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HomeMy WebLinkAboutPermit Permanent Sign SN-13-57 - ALLSTATEPermit Number SN- City of South Burlington, Vermont Application for Permanent Sign Permit 1 OWNER OF RECORD (Name as shown on deed, mailing address, phoneandfax #) o i��iUdAd_,, /�(A/Ai d//Ji.C'-a- ( "I�dlill.liH4 JCLIJA,", 0 mailing address phonfax ?i�kIA22S PA Al L4i MUM. 436111111miMIJ MUD Mur W v_/_ A-, 4) TAX PARCEL ID # (can be obtained at Assessor's Office) l Ol0^,-:7 y00 / ERECTOR (Name, mailing address, phone and fax #): 7) DATE OF ERECTION 7 /SV CNp ©crO&CY;? 8) SIGN DATA 51,60 EOM WALL SIGNS (list size in sq.:ft., illumination, & type such as panel or cut-out letter) FREE-STANDING SIGN �5_1 x S 1. SIZE (in sq. ft.): �S- 2. OVERALL HEIGHT: O 0 SIGNABLE WALL AREA (in sq. ft.): TYPE, OF IL UMINATION: NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. 9) DATE OF DESIGN REVIYW APPROVAL (if applicable): /-JA 10) Applicant Signature &"��"Date: p e�j " V 3 11) Signature of Land/Building Owner: Pet, LeC>c Date: - / Do not write below this line •.•••••••••..••••••• 0000••••••••••••••.•...••••••••••••••••••••••••••••••••• Fee: /.`(o/- Ap li Lion: Rejected pprove Code Officer Signature: ti? Date: K-Wss-ww) N011Vdf 10 AISO r 01681IN0 r KISH0000-MOVIAS r Iawli MOO l AMI WV UUM C IOZI8ZI81V QAA x K 39Vd LETTER OF AUTHORIZATION FOR SIGN PERMITS DATE: 8-27-13 OWNER INFORMATION: C0 - L Bev wl-/ � REFERENCE LOCATION: VTDYT Donna Booher 4001 Williston Rd South Burlington, VT 05403 SIGN INSTALLER: Philadelphia Sign Company 707 West Sprang Garden Street Palmyra, N.J. 08065 856-829-1460 fax:856-829-8549 Attn: MaryEllen McCarthy memccarthy@philadelyhiasigrn.com To Whom It May Concern: 1 understand there will be sign renovations at the location referenced above. Please accept this letter as authorization for the above sign installer to proceed with obtaining the necessary permits and installation of said signage. If you have any questions concerning the authorization, please contact me. Thank you. OWNER'S PHONE OWNER'S Print NameW1/A.d� dY Signature https://webmail. allstate.com/owal,DanaInfo=. awfdpenrwzxnKmyz79r.xTx-9,SSL+WebRe... 8/28/2013 9NOSS-0 NOI1nna,:01$3, 0168:00, KV000XA MLLOMRS, RI10i00ItXaOl WV 8l:Ll:16 MUM IV WS, K 30Vd LETTER OF AUTHORIZATION FOR SIGN PERMITS DATE: 8-27-13 OWNER INFORMATION: REFERENCE LOCATION: VTDYT Donna Booher 4001 Williston Rd South Burlington, VT 05403 SIGN INSTALLER: Philadelphia Sign Company 707 West Spring Garden Street Palmyra, N.J. 08065 856-829-1460 fax:856-829-8549 Attn: MaryEllen McCarthy inemccarthy@philadelphiasign.com To Whom It May Concern: I understand there will be sign renovations at the location referenced above. Please accept this letter as authorization for the above sign installer to proceed with obtaining the necessary permits and installation of said signage. If you have any questions concerning the authorization, please contact me. Thank you. OWNER'S PHONE It 2'(5Z W- 8!'of,'10 oasZ). ` 6,67 c - A%7 OWNER'S Print Name-�iY/!