Loading...
143 King St signsFile# BP-2020-0754 APPLICANT/CONTACT PERSON PROSlGN ADDRESS/PHONE 110 FORGE RIVER PARKWAY RAYNHAM PROPERTY LOCATION 143 KING ST MAP 240 PARCEL 085 001 ZONE HB(IOO)I TH IS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCL UIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvoeof Construction: I LLU MIN A TE N -SAFELITE AUTO GLASS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans I Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN6'>RMATION PRESENTED: _Y_l'-A!Jpproved __ 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 ___ Penn it from Elm Street Commission ____ Permit DPW Storm Water Management ___ Demolition Delay ci__,1~ ,z/3dn_ Signature of Building Official Date ~Aft~r? 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. File# BP-2020-0753 APPLICANT/CONT ACT PERSON PROSIGN ADDRESS/PHONE 110 FORGE RIVER PARKWAY RAYNHAM PROPERTY LOCATION 143 KING ST MAP 240 PARCEL 085 001 ZONE HB(IOO)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out ~ Fee Paid Fee Paid TvoeofConstruction: ILLUMINATE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans I Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFy)RMATION PRESENTED: _lL_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 cb=IW Signature of Building Official Date ,2~ 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. ' Wily of Noriframpfon ~ttsirndrust>its DEPARTMENT OF BUILDING INSPECTIONS 212 Main Slreet • Municipal Building Northampton, MA 01060 INSPECTOR Application fo!._ a Permit to Place or Maintain a Sign Sidewalk Sitg M~-, _e or other Advertising Devic"3P .. cl)-'7o~.,.. (App icatio ~aiYr,in,1 QCJy_pewritten) Number..................... ,,-tJ. ··--?i F-' >---'1oi Plans must be filed with the Buildin Ins ect r / ~--..... ·-Q Erection .................. ( ) before a permit will be granted. / Dfc 0 Altera!ion ................. ( 0 I c O 20 . Repair ..................... ( ) . L 19 , Repainting ............... ( ) L ()p;.,~ Removal. ..... -;rv· .... ( _..)O{;° ------.~~1:1?.'ciir, INspE ) '1 ()6 -' tv. ,.,,4 cr,0Ns FEE ........ PAGE ........ PLOT ...... . 01060 . -lh , Mass. W:@bQe.n ...... 20.R. To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME .Qaf~J,.t.e. ................................................................................. . 1. Location, Street and No . .J.Y.9 ... ~l(B .. 6.i.(~.~.t. ...................................................... . 2. Owner's name . ~\0qf\0() .. .LLC.. ............................................................................. . 3. Owner's address J\ ... ~i.(.\1: ... gco~.e .. dnv~ .. ,.Sruth .. 1-:\ad.l~,.uo ... OJ.OJS: 4. Maker's name .P.dv.o.nce .. 5,.go ... G.(a.up ............................................................. . 5. Maker's address SlS.O ..... U.:0.ICLJH-.COUr-t,.C.O.l.u.mvus .. LO.lf .. 43.21.'.ir ............. . 6. Erector's name :¥.ro .. ~.l.i(\ ... t:)fl\J.t.~~---································································ 7. Erector's address .\\0 .. :forq:.2\~:f.g_';v.Q.R."-U.)Qj···•~-q\f.)~f.Y.\JY.b ... O~f16.J 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. SIGN Sign will be (check one) illuminated./... Non-illuminated ...... . Will sign obstruct a fire escape, window or door? .NO ... Lower edge will be .!O .. ft ........ ins above the public way. Upper epg~. will be .\.~ .. ft ........ ins above the public way. Heighta•uth''.ins Width .<:\ ... ft.l\'k1ns Face areaQ,:~.l .. sq. ft. Inner edge will be .. \.. .ins from the building or pole. Outer edge will be .~ .... ins from the building or pole. Face of building or pole is ...... .ins back from the street line. Sign will project .. G ... ins beyond the street line. Sign will extend .0 ... ft ...... .ins above the building or pole. KIND OF SIGN (Designate) Marquee .... /... ~-{tf) Projecting ............. . Roof .................... . Temporary.·: ":.J( .. r ~ Wall ......... Y..IJ't .. U.W Sidewalk ................... . Other. ....................... . Of ~hat material will sign be constructed? Frame Q}Uffiu.)UW\ ..... Face.Ocn4\\C. ...... . Estimated cost $.@~.......... • .. The undersigned certifies that the above statements a best of his knowledge and belief. ~-·················-·············· (Signature of Owner or Agent) Page 1 of 3 c)1,,f ~v~ THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ____ _ ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:,_;B:~t\..µ'f\_.,Q'-1--._H,..,.a:,.:.(.,.,Lt~C_,_h_.__ ___________________ _ Address:loS &imoot 61.SQ,H-h Eastm&°•B,~lephone: so~ 944(d-{99 2. Owner of Property:.---~ .... \"'--~~~ooa.....r.... .... L°"'L"'"'C.::::._ ___________________ _ Address: Ll f inc 6 rove 'Qr. :S. Hedley, MQ o I o,s Telephone:_.\,,"""'JIL..LA:,___ _____ _ 3. Status of Applicant: _Owner ~ Contract Purchaser Lessee _Other(explain): ______________________________ _ 4. Job Location: \L\3 ¥:,,,\~ 6-\-. Parcel ID: Zoning Map# Parcel# District(s) _____________ _ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property:_,ft......_..00....._ ..... NY,......_..""\:'.> ... i .... lC_. _'.\2r-=-'.........,~"'"O-...tR.c,... _____________ _ 6. Description of Proposed Use/Work/ProjecUOccupation: (Use additional sheets if necessary) <t-emCNe md Ve v 1a c:e le rm ftioo1 ,a ex1st1n9 tmn stqo. UOXA\e an 12.e~ \Cl ( e I evon µ:w\Q\ & \0 121:S e r~-:h ng )\1lcn 7. Attached Plans: __ Sketch Plan __ Site Plan __ Engineered/Surveyed Plans 8. Has a Special PermiWariance/Finding ever been issued for/on the site? NO __ DON'T KNOW / YES__ IF YE~. 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 _L 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 __ Page 2 of 3 IF YES: Describe the size, type and location: ( \') 3' ·· U 1/z 11 'lC '1 '-11 'lz '' U)Qll St<;jQ. 