31B-038 Sign permit App 2012-09-20File # BP-20 13-0313
APPLICANT/CONTACT PERSON CAROLYN A PARKER CONSULTING
ADDRESSIPHONE 3 LORION AVE WORCESTER (508) 853-1167
PROPERTY LOCATION 138 KING ST -CUMBERLAND FARMS
MAP 31B PARCEL 038 001 ZONE HB(IOO)/ .
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Pennit Filled out
Fee Paid
Page 1 of3
Page 2 of3
11. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12. This column to be filled in by
the BuildJrlg Deoartmenl
Existing Proposed Required by
Zonina
Lot Size
Frontage
Setbacks:
Front:
Side:
Rear:
L: R: L: R:
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:_______________ APPLICANrS SIGNATURE.________________
NOTE: Issuance of a zoning penn it does not relieve an applicanfs burden to comply with all zoning
Requirements and obtain all required pennits from the Board of Health, Conservation Commission.
Department of Public Works and other applicable pennit granting authorities.
FILE#_______
Page 30f3
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File # BP-20 13-0314
APPLICANT/CONTACT PERSON CAROLYN A PARKER CONSULTING
ADDRESSIPHONE 3 LORION AVE WORCESTER (508) 853-1167
PROPERTY LOCATION 138 KING ST -CUMBERLAND FARMS
MAP 31B PARCEL 038 001 ZONE HB(100)!
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
TypeofConstruction: REMOVE PRICE SIGN FROM POLE & INSTALL LED PRICE ON CANOPY
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets ofPlans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P~SENTED:
__Approved ~dditional 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
WNING BOARD PERMIT REQUIRED UNDER: §-----"3c.;:,5:....o".6~--l1~,=Z:J,.-{-'....:M-=--)+-_
Finding Special Permit /' Variance*
___Received & Recorded at Registry of Deeds ProofEnclosed_____
___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
L ILdJSignfmr~uilding Official
Page 1 of3
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 Buiklino Department
Existing Proposed Required by
Zoning
Lot Size
Frontage
Front:
Setbacks:
Side:
Rear:
L: R: L: R:
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.
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CAROLYN A. PARKER
CONSULTING
September 16, 2012
City of Northampton
Puchalski Municipal Building
212 Main Street
Northampton, MA 01060
Attn: Mr. Louis Hasbrouck Cumberland Farms
Building Commissioner V0535/Store 0145
138 King Street
Northampton, MA 0 I060
Delivery: Regular mail
Dear Mr. Hasbrouck,
Enclosed please find (2) two Applications for Permit to Place a Sign, (2) two Zoning Permit Applications,
(1) one Site Photo showing all existing site signage and (I) one detail of the LED single sided price panel
by Federal Heath for the proposed sign modifications for the site located at 138 King Street, Northampton,
MA. Cumberland Farms, Inc. the owner ofthe property wishes to remove the existing 6'-0" x 4'-0" price
sign from the existing light pole and install (2) two new 2'-6" x 6'-0" single sided LED price signs, one
on each side of the existing overhead canopy fascia. They will maintain the existing 4'-0" x6' -0" CF sign
installed on top of the canopy. The zone that we are in, Entrance Business (EB), does not allow a pylon
sign without a variance from the Zoning Board of Appeals, which Carolyn Misch states we are very
unlikely to get, hence the reason for this proposed style sign.
The contractor scheduled for this site is NH Signs, 60 Old Derry Road, Londonderry, NH, a copy of their
Worker's Compensation Insurance is enclosed. Also enclosed please fmd an Agent for Owner
Authorization letter, allowing me to obtain the permits on behalf of Cumberland Farms. An electrical
permit will be obtained by a licensed electrician prior to the price sign installation.
Lastly, I am enclosing check #1941 in the amount $60.00 for the Sign Permit fees ($30.00 x 2). Ifyou
have any questions while reviewing the proposed changes please call me at (774) 239-2781 to discuss.
Thank you in advance for your time in helping to expedite this matter.
lIC----------------------------------------------lIC
Official Receipt for Recording in:
Hampsh ire County Regi stry of Deeds
33 King St.
Northampton, Massachusetts 01060
Issued To:
CAROLVN APARKER
774-239-2781
3 lORION AVE
WORCESTER MA 01606
Recordi ng Fees li(----------------------------------------------ii<
Document Recording
Descri pti on Number Book/Page Amount $---------------------------------------------->1< oms 00024434 11075 222 $75.00
CAROLYN APARKER CONSULT!
$75.00
Co 11 ected Amounts li(----------------------------------------------$
Payment Amount
Typeli(----------------------------------------------lI(
Check 1951 $75.00
$75.00
Total Received : $75.00
less Tota1 Recordi ngs: $75.00
Change Due $.00
Thank You
PATRICIA A. PLAZA -Register of Deeds
By: Maureen C
Recei ptij Date Ti me
M~~ni? iniH I'>ni" Ill\. i~,