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32C-165 (54) File #BP-2023-1795 APPLICANT/CONTACT PERSON:AGNOLI SIGN CO INC P O BOX 1055 SPRINGFIELD, MA 01105(413)732-511 1 PROPERTY LOCATION 125 PLEASANT ST MAP:LOT 32C-165-001 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: REPLACE DIRECTORY GROUND SIGN WITH ILLUMINATED 7'X7'8" DIRECTORY GROUND SIGN AS PER SKETCH New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% 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 Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan r ZONING BOARD PERMIT REQUIRED UNDER: § SO3 — .1. CM") 4 p ,cw of t,) j 654"N4►41)? Finding Specia l Permit ASA./to KUM 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 J . ► , W a.3 Sign Official atu i� of Bu dingDate � 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 P HAM ii Massachusetts :� .'ft. It DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building jill � A. Northampton, MA 01060 r• ^off 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 BP 2023^l7' s Plans must be filed with the Building Inspector Erection ( } before a permit will be granted Alteration ✓ Repair ( ) (x ��° Repainting ( ) ,$)OO112 Removal ( ) FEE PAGE PLOT Northampton, Mass.,. eCEIYl‘02.C..a.4.}1.20..a.,3 Application for a permit to place or maintain a sign or other advertising device, or marquee BUSINESS NAME .1\10.10) c6 c,!`P.e 1. Location, Street and No. ip7. pi ‘ea.3QVk...Sk-c.f.ek 2. Owner's name Oo o > -c4 c c 3. Owner's address ...Ia5 A Q.c= ....Sk• . of.}ARcrn :..(`f ....O.IMo .. 4. Maker's name Pso.o13 3..o Cf.a. ..In.C. 5. Maker's address "--P)'BCX iQ55 ?pY: (Y�fi.21Gi,..Cnilt.n11QI:..1C)3.`J 6. Erector's name AIcnoJ:.....3:1". (?....CA-..he. 7. Erector's address ..�O..`Z,.oX....103.3 c„ ` kcV 2.1.ci. YlA..0.IIA.I.:.10.5.O. SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated Non-illuminated 2. Will sign obstruct a fire escape, window or door? ..N.o.. Marquee 3. Lower edge will be .3 ft. :...ins above the public way. Projecting 4. Upper edge will be ..10.ft.4...ins above the public way. Roof 5. Height ..1..ft.4..ins Width .'i..ft..%.ins Temporary 6. Face area &.lo:tq. 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 orpole 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 ...Qloinkl.t.Itr... Face...J.C.)(.0.0 13. Estimated cost $..t.c�l..Otm..c.,6.. The undersigned certifies that the above statements are true //tto�the best ofhis knowledge and belief. �...4.P.. . h'. , (Sign t r of Owner or Agent) Page 1 of 3 THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. ZONING (INFORMATION (� PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: }-13Oc\ CC)- Inr . Address:nP ( 10n5 5c\10\6, ('n'A nn101-Ir 3Telephone: 413- -.51\ 1 2. Owner of Property: ( )n;pn 5-\-a}k c ) Address: D t:), -IPC'S(n\ • 1Jr)Akx;rc' 4*c\. rnfl Telephone: • LIln1- 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): ; {� P(lbc;rcAcv I kc1�koS\ec 4. Job Location: \a1)R -Oleo3 rC t S\ree A Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: C.om(`np i c;Q\ r���P I . 1'Sk ooronA 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary) CommQ a\ -4,--,pFrk_i- tJe(AD Cc e, L3iar1(l nPua 5.13n cx rP34l]rnc1-1•°Dee Ke-kc1n 9cc APknkVs, 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 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 v' 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: QDN- re rkory Ct rcj g;E.r) cec pOrK, Ic�k v Are there any proposed changes to, or additions of, signs intended for the property? YES / NO f IF YES: Describe the size,type and location: ''}emp�0 f( 3\;r scayi S3C) C nd rQp\o« St 5te A ch, 11o65 378c> 1ndc4.e ENC.. 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:(for sign)Side: L: R: L: R: Rear: Building Height Facade 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: `a\a'4-Ia3 APPLICANT'S SIGNATURE 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 The Commonwealth of Massachusetts =117=0_ Department of Industrial Accidents ma —, Office of Investigations ' a?IT- ��, Lafayette City Center 44— / 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): Agnoli Sign Company, Inc. Address: 722 Worthington Street/PO Box 1055 City/State/Zip: Springfield, MA 01101-1055 Phone #: 413-732-5111 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 22 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. El Building addition required.] 5. ❑ 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.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.[v�Other ,�'QnQG(� employees. [No workers' v comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I 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: Middlesex Insurance Company Policy#or Self-ins. Lic. #: A0130589005 Expiration Date: 06/21/2024 I Job Site Address: 135F-1 t?Gt=y1Cl-\ a}• City/State/Zip: NIor-empb). MR clad) 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 der a ins and penalties of perjuty that the information provided above is true and correct. Signature: Date: la l ail a3 Phone#: i] -13Q- 511 J 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): 11=1Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: A�ORL CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YVYY) 6/15/2023 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 The Dowd Agencies, LLC PHONE Catherine Palazzo FAX 14 Bobala Road (A/C.No.Ext):413-437-1042 (AIC,No):413-437-1442 Holyoke MA 01040 E-MAIL ADDRESS: Cpala720OdOWd.COm INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Middlesex Insurance Company 23434 _ INSURED INSURER B: Agnoli Sign Co., Inc. 722 Worthington Street INSURERC PO Box 1055 INSURER D: Springfield MA 01101-1055 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER:1343537788 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' ADDLSUBR' POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDD/YYYYI (MM/DD/YYYY) UNITS A X COMMERCIALGENERALLIABILITY A0130589003 6/21/2023 6/21/2024 EACH OCCURRENCE $1,000,000 MAGE TO I CLAIMS-MADE X]OCCUR PREM SES(EaENTED occurrence) $500,000 MED EXP(Any one person) S 5,000 PERSONAL BADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY X JEC X LOC PRODUCTS-COMP/OP AGG 52,000,000 OTHER $ A AUTOMOBILE LIABILITY A0130589004 6/21/2023 6/21/2024 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Peraccident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR A0130589006 6/21/2023 6/21/2024 EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION S D S A WORKERS COMPENSATION A0130589005 6/21/2023 6/21/2024 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? piNIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 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) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance AUTHORIZED REPRESENTATIVE C% ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 983/4"-_— ► f 92 1/4" ► r I' 13" 1 I U N No TCH 8 GKILLE . I STEAK • SEAFOOD • COCKTAILS I O t NEW DOUBLE SIDED MONUMENT SIGN TO REPLACE EXISTING N offstosEvisurtom ) ILLUMINATED CABINETS PAINTED BLACK WITH LEXAN FACES UNION STATION FACES: OPAQUE BLACK VINYL WITH LAMINATED TRANS PRINTED LOGOS c r UNION STATION: CABINET WITH PUSH THRU LETTERS T cr-H-E LAMINATED TRANS VINYL PRINT A -Ru�ua,}.Oiiriiry- V1�11V�� FABRICATED SKIRT TO COVER EXISTING CONCRETE FOUNDATION THE@ECK T AR °sr. FOOD.DRINK.MUSIC.1,,, *VISIBLE BASE WILL DEPEND ON TOPOGRAPHY I -SINCE 1897- r STONE VENEER TBD Q 4 t 1 l ' x 6' ELECTRONIC MESSAGE CENTER w/ 6mm PIXEL CONFIGURATION N , . EMC cv 1 I r i in 125A 1 - I i / 781/4" ►' pathOR16. DATE: 10-5-23AM REV. DATE: 11-9-23AM REV. DATE: 12-27-23AM APPROVAL: DJOBS/JOBNAME.PLT REV. DATE: 10-27 23AM REV. DATE: 12-13-23AM ❑APPROVED ign Company REV. DATE: 11-1-23AM REV. DATE: 12-19-23AM DATE: CDR/UNION STATION - NORTHAMPTON, MA - 125A PLEASANT ST.CDR Inc. CUSTOMER: LOCATION: CONTACT: ❑APPROVED AS NOTED SALESPERSON: PROJECT MANAGER: THIS DESIGN Is THE EXCLUSIVE AGNOLI SIGN COMPANY,INC. DATE: NOT FOR PRODUCTION APPROVED PROPERTY OF AGNOLI SIGN UNION STATION UNION STATION JEREMIAH HARRY HARRY ELECTRIC SIGN COMPANY INcoRPORATED 722 WORTHINGTON STREET 125A PLEASANT ST 125A PLEASANT ST ❑REVISE & RE-SUBMIT AND ALL RIGHTS TO ITS USE SPRINGFIELD,MA 01105 STORE#: DESIGNER: = OR REPRODUCTION ARE TEL.(413)732-5111 NORTHAMPTON, MA NORTHAMPTON, MA DATE: ADS NOT FOR PRODUCTION 195.C.,Ai.MOONS,.°�o40a---,E - RESERVED EXISTING PROPOSED t ,. •I vta y. • 6(ct � �/�� ` • 7,,,, � k * VV • tv:. , N N®TCH8GRJLLE -t , � , .. 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UNION STATION UNION STATION JEREMIAH HARRY HARRY L ELECTRIC SIGN COMPANY INCORPORATED 722 WORTHINGTON STREET 125A PLEASANT ST 125A PLEASANT ST El REVISE & RE—SUBMIT AND ALL RIGHTS TO ITS USE SPRINGFIELD,MA 01105 STORE#: DATE: DESIGNER: OR REPRODUCTION ARE TEL.(413)732-5111 NORTHAMPTON, MA NORTHAMPTON, MA ADAM NOT FOR PRODUCTION , ,,,oEs,„��,-ao,„o_„,„��„,,a.,,,, RESERVED