'PjlOO Si Cf) t,e)\fb {1\S'Y1os/,t,,~ "5S'-I01/1.1'' CObl'\Q..:l: md ll) 111-ll~/8" lt31-//,.3/1p" (Oboo± Are there any proposed changes to, or additions of, signs intended for the property? YES / NO __ IF YES: Describe the size, type and location: \e,x'.'00 fO(C :SLA.Xl,\) \0 (1) 61-111 /z 11 " q'-1\1/z''tffi\\S\a.()· sJ CQb,(\QtS ()'.) 4>lc.p::) {l)S::1x\QS"/tG11 r fs'-10'}4'' \~ \J) il'-f 11'5°/,g II x31 .11''3/((;,''. 11. 12. 13. Page 3 of 3 ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by he Buildino D -.---· -···-· ·-Existing Proposed Required by Zoning Lot Size e J../ (o .4 0 Frontage L{ 0· 4'7' Front: Setbacks: Side: L: R: L: R: Rear: Building Height lb1 I~/ Bldg Square 4\40 L\lLI O Footage % Open Space: (Lot area minus bldg and Paved parking) # of Parking Spaces # of Loading Docks Fill: (volume & location) Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: \8/IJ/19 APPLICANT'S SIGNATURE~ t"C.S. COlY\ 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. It _I_., ~ ~ ~ Satelite® AutoGlass •IST.111..."'llf.t. DATE: REVISION # & DESCRIPTION 11/06/19 SIGN 3.1 IS THE PREFERRED SIGN 11/12/19 BLUE PAINT TO BE REPAINTED GREY 143 KING STREET NORTHAMPTON, MA 01060 030349 -REV 2 DESIGNER JB JB ~ 800.861.8006 ~ AOVANCESIGNGROUP.COM ADVANCE SIGN GROUP c@us Ir .. GRAPHIC DESCRIPTION .. ~ I• 1-WEST ELEVATION r:J L:J tTI@itL : ~~'.J;t::r~bGN W/ VINYL LJ GI e I : fr~Yi~~~~~~NPANELS w, VINYL B Bl ... ,, 1-BOTIOMPYLONSIGN [3 , , . -TWO POLYCARB PANELS W/ VINYL 7.84 1 • ILLUMINATED ~ Satelites AutoG/ass 143 KING STREET NORTHAMPTON, MA 01060 DRAWING NO. I DATE OF LAST CHANGE: 030349 11 /12/19 REVISION ND. SUM I 2 SITE SITE MAP DNORTH ~ THIS DRAWING SUPERCEDES All OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION < ANO INSTALLATION OFTHIS DESIGN. A SIGNATURE ANYWHERE ON THE DRAWING Will BE TAKEN P6 ~ APPROVAL OF THE DESIGN AND SPECIFICATIONS AS NOTED "" "-""~~~~~~~~~~~~~~~~~~~~~~~~~~ 4:'. CLIENT APPROVIO SIC.NATURE; DATE: DESIGN DOCUMENTATION: rH1S D[~YJ"-1.; ll tl PROPlP I) r)\ ,\;.)'.l•N[t: ~rJI~ (,P.C,LII' N~ fl !ilR II ff DPA"/'111\f,5 NOP Tiff. [.;(51(JN V,;.·( ~r u::.m OR OISTP.lf,•.trrn N1T11·Jtrr ""''R(~W·l OF f,0V-1N(( :.,1',I\. f,R·JUP CONSULTANT: ANDY WASsrn~;HH) PROJECT MANAGER: J,\N[I. H DfSIGNfR: JB FILE LOC: ', .f.l:i,(\T ·r,: f_f ;LfUTr.':l:'1,-~·;,;:,:;;,H¥ \:;ff:)~r-;;/,~;r r.:~~ ~ 800.861.8006 ~ ADVANCESIGNGROUP.COM ADVANCE SIGN GROUP c@us , , I•· 9'-11 1/2" C.5. I ·-------------· -------· ·----------·-----------·---------------------------~ -----------9'-8 3/4" v.o. ---·------------~I q > a.' "' ~ .... ,: ·1~1:1•: (1) ONE REQUIRED SCALE 3/4" = 1'-0" 39.41 SQUARE FEET • 3/16" WHITE POLYCARBONATE • FIRST SURFACE BLACK VINYL & 3M 3630-143 POPPY RED ~ Satelite. AutoG/ass 143 KING STREET NORTHAMPTON, MA 01060 EXISTING/PROPOSED DATE OF VI THIS DRAWING SUPERCEDES All OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION LAST CHANGE: ;;j_ ANO INSTALLATION OF THIS DESIGN. A SIGNATURE ANYWHERE ON THE DRAWING Will BE TAKEN AS 030349 11112119 ~ APPROVALOFTHEDESIGNANDSPECIFICATIONSASNOTED. DRAWING NO. t-~~~~~-+-~~~~~--t~ SIG N REVISION NO. c ~o.~,.~NT~,.,=,.~o~vt~o~.,~ •• ~.~,u~•~,,-----------------~.A=rE: 2 DESIGN DOCUMENTATION: IHIS Dl.'¥J1'11 IS !Hl PF~.CJP[fd '( ()f AO'-JA!,i([ ':,1(,N C,PGlH' NU f 11(1( ·1 Hf; 1 o DHAWlfl.<")S NOP THf (J[':ilGN \4AY £.lf.1J'.",[O OR OISTPmurm 'N1TliCJLr[ APHlJVAt ()f /:[)'/,~N"f ;~i..t~ • l°Jl10UP CONSULTANT: ANDY \I\ASSF 1.r:.;1 R0 PROJEO MANAGER: JANEL H. DESIGNER: JB FILE LOC: '-_(_,Jl,'l .... Trl',f/' • LF~·.nt,:.:te,•.; t, -. P;;.,.R ;\·~},}.-;:~·~' :/,';;?"· 'f;. ~ 800.861.8006 ~ ADVANCESIGNGROUP.COM ADVANCE SIGN GROUP c@us \ .. 8'-10 1/4" C.S. 8'-7 1/4" v.o. vi ci u ~ > ~ "' 0 " ·' .;, "' ·I.• ··1!1:11: (2) TWO REQUIRED • 3/16"WHITE POLYCARBONATE • FIRST SURFACE BLACK VINYL & 3M 3630-143 POPPY RED ~ Satelitec AutoG/ass 143 KING STREET NORTHAMPTON, MA 01060 DRAWING ND. SCALE 1/2" = 1'·0" 51. 97 SQUARE FEET EXISTING/PROPOSED DATE OF V1 THIS DRAWING SUPERCEOES All OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION LAST CHANGE: ;t_ AND INSTALLATION OF THIS DESIGN. A SIGNATURE ANYWHERE ON THE DRAWING WILL BE TAKEN AS 030349 11112119 ~ APPROVAL OFTHEOESIGNANOSPECIFICATIONSASNOTEO. 1-------+---------1~ s I G N REVISION NO. < °"a"'11"'NT:;-AP=••"o"'w"'oc:S1:,-GN"'•"'ru"'•"'•,------------------:c0•=n: 2 DESIGN DOCUMENTATION: n11s 1)[0;,l(JN IS '11 ll PkOPlRIY ·)F AOVAN(t :',1(,N CiROlll' N(lft-11:1< !tlf; 2 0 DHAWII-/,'; NOP Tiff !';["il(JN '1:,·rt•[ u::.ro ,",R OlSTPl81JfrD NITHVUT APf R0V•\l or f·Q'l,\t•.j(( ~.l,j~ .• • (j!l()Ut CONSULTANT: ANDY VVAS!,;f R:;·1 R() PROJECT MANAGER: J.\t<EL H DESIGNER: IH tt~'.~~t~r1~;:tt: r~¥ ': .. ~· nr;.~·=:r: · '.;;;:,:.; :-,· .. -t miJ 800.881.8006 ~ AOVANCESIGNGROUP.COM ADVANCE SIGN GROUP c@us 11-------~~~~~s. _--I Auto Glass Repair and Replacement ·r,: ·1~1:11: (2) TWO REQUIRED • 3116" WHITE POLYCARBONATE • FIRST SURFACE 3M 3630-143 POPPY RED ~ Satelite. AutoG/ass 143 KING STREET NORTHAMPTON, MA 01060 DRAWING NO. SCALE 1" = 1'·0" 7 .84 SQUARE FEET EXISTING/PROPOSED DATE OF ~ THIS DRAWING SUPERCEDES All OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION LAST CHANGE· ~ ANO INSTALLATION OF THIS DESIGN. A SIGNATURE ANYWHERE ON THE DRAWING Will BE TAKEN AS 030349 11112i19 ~ APPROVAL OF THE DESIGNANOSPECIFICATIONSASNOTED t------+------g; SIG N REVISION NO. c( ~,~rn~NT=.,~ •• ~o~vt~o~,~,.~.,~,.,,~.~,,-----------------~0.~,~,, 2 DESIGN DOCUMENTATION: n11s t)(~l(JN IS 'IH[: PKOPlH"IY {)f AO'IAflC!. "..l(JN (,flOllf-' NtlfH(I( 'll·lf: 3 0 Dll.'-Wll\(,5 NOP T1![ l"Jf,SIGr~ ",,1{1( (;j( tt~,rn ()R Dl5TF.1BtnTD NITl~OUI APl•RJVAt O! ,\Q·v,\N([ :,t·~,1'-. • 1jliQUf'.' CONSULTANT: AMDY WASSE-RSTRO PROJECT MANAGER.: JANUH OUIGNER: JB n~,t~~T~~(; f.l"'. :.1-r~. nr .~t~:_; ·~..:· DJ .\r:i:· .:~;-.:;l}g~_~inr·· :;;::;~;~:~ ';'·-~ miJ 800.861.8006 ~ ADVANCESIGNGROUP.COM ADVANCE SIGN GROUP c@us ( I• ~ -~ Satelite® AutoG/ass •.J~T.AIL ....... "1. DATE: REVISION # & DESCRIPTION 11/06/19 SIGN 3.1 IS THE PREFERRED SIGN 11/12/19 BLUE PAINT TO BE REPAINTED GREY 143 KING STREET NORTHAMPTON, MA 01060 030349 -REV 2 DESIGNER JB JB ~ 800.861.8006 ~ AOVANCESIGNGROUP.COM ADVANCE SIGN GROUP c®us .. GRAPHIC DESCRIPTION Elill 1.-:11• 1-WEST ELEVATION r:"J ~ tf@ZL : r~~~tNR:T~~GN w, VINYL LJ GI 1-TOP PYLON SIGN B • TWO POLYCARB PANELS W/ VINYL 51.97 -ILLUMINATED GI ... ,, 1-BOTIOM PYLON SIGN G :. , • TWO POLYCARB PANELS W/ VINYL 7.84 • ' -lLLUMlNATED DRAWING NO. DATE OF LAST CHANGE: 030349 11/12/19 SITE MAP a NORTH "' THIS DRAWING SUPERCEDES All OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION ~ AND INSTALLATION OF THIS DESIGN. A SIGNATURE ANYWHERE ON THE DRA'NING Will BE TAKEN AS ~ APPROVAL OF THE DESIGN ANO SPECIFICATIONS AS NOTED ~ Satelite~ AutoG/ass I I REVISION NO. I~ ClllNT APPJl:OYID SIGNATURI:: DATE SUM SITE 143 KING STREET NORTHAMPTON, MA 01060 2 DESIGN DOCUMENTATION: !HIS fJl;'.;lrJI\I IS IHl PROl·'llnY Of' /10VMJC[ '~l(JN (J~OUJ.' NLrlH[Y ·r1tr: DfMWll\(i5 NOP TH[ (.)(5K.iN \A/>Y f.l( 'J~,rn GR U15TP.IBUr(O l'ltltiOLIT APl·R,JVJ.l OF ADl/,\.N·~·r ~.l·r,I\ (,ll,:'.ILJ~ CONSULTANT; AN DY WAS~E RSTRO PROJECT MANAGER: JANH H DfSIGNER: JB FILE LOC: • '(.. !'•~-l -·; T ,, ,,ll" ~.l!"i,:.11[ .·1:,:;· .. ::, ... ~'.~;!'(".'\ >l "·'.11~,,-,,i,)r,· ,;,i:1,:r:o··._ .• ,... · ~r,~~r--o 1• • ,(. J't<." 1 I:· ~ 800.861.8006 ~ ADVANCESIGNGROUP.COM ADVANCE SIGN GROUP c@us ·-·------·-·--------·---9'-111/2"C.S. -----------··----vi ~I d > b, ;.;, "' •.If •1!1:I•: (1) ONE REQUIRED • 3/16" WHITE POLYCARBONATE • FIRST SURFACE BLACK VINYL & 3M 3630-143 POPPY RED ~ Satelitee AutoG/ass 143 KING STREET NORTHAMPTON, MA 01060 9'-8 3/4" V.O. DRAWING NO. SCALE 3/4" = 1'-0" 39.41 SQUARE FEET EXISTING/PROPOSED DATE OF V1 THIS DRAWING SUPERCEOES ALL OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION LAST CHANGE: ~ ANO INSTALLATION OF THIS DESIGN. A SIGNATURE ANYWHERE ON THE ORA\oYING Will BE TAKEN "5 030349 11112119 ~ APPROVAL OF THE DESIGN AND SPECIFICATIONS AS NOTED. 1-~~~~~-+o~~~~~--1~~~~~~~~~~~~~~~~~~~~~~~~~~~ s I G N REVISION NO. < Cl.JENT APPROVt:D SIGNATURE: DATE' 2 DESIGN DOCUMENTATION: I IIIS fJ['.',lrJN IS 11-tl Pf<OPlRIY Of AOVANCL ',lfJl'I <JH0Uf' NFlllltl{ ·r1 ll 1 0 OHA'Nl"-'",S N(JP Tiff DlSJGN ,\,1/, (J[ U'.:..fO ()q DISTRICUffl) NITtiCJUT APf•ROVAl OF f·.0',WK[ :".,l<Jt, • <'.,A·~··i_lP. CONSULTANT: ANDY 'A'AS';,E-R~TRQ~. PROJECT MANAGER: JANE:lH DESIGNER: JB f,!~t\~r~'.~r;,t.r·: ~"E,.ITr.'·:F.:".i.'v.~, J~'.:'.H'~. i\~' fJt~~-~~<' ·r~·.:;~;r .t~. ~ 800.861.8006 ~ ADVANCESIGNGROUP.COM ADVANCE SIGN GROUP c@us 8'-10 1/4" C.S. 8'-7 1 /4" v.o. ~I ci u . ' > "' ' ~ ~ "' -~1 :," ~ LI) ·.r,: ·1~1:1•: (2) TWO REQUIRED e 3/16"WHITE POLYCARBONATE • FIRST SURFACE BLACK VINYL & 3M 3630-143 POPPY RED ~ Satelitee AutoG/ass 143 KING STREET NORTHAMPTON, MA 01060 DRAWING NO. SCALE 1/2" = 1'·0" 51.97 SQUARE FEET EXISTING/PROPOSED DATE OF v, THIS DRAWING SUPERCEOES All OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION LAST CHANGE· ; ANO INSTALLATION OFTHIS DESIGN. A SIGNATURE ANYWHERE ON THE DRAWING WILL BE TAKEN AS 030349 11112i19 ~ APPROVAL OF THE DESIGN ANO SPECIFICATIONS AS NOTED. 1-------+-----~--it SIGN REVISION NO. ct ""n"'tE"'NT=",.,=••"o°'vt"'o"s,"'••"'•"'ru"'o"",,------------------0:,•=n· 2 DESIGN DOCUMENTATION: 1 t1IS UL',lf,N IS ·11-1~ Pfi.Ol'~l<IY ,)~ AOVAN([ ':.VJN C.P.'JUI' NlHM[;ll "fl·IL 2. 0 ~~~:~·(J'S f~(Jp THf (Jf51fJN 1\;1/d [-If u:.ro l)R Ol':>TP.:1~;UTfD 'NITH0Ul Ar-nuv/.l ()F f.OV"-'-1'."£ :,K,f. CONSULTANT: f,NDY WASSER!.. TROr. PROJECT MANAGER: JANl\.H. DESIGNER: J\l FILE LDC: ~:;:~~1;f?i~~t?f 1;::r~ .. J) rm 800.861.8006 AOVANCESIGNGROUP.COM clut'us ADVANCE SIGN GROUP \:Y 3'-11 13/16" c.s. ,--·----------1 3'-10 1/2"V.O. vi ~1 q ~ ;" "' 0 ~ :-;-·' -Auto Glass Repair and Replacement ·Y.• •1!1:.I•" (2) TWO REQUIRED • 3/16" WHITE POLYCARBONATE • FIRST SURFACE 3M 3630-143 POPPY RED ~ Satelite. AutoG/ass 143 KING STREET NORTHAMPTON, MA 01060 SCALE 1" = 1'·0" 7.84 SQUARE FEET EXISTING/PROPOSED DRAWING NO. DATE OF VI THIS DRAWING SUPERCEDES All OTHER DOCUMENTS PROVIDED CONCERNING THE FABRICATION LAST CHANGE: i ANO INSTALLATION OF THIS DESIGN. A SIGNATURE ANYWHERE ON THE DRAWING WILL BE TAKEN /45 030349 11112119 ~ APPROVALOFTHEDESIGN ANO SPECIFICATIONS AS NOTED. 1-------+-------~~ SIG N REVISION NO. c( "'c,"1<"'NT=-u=,o~o~vt"'o"'s,=-o•~•~ru~•=-,,-----------------~ •• =,., 2 DESIGN DOCUMENTATION: !HIS l)['!lrJN IS "IH[ Pf.(Ol'(RIY ()j, AO'IAf"([ '.VJN rJHOUI'. Nl'l11-![f! IHI. 3 0 DFNNll\(,5 NOP TH[ [J[<;IG~~ V.1-'f [![ ll~,rn OR 015TRIBIJT£D NlTHOtn ,aP!•R·jV;",l OF AOVAfl•.T ~,V.,I\ • Gl<OLJP CONSULTANT; ANDY WASSfR:/rR()f' PROJECT MANAG(R; JANEi. H. DfSIGNER; JB FILE LOC: ', '--r,a_( , T • :-~.r · · ~H-::.nr:u.-.,:-.:.:·Jli ... fr :·'../~1(}t.nr.·,,_ ·'/;~; l.::·;. ~ 800.861.8006 liI?U ADVANCESIGNGROUP.COM ADVANCE SIGN GROUP c®us Wednesday, December 04, 2019 11 :37:55 AM • ADVAICE SIGN GROUP 5150 WAJ.CUTT COURT COlUMIJS OHIO 43228 ll!VJ.lt:f SISM ml' 814.42S.2ill Ship By Page 1 of 2 Purchase Order Num Date of Purchase 015043 12/4/2019 Due/Expected Delivery PURCHASE ORDER PO Created By Our Invc Num Jane/H v E N D 0 R PROSIGN004 s H I p Safelite -Northampton MA PRO SIGN SERVICE LLC I JO FORGE RIVER PKWY, UNIT D RAYNHAM MA (77 4) 218-4602 Contact JF.sSE Ex 02767 USA T 0 Email s igns@prosignservice.com ltemJ<L INSTALLATION 0000-JANEL HEDGEPETH 0000-NOTES TERMS AND CONDITIONS lt~_m,.ll~sc.rii>tm-n -----·· ______ .. ~ Installation -performed during normal business hours Installation wt Two Techs & Bucket Truck Receive, inspect and install: Swap building cabinet poly Paint cabinet black-paint included Remove and dispose of existing pylon panels (4) Install new pylon panels (4) Onsite LED Retrofit: Retro building cabinet Retro pylon (2 cabinets) At the time of installation Janel Hedgepeth Project Manager Direct: 614.429.2094 Cell: 614.900.0390 Fax: 614.429.2150 jhedgepeth@advancesigngroup.com Terms 45 days PRODUCTS & MANUFACTURED GOODS USA • No additional charges will be paid without the prior written consent of Advance Sign Group, LLC. • Our Purchase Order number must appear on your invoice, packing slip and package. 9 0 0 MA l!.OIJI EACH each EACH 01060 Price $2,262.50 $0.00 $0.00 Shipping Order Total Total Price $2,262.50 $0.00 $0.00 $0.00 $2,262.50 • If this order cannot be fulfilled completely and exactly as indicated above, please notify us at once. In case of any changes, do not ship without a revised Purchase Order. We reserve the right to refuse items not shipped as specified. • Orders not delivered by the stated Due/Expected Delivery date above, or not sent according to our routing instructions may be subject to a chargeback or penalty. • If purchase order pricing does not reflect current pricing, contact us at once. • A reconciliation fee of $25.00 will be charged for processing overbillings. • Receiving hours: 7:30am-2pm M-F INSTALLATION & SERVICE • This PO must be signed and sent back to your Advance Sign Group (ASG) Project Manager within 24 hours to acknowledge receipt, scope of work, pricing, and terms. • ASG requires copies of current W-9, Worker's Compensation Certificate and Certificate of Insurance with Advance Sign Group, LLC shown as "certificate holder" and "additional insured" prior to Installation/Service. • All ASG installation vendors are required to at all times be in compliance with all federal, state, and local laws and safety regulations that apply to the work they perform, including, but not limited to OSHA regulations regarding certified crane operators. • All containers delivered to you must be inspected immediately for damage upon arrival. Damage not noted on the carrier Delivery Receipt or Bill of Lading and not substantiated with photographs is the responsibility of the vendor. Concealed damage (i.e. that which may be present inside of a container that did not appear damaged upon arrival at your facility) must be reported to ASG within 24 hours of delivery by the carrier. Photographs of all damage must be sent to your Project Manager within 24 hours of delivery. Any damage not reported as indicated herein is the responsibility of the ·- - •l!i!!!i> w II ,,...-,-, >e CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 12/17/19 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(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 endorsement(s). PRODUCER CONTACT Donna Walsh NAME: Morse Insurance Agency. Inc. r1JgNtf0 Extl: (508) 238-0056 T ft~ Nol: (508) 230-8367 285 Washington Street E-MAIL donnawalsh@morseins.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# North Easton MA 02356 INSURER A: Selective Insurance Company of South Carolina 19259 INSURED INSURER B: Selective Insurance Company of the Southeast 39926 PRO SIGN SERVICE LLC INSURER C: 110 FORGE RIVER PKWY INSURER D: UNITD INSURER E: RAYNHAM MA 02767-5514 INSURER F: COVERAGES CERTIFICATE NUMBER· 19-20 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 POLICYEFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER fMM/DD/YYYYl fMM/DD/YYYYl x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 -D CLAIMS-MADE [81 OCCUR f-~~Et'.;~E;~E~~~~encel $ 500,000 -MED EXP (Anv one person) $ 15,000 A S 2376617 09/23/2019 -09/23/2020 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 ~ DPRO-Owe PRODUCTS -COMP/OP AGG $ 3,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 tEa accident\ -ANY AUTO BODILY INJURY (Per person) $ -OWNED x SCHEDULED 09/23/2019 A A 9100062 09/23/2020 BODILY INJURY (Per accident) $ x AUTOS ONLY -~~10JwNED HIRED PROPERTY DAMAGE $ AUTOS ONLY ~ AUTOSONLY !Per accident) $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ -EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION XI :'ffTUTE I I OTH-AND EMPLOYERS' LIABILITY ER Y/N $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE 0 N/A WC 9059617 09/23/2019 09/23/2020 E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH} E.L. DISEASE • EA EMPLOYEE s 1,000,000 If yes, describe under $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 210 Main Street Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ' () Rw&i ~-I © 1988·2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ~ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual) :__:_P..:..r..=o_S=.c..ig:,.;n:..;_:S=--=e..:...rv..:....:...:ic:....:e::..._ __________________ _ Address: 110 Forge River Parkway City/State/Zi_2:~nham, MA 02767 Phone #: 508-339-5289 Are you an employer? Check the appropriate box: I. fil I am a employer with 5 4. D I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 2. D I am a sole proprietor or partner-listed on the attached sheet. ship and have no employees These sub-contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.t required.] 5. D We are a corporation and its 3. D I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. D New construction 7. D Remodeling 8. D Demolition 9. D Building addition I o.D Electrical repairs or additions I I . D Plumbing repairs or additions 12.D Roof repairs 13.[i] Other Signs ---------* Any applicant that checks box# I must also fill out the section below showing their workers' compensation policy infonnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Selective Insurance Company of SC Policy# or Self-ins. Lie.#: WC 9059617 Expiration Date: 09/23/20 Job Site Address: 143 King St City/State/Zip: Northampton/MA 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 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 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: A-w. flk,t. Date: 12/17/2019 Phone #: 5082308901 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. Electrical Inspector 5. Plumbing Inspector 6.0ther ____________ _ Contact Person: Phone#: ---------------