinyl V1 - 3M 3630-47 Patriot Blue i 3M 3630-20 This sign Is Intended?o be installed In acco dance V2 Mth the requirementa of Article 600 of the Nelknei Translucent White Bsotial Code wd arnhe alt)WewelOCWwde& This Includes proper grounding and bonding of the sign. Approved By: Custom Digital Print C Photo Com -ExistingD Photo Com -Pro osed HOT ,c HEAD Date: Not to Scale Not to Scale S �j 7d Building Letters V Acrylic 5 &7 J White 0 3/16"thick Option A 1 A.1 N i i