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24B-069 (6) File #BP-2021-1891 2 D I1< 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 $100.00 Type of Construction: ILLUMINATED GROUND SIGN - EA THAMPTON SAVINGS New Construction Non StructuralRenovations 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: .)( Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Perm it 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 Perm its Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approva(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 �'► a4 SiLI ature 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. City of Northampton S . S, -SIA M Fy- ft. ;.ti.� Massachusetts w°f 1 o . , `v_ 7, DEPARTMENT OF BUILDING INSPECTIONS 7 .�,l�_.- j 212 Main Street • Municipal Building �`��`,.� ,`0<`� .�,: Northampton, MA 01060 hr 71�� _ Application for a Permit to Place or Maintain a Sign QQI r Or other Advertising Device, or Marquee a a i (Application to be filled out in ink or typewritten) Number . - plans must be filed with the Euildin EIVED Erection ( ) A{teration ( ) before a permit will be granted, Repair ( ) Repainting .( ) SEP 1 6 2021 Removal ( ) !' 1 �, FEES' PAGE PLOT — DEPT OF BUILDING INSPECTIONS LNORTHAMPTON.MA 01060 20 Northampton, Mass. Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME e c`m•P 11 SO.vI>n g A 1. Location, Street and No. ..Z.9.-.7....k •....S.i7.': .ci- t,t.S lL eL- C/C7 64.1'�a pf't�1 Savin3.S b&n- 2. Owner's name �I Uy et �knt(.f'�,5, �Y' I v ev,x 3-s- .f..EAs '.liarnpfv.�,.MA.....O.l.v.z 3. Owner's address .� 61 e•. 4%;� T=rn f c•c t 5 ins.. . nc.. 4. Maker's name .....1..� 5. Maker's address 57 f41fn Av v.4,.t,�}+$.,ti .,.#14..Q.12<G.i C S.111P AGE" S.l i S... Y1L• 6. Erector's name ...�/�'�,naQl►.L.7. Erector's address S l s Da j.vn.. A..4N..y. .P; :15I!.f'd� !,l ••Ur!Z:V..1 KIND OF SIGN SIGN (Designate) 1. Sign will be (check one) illuminated .V• Non-illumined Marquee 2. Will sign obstruct a fire escape,lwindow bove theoor?publi way. Projecting 3. Lower edge will be ft Roof 4. Upper edge will be ..Q..ft...Q...ins above the public way. Tporary 5. Height .. ..ft..9..ins Width .i.L em 4? .ft.. .ins eml \\ 6. Face area .�5.1..sq.ft. Ground .... �� E0`� �nJJ Wal 7. Inner edge will be — ins from the building or pole. Other 8. Outer edge will be — ins from the building or pole. 9. Face of building or pole is ISf$ back from the street line. 10. Sign will project ..iV.ins beyond the street line. 11. Sign will extend ..a.ft ..0..ins above the building or pole. Face. •�• t'►'!���`^'` 12. Of what material will sign be constructed? Frame 13. Estimated cost $.. 0W• O° The undersigned certifies that the above statements are true to the best his knowledge and belief. .... .. . .... ... (Si atu e . 1 ner or Agent) Page 1 of 3 • • • .•• • .'•11. • .) • :',..•?•••,, • • • E • • *? • • • •,• • *4C.00.I ' •• • ••' • •.! • . ,*;,)1. , 1', II • L. 4 4*1. •4' •44') 1 "47 • • • • L'Oz. c ` • • • • • THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING !INFORMATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: rCe11i`L Tevyact S,cc r =L»r Address: S-7S" a Ian P?T7s'ieI.d/11A- Telephone: 0-11SY159— o38Z 2. Owner of Property: FLoyot. Andrus t"L sfliA lPJt,r) -SGusr1Js 84nL. Address: PC) go x 3S I 1 c454-114mi3 nt M A Telephone: 3. Statustu of Applicant: Owner Contract Purchaser Lessee JC Other(explain): Prcacnk. �4r �a37 '}-kam� W1 Saul S gar)/K. 4. Job Location: Z97 k n Sjree 11 Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property:_aq(1 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) IZc.&ce. ��t�sf,n at -Ix 1 yy''tw dog S« ,nt-err%.1l1 ;11.,f,,44}eck 1 In1O A'4 4t # 5j, 1 4 r' W.41 rU W .5 5 r1 1%C C ��5 €aU( r SGit k .z( I M x l yyN w( 1 sf f t). j)Glly ;11colin4}eo. ciftek ci.A.:1 ta% ex•s 'in &kmL4menI- ..bc.se. 2efc.cc a 7. Attached Plans: /Sketch Plan Site Plan Engineered/Surveyed Plans Sign CE.I1Ne+' Only. 8. Has a Special PermitNariance/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 X.. YES IF YES: Enter: Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO t/- 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 .7 NO IF YES: Describe the size, type and location: One_ in-iecv' c.l(y AIuvh,naiJ wall CivN Gvt-r en.\run ct Lt.,: \ 6t relo ac,r tik_ Sec_ actAki licin61 cippl cai��n czr- w..1\ 5t Are there any proposed changes to, or additions of,signs intended for the property? YES f NO IF YES: Describe the size, type and location: RtFe.c.c �X�S� aS �I H n 1`1`!"w (8-1 S fP6 Pg•Hblt SLA-c-A t` Iff-rnolly ;ItNrti,1,u,}c� Merman/id- S,,5r1 (..t) diet.) Sion 4-,cc ex.aG-1- Sar►K 5tiu G3 s1113 S1 "M.K 144" W ��++I SAP ) an.4t otts►yIRA /v Page 2 of 3 t.�+;I1u ex03},n Aet,04 xCn� S,'.n 6cse , IZe`c.ct UT Sign �.S,4C+ 6/11 . 9 yy Sic w� r t,-..5 r►+u,�t k.,l5 Mortuntenl• 5,5A em-1.Ok61y Grm;f4'&L. rermit $P-ZoiG-034 y .4' •••?,- • :':?-r17. r • r • f.r •; -••••;:-• • " • • .. • • r• •• •• !6 ?, •IA • i ; • 1.A.? : " •1 . • • r. • , • SS f v.c!Irk • ,,•: r t rn, • kr:ts,r1 .;.. .; :7 C . : • • • C•. • • "c y-t7: • • ••, ••-••";; r 4 • • I • . . ' . •• . . ' • c. : .• . . . • : • 0 71", • • - 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 (36, ISS ssc+) I\J0 Ctnt•n Frontage I I Cot sfrt.L+ 1\3U l��wn f ran t�3e. Front: IS N. (Monuwcit 55 1 `lJvat..4 et a- Setbacks:(for sign)Side: L: — R: — L: — R: — Rear: Building Height - /Uv (15e. Facade Square Footage /v0 C ✓15e. # of Parking Spaces 9 C�.c,51-1n,5) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 115=202I APPLICANT'S SIGNATURE `'!ti-t NOTE: Issuance of a zoning permit does not relieve an applicant 's bur o 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 • I. • 76.0�� -__.______—.- _ ..- gr hic 144.0" �24.0"► in'1p Ct 18.0" signs "• repaint existing decorative cap to match 12.0" ' Pantone Green 376 C .t► 800.458.2376 I. new.f IS'CAM routered aluminum sign faces...background - fax 413.443.0034 paint finish Green 7732 C..112"thick push-thru white acrylic copy sn Abhor,M.o,m«.+a ma a,m,. and logo..leaf sections faced with digitally printed translucent gisigns.com vinyl film...gradient fill ar �, bankESB _ y . existing int.ilium.sign cabinet to remain as- Sales Rep. J.Renzi repaint to match Pantone Green 7732 C Job Name: ESB Bank O I. ` Job Location:Northampton, CO NI repaint existing decorative trim to match y G - Pontone Green 376 C Sheet: 1 of 8 ° S 0 Date: 8/13/21 bankESB r Job#: Scale: as noted s existing base cover to remain as is... Drawn by: LH ---_- ------ ---- - - - - ----- re-paint to match Pantone Grey 2333 C ESB Bank 297 KING STREET 297 King Street Northampton,MA Rev 9/8/21 • 11 li 00 �c= • ..,�d- ,�r.t,a. -� .� a, -Z "1".a,<'' M+'r.'.s -.1-,. 4---"." " ,+nvno,eo ‘5114)911471 ` _ .:�1�ti `=-. x DR ', _ - r1�J' • ... ,c.i- -n� '• �ST' M •- -�' APPROVED AS NOTED CLIENT SIGNATURE DATE (1)...Re-Face Existing DF Internally Illuminated Monument Sign...3/8"=1'-0" T 4 i'. . . 1 4 IN*. graphic impact `..-e,, i signs 4 . ,• - 800.458.2376 ; fax 413. 3Ortnnekl;003 nu 4 k • ;;• gisigns.com -1/411 banESB III.IIIIIIIIIIIIIIIIIMIP �. I - ,L, -... - - .. Sales Rep: J.Renzi se a. IT ° Job Name: ESB Bank di • �.. L. 'r< >, Job Location:Northampton, ii,..... : ,.....,), . Sheet: 2 of 8 if fora i,„, banESB E _r Date: 7/30/21 297 KING STREET Job r: * i ... -T Scale: as noted _ Drawn by: LH I 97 KING STREET ESB Bank 297 King Street -14411110 Northampton,MA Rev 9/8/21 APPROVED APPROVEDAS NOTED CLIENT SIGNATURE DATE p ww D te;:n Ls hmo4U Unman..TIN TnW moon a�neOrtw n T+<apf.n M I 1 - rS \ g i • I 11 / 4 �1 tu WAIL.wrw u.no n.>sun ca.nr•.o rnr•a 3 i ; N `I U ♦.PASIUM CM+..a,.1.w c<M4tinn best. / r_i . "A \` r[o ro ' ram' U ItF 1{3 wIYC H walt.iJ{D_Y+e..IM Put 4! le. IN.O .R ' I WL efH/YIYYItt� D _ ', 5 H- - Al Y \ TF 1 + U T 1 1 1::::4 ,.. --.\\ / ," VI-, IV ,f aW', C, 1 �� /�._ 1 LEGEND Al_- •,� 40111111 � \. a"M.o�v ues;r.e/ R'sa .r ...a— ' o rur._+r�.. , gr] 1,...., I ' Si. "' 0. 1 1 —s— swr; sr.wr< .... .I �. —a-- c •i o..wc.w. A t'' "''..'� 1 j 8,,`•.yq_6 t— npwua..w raH.wc i' - �' i .4 '1,1 a ..r�.: _ i A b• i ,i Y eA�cvrlaaJ j s I '•A' BII� _... F /Rosen,...$ S' I�• •�I G 4 F -UP erwve vvuw 4i at w 1 I� tIl w1 1 1}a ir_. , r � <.a Wil PAW fhI/Y..n[S Q�.r I �CL'. 1 1 tiresffT1 - !NOM prfgG ft+I '}.�.'� . iii$ 1 effill r ro/ Y i; : �_ _ / M, t ` „ '4TI'APdA-L1 <•ink � �� oII a'1 T`.' n S > MA q �. to lat- !' ice' J •ele I d wag_ _.. yrp'1 LL 1i. • AANA ``1i__.eC.t• . w. " -_,- MMW/M M.*_�/} d,�Y`' "'fir 4 1 '`>e v'""r'„' /I�+T I •...w...t 1_ '`'F `�,'r.- m....." ''ei wE-w Ip.p_'„`_`.n'a °, _NC r Y _ J pmpmm R ` `Y - -`l 1: '__-- -n CI'1W v .ram'. IrI "1' ' .w.ww I _If Kt Sf KLE • y"yQ tj"`S 1 SITE UTILITY PLAN 3ITE PLAN �` iiiillial GRAPIMP-02 AGROVER ACORIf, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 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 CONTACT Adrianne Grover NAME: Berkshire Insurance Group,Inc PHONE FAX PO Box 4889 (A/C,No,Ext): (A/C,No):(413)499-3918 Pittsfield,MA 01202 agrover@berkshireinsurancegroup.com INSURER(8)AFFORDING COVERAGE NAIC• 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. INSR TYPE OF INSURANCE ADDL SUBR W POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INW VD IMM/DD/YYYY1 IMM/DD/YYYY) A X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6306S411664C0F21 8/19/2021 8/19/2022 DAMAGE TO RENTED 800,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY X PECO- X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: PRINTERS EO $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident $ ANY AUTO BA6S3786632143G 8/19/2021 8/19/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTEO�S ONLY X AUTOS pBOODILY INJURYp (Per accident) $ X AUTOS ONLY X AUUTOS ONLY (Perr accident)AMAGE 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 DED X RETENTION$ 0 $ D WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY ST TUiE ERA UB6S4113512143G 8/19/2021 8/19/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N/A (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 LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/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 1d_._. . -'rn(JAZ?I Dn 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 Department of Industrial Accidents y Office of Investigations sc`rtitLafayette 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.ii I am a employer with 16 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. 0 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 required.] t c. 152, §1(4),and we have no q employees. [No workers' 13.11 Other Signage comp. insurance required.] *My 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 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. #: UB6S4113512143G Expiration Date:8/19/2022 Job Site Address: Zl 1 Gtt J G+ City/State/Zip: c r 4 WIp k1/11 /IA+ 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 1 under t pains and penalties of perjury that the information provided above is true and correct. / Signature: /' / , Date: 9//5'!Z.e.)z Phone#: ,00) 4 4111 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): 10Board of Health 20 Building Department 3tJCity/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.DOther Contact Person: Phone#: