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24B-069 (5) Zoi2 File #BP-2021-1890 APPLICANT/CONTACT PERSON:GRAPHIC IMPACT SIGNS INC 575 DALTON AVENUE PITTSFIELD, MA 01201 PROPERTY LOCATION 297 KING ST MAP:LOT 24B-069-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $60.00 Type of Construction: ILLUMINATED WALL SIGN -EASTHAMPTON SAVINGS New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: [(f)271:0 Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN,TORMATION PRESENTED: X 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 SewerAvailability Septic ApprovalBoard 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 roi&ei‘u 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. �0K& Y Tai-to.i, City of Northampton rsr �,.;.. si • ,\ Massachusetts ��, ' E�� << It - ;i• , [ DEPARTMENT OF BUILDING INSPECTIONS S I: 212 Main Street • Municipal Building %) / ' „ Northampton, MA 01060 r 0�0C Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee (Application to be filled out in ink or typewritten) Number Plans must be filed with the Building Inspector , -•`- �12,--- = Erection ( ) before a permit will be granted. \ /4'. ,/ •;�- Alteration .( ) "^��� Repair ( ) Seep Repainting ( ) 0 1 6 2021 Li Removal ( ) , .t ' CC° C� �0 FaTO� FEE PAGE PLOT /� � NORT qIN M o0A!MSpFc am on, Mass. 20..... J" q o7060 NS Application for a permit to place or maintain a-sigfl or other advertising device, or marquee BUSINESS NAME ..iit G.45.- a.rnp_1Vfl .Saul01 5....S.C►✓.11A.. 1. Location, Street and No. 0 -1 16 h q S 1 -e ck 2. Owner's name F.IPV.4 . ,o. s,f1,te,► ? ^ iiL ivn 5c.°, ...Scs 3. Owner's address ...PCP c, I i..Ecsk.kcs ip.4 n,.. 1A. °IOZ -7 4. Maker's name ..S.a.Cc.ek.,c.,... 1l' Adf" SiJqo$.1 �9nC 5. Maker's address .5 .5 IIk►1 Avenc.tej., .}�}�,S,10t1 MA- 01201 6. Erector's name 61 r (3111-G.. -- --mPaG±" Si 5 n5., .. nie.. 7. Erector's address 5-7 J A"1-0,1 /II lA€ + ;H 1,-eld .f't. A- .o1 Q..I....... SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated ../.. Non-illuminated 2. Will sign obstruct a fire escape, window or door? ..A Q Marquee 3. Lower edge will be .Q..ft..il ..ins above the public way. Projecting 4. Upper edge will be .Q..ft..C?...ins above the public way. Roof 5. Height ..4..ft..0..ins Width ..1..ft..4..ins Temporary 6. Face area ..30..sq. ft. Wall ✓ 7. Inner edge will be 0 ins from the building or pole. Ground 8. Outer edge will be ..b...ins from the building or pole. Other 9. Face of building or pole is ins back from the street line. 10. Sign will project ..Q...ins beyond the street line. 11. Sign will extend ...O...ft .. 2..ins above the building or pole. 12. Of what material will sign be constructed? Frame A.t4•»mmn.4 6 i...... Face.f. bAro;aUnv.... 13. Estimated cost $..3r,C?i2c2...°o The undersigned certifies that the above statements are true to the b of his knowledge and belief. (S' natur caner or Agent) Page 1 of 3 • • '.' ' ••.• 4 " '.* • • .• . ' -.•k47 r • • ' ."‘ THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING (INFORMATION /� PLEASE TYPE OR PRINTR ALL INFORMATION 1. Name of Applicant: C-,rc,p hi'G �yy�, .G 1 S13 a-L5 . Address: S7S DJ} - j4vtn A 04k Telephone: (9I3, y`1c/ - 03g 2. Owner of Property:f1OYd Andrus Tr.,.54-ee. GIp EAStlicimrion Soto.V14 S !garlic Address: PO 3c..x 351 , £As c c.rn Pivn, Wi A Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee XOther(explain): f\ tr1�- �ud s� I ctYr)OW) SG ur i IJG+i L 4. Job Location: 2,9 / Kr)C S,�mut V Parcel ID: Zoning Map# ZH J6 Parcel# 06. ( District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: c&ti 1,•.. 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) IZemvve 2vc�S4In4 .n�crnall� .I�um.n�ted r,)Gil Sr,n over crli-ranc/ cirwl ins-}a II one_ '18 #1 x 'o"wx Mne.ef .n+ernally ;11.0y),4c.}at wail 5,3.1 ��LA,s►A }-o �t�;lcl��►� }z, (`.