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32C-174 (36) City of Northampton Map 32C Lot174 Zone CB(100)/ Massachusetts Date issued 7/1/2021 0:00:00 Inspector of Buildings Permit # BP-2021-15 71 Permit Fee$100.00 SIGN PERMIT Business Address 274 PLEASANT ST Applicant InstallerCALLAHAN SIGN COMPANY Applicant Installer Address P 0 Box 744 Work Description NON ILLUMINATED GROUND SIGN Estimated Cost $400.00 Building Department Approval by: Ir°1,I. 1 i � File#BP-2021-1571 APPLICANT/CONTACT PERSON CALLAHAN SIGN COMPANY ADDRESS/PHONE P O Box 744 PITTSFIELD (413)443-5931 PROPERTY LOCATION 274 PLEASANT ST MAP 32C PARCEL 174 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 69j1 Fee Paid Typeof Construction: NON ILLUMINATED GROUND SIGN 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 INFORMATION PRESENTED: V 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 Sig ature of Building Official Date lai 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 ffice of Planning&Development for more information. City of Northampton Massachusetts - 6i2 aj ,5'7/ = I •' $t DEPARTMENT OF BUILDING INSPECTIONS �1 �° ' to .+�. � .�, 212 Main Street • Municipal Building SJ` rfCb� *yardyi Northampton, MA 01060 rs `o Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee ( (� c ii fq (Application to be filled out in ink or typewritten) Number Plans must be filed with the Building Inspector Erection ( ) before a permit will be granted Alteration ( ) Repair ( ) Repainting ( ) Removal ( ) 114 FEE...I�PAGE PLOT Northampton, Mass. 20 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME ....My Eye DR. (formally Oplieal Studio) 1. Location, Street and No. ..27.4...Plgasant...St 2. Owner's name Garibaldi•.Associates-11,C 3. Owner's address 274 Pleasant St Northampton , MA 4. Maker's name Idenisiti 5. Maker's address ...425..N....Mar.tingale..Road..Schaumburg,...II-601.73 6. Erector's name Callahan Sign LLC 7. Erector's address 8 Federico Drive (POB 744) Pittsfield, MA 01201 SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non-illuminated .xx... 2. Will sign obstruct a fire escape, window or door? 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.47..ins Width ffZ9..2fns Temporary 6. Face area .1.9...sq. ft. Wall 7. Inner edge will be ins from the building or pole. Ground .... 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. 12. Of what material will sign be constructed? Frame Face PVC 13. Estimated cost $... only The undersigned certifies that the above statements are true to the best of his /kno knowledge and belief. (Signat re of/C6 fief or Agent) Page 1 of 3 Directional Signage 4 36.75 in D1-1 (3ft-03/4in) a. Proposed Signage=5.6 SF Relevant Signage Code d.13tiCazil - „ One 1 t tl of he 10%bus o It e fa d e Z2 QQ in �� D� ht gl t Itt I f the business I c allowed for eltr t 1 :d dll it f2 f, (1ft-t0in) Stud allowed l a d e ail sonly Ile Dttherear - _ PARKING wall races P parsinghl' iPI. Ork m„ for dnTctnlal parking>g .6 p 4, PARKING r. Sign Type - D/S Non Ilium anted PVC Sign with - - - _ Applied Vinyl Graphics Ckfl Mounting PCIli• � _ ,y;� Mourned to Existing - "i f.taee 1,.‘1 r'� .. ti Color Palette • ;T}.;w4 •i� White PVC . e . • Opaque Vinyl:3M 7125-77 Peacock Blue :'ia 4 `. » a '• � ... wR. . i; ''a4` �"^ * tip. i. a {, ,•. .'_ . Opaque Black Vinyl Ax EXISTING - PROPOSED Note:Sign/Poles to be painted black Project No. 200941 Project MyEyeDr Signage Package 36.75 in Location 274 Pleasant St (3ft-03/4in) Northampton,MA 1060 Orig.Draft 06.19.20 ` Project Mgr. Jim Zook \ Designer Adam Rodriguez Rev.Art Stephanie Chan Rev.Data 04.22.2021 22.00 in MY D r MY Dr. Page Rev. 001 (1 ft-10 in) Rev.Details Added sign type and dimensions ♦ PARKING i3.00in PARKING This sign design Is reclusive properly of Idler ti Resources.LID.. and is the result of the original and cresNe hark or a's employees. Tne drawing is eubavued to he customer for the sole purpose of SIDE 1 SIDE 2 pmeneee of he oeusn or sgnago manufactured to this design.by ldennu Resources,LTD.atlnbotan to prose of this sign design by anyana asses de of the customer's essancMipn,aitnout esprean6. wi',ten eelnor.yetwn by Wimp Resources.LID.is wrn,bited. 1--, 425 N Martingale Rd 18th Floor I D E NTITI Schaumburg.IL 60173 Office 847.301.0510 1....... .......1 identiti.net Scale:1"z 12" • 3. 1 ' • • 4 M. ` i-tirth o '3: sf , V �4Mf y.Y',g_+4 •t .• ' •^N i , fib ' Y syi $ { t in ,, yx. • Y •art 3 { *l J -.." • - Ar. x a Y 2.1 • F •,,/ '1 -3� y J�F 4/71 j. "�7 9 vz� q w • ° At a c ,• "'"' ♦ICE ' 4.41 44r_ e. e b • -t t tr*''. At" ,. ak, Y t,o i t. ` 1. t $ �� jy > 4 2 t • ♦ ye Fd r {4t it �•0` .