13-073 (27) Os5 11AM pJ,Q
CJTY OF NORTHAMPTON /3
IV ASSACHUSETTS ; 6
INSPE`GTOR OF BUILDINGS DATE July 27, 1992
AN
V 1
SIGN PERMIT PERMIT NO. 488
PERMIT FEE $ 20.
BUSINESS ROCKRIDGE RETIREMENT HOME
ADDRESS 25 Coles Meadow Road
OWNER Deaconess Association
ADDRESS _ Deaconess Road, Concord, MA. 01744-4199
APPLICANT Joseph Zarcari, Rockridge Retirement Home Supervisor
ADDRESS Same
Replace a ground sign with one 27"x31" wood frame and face
PERMIT TO:
ESTIMATED COST $ 600.
BUILDING DEPT. No hampton, MA. 01060
BY
Fraiccie
ienkiewic
Building Inspector
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=:, { 4 Erection. (."s )
Alteration ( )
Plans must be filed with the Building Inspector, Repair _ ( )
Repainting ( )
before a permit will be granted, Removal ( )
(1tftTitv of ;Northampton, cuss.
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., -J (/' /" 19..�. .
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME. a- .i10 F.- "4.r /#L
1. LOCATION, STREET,, and No. ...v. ��¢ S 1� jj/�ow �oslr>
2. Owner's name....(1/E.Mt) L.SN..C4: 4t0 s e-
3. Owner's addressi,in.e!1>~.Q S R0i4--y1 y e oAJ o'0 M ei C?.L2.:f — 't1....�1..2......
4. Maker's name CP R A CA.
5. Maker's address Boy. A/3.{ Soo i ,40-00TO .. KAI D/o73
6. Erector's name .1 J
7. Erector's address...• 0 `r ..Q..,i-- S U 774 4 4?Pr0 f Oyu O/073
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated yAs non-illuminated
2. Will sign obstruct a fire escape, window or door? ..n!0
Marquee
3. Lower edge will be ft. ins. above the public way.
Projecting
4. Upper edge will be 67 ft. -3 ins.above the public way. Roof
5. Height ft 4.7 ins. Width ft mina.
Temporary
Wall
6. Face area..&• ....sq. ft.
7. Inner edge will be....N.d ins from the building or pole.
Ground
8. Outer edge will be....d4 ins. from the building or pole. Other
9. Face of building or pole is....1'4 ins.back from the street line.
10. Sign will project. NA ins. beyond the street line.
11. Sign will extend....J. ..A ft ins. above the building or pole. r
12. Of what material will sign be constructed? Frame ktoQ..il? Face fi\ .A.Q o
13. Estimate cost 600•QO
The undersigned certifies that the above statements are true to the
best of his knowledge and belief.
ignature of-Owner or Agent)
NOTE: In order that this application may be accepted, the data called for above must be set forth
P P
CLEARLY and FULLY.
O,t P
Date Filed J/{f j® /9p2, vx ' ' File No.
ZONING PERMIT APPLICATION (510.2)
1 . Name of Applicant:-Poc K 2,oc c. ke- 77 let. te,i,T /c.0 E;
Address: ,_is" dot,es ii-teLttioow ,eeiED Telephone: ,-s-k6 -;,Zob
2 . Owner of Property: N.t4J L,jc,c,(„0 I)eI4c,AJecs ,4sscc
Address: beAcokiass 2 0 a D r eNcoer.0 M Telephone: So6 - 3W�-i-Si,5-/
I
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: /LJ,i,.v ,C�ga.c(5. Suioe ti sa& )
4 . Parcel Identification: Zoning Map Sheet# (v Parcel# '7 . ,
Zoning District (s) (include overlays) SX
Street Address)5 ec e_c.S /l'1-stoou> ,eo Ao s r
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side T, R L R
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) eemova Li&isnN6 ii-i-v/Hiwirasv Sim A-04D ,e6-15/4c4S-
tu/71/ ANQr1/tc Sr_,t. >r714 A 6,4J X.,10 iti (- 4-1i60 $Aart,c1kf
7 . Attached Plans: t/ Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: Jr/4 /6, /c9 Z Applicant' s Signature: ,i-c.e.Aw
�� THIS SECTION FOR OFFICIAL US ONLY:
" Approved as presented/based on information presented
nied as esented
n f ial:
7 -1/7 2--
lgna e of Build ' ector iD to
NOTE: Issuance of a zoning permit does not reeve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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PAGE l3 PLOT 73 ZONE Si< a.Jr . YES NO DATE
1 . ZONING FORM APPLICATION 7/l if/
2 . PERMIT APPLICATION ✓
3 . OWNER OCCUPANT STATEMENT / LIC . # IF NOT
4 , 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 , WATER AVAILABILITY FORMS
8 , REMODELING INTERIOR
9 , ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN / AWNING
12 . PERMIT FEE - CHECK ONLY - M NEY ORDER
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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