�h4� cA. � en-64,,ce. Set ce4- ker.nf Gobi f►onc.1 7. Attached Plans: ✓ Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special PermitNariance/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 X YES IF YES: Enter: Book Page and/or Document#Z 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 NO ` IF YES: Describe the size, type and location: C' (tvuh S ie 1Gle .h4-ern4l1y ,lii,mnc�ccf Y 1 on win e.A A- Sian (S I s7 c}> Are there any proposed changes to, or additions of, signs intended for the property? YES NO IF YES: Describe the size, type and location: Remove_ €. -a.s .✓►t, w4I l 3,j►7 Ga l'e.ptr.c..nj -04,s L,-741k S, n . [2efcc.t. ►'Moncol .S jn Ch&nutf 1 r,0. SQn1. Sett. CL, AS cA,c-tni See_ Se'arµ4e S,J,-, ap9/.c,howi. Page 2 of 3 �ac,'S�.r)� (,.�U Sry n frW cuslt (�tcm1 ife�(, eternal- a: 6P- 20)6- 1087 . • tii;, :i' `l,�f' r • 1; • ri . r • : r'•I t!r1 t ^� a ,L • *': • •..•` '._•y', f x 11, 4�� :'Y'*.• :r. `o .. .�,V:Cr •! '�.a i._ _I ,>•r;,s•:'C},/r. •, r.,;?•..:....rr ,.ct It .: (•r•.rc. • • r• y ` , 14.1'.:64, 4,e ., . .. . ',:+?ft"?t+l .a"`�+fir .. .441. �• i 11",4.c':4t1rre•, • 4 ;, } i. it .< ! C .{, ?,.;'•o •.j.}'�`' . -rf '. . ft • .* c a• 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 • I Zoning Lot Size �6 3 CG.Cre-. No Cl/tarty_ (3 G, Frontage l 'L` V Front: Setbacks:(for sign)Side: _ _ L: R: — L: R: Rear: Building Height _-- /`.)CU Ag_ Facade Square Footage /' atc.. - • # of Parking Spaces j • 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: ?15" / APPLICANT'S SIGNATURE _17/ 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 w • rilt 90.0" I. 1 —41.6.0"-a— graphic impact 11111 • : signs a 800.458.2376 R fax 413.443.0034 ,. gisigns.com . bank baniESB . Sales Rep: J.Renzi Option A... 1 ...Internall Illuminated Wall Sign with Push-Thru Graphics...NTS 30.0 Sq.Ft. • Job Name: ESB Bank P � ) YP q• Job Location:NMMmpt.,Aa •6"deep aluminum fabricated sign cabinet...painted Pantone Green 7732 C...internal white LED module illumination Sheet: 3 of a •.125"CAM routered aluminum sign face with 1/2"white acrylic push-thru graphics/lettering Date: 7/30/21 •leaf elements to receive 1st surface UV digitally printed translucent vinyl film overlays...gradient fill . •120 VAC at 60 W power supplies to be located within contour sign cabinet new aluminum fascia overlay panels...paint finish Green 7732 C w/ Jab w: •UL listing and disconnect switch white stripeand top...all four sides ofbuilding top �••• - Proposed Scale: as noted pi — , , Drawn by: LH 'V ESB Bank 297 King Street Existing Condition 4_ Northampton,MA Rev 9/8/21 t . s. re,- r _ _APPROVED r ii i '• . ; - JrC•� MGROVEDAS NOTED 71i M IY�f��.�r_I�_l 111%. ` 3 .'�. _• l 4 CLEMS NATURE !II _� _^_.-._ i .. III,. :fN r k, Y Y,y� , , V .7. . ME .. 1 s 11 i /..'' ! rrr' .4. ,i c I graphic impact signs 800.458.2376 fax 413.443.0034 n 4.No"we.peaMC.ma alto. gisigns.com bankESB Sales Rep: J.Renzi s` Job Name: ESB Bank • Job Location:Northampton,MA bank`rr SB Sheet: 4 of 8 Date: 7/30/21 Job#: Scale: as noted Drawn by: LH ESB Bank 297 King Street Northampton,MA Illumination at Night Rev 9/8/21 APPROvED APPROVED AS NOTED CLIENT SIGNATURE DATE ranee a of GaW.e I pm • R:f ens 7"a",7 ..I o,. t<.o.. x 4:5\-1n ii 5I n f'eMov^c.cQ I Repl.�cee. __ 114.0" ►- � 107.0" � __..6.0"-7 ,, a k graphic Ulisignspact re 00.458.2376 3.443A034 © fax 4 gisigns.com —... ' i ir flJJJflk� i bank g mounting bracket/spacer Sales Rep: M.Brazeau (1)...Internally Illuminated Contour Sign with Push-Thru Graphics...3/4"=1'-0' Job Name: ESB Bank •6"deep aluminum fabricated cloud contour sign cabinet...painted white...internal white LED module illumination Job Location:Northampton, '.125"CAM routered aluminum sign face with 1/2"white acrylic push-thru graphics/lettering •graphics/lettering faced with translucent green and grey vinyl film sheet: 1 of 4 "120 VAC at 60 W power supplies to be located within contour sign cabinet Date: 2/26/16 *aluminum fabricated mounting bracket/spacer...painted to match fascia behind Proposed Scale: as noted .y t '� Drawn by: LH . ilk ESB Bank • 297 King Street Northampton, MA Existing Condition ..� Rev 2/26/16 . . .fi _. �.� AI- 111111,11prr' . _• .,1P! . CUBIT agNATUNE 1 't� e s s.w i 4 fit «`o:M...��K •• AO�nuY or cnw�""ul _ or • • - . • ----------------..,,__________ • 4? \ of , 4..' \ I \ II graor I. 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C ___ ilt .41i , \ - .--,./-4•44 was. -- -.-,'-•,..fawl oaos (,. • - —7-_.„._ __ II I —__ .........„ f -1 t•••;" t.rrk 1:44.0.•011 .,--313 04...t.Ole.•••• I _ IC114/4 STICE.6 ___••— _ _----------..-Roo="--"—• , ''i•- 1 I . la/o4C ..•..--I.••••••••_1.4 ,1___ • V i lit -,...... so.IV•oenor/.041a 1.44—, ---. ..- — I • 1 -7- " - ----, A Th i SITE UTILITY PLAN 3ITE PLAN I C"'i SCALE 20 CAL! .00 ..• - ,.................`",......iisais?4.1 _____-.....,,,, GRAPIMP-02 AGROVER ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYYY) 411.----- 8/20/2021 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 CNTACT Adrianne Grover - NAOME: Berkshire Insurance Group,Inc PHONE FAX PO Box 4889 (A/C,No,Ext): _ (A/C,No):(413)499-3918 Pittsfield,MA 01202 IStWiSS:agrover@berkshireinsurancegroup.com INSURER(S)AFFORDING COVERAGE NAIC V INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:Travelers Indemnity Co Of America 25666 Graphic Impact Signs Inc INSURER C:TRAVELERS PROPERTY&CASUALTY OF AMERICA 25674 575 Dalton Ave INSURER D:Travelers Indemnity Company 25658 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. INSRP L TYPE OF INSURANCE INSD SWVD POLICY NUMBER IMM/DD�IY1 /MM/DD/YYYYYI LIMITS A ' X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE X OCCUR �I 63 0 6541 1 6 64COF21 8/19/2021 8/19/2022 DAMAGE TO RENTED 500,000 PREMISES/Ea occurrence) $ MED P(Any one person) $ 5,000 EX PERSONAL&ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X pi X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: PRINTERS EO $ 1,000,000 B AUTOMOBILE LIABILITY (COMBINED SINGLE LIMIT 1,000,000 ANY AUTO BA6S3786632143G 8119/2021 811912022 BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident), $ X .AUTOS ONLY X. AUTOS ONLYY PROPS cetrMAGE $ 1tPreerr $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAB CLAIMS-MADE CUP6S4157312143 8/19/2021 8/19/2022 AGGREGATE $ 6,000,000 I DED X RETENTIONS 0 $ D WORKERS COMPENSATIONOTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE UB6S4113512143G 8/19/2021 8/19/2022 E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 1,000'000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY OMIT $ 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 Cityof Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. Office of Building Inspector Municipal Building 212 Main Street AUTHORIZED REPRESENTATIVE Northampton,MA 01060 Iw.._. -_-'rn(1A...on ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts r Department of Industrial Accidents - 6 Office of Investigations =::16= >ti Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Graphic Impact Signs, Inc. Address:575 Dalton Avenue City/State/Zip: Pittsfield, MA 01201 Phone #: (800) 458-2376 Are you an employer? Check the appropriate box: Type of project(required): 1. ■0 I am a employer with 16 4. 0 I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. El We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance d.re uire t c. 152, §1(4),and we have no required.] employees. [No workers' 13.0 Other Slgnage comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 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: Travelers Indemnity Company Policy#or Self-ins. Lic. #: UB6S41 1 351 21 43G Expiration Date:8/19/2022 Job Site Address: Z9 7 (,I,til^ S �F' City/State/Zip: � ri o r ,s,i p3c f Ail A-- � 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 certi I under t pains and penalties of perjury that the information provided above is true and correct. Signature: ' /, Date: 5 h t"/Lt>L Phone#: :00) 4 - (It / Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): lDBoard of Health 20 Building Department 3tCity/Town Clerk 4.0 Electrical Inspector 5.1=1Plumbing Inspector 6.DOther Contact Person: Phone#: