18D-001 (28) City of Northampton Map 18D Lot001 Zone
HB(100)/WP(16)/
Massachusetts Date issued 9/6/2019 0:00:00
Inspector of Buildings Permit # BP-2020-0263
Permit Fee$60.00
SIGN PERMIT
Business
Address 142 NORTH KING ST
Applicant InstallerACE SIGNS INC
Applicant Installer Address P O BOX 3374
Work Description ILLUMINATED SIGN - SMITHLAND SUPPLY PET
CENTER - WALL
Estimated Cost $3000.00
Building Department
Approval by:
, °" A4:,., o-wG4
File#BP-2020-0263
APPLICANT/CONTACT PERSON ACE SIGNS INC
ADDRESS/PHONE P O BOX 3374 SPRINGFIELD (413)739-3814
PROPERTY LOCATION 142 NORTH KING ST
MAP 18D PARCEL 001 001 ZONE I-IB(100)/WP(16)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid
Tyneof Construction:_ILLUMINATED SIGN-SMITHLAND SUPPLY PET CENTER-WALL
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
TH FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN OR
MATION 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
6 �
Signature o ldmg 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.
I
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A: '
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r DEPARTMENT OF BbILDINC INSPECTIONS s`..
212 Main Street e Municipal Building
" Northampton, MA 01060 any , o?0
INSPECTOR Application for a Permit to Place or Maintain a Sign
Sidewalk Sign, Marquee or other Advertising Device
(Application to be filled out in ink or typewritten) Number .............. .SG
Plans must be filed with the Buildinc
i In ecto V Erection..................( )
before a permit will be granted. - - ---------- Alteration.................(��
Repair.....................( )
Repainting...............( )
AUG 2 9 2019 oval..................
( )
AEPPAGgSOPLOT "
DEPT OF 13ullDING INSPECTIONS
NOnTHAMPTON.Mn �-2,C..
m t n, Mass. 20..i.(j
.... .........................
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME ..�j!n.. ��w!.c ....s?. .10 ...................................................
1. Location, Street and No. ...�. ...... "'r �'`^
2. Owner's name ....... .......................................................................................
21'y o v���z J �' �.s% 5p 1 d Vim,bPJ t� (I O�
3. Owner's address ..ll.AA............................................................. . . .................................
4. Maker's name ............ .............................................................
c
5. Maker's address ......"..� .....33.7�........?V.�.
. ..................................
S,.
6. Erector's name ...... ............ .. .................................................................................
7. Erector's address ..� ....�?� .........�.3. '`�......
...S� [I A M 1'r 611a '
. F
... .................................:1......
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated ......✓.. Non-illuminated .......
2. Will sign obstruct a fire escape, window or door? 14.2.... Marquee ...............
3. Lower edge will be 1.-.ft. '.....ins above the public way. Projecting ..............
4. Upper e�e will be ..V:.ft.`'.....in above the public way. Roof .....................
5. Height ... ..ft.d...ins Widthd...ft..d..ins TemporyprY
6. Face area lo'..sq. ft. Wall . .......!A.<-K..
7. Inner edge will be .9...ins from the building or pole. Sidewalk....................
8. Outer edge will be .4....ins from the building or pole. Other.........................
9. Face of building or pole is .......ins back from the street line.
10. Sign will project .9....ins beyond the street line.
11. Sign will extend .Q...ft .V....ins above the building eeperte.
12. Of what material will sign be constructed? FramO_! STS!!! Face...... ``''1....
13. Estimated cost $. ad:. . ... IAc�c►^� /ST¢.Q�
The undersigned certifies that the above statements are true to the best of his knowledge and
,{belief.
... / ... .TT.i..�......................./...,.......
( gnature 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: � S%C,^•,,) 5.�, � � �„� Cwt`►.� � ✓' d / �
Address: r �x 3
f� Y� 1 K �k�� Telephone: `3 Tb ci -4
v CAN
2. Owner of Property:�J 1 y
Address:_ d
% 1S K 2'G4y v� 4�11,Prl!A Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
✓Other(explain): Sl 11,5 `N C;�% �"'-
4.
4. Job Location: �°� rvd-l+L' �►� Sfi
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 1 S�qa f
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
�wtA?— j21C N ST 4 `� �.,-• a n S1 cy"
a, ►v I I cv, e C'm
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 V 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 Documeent#
9. Does the site contain a brook, body of water or wetlands? NO V 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: L � ) q, X 2s,1 k")`t'I �^ ►
( �
32-`' '� l`� P�v, ct1—
Are there any proposed changes to, or additions of,signs intended for the property? YES NO
IF YES: Describe the size,type and location:_ N Ie ��h���� / ; I z-e-S
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:
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 SIGNATUR U
0,C2SISAS1N �- . CSM
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
x simiti land supply
PET CENTER
EXISTING SIGN
..._
�- 25f t
Of t s iludil'and supplyIv
PET CENTER
THE ABOVE QUOTATION MAY BE SUBJECT TO ADJUSTMENT AFTER 60 DAYS FROM THE DATE LISTED BELOW.THE ABOVE PRICES MAY BE SUBJECT TO SALES TAX WHERE APPLICABLE
AND PERMIT FEES IF REQUIRED.ANY SHIPPING AND HANDLING CHARGES APPLIED AT TIME OF BILLING.UNLESS STATED ABOVE,INSTALLATION IS NOT INCWDED IN PRICE.ABOVE
PRICES DO NOT INCWDE ELECTRICAL SERVICE FROM BUILDING TO SIGN,BUT DOES INCLUDE CONNECTION IF SERVICE IS AT SIGN LOCATION.
ACE SIGNS, INCORPORATED Phone: 413-739-3814 NOTES:
477 COTTAGE STREET Fax: 413-732-5653 (— c-
P.O. BOX 3374 Date: 08/20/19 THIS DESIGN IS THE EXCLUSIVE PROPERTY OF ACE SIGNS,INCORPORATED.ALL RIGHTS
SPRINGFIELD, MA. 01101 Email: jmanzi@acesignsinc.com 1
TO ITS USE OR ANY REPRODUCTION OR DUPLICATIONS OF THIS UESIGN ARE RESERVED.
DUE TO THE PHYSICAL LIMITATIONS OF THE PAPER AND INK-BASED PRINTING PROCESS THIS CUSTOM ARTWORK IS NOT INTENDED TO PROVIDE AN EXACT MATCH BETWEEN INK,
VINYL,PAINT,OR LED COLOR.ARTIST'S RENDITION OF BRICKWORK,MASONRY AND LANDSCAPING IS NOT INCLUDED IN THE PROPOSAL.ALL MEASUREMENTS SHOWN ARE
APPROXIMATIONS.DIMENSIONS OF FINAL PRODUCT MAY VARY.
Vepurtrrtellf of Inullstrtlu ACCT tents
OJJ10e of'Ittvesliguliolls
600 Washinglon,heel
a . Boslon,.Abt 02111
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Workers' Coulpensation Insurance Affidavit: builders/Cpintractors/Electricians/Plunibers
Applicant i formation Please Print-Le ibly
Name (Business/Organization/itidividu al): Ace signs, Inc.
Address: 477 Cottage street P.O. Box 3374
City/Stake/Li : Springfi.eld, MA 01101 Phone#:__ -3.9413 „7 - '
Are you an t:►uploye►•Y Check the appropriate box: ^
Type of project(required):
1. I ani a employer with 10 `l• 0 I am a general contractor and 1
employees(lull and/or part-time).* have hired the sub-contractors 6. []New construction
2.❑ 1 am a sole proprietor or pa rtuer- listed on the attached sheet, 7. ❑ Remodeling
ship and have no employees These sub-contractors have
8. ❑ Demolition
working for me in any capacity. employees and have workers'
P� insurance.$
❑ Building addition
[No workers' comp. insurance corn '•
required.] S. ❑ We tare a corporation and its '10.E] Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their I'1.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs _
, §1 O, and we have ono
insurance required.] 'h c. 152, 14 l3 ® Othe� Sion
employees. [No workers' . �—
comp. insurance required.] ----
*Auy upplicum that clunks box til must also till uut dw section below showing their workers'cuunpennsatiou policy urforuuttiou.
t Houeownu;rs who submit ibis affidavit irndicatiub they are doling all work;uW thea hire outside contractors must subunit a new affidavit indicating such.
tConlracturs than check this lox must attached au addidoual shoot slowing the nnume of the sub-cuutructors and state whether or not those entities have
eunployees. if the sub-coutructors have employees,they must provide their workers'comb.policy unumbar.
Y rtnt an ei~n�tluyer tltut is providing tvarlcety'cvtrtpcttsutiott itisttrartce fur trry errtpluyees. Below is the policy andjob site
irtfarttrutiort.
Insurance Company Name: Allyl Mutual Insurance Co.
Policy#or Self-ins.Lie.#t: WNiZ 8 0 0 8 0 0 2 9 51 2 01 6A Expiration Date: 4/01 /2 0
Job Site Address: `;�� �►��I�� �� r `1 :N n h`�, i'
City/State/Lip '�`� , ''l h--
Attach a copy of the workers' compensation policy decluratiou page(showing the policy number and expiration date).
Failure to secure coverage as required udder 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 tint
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwauded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cert&'�rrdit the pains ut(d�ettalde ,ofperjury that the inforawdon pro videdN bane is true and correct.
K�
Phone#: 413 739-3814
Ojjiciul tcse only. Do not sprite hi this°urea,to be eornpleted by city or town official
City or Town: Perinit/Licertse it
Issuing Authority(circle ono):
1.hoard of Health 2.Building Department 3. Cityrfawn Clerk 4.Electrical Inspector 5.Plumbing:inspector
6. Other
Contact Person: