HomeMy WebLinkAboutPermit Permanent Sign SN-12-72 - BARNES & NOBLEgisPermit Number SN- -
City of South Burlington, Vermont
Application for Permanent Sign Permit
1) O R OF REC (Name as shown o eed, mailing address, phone and fax #)
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2) _A,�PLICANT (Name, mailing address, phone and fax #)
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3) SIGN LOCATION (include business name, address, & phone #):
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4) TAX PARCEL ID # (can be obtained at Assessor's Office) G S 7 0 0 1 o0
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5) S�;ER� ECTAOR (Name, mailing address, phone and fax #)- —
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7) DATE OF ERECTION
81 SIGN DATA
WALL SIGNS (list size in sq. ft., illumination, &type
FREE-STANDING SIGN
such as panel or cut-out letter)
1.
S �// ��
SIZE
SIZE (in sq. ft.): 3a
2•
OVERALL HEIGHT:
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SIGNABLE WALL AREA (in sq. ft.):
TYPE OF ILLUMINATION:
1, 2
.Nui b: 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 REVIEW OVAL (if applicable): % 2 /'� �� !'� of
10) Applicant Signature: Date:
11) Signature of Land/Buildin wner:Date:
Do not write below this line
Fee: �i A cation: je ed Approved
Code Officer Signature: Date: �1
I nr J e< rttJ Llb I tU AbUVt ARE ADDITIONAL AND WILL BE INVOICED SEPARATELY.
PROPERTY OWNER AUTHORIZATION • MUST BE SIGNED BY REAL ESTATE OWNER
Sign location address: Lrse Land�+,o� t 10� D�rs � atl i, t `IYk�rY S1 . , S . �t r - r,�- T
® I hereby authorize Jenn Robichaud or Authorized Representative of Barlo Signs of Hudson, N.H., to
APPLY FOR SIGN PERMITS for this site.
r 4I hereby authorize Jenn Robichaud or Authorized Representative of Barlo Signs of Hudson, N.H., to
APPEAR BEFORE THE PLANNING BOARD a!W/or$IGN REVIEW BOARD and/orthe ZBA for this site.
Property Owner's Signature*: � '
Printed Name:
Address:
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Phone number:
'This verifies that you are authorizing Barlo Signs to sub�il an application for permits, variances, or hearings ON BEHALF OF THE
OWNER OF THE PROPERTY. Barlo cannot apply for permits or hearings until we receive PROPERTY OWNER'S authorization.
> IF YOU ARE THE PROPERTY OWNER, please complete & sign the above_
> IF YOU ARE NOT THE OWNER: please provide your landlord's information to us, and we will contact & secure permission.
Please FAX this completed & signed form to 603-882-7680, attn: and MAIL ORIGINAL to Barlo Signs,
158 Greeley Street, Hudson, NH 03051. If you have any questions, please call me of 1-800-227-5674 ext.
THANK YOU! Date: June 2t , 2012
Reference JOB NAME: _ ��� �z� Q vPt�� Job No:
DEPTH OF SIGN
F T TBD PENDING FIELD SURVEY
OF EXISTING STEEL
r ) BarloMex Sub Other:
Barlo BarloMex Sub Other:
ITEM A- MANUFACTURE & INSTALL
(1) D/F ILLUMINATED TENANT SIGN;
REMOVE EXISTING (DISPOSE) BUT LEAVE
EXISTING POLE
Sign Area: 32 SQ FT
Field Survey Required
Cabinet: PTM COOL GREY #2
Retainer: PTM COOL GREY #2
Face B/G: TENANT PANELS: 3630-76 HOLLY
GREEN (OPAQUED)
W/ WHITE TRANSLUCENT COPY
Address Header: PTM 3630-76 HOLLY GREEN
W/ WHITE COPY
Poll FS
Pc, �XISTING STEEL POLE
Pole Cover: PTM COOL GREY #2
ALL COLORS ARE FOR REPRESENTATION ONLY.
SEE ACTUAL SAMPLES FOR COLOR MATCH.
1-1 Remove ft Dispose of Barnes & Noble Sign
LEAVE EXISTING STEEL POLE
MANUFACTURING INFORMATION
S/F D/F ILL Non -ILL
Interior Exterior Custom xtrusion
Cabinet 13.5" 2.5"
Depth: (depend sofwidthofpipe) Ret.Size:
Framing: Steel Alum.
Face Mat: LEXAN Th: 3/16"
Copy: VINYL
UL Sticker Loc: Stnd Top
Illumination: luorescent Neon LED
HID Other
Ba1'- -;t: Standard Electronic
F.._c COVER
Non -Ilium Ilium Standar Custom
Hgt: Depth:
Material: ALUM
ITFAA A tl\ n/C II 1 1 MAIAIATCr) TCKIAKIT QI(_1I
Circuits
Size
Amp
Length
Voltage
W. Thickness
U.L.
Stub Size
Notes:
Stub Length
W. Thickness
This sign is intended to be installed in accordance
with the requirements of Article 600 of the
National Electric Code and/or other applicable local codes.
This includes proper grounding and bonding of the sign
PLATE
GUSSETS
ADDRESS CAP IS
NON -ILLUMINATED
VECTOR -BASED ARTWORK
REQUIRED FROM TENANTS;
ILLUSTRATOR .EPS CS5 OR UNDER;
NO BITMAPS OR JPEGS
1 ''/2" REMOVEABLE DIVIDERS
1" DEEP ALUMINUM PAN
ON EACH END
REMOVE SIGN & DISPOSE; LEAVE POLE
EXISTING PYLON SIGN
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Assaiates
802.862.6880
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