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13-073 (28) t. City of Northampton Massachusetts Date issued 9/20/2007 0:00:00 Inspector of Buildings Permit # BP-2008-0249 Permit Fee$30.00 SIGN PERMIT Business ROCK RIDGE SERVICE ENTRANCE A Applicant Installer NEW ENGLAND DEACONESS ASSOC Applicant Installer Address 25 COLES MEADOW RD Work Description REPLACE SIGN PANELS TO EXISTING GROUND SIGN A SERVICE ENTRY ROAD - ROCK RIDGE SERVICE ENTRANCE - NO HIGHER THAN 4' Estimated Cost $110.00 Building Department Approval by: File#BP-2008-0249 APPLICANT/CONTACT PERSON NEW ENGLAND DEACONESS ASSOC ADDRESS/PHONE NORTHAMPTON 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 Yeca.9t 036 Typeof Construction: REPLACE SIGN PANELS TO EXISTING GROUND SIGN @ SERVICE ENTRY ROAD- ROCK RIDGE SERVICE ENTRANCE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan TH OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I ORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan 4-R1 Major Project: Site Plan AND/OR Special Permit With Site Plan 7,,A1 _ / 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 E Street Commission Signa e of Buildin fficial 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. y � ic963202 Erection ___ ( ) Alteration _( ) Plans must be filed with the Brn'lding'I r 1��u, Repair 2001 ✓ Repainting ( ) before a permit will be granted, SEp Removal_ _ _( ) Tito uf Ntithainn il FE�10�� � a;�1NS 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.,.. 9_.__._.._ To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME ROC, ' pc} ,� 112�.,(�iF<v6 1. LOCATION, STREET and No. if...LIM: lPc '�_ 2.- Owner's name_ ea �N�/�'ti'�� f'P�?c'di v ASS /3-SS cc- 3. Owner's addresspp O ,D-Pi�cCid+es 5� Gv ('a:✓cn.--c.� m s,CI• 4. Maker's name G✓me%2 e,' 2),,c`S 5. Maker's address 6. Erector's name I 7. Erector's address �.__ _ ..— ___ __...__.—__...._.___. SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated___._.non-illuminated v 2. Will sign obstruct a fire escape, window or door? LSZ._..4 Marquee__ 3. Lower edge will be 43 t. _ins.above the public way. 4. Upper edge will be ins above the public way. Roof Temporary..._ 5. /v ins. Width___.l__ft. ) ins. W all. 6. Face area 6 sq. ft. Ground. / Sc skz e7Z 7. Inner edge will be_ ins from the building or pole. 8. Outer edge will be.Tins.from the building or pole. Other._ 9. Face of building or pole is J ins. back from the street line. \\ Sal vn. Pi-u f evey 10. Sign will project 6 ins. beyond the street line. / 8' from ed f e o F s-iciewYolt 11. Sign will extend — ft. ins above the building or pole. 7,0 S!GrJ 12. Of what mates�al will sign be constructed? Face....._1•'J° 13. Estimate cost..!.I.10=. The undersigned certifies that the above statements are re to the best of his knowledge and belief. dsj (Si2nat e of Owner or Agent) NOTE: In order that fnic application may be accepted, the data called for above must be set forth CLEAE.LY and FULLY. PRE- File No_ ZONING PERT APPLICATION (§.Z 0 . 2) r. z.. TYPE OR PRINT T ALL .TITIORHATION 1. Name of Applicant: RUC 1 K S e fit e Address: c5)S CORS 1 PAn 04,1 /e ' Telephone: Y/3 5 U 2_ Owner of Property: 1VC41 //{i /4co h�'iS ,y1SS0� i rt�ur Address: 495 ,D,0,g�d ss' C c�-�l,p> S,.$ Telephone: g7� Ly ,i i / �� ,4 y� 3, Status of Applicant: /Owner Contract Purchaser Lessee Other(explain): 4. Job Location: CFTC leTS. P ry jr'r" . Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. E sting Use of Structure/Property S /Sl�c� i 1/lGvS �cti1 l /AJ 6. Description of Proposed UseMFork/Project/Occupadon: (Use additional sheets if necessary): rA14/7`- igl 1 '�' �`A' . � yi 7. Attached Plans: Sketch Plan V Site Plan Engineered/Surveyed Plans A:Swers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitNariancer►nding ever been issued for/on the site? NO DON'T KNOW 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) S 10. Do any signs east on the propert}f? YES NO IF YES, describe size,type and Ioction: . .^-!.4 D 42,4„-< --_-/4 43 3 x 0,44. 94,414-444..r."---- 64-'64 fi )1/4' Are there any proposed changes to or additions of signs intended for the property'?YESS c NO IF YES,describe size,type and location' e),/4 ,0__&ata 1 _ INFORMATION MUST BE COMPLETED, or PERMIT CA! BE DENIED DUE TO LACK OF 1Ii11.ORMATION coZrtz= :o be wi Le by Required Existing Proposed By Zoning Lot size Frontage Setbacks -_front - side L: R: L: R: r - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parv��gi # of -Parking Spaces I _ 1 # of Loading Docks I I Pill: .t vol-lime-& location) I I !I 13 . Certification: I hereby certify that the information container✓+' Is true and accurate to the best of my knowledge. DIE: PPLICART's SIGN z...7372, - NOTE: Essusnoe of a zoctirtg permit doesriota oa r-eiieve art spptire s 's: d o o t�:erert t orn=ty itE-E z€t ze,niLTg Fc.Yuirerrtartis snd obtecin pre-tits from the iyoeerd of E4eet6-41-4. Coreretiors Cornrnissiort, Cepsrtnnteret of Pubiio Works anef other eppfiosbEe perm t =rsnting scrtharitios FILE • 0 -r -ram \ie. it, , / 0 . \.N. A. / `tFv V ss K',,L, v- 7 / T • -- , 9, 41 - : r* c V 4-' il :J (re?' ' ro ,,v� r•/ , y)4 ' S.✓f.edema? 70(06 �.1 )r4aJ (von,► .7.f• bee, a ' t¢L. .� © d NO ena Al 71.1 r �ry i S -a J it t„. ..` PI DO .) 38 of 4 \, c� '�� G. Wn v°p°Lw cV '1"5P P 5 m� ltitJJ L St 7 Fode (1',tiere., Q ___ s �3 g) S c; New s►c-i, 1 C7-6, S w `c il �fRocF( 1Qi�� fir- get in ce er » ,G� Si—Del w)%f le ,.v -'i 0 2 y 0•<, K 7-'5 �5-- -t IC -