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23B-046 (25) MAY-22-2008 15:30 COOLEY D I CFA I NSON HOSPITAL 413 502 2959 P.01 AA6,DARTM0UTf4-HlTa4cmi< ALLiANcx 30 LOCUST STREET NORTHAMPTOM MA 01060 Phone # (413) 582-2313 FAX#: (413) 582-2959 FAX COVER PAGE Dom `/ �° ' To: Subject: *A4r�aV� F 5707- x• # Of mites: Comments: r MAY-22-2008 15.33 COOLEY DICKINSON HOSPITAL 413 582 2959 P.04 -.0. - nk tTj sf SU N r—t- �, N to i " x Z wolom Y CD o CD z b r i 1 F 1 f TOTAL P.04 � l J :.. �--� � d d CD O �-h y CD CD r+ o r �d CDh CD O! � C 1 FU az o t .M 4 o' Q a c,. ( Q 9 0 v y V! yo .��^ we • P Ir w 41 R q ; R"� yam, S a - • j. arg err _ Ir 6 I+ q Q' Ur ° 8 MAY-22-2000 15:32 COOLEY DICKINSON HOSPITAL 413 582 2959 P.03 10. Do any signs exist on the Property? YES _r �_- NO IF YES, describe st ie,type and location: Are there any proposed changes to or addWons of signs Intended for the property' YES ENO iF YES, describe site,type and location, �Q•Y„g►.=, �b4ujxmjw , 11. Witt the consu=iort eetWW disturb(clearing, grading,excavation,or ftitin��1 acre or is it part of a common plan at detietopment i�will disturb wer t acre. YES�,„r. NQ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 17. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN$E KEENED OW TO LACK OF INFORMATION for wwbVthu AkdldhV G PRt?POSMD _....REQUf,RWBY.-- ZONING Lot St'ze LA a FrpMalg! Srttbacks From E> 2 Side U It t 1 Z i C: R: & ww-AL-- L- R: Building bright IhAding Square Footage IG open Space:(tot area minus building It Raved �, __.........._._ parkinL a of Partdng spaces s of Wading Dodts Flit: (volume ti l�ocac�l /t.� 13. Certification: I hem-by certify that the information contained herein is true and accurate to the best of my knowledge. Date; Appikent's Signature ATOTE:Imuaw=of a coning permit does not reNwve as apphemi s burden to ewnply with aA Ong rmuimmeau and ubmin aR segwr red perrnnks!from do Sward of Health,Conser don Cadnisafoan, W*tvric and wrchitachand Bm ds,De uwtoumt of PRSW&c wrdw and odwer ayplirablt perrrnit gaming autharrwIiS& ur:>ao�,�wtr•Qttsea+o.+� �-t�.cru�►zo�.r�a,aN,Leawr, iY�.doe r�vtoaa MAY-22-20083 15:31 COOLEY DICKINSON HOSPITAL 413 582 2959 P.02 ri Fafl�e No _ - �� � � .• i� ^."SY'S'•�..'-iJ'�.�.,:•-.%:..Aid^. Please type or print all information and return this form to the Buildiang Inspectoes Office with the*iSfiling.fee(check or money order)payable to the City o�f'V orthampton 1. Name of Applicant:, ©)664 Address: 2c) 2. owner•of Property: iJAkagL Tetephoone: 4..r't 3. Status of Applicant: Owner Contract Purchaser Lessee Other(e�tasnf �►a.��a«4e�w'" 4. Job Location: Qb%4 n "- - MMAA" wr'Z,l�,�.`Y' �_--:'',_> _�.. .y�•r11,J� -x� �-r ..+��.M•��'1��:..�:::..t._,,.. +r�.y:::+i.:ywir..'uis�.rw,� ..�.ti^.... -. _ yr•�•r+ '•4h;fit:,^,,,_.. Tii#r_.a_.�: - -uF..�,.sC'`" 'ts%7�.s. �..:�:•=1': _' ',r;• :v<sFe'w.. -^•.-rl:reas�..w.:5.,. ''~••-• �:.si••:•. _ "�•�• �'}S':u 'y '.f:1....^" •war., _'•` �: ���,^ .'•;=: l°'rY�;:�.z� ^a'�.�_"�..•��.::.,_•'.•... - -,�''..W s, �::�,, •. ..' ..5,;,•r ,:y` .. 4ea:y...nc�re.»... .�`.,. _"""'-��Vx.(.iw^O .:. +.4._..�3�KKfmTi y [�I '4`�:'_::.y+. :: • �:VQ7R{;dl� �y.ti:,-..�r:iw•..«..�iw•i'd�:.a�:�. �•.wr'L, '' '1�.��"'.�!�":.1': �r�C��,.,..H.... ���'•Y' � _ _ �-SJs:�J.j..nY, �=�°r'ti N fi.�S' r - 5. Existing the of Structure/Property: w as Q&- ..&L 6. Description of proposed Use/Work/Project/Occupation: (Use addition*(sheets if necessary): y 4-4.