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13-073 (24) City of Northampton Massachusetts Date issued 2/25/2008 0:00:00 Inspector of Buildings Permit # BP-2008-0693 Permit Fee$30.00 SIGN PERMIT Business ROCKRIDGE RETIREMENT COMMUNITY Add Applicant Installer ROCKRIDGE RETIREMENT COMMUNITY Applicant Installer Address 25 COLES MEADOW RD Work Description ERECT TEMPORARY GROUND SIGN BANNER - ROCKRIDGE RETIREMENT COMMUNITY Estimated Cost $200.00 Building Department Approval by: File#BP-2008-0693 APPLICANT/CONTACT PERSON ROCKRIDGE RETIREMENT COMMUNITY ADDRESS/PHONE 25 COLES MEADOW RD NORTHAMPTON (413)586-2902 0 PROPERTY LOCATION 25 COLES MEADOW RD MAP 13 PARCEL 073 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid /3 77( 3 Al3r)' Typeof Construction: ERECT TEMPORARY GROUND SIGN BANNER-ROCKRIDGE RETIREMENT COMMUNITY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan vxTHE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I F 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: § 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 Permit DPW Storm Water Management Demolition Delay . 1c<ei----- L z 2 008 i 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. s 12t0 jr• Erection. ( ) try -Alteration ( ) ECE Plans must be filed with the Building Inspector, v hepair ( ) 1; Repainting ( ) before a permit will be granted, J . I FEB 1 1 2008 Removal ( ) Qmtt of ;Northampton, 41.1is . Application for a Permit to Place or Maintain a Sign or other Advertising Device (Application to be filled out in ink or typewritten) FEE PAGE PLOT Northampton, Mass.,. I.J4.Q. — the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME g"IL g)19615 •f/n )41f,,��/��.,",��I Comm Li1�+ ) TY 1. LOCATION, STREET and No. ,,,�15 (UL6S p7e-d..d/ 0 tr 0 2. Owner's name ...t ..................... .... ...._ 3. Owner's address. ._............ .._ j 4. Maker's name T. ...SI...� '�-yA.. ' _ .�.....:....n 1A'C. .} ....... 5. Maker's address IV 1=-�r..l.. ��'.� (., 1 4.) 6. Erector's name 1142. r... ..: 1!/..1.. 7. Erector's address SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated non-illuminated 2. Will sign obstruct a fire escape, window or door?....A✓5L. Marquee ' 3. Lower edge will be ft. ins. above the public way. Projecting 4. Upper edge will be ft. ins. above the public way. Roof L, Temporary 5. Height 3. ..ft ins. Width ft ins. Wall 6. Face area.. . .......aq. ft...., . roun 7. Inner edge will be..........._....ins from the building or pole. 8. Outer edge will be ins from the building or pole. ther 9. Face of building or pole is ins.back from the street line. 10. Sign will proj ect..l ns.beyond the street line. 11. Sign will extend..W.Vviii ins. above the building or pole. 12. Of what material will sign be constructed? Frame .. Y.��'��1' " Face 1 13. Estimate cost... ) The undersigned certifies that the above statements ar tru the best of his knowledge and belief. (Signature of Owner or Agent) NOTE: In order that this application may be accepted, the data called for above must be set forth INT SNOP PR CLEARLY and FULLY. ` ' File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION /+ 1. Name of Applicant Ft) ( tom-R IDV JE- f `QY ffl ulo Address: r5 C u�i> 4 f 7 O W Telephone: 5 2 2. Owner of Property: 5)1 t Address: Telephone: 3. Status of Applicant: t! Owner Contract Purchaser Lessee Other(explain):(e ��yy� ,�/� 4. Job Location: L7� C U t`�5 /'�T A-1 u W 1-0 Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): TO iur 7-Ft peg y v)fYC- sl 6-Ai' o v P vfJr/ ►►- n u P 9 �y ,9nNN QUA/ e-i iv G- y f-w' CO C--�-S 3 ;� s �s ;,v --)T r- j 7. Attached Plans: Sketch Plan Site Plan • Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW V YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document it 9. Does the site contain a brook, body of water or wetlands? NO DONT KNOW v 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) N O4 - 9gSC£«6 ( - SS o ) Q Al 'M°fr Ai -) 4I1)AI n 0 ,tic )-&' �. 1c11i taco 0 J 0 � f2 y)-fv LAT 17 O ►- Oyu t")N9 A 's 5 1 ) 0 19- 12--(2- s