� i. THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING !INFORMATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Callahan Sign LLC Address: POB 744 Pittsfield, MA 01202 Telephone:413-443-5931 2. Owner of Property: Garibaldi Associates LLC Address:274 Pleasant St Northampton, MA Telephone: 413-584-6616 3. Status of Applicant: Owner Contract Purchaser Lessee X Other(explain): reimage of Optical practice 4. Job Location: 274 Pleasant St Parcel ID: Zoning Map#32C Parcel# 1 74-001 District(s) Retail GPn (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Optical—Retail 6. Description of Proposed Use/Work/Project/Occupation:(Use additional sheets if necessary) Optical—Retail 7. Attached Plans: x 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 x 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 X 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 X NO IF YES: Describe the size,type and location: Replacing existing signs with similar size signs on existing posts Are there any proposed changes to,or additions of,signs intended for the property? YES NO X 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 .25A .25A Frontage Front: Setbacks:(for sign)Side: L: R: L: R: Rear: Building Height Two Two Façade Square Footage # of Parking Spaces 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: I Zc7'W2-1 APPLICANT'S SIGNATURE d WAS - (41110 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. FILE# Page 3 of 3 ACcRD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ODIYYYY) 12/10/2020 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 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). CONT PRODUCER NAMEACT DOMINIC SINOPOLI SINOPOLI INSURANCE AGENCY toN /CNo.Eel):413-528-1710 re,No):413-528-2519 30 STOCKBRIDGE RD a oRess:DOMINIC.SINOPOLI@AMERICAN-NATIONAL.COM GREAT BARRINGTON, MA 01230 INSURER(S)AFFORDINGCOVERAGE NAICli_ INSURERA:FARM FAMILY CASUALTY INSURANCE 13803 INSURED INSURER B CALLAHAN SIGN LLC — -- — — — 8 FEDERICO DRIVE,#B INSURER C. PO BOX 744 INSURERD: PITTSFIELD, MA 01201 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 IADDLISUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE +INSD WVO POLICY NUMBER IMMIDD/YYYY) (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY I i 2001X1338 12/19/2020 12/19/2021 EACH OCCURRENCE $ 2,000,000 MAGE TO RENTED CLAIMS-MADE X I OCCUR PREMISES Ea occurrence) $ 100,000 X CPP MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 000,000 X ECT POLICY Li L J LOC PRODUCTS-COMP/OPAGG $ 4,000,000 I J I OTHER: I $ A AUTOMOBILE LIABILITY 2001 C6191 12/19/2020 12/19/2021 COMBINED SINGLE LIMIT $ 1,000,000 {Ea arcidenU _— _ I ANY AUTO BODILY INJURY(Per person) $ —1 ALL OWNED SCHEDULED AUTOS XI AUTOS BODILY INJURY(Per accident) $ X HIRED' AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS jFer accident) A X UMBRELLA LIAB X OCCUR 2001 E1293 12/19/2020 12/19/2021 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DEC I RETENTION$ 10,000 A WORKERS COMPENSATION I',2001 W7978 12/19/2020 12/19/2021 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) SIGN INSTALLATION, ERECTION, REPAIR& GRAPHIC DESIGN AND PRINTING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF NORTHAMPTON ACCORDANCE WITH THE POLICY PROVISIONS. 212 MAIN STREET NORTHAMPTON, MA 01060 AUTHORIZ RESENTATIVE - 01 ACORD CORPORATION. All rights reserved. ACORD 25(2014/011 The ACORD name and logo are registered marks of AC RD The Commonwealth of Massachusetts Department of Industrial Accidents =' �} ►. tt Office of Investigations 600 Washington Street m1_ e, —• Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): CALLAHAN SIGN, LLC Address: POB 744 (01202) 8 FEDERICO DRIVE #B City/State/Zip: PITTSFIELD, MA 01201 Phone#: 413-443-5931 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 5 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors k 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7 ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.© Other SIGNS comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: FARM FAMILY CASUALITY INSURANCE Policy#or Self-ins.Lic.#: 2001W7 9 7 8 Expiration Date: 12/19/202$ 274 Pleasant St Northampton, MA Job Site Address: City/State/Zip: 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`i'orrect. Signature: guito f JAMES P. CALLAHAN Date: 6/27/2021 Phone#: 413-443-5931 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.Other Contact Person: Phone#: CALLAHAN SIGN LLC POB 744 PITTSFIELD, MA 01202 (413) 443-5931 www.callahansign.com June 28, 2021 Building Inspector City of Northampton 212 Main Street Northampton, MA 01060 RE: My Eye Dr 274 Pleasant St Enclosed is our sign permit for the above location. Optical Studio is going thru a rebrand to "My Eye DR". The existing freestanding and directional signs would be replaced by similar size signs on the existing posts. I have enclosed a drawing showing color, placement, dimensions and check for $200 for sign permit fees. Please contact me once the permit is approved so production can begin. Should you need additional information or have any questions, please don't hesitate to contact me at (413) 443-5931. Thank You! Sincerely yours, CALLAHAN SIGN, LLC James P. Callahan Sales Manager Enclosures JPC:bjc