- ... Ulu Ls T. Attached Plans: Sketch Plan _ P-[tt___. Site Plan Engineered/5uty Ved Plans .&A,,.. a. Has a Special Permit/Yarlance/Finding ewer been issued forlon the site? NO DON'T KNOW _— YES W YES,date issued.— IF YES: Was the permit recorded at the Registry(of Deeds? NO Down KNOW YES IF YES: enter Book 4SSA Page ,,._ and/or Document P - 9.Does the site contain a brook,body of water or wetlands? Nd DON'[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 Condnum On other Side W'If3�unlooDlfoNMSkxi�inall$eliding-isa�a'eoel7..tm�Paaait ApplicKian-�ssive.�ie 8ld/M& • 05/01/2008 15:18 FAX 4135871272 0001 9 Erection ( ) b Alteration ( ) Plans must be fled with:tee Building Inspector, Repair Repainting ( ) before a paxmit will be granm3, P.euscvzl�( } TI/it ly Application for a Permit to Place or TVlaintairra Sign or other Advertising Device (Application to be filled out in ink car typewritten) FEE......-... PAGE/.......... PLOT---....... Northampton, Mass-,_ L�1 / U F3 .19 To the Building Commissioner: Application for a permit to place or maintain a. sign or other advertising deiice, or marquee. BUSINESS NAME--- -- !�..C s :.��,. /U... �s. � E�........................... ...... 1. LOCATION, STREET and No. .v.. L 9.. Owner's nom 3- Owner's address 4 3 r -. " .�j-a i nI OC" 4. Maker's name � - 5. Maker's address_29= k-) OLLt Lz: 4 &A"&C'. - AAA_ Q/o 2-2 6_ Erector's harm- 7. Erectors addr V� d SIGN KIND KIND OF SIGN L Sign will be (check one) illuminated..—,...non illuminated 2. Will sign obstruct a fire escape, Window or door? Ale, Marquee projecting_ 3- Lower edge will be.y .Li. auvvc the public way. a Roof Upper edge will be�.ft.Dins.above the public way_ t /o,S;rte Temporary i. Heigh �E Wldth__-i- ft �- �n�_ Wall - 6. Face area Sj' 5- q. ft Ground— i_ Inner edge will bey in e from the boil ding or pole. S. Outer edge will be 11,/f� inc.from the building or pole_ Oyer -- - 9. Face of building or pole is. -.ins-back from the street line: 10. Sign will proj ect d ins.beyond the street line. 11. Sign will e tend f above a binding or pole_ . 12. Of what material sill sign be constructed? Frame S te- -- -- Face - r 13- Estimate cost.. eA ©U The unde}sig^ed certiflas that the abode etatem.e-ats are true to the best of his knowledge and belief_ (Si gn2, ure of Owner N.OTF, 11 Grde=ttmt this fi Y 56 t]DIl S*s v v2 F CGEp 2C C3l?EtT GT "'JO �'J a5` bC ir3?i h va,, yn CT- -�-IL .ind rTJl�r1Y File#BP-2008-1056 APPLICANT/CONTACT PERSON COOLEY DICKINSON HOSPITAL INC ADDRESS/PHONE c/o Richard Corder NORTHAMPTON (413)582-2216 Q PROPERTY LOCATION 30 LOCUST ST MAP 23B PARCEL 046 001 ZONE M 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: ERECT 3 NOGA GROUND SIGNS 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 FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF!).4KATION PRESENTED: pproved 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 Convnission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature uilding 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. City of Northampton Massachusetts Date issued 5/29/2008 0:00:00 Inspector of Buildings Permit # BP-2008-1056 Perr ilt Fee$30.00 SIGN PERMIT Business WOMANCARE NORTHAMPTON OB/GYN Applicant Installer COOLEY DICKINSO N� HOSPITAL Applicant Installer Address 30 LOCU, " ' `A' Work Description ERECT 3 NOGA GROUND SIGNS Estimated Cost $600.00 Building Department Approval by: