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HomeMy WebLinkAboutBLDS-23-001093 - .....:tea TOWN OF YARMOUTH BUILDING DEPARTMENT 144 I 1, 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext.to E I y E: TTA 1'1.$71; [ u62b2u2z1 SIGN PERMIT APPLICATION BUILDING DEPARTMENT BY Date Application Accepted Permit No. & S-23— (7blb9'3 Applicant 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 pennit number. 3) Applicant shall attach separate 8 '/2"x 11"sheets including the following diagrams: A) Design,dimensions and colors of the proposed sign 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 679 Rt 28 Yarmouth,MA Historic District Name of Business for proposed sign Lobster Boat Restaurant Name of Business owner Angela Asimakopoulos Mailing Address of Business owner 679 Rt 28 Yarmouth, MA Business Owner Phone:Business 808-775-0486 Home Name of Building Owner Gold Village Waterside LLC. ( Angela ) Phone 508-775-0486 Sign Builder Grape Unlimited,LLC Sign Materials High Density Urethane HDU Sign Builder Address 445 School Street Putnam, CT 06260 Phone 860-928-1407 Singly Occupied Building Yes Business Center Internal Light no External Light yes Freestanding Sign Size: SW' tall x 66" wide Attached Sign Size: 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 Zoninn 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). Freestanding sign permits are not valid until the "as-built" from a professional land surveyor has been received. Signature of Applicant: Date 8-05-22 Joel Perry for Graphics Unlimited,LLC Property Owner Authorization: I hereby authorize the applicant to act on my behalf in all matters related to this sign application.(Signature) Date S- t t-Zo22_ Approved bv: � - Date With the following conditions: q.l.sC.c..1;--Gfil QC`i•A;\ 5'sctu-,c_t_di ,V- (cc- \15 ),,,....5 I have read and understood the conditions of this Simi Permit listed above: — _ ''1,..-.'" M -... '''''.. ••-•,.,‘ wr x ' z,.. _. .._ cn . , r+ _. t',:,"‘„,,,, 4ti. n 0.") , ,' ...„i ... u.) (..0 X '.4F.A14 ,,,--11-.;tV- i.,, ... -, ..-- '0'),Z' ''.' 0 k , t #:' .,„ , let _. .z ,--t- CD * 1, ,-2. 0 (-. , vet , co , ' ... ,,. , 4 i 4.:1/4,4* -t •.: 1 CD t . Oa t a) '. t (,....1.). ...., . '-''''''' 51'. 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GOLD VILLAGE WATERSIDE LLC 114 n0 FI n 681 ROUTE 28 YARugRI MA D 4 M _ SITE PLAN i f,D v` " p w SHOWEIGPROPOSED ENCUMBERANCES f o r = s :I el a w an REVISION ,r A �® CERTIFICATE OF LIABILITY INSURANCE DATE OSM 2DIY Y) 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 Kristen Liberty Gerardi Insurance Services,Inc. PHONE (860)928-7771 FAX INC.No.Ertl: (A/C,No): (860)928-7144 16 Pomfret St E-MAIL kliberty@gerardiinsurance.com ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# Putnam CT 06260 INSURER A: Middlesex Insurance Company 23434 INSURED INSURER B: Sentry Insurance Graphics Unlimited LLC INSURER C: 445 School St INSURER D: INSURER E: Putnam CT 06260 INSURER F: COVERAGES CERTIFICATE NUMBER: 2022-2023 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 ADDLBUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS° WVD POLICY NUMBER (MWDD/YYYY) fMMrDD/YYYY) LIMITS X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE i0 REN I eD 50,000 CLAIMS-MADE XI OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A A0184918004 01/01/2022 01/01/2023 PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PR C n LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: Employment Practices $ 250,000 AUTOMOBILEIJABILITY GE�M9FNER9INGeB IMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED ^SCHEDULED A0184918001 01/01/2022 01/01/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) Medical payments $ 5,000 X UMBRELLA LIAB r OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESS LIAB CLAIMS-MADE A0184918007 01/01/2022 01/01/2023 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION Nei PER�I STATUTE ER I OTH- AND EMPLOYERS'LIABILITY Y A ANY PROPRIETOR/PARTNER/EXECUTIVE � NIA A0184918006 01/01/2022 01/01/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,00(,0°0 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 Lobster Boat Restaurant ACCORDANCE WITH THE POLICY PROVISIONS. 681 Route 28 AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 I .,/1, PA jj ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD