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1' e. TOWN OF YARMOUTH BUILDING DEPARTMENT
let 4. 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1261
•
SIGN PERMIT APPLICATION
Date 12(IZ (tole Application Accepted Permit No.231-.1 r /9-OD 3 73,5—
Applicant
35Applicant Instructions
1) Applicant shall complete both sides of application.
2) One application form is required for each sign. Each sign will be assigned its own permit number.
3) Applicant shall attach separate 81/2"x 11"sheets including the following diagrams:
A) Design,dimensions and colors of the proposed sign p
B) Freestanding Signs:provide certified plan by a professional land surveyor that describes how the proposed
sign meets the zoning requirements included in Zoning Bylaw 303.5.6 or 303.5.4.2 (as applicable). A
stamped and sealed"as-built"will be required before the permit will be issued.
C) Attached Signs:show length of portion of building frontage that is occupied by applicant
D) Temporary Signs:show location for sign
4) Sign permits are$40.00 each,payable at the time of application.
Address of proposed sign 114—R4-n- Z8 Historic District NO
Name of Business for proposed sign C4PE+ 1314 Nas KI A C
Name of Business owner bAY&NPT' CAL1 1 ( SrfcVLN S VJLu.) � ""
Mailing Address ofBusinessowner ZIJ Koen i MIN u-
ST. \IAllMort4 AM 02(n(oLi
Business Owner Phone:Business el 7`f" 2`14— 25 3 7 Home
Name of Building Owner 5-144 Phone
Sign Builder l`hrrIONAL SI(oN (OePa-A-71ON Sign Materials/ "M"It itM (A(.RRCIL
Sign Builder Address 180 —faire--74;1° a• "'bLL(N, (7 019031 phone (SOS ) 85613 22--•
l Singly Occupied Building '‘Ni Business Center Internal Light�l Extemal Light
\�01 Freestanding Sign Size:Twour
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t�rori Attached Sign Size: Zti,1 k 2 0 , g q'I(p 11 e' 41 54. rx. ` (Am-t ISjt'4NtS)
Temporary Sign Size:
Dates:
•
Please complete other side of Sign Permit Application
All Permits are subject to the approval of the Sign Inspector
•
I hereby agree to conform to the provisions of Town of Yarmouth Zoning By-law Section 303 governing sign
construction and installation. I further agree that this sign will not be altered,added to or changed in any way unless
a new permit has been issued. Sign Permits are not valid until the Building Commissioner issues Use and
Occupancy Permits (where applicable). Frees ding sign permits are not valid until the "as-built" from a
professional land surveyo h. be- recei es. A
SignatureofApplicant:. LC Date �ZI�2'ZOjB
Z�NOu. y. WC-Cu-Rat MA Okco' ($)v(i332 ATIONAL )I( an
Property Owner Authorization: I hereby au�,
authorize the applicant to act on my behalf in all matters related to this
sign application.(Signature) 5�i4 -� OW . S-ti4Tr4cNeb. Date
Approved by: Date
With the following conditions:
I have read and understood the conditions of this Sign Permit listed above:
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Date 11-15-2018
Sale As maid
f I B'-73/4" I 5" t Sal+: EMackle
n ® Desk^w: M.adman
20'-9 9/16" Pas a:
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6 ILI {t f 263/8" b;=�_ll��__�ii__�� i� Revision Note:
KWLN38 37.375q.Ft 1/4 Aluminum j
DNL24 41.42 Sq.Ft.
Backer Panel I 1 Seale:1/4"=1'-0"
sole:l/4".1'-0" Painted White 1
Fabricated aluminum channel letters/oval, - � y;,F
mounted to white backer panel. Side View Fabricated aluminum channel letters.
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Red Vim caps&returns. Not To Scale Red trim caps&returns ""'""tion Required:White acrylic faces with Ka red vinyl
applied first surface. White acrylic faces Kia red perferated opaque
LED illumination. vinyl first surface.
Side view LED illumination
NOTE: Pattsion sign to remove the existing Kia wall sign Not To Scale
and reinstall when renovations complete.
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buildina drive,and canienT•1
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w On•L41M property al
FRONT ELEVATION Scale:3/32"=1' �d�="
Ipert without weal pluton
M Mini seams
Nate:Size of signage In relation to the building Is approximate.
This mock-up Is Intended for location purposes only and may not accurately represent the scale of the proposed signage to the building. A71'b
A site survey is required. MA0S1
•Kends Ma
Anynonrampliant ma logo(I.e.,windowvinyl,doors/entryvirtyl,parking signs,directional signs,multi-tenant signs,reader board graphics,etc.)not represented In this proposal mug be updated by the Dealer to the current compliant ma logo or must be removed. 760iin Street IRT 28)
South Yarmouth,MA
e Pattison Sign GroupS20 Nest SummitHitiple,Suitel02,Knoxville T,USA 31902 ,1a✓e.e „",w„Oa.w-,n1,-„p.eynn,mar o26W
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.187 /2447 WHITE ACRYLIC ELEVATION
FACE WIN FIRST SURFACE
APPLIED 3M /3635-200
RED PERFORATED VINYL
GRAPHICS DEPICTED ON THIS DRAWING ARE
5' FOR ILLUSTRATIVE PURPOSES ONLY! USE ONLY
APPROVED DIGITAL ARTWORK FOR PRODUCTION.
ALUM. RETURNS &
RED JEWELITE
TRIM TYPICAL BACKS PAINTED TO _
MATCH KIA RED
i (PMS 187C) TYP.
NOTES:
1. Design is based on 90 mph 3 second
gust design wind speed per IBC 2006.
Exposure C, components & cladding, zone 5.
2. No additional wind catching surfaces are
added to the building structure. The
customer's building engineer is to determine
the adequacy of the supporting structure.
3. Aluminum shapes shall be extruded from
6061—T6 alloy. Aluminum sheet shall be
3003—H14 alloy. Aluminum plate shall be
5052—H34 alloy.
4. All fasteners shall be zinc coated
to prevent corrosion.
5. Welds shall be made with a 4000 series
filler for aluminum by persons qualified in
"ud110M Amens,
accordance with AWS standards within the KIA
past two years. 24' DEALER NAME RED DAY/NIGHT FACE
6. All wall penetrations shall be sealed 90 MPH DESIGN INTENT
to prevent water intrusion. CUM:
7. This design Is prototypical and should `See 1SON
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SIDE EW not be used for site specific applications sten scour INC.
unless deemed suitable by a competent
Professional Engineer. .»wouwnDON
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11-0858
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17'-5 7/16' •
131 ; D____} N1M1n' M , { i
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0.890" DIA HOLE FOR 7/16' DIA HOLE FOR
ELECTRICAL CONDUIT MOUNTING LOCATION ELEVATION 3/8" OUTING
HDIA.E TYPICAL
CONNECTOR TYPICAL
/8 PAN HEAD THREAD
ROLLING SCREW 0
15' O.C. MAX. 5• BRICK EXTERIOR
WALL SHEATHING
RED JEWS Ir I` r 5' ��_ �`6' 0.C. TIP0
.
.040' ALUM. RETURN, PAINT 3/8" DIA. HILTI HLC—HX SLEEVE 1 �
,
INTERIOR WHITE, CLINCHED. ANCHOR WRH 1 1/4" MINIMUM I
STAPLED OR RIVETED TO BACK EMBEDMENT OR EQUAL TYPICAL
•_77777___1
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063' ALUM. BACK, BRICK WAI L MOUNTING DFTAII
PAINT INTERIOR WHITE HILTI ANCHOR SYSTEM OR EQUAL SHALL BE
INSTALLED IN STRICT ACCORDANCE WITH THE
EXTERIOR FINISH MANUFACTURER'S SPECIFICATIONS &
.187" j2447 WHITE ACRYLIC 1/2" PIPE SPACER FROM RECOMMENDATIONS
FACE WITH FIRST SURFACE BACK OF LETTER TO FACE
APPLIED 3M /3635-200 I OF BLOCKING TYPICAL WALL SHEATHING
RED PERFORATED VINYL 1/2' LIQUID
Iilli IRE1/2 CONDUIT r 5• ' '.. --1 WALL STUD O
CONNECTOR ✓I 16' O.C. TIP.
�.- I 3/8" DIA GRADE 5
51 L. I BOLT WITH NUT, FLAT'' &ODREUI
.040' FORMED WHITE !
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15 LEDs 14 LEDs 15 LEDs B LEDs 14 LEDs16 LEDs 18 LEDs 15 LEDs 20 LEDs 14 LEDs
LFD LAYOUT
AGIUGHT #LS-CORE-75K-Gl -
WHITE SIGNRAYZ CORE LED
(149 REQD)
ELECTRICALR Q UIR M NTS:
LEDS: (149) AGILIGHT SLS-CORE-75K-G1
WHITE SIGNRAYZ CORE '•ISCONNECT
POWER SUPPLY: (2) ADVANCE -
LED-120A-0012V-50F
0 0.63A
TOTAL LOAD: 1.26A 0 120VAC
CIRCUITS: (1) 20 MAP REQUIRED
ADVANCE LED-120A-0012V-50F •
LED POWER SUPPLY 0 0.63A IN 20 AMP DISCONNECT SWITCH WITH
1/2• ELECTRICAL A WEATHERPROOF POWER WEATHERPROOF GANG LEVER COVER -
CONDUIT BEHIND SUPPLY ENCLOSURE BETWEEN PRIMARY CIRCUIT AND TO PRIMARY
WALL TIP. LED POWER SUPPLY �CIRCUIT
2s4ER BOX —
WITH COVER TYP.
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I I I I I 0 I
D I l E I R N I A M E \BUILDING
WALL
1/r 1JQUID TITE
WIRING DIAGRAM
ELECTRICAL CONDUIT
THROUGH WALL TYP.
flIAm"MOMS:
KIA
24• DEALER NAME RED DAY/NIGHT FACE
90 MPH DESIGN INTENT
CUNT. ' PATTISONSION GROUP IRC.
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11-0858
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ER Existing sign to remain. Iwo a Date: a-amu
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0 KWLN38 wall sign ('Q 1,44 j� ° -1, ly,, ~«,' Saks: E Mackie
e S—_ .. Desknen x.Heiman
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of DNL24 CAPE&ISLANDS,24'red Illuminated letters IL � �,ktr 7 at
a. ewe sr n . pay:
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• SVC24 SERVICE,24'red Illuminated letters ik - saex
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0 Existing sign to remain. r ' 54 / k"°�"s°'x'"'
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Any rwrlmmpliatrt KW logo(Le,window vinyl,doors/entry vinyl,parking signs,directional Signs,muMreader-[enatrt signs, board graphics,etc.) m
not represtedbthis proposal must be updated by the to thecompliantDealercurrerR Kia logo or must be removed. )S0 MabnouthMa
South Yarmouth,
,MA
i/. Pattison Sign GroupRP"�e5fwmmtxm wn..suiM AZ KmF.ankTN,Ianmoi /� ,,,,,,,,,,,,,,�,.�e,a,w,....ew...aawr Dsite
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_ t I The Commonwealth of Massachusetts
�t lDepartment of Industrial Accidents
1( , Office of Investigations
c 600 Washington Street
Boston,MA 02111
www.mass.zov.diii
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organii7aation/Individual): 71 l44C .Ste N (QP jb],.-nntsl
eft—Address: le
b tut— OD A D
City/State/Zip: . 'r t T t - 0 Phone#: CCj) RZQ • q Non n
y an employer?Check the appropriate box: Type of project(required):
I I am employer with . n (
A4. ❑ I am a general contractor and I
mployees(full and/or part-time).* have hired the subcontractors 6. 0 New construction
2. 0 I am a sole proprietor or partner- listed on the attached sheet t 7. 0 Remodeling
• ship and have no employees These subcontractors have 8. 0 Demolition
working for me in any capacity. Workers'comp.insurance. 9. 0 Building addition
(No worker's comp.insurance 5. 0 We are a corporation and its 10. 0 Electrical repairs or additions
required.) officers have exercised their 11. ❑Plumbing repairs or additions
13. ❑ the reps
3. ❑ I am homeowner doing all work right of exemption per MGL 13. Other (G(V
Myself.(No workers'comp. 0.152,§1(4),and we have no
Insurance required.)t employees.[No worker's
•Anapplicantthat checks box#1 must alsofill out the section below showing their workers'required.] o0
compensation policyinformation:a ne on:
tllomeowners who submit this affidavit indicating they aro doing all work and then Lite outside camtwctora must submit a new affidavit Indicating such.
tContmactors that check this box must attach 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: VAt CrG( k OecpC INS - C(��,(QA(��'
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Policy#or Self-ins.Lic./#: 5Oq,5 0 513t>5 Expiration Date: C ((Q (a 0 I.q
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Job Site Address: (W ) a a@ City/State/Zip: S 4 4s &.. 1, Al
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.tt :i r d/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to
$250.00 a day ay.'m the violator.Be advis=. that a copy of this statement may be forwarded to the Office of Investigations of the DIA
for insur,nn ::a war s^etion
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Ido herebt le • _ under the b-•`1.it•' . .I%s of perjwy that the in ormanon provided above is true • • co�, ct
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$ienaturec �� ` Al A • AIL . �s
Sc'? . _ _ a ate: D / j
Phone# e&O• Sq0620.
Official use only.Do not write in this area,to be completed by official
•
Town of Clinton: 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#:
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