�4�%�� Signatur https:llxvebmail.allstate.com/0wa/,Dana.Info=.awfdpenrwzxnKmyz79r.xTx-9,SSL+WebRe... 8/28/2013 SIGN# PG# SIGNTYPE ACTION E01 P01 ALST.MON.NI_25 Rmv a Rapt N01 P02 ALST.DOOR.STD.VIN New Sign Donna Booher Agent #:29335I ((Jj A I I state fc-) PHI LADE LPH I A SIGN 707 West Spring Garden Street Palmyra, NJ 08f 798 LOCATION: VTDYT Donna L. Booher Agency 4001 Williston Road S Burlington; VT 7NE THIS IS AN ORIGINAL UNPUBLISHED DRAWING CREATED BY PHILADELPHIA SIGN IT IS SUBMITTED FOR YOUR PERSONAL USE IN CONJUNCTION WITH A PROJECT BEING PLANNED FOR YOU BY PHILADELPHIA SIGN IT IS NOT TO BE SHO W N TO ANC' - -OUTSIDE YOUR ORGANIZA )R IS IT Vl� E01 A MON.NI 25 5'h x 5'w Non -Illuminated Monument Sign (25 SF)_. ,JLExisting Existing Sign Dimensions: 4' 0"h x 8' 0"w / 9' 2" OAH ENGINEERING SHOP VINYL / LAYOUT ROUTING I KNIFE 1 1/4" 10 1 1/4' i 4- 7 1/2' — 1 • 1 _ I _._._....._ St Thk x 6" x 91ce1 Match Plot. r-- II Some" Dim Hoist W1 v2' Du Trap Ntde Welted To Top Side Of Plate m � } I 3J1B'Thkx3'x3' Stool Canter Polo -•-1( I 2' Dia Wire Hole ._ _ __.1._a...._ R._�..Y._....._�.. 3r16"Thkx4'x4' ' SteelMatch MATCH PLATE DETAIL Plain Below SCALE: 3' to 1'-0" r1,1:111u1USS ill`RY, (2.34) Amps (M 120 Volts Iectri lllftmnb (1) 20 Amp/120 Volt Circuits STANDARD PYLON NOTES' 1. Sufficient Primary Circuit In Vicinity Of Sign By Others, 2. Final Primary Hookup By Sign Installer, Where Allowed By Local Codes. 3. Sign Shall Be U.L. Listed. 4. Soil Assumed To Be Medium Clay, Or Better, With Minimum Soli Bearing Capacity Of 2,500 PSF, 5. Concrete 2,500 PSI C 28 Days. 6. Reinforcing Steel Shell Be ASTM A815 OR'40. 7. Structural Steel Shell Be ASTM A36. 8. All Welds Shell Conform To A.W.S Standards. Note: This sign Is Intended to be installed in accordance with the requirements of Article 600 of the Nownst Electrical Code andlor other applicable local codes, This includes proper grounding and bonding of the sign. e R• 7" Typ 5'-0 „ ­ ­ 4'-6 Ste" _.-_.. Shut on Switch PLAN VIEW SCALE: 3/8" = V-0" ` Sign Illuminated With T12 Lamp. Powered By Electronic Ssnasts 2' Open Alummum Hinge Ptug Welded To Face 6 Screwed To Coming wIN/0.J14" Tok Screws 5..0 ..._ —_I 4'-6 518 i 4'-0 Cladding Intel Of Logo Graphics To Be __..._- 3M Translucent SuOan Blue Vinyl j 11 3030.157 Applied lot Surface 12-1-12 To .1IS" Thick (Makrolon) White St. 0732E (11169) Polycerbonsts. .090" Thick Routed 8 Pon Formed Aluminum Fees. Rounded Comers To It Epoxied, Palnl MP2136 IsI Blue (Satin Finish). An Copy To Be •0 Routed And Backed Up Routed Out Area Backed Up With .IIl' Thick (Makralon) White SL a7328 (869) Potycarbonals. Attach To Sack Of Face wrpoubie Back ► Tape And 541cano -Hraeeehoe" To Be Rouloa .OBO' Thk Alum Precast • Allstate Sliver I h I ''W Thk x 6" x 10' Steel Metch Plate 6 1/2" 2" x 4' Handholo - - Ll6" Thk x 4' x 4' Sleal Column Cladding To Be .OSO' Thk Alum `Il IIII Proccat • Allstate Silver ='IIII IIII IIII I � -IIII I U314' Dim Incoming Electrical Conduit i 2'-0' Ola x 4'-0' Deep Q Concreu Foolktg , OJ•t••1J 2--0 ' Dia FRONT ELEVATION SCALE: 318" a 1'-0" 10' 2, II Dia SIDEVIEE SCALE: 3/8' = V-0' Philadelphia Sign O O M P, A N y 7117 IVrsr Sprblg Cenka St er 1'dhuUM. vell. /erxrg Insm IT„» CUSTOMER: ALLSTATE JOB NUMBER: SIGN TYPE: ALST.MON 25 LOCATION: Various DATE: 07/06/2012 DRAWN BY: JLTH REVISION: NWmesr. Orel•. By. 2 031f012013 JTR SNBST: ENoDEPT 1 OF 1 two NUMBER: B"44750 ENGINEER SEAL: MAx OEaION WINO ePEEO ea MPH EXPOSURE 11110 15 AN OV114Al UNPb r,r 'T n 1.G lP[Allp RY 1'JG+ .1 IS :1 IUD YOUR rl 4 1n1061 J',J RI IJAIJNt-NA WItN A PROCIT "I140 PI ANIN a ItH YOIJ NY PVA 11 Is Not TO el Dltnwll 10 ArIY11NI, OUTSIDE YOUR oaOANiMilo% NOR M 1 TO Ot USED. oOPEC Nr Mlnpix'.fn OR Ixilib11M IN ANY rASHO, 14 15i.er"', CERTIFICATE OF LIABILITY INSURANCE D"� ioi`v 012Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR GiEGATIVEi,Y 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: I£ the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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 TD Insurance Agency Inc PO HOX 406 Portland, ME 04112 _ CONTACT NAME PHONE NON6 FAY (A/C. No. Est): E-MAIL PRODUCER CUSTOMER ID#. INSUREDS) AFFORDING COVERAGE NAIC N INSURED Philadelphia Sign Co 707 W Spring Garden Street Palmyra, NJ 08065 INSURER A: A.I.M. Mutual Insurance CO 3375E INSURER B: INSURER C, INSURER D: 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFF OA+/DD/Ym-) POLICY EXP DM/DD/YYm LIMITS GENERAL LIABILITY EACH OCCURNICE $ ❑C014fEACIAL GENERAL LIABILITY F10CLAMS MADE ❑OCCUR DAMAGE TO RENTED occvcp—o $ HIS CXES(E NED EZP (Any ono person) $ 0 - PERSON![. 6 ADV INJURY $ ❑ GENERAL AGGREGATE $ N'L AGGREGATE LIMIT APPLIES ER: GE PRDOOCTS - c P/OP A= $ POLICY OPROJECT ❑L/JC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT lee accident) $ ANY AUTO BODILY INJURY (per person) $ ❑ALL CwtffiD AUTOS BODILY TNJURY(per accident) $ ❑ SCHEDULED AUTOS ❑HIRED AUTOS PROPERTY DAMAGE (per Seen[) S NON-")NNED AUTOS $ $ VlIDRELLA LIAR ❑ OCCUR EACH OCCURRENCE $ ❑EXCESS LIAB CLALM9 MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑RETENTION $ $ WORPMRS COMPENSATION ®orR- AND EMPLOYEES LIABILITY" r 1O"Y La•ITs ER ___ E.L. EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/PARTNERS/ A EXECUTIVE OFFICERS ARE ® IRCI ❑ excl 6011076012012 10/10/2012 10/10/2013 E.L. DISEASE -POLICY LIMIT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 COMMENTS DESCRIPTION OF OPERATIONS OR LOCATIONS: WORKERS' COMPENSATION COVERAGE APPLIES TO MA EMPLOYEES ONLY I CERTIFICATE HOLDER CANCELLATION PROOF OF COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ' AUTHORIZED REPRESENTATIVE ❑ Petition (original + 11 copies) ❑ Addendum of Facts (original + 11 copies)' ❑ Site/Plot Plan (original + 11 copies) ❑ Elevation Plan (original + 11 copies) ❑ Abutter list (Legible original + 11 copies) ❑ Original signatures ❑ Payment/Check