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ALTA/AGSM LAND TITL&SURVEY
NORTHAMPTON,MASSACHUSETTS HUNTLEY
b$ tuuPSHIRRCOU., PRELIMINARY
Mo. 03/08/2005 HUZMEY ASSOCMTES,P.C.
�i NORTHAMPTON HEALTHCARE i 1 r i # suaysrom snow o�Wxm Wor®ffi= a
REAL ESTATE,LLC NoxnusvmM.seeacxosamoioeo
Tfrle--#� P-2006-0050 ;
APPLICANT/CONTACT PERSON Northampton Rehabilitation Nursing Center
ADDRESS/PHONE 737 Bridge Road 586-3300
PROPERTY LOCATION 737 BRIDGE RD
MAP 18C PARCEL 048 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT-PPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FO LED OU
Building,Permit Filled out
Fee Paid
Tygeof Construction: ZPA-FRONT GROUND SIGN
New Construction f
Non Structural interior renovations
Addition to Existing,_
Accessory Structure
Building Plans lans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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
ZONING BOARD PERMIT REQUIRED UNDER § f�
Finding Special Permit 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
Signature of Building Official Date
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 the Office of
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,.rt YES f�0 J
i o. Do any signs exist on the propA
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO _
IF YES,describe size,type and location: l ` c� l l e/ Q I\j L 19 k
1I_ ALL XRFORMATION -Af UST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFOR[fATION.
�zis co2� Ya 3. �i.Lr3 ?a
Required I
Existing Proposed By Zoning
Lot size
Frontage
rp
Setbacks t 10
- side L:�'R: l L- mE R:. to i
- rear 1100 i
Building height l5 eIrn
Bldg Square footage
mL.
%Open Space:
(Lot area minus bldg
&paned park�-2g) l�
# of Parking Spaces
#- of Loading Docks l
Fill:
{vol-lime-& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'Z'E: APPLICANT s SIGNATURE
NOTE: Esscsanoe of a sonEng persteEt does not reEie�re ae1 a:pptioan:s Estirc€en t oorecFs� at€tE�t a
coning regLdriaments and obtaEn aE6 required perms! fro the E3oard of 14ea[th. Conserv,2%
Cornrreission. Department of PubEio ESrorics and othe ap a e peresvif granting atttE4orifEes
FILE #
Fi e No.
ZONING PERMIT APPLICATION (.S>10 . 2)
p r YP . OR P-RIN' ' ALL gT.b'ORMATIOTT
1. fame of Applicant: } AmP-r�� REhlJ?1+-/ATiaay NUmS-`AAG- CEox�,
Address:��1 � ,,D C,(--� -14N6,ff h�hri& '+�'0Pfeiephone:�il3 V� �a
2. Owner of Property:+r`1aR17 R6i P1 CW �eth-1 h C p K S� tJ LL C_
Address: 4 PvR �' Telephone: W 13 7d 0
3. Status of Applicant: Owner Contract Purchaser Lessee
Otter(explain,:
4. Job Location:]3`1 �R•11 i��,.-� 1o,� � ��1 �IYi �'�' yy roll+
Parcel Id: Zoning Map' Parcel District(s):
(TO BE FILLED IN BY THE BUILDING DEPAP.TMENT)
5. E)dsiing Use of Structure/Property ta U 1-4 C I c.1 Q V-0
6. Description of Proposed UseMork/Project/Occupation: (Use additional sheets if necessav):
t\t y s i - ho m
7 Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Ruildi g Dept or Panning:epartt-n-enf Files.
8. . Has a Special Permit, ancell finding ever been issued forlon the site?
NO &110 DON T KNr�1t.A.1 - 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 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
�--�•' - r 12.E o=
Alteration�____�( )
Plans must be filed with the Building Inspector, Repair _____.( )
t L
Repainting—___( )
Removal------------.._.( )
if nag.
Application fora Permit to Place or Maintain a Sign
g
or other Advertising. Device
(Application to be filled out in ink or typewritten)
FF_I .......... ('AGE PLOP..........
Northampton, Mass.,...........................................- _ - ..19
To the Building Commissioner:
Application fora 1)ermit to place or maintain a sigil o other adVerusing de;ice, or marquee.
BUSINESS ........ ..... .. .... Z ...._-... ?`1.0�. ,(J?Ah:�?�-.-.�y��, 2�
1. LOCATION, STREET and No. ---._ -- ---- --- --------- j/ Ito(
- - �
2. Owner's name.. - - VClS -- t ? LL C 1
- ..-•--ta-tLA
3. 0�cneis address1 _ 17Le .....-._!.._lr. - e60
4. Maker's name......... --
.........................................--•-.....--•-••......................
5. Maker's address--- .. .... ._-��� bzt--_------
6. Erector's name. . .....
'Q
7. Erector's address-.rJQf. Q 1..-..-.-../-c .S�.Q..........
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated--- _...........non-illuminated.................. (Designate)
.. ..
2. Will sign obstruct a fire Pzcape, windov,, or door?.__ . Marquee.......
3. Lower edge will be _. ._.ft. _��-� ins. above the public i�ati. Projecting..................................
. _ .ft. -- --._..-ins. above the ub,ic 1.,a , Roof .....................
4. Upper edge will be.....t� � p 1- 1
5. Height.._.. T e m p o ra r-y•------------------•-........
�-...ft._...�_---ins. Width----•----�--.__ft._--�.---ills.
6. Face area_` 10._.eq. ft. Wall............ ...---.-----'�. : •--.......
r. Inner- edge %rill be....:_...._.....ins from the building or pole.
Ground.----!'.................
8: Outer edge «vill be..................ins. from the building or pole. Other...........................................
9. Face of building or pole is-----__.--------ins. back from the street line-
10. Sign will project-----0----ins. beyond the street line.
11. Sign will extend..... .._ft_-(D------ins. above the buildin or pole
12. Of xhat material%gill si n be constructed ? Frame.. .... ............................. Face.....
11 Estimate cost..
The undersigned certifies that the above statements are true n the
best of his knowledge and belief. ``��-� °
-- ----.l...
(Simon:�iurc�r(()\rn�'r v bent
NOTE: In order that this application may be accepted, the data called, for above must be set forth
File#BP-2006-0759
APPLICANT/CONTACT PERSON Northampton Healthcare Associates,LLC
ADDRESS/PHONE 737 Bridge Rd. NORTHAMPTON
PROPERTY LOCATION 737 BRIDGE RD
MAP 18C PARCEL 048 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ERECT GROUND SIGN N'TON REHAB&NURSING HOME
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE.FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I RMATION 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
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit 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 Co on
Signature of Building Official Date
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.
i
City of Northampton Map 18C Lot048 Zone URB
Massachusetts Date issued 2/3/2006 0:00:00
Inspector of Buildings Permit # BP-2006-0759
Permit Fee$30.00
SIGN PERMIT
Business NORTHAMPTON REHAB & NURSING CENTER
Address 737 BRIDGE RD
Applicant Installer SAME
Applicant Installer Address SAME
Work Description ZPA - ERECT GROUND SIGN N'TON REHAB &
NURSING HOME
Estimated Cost $1800.00
Building Department
Approval by: