32C-044 (7) .'31—‘430
No.____.,.
ti K Ereetinn_._.._.»_... ( )
4"+rte-+ Alteration...._._ _( )
Repair__—_.....,.___ ( )
Plans most be filed with the Building Inspector, Repainting ( x
before a permit will be granted, Removal ( )
Tity of Northampton, Ammo
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
y
FEF PAGF- Pt.OT.. ._
Northampton, Mass February 28 19 92
To the Building Commissioner:
Application fora permit to plate or maintain a sign or other advertising device, or marquee.
BUSINESS NAME The Dickinson Programs of The Cooley Dickinson Hospital
76 Pleasant Street
1. LOCATION, STREET and No. . _.._..
2. Owner's name thu...c5?ul&.y DiFk;)<n on Hos21.181
3. Owner's address _ 30 Locust Street, Northampton
4. Maker's name....._._. David !Durocher (Durocher Sign Co.)
5. Maker's address..........._..__. _....__........_.._12J kintt.7..€YStrggtxNorthampton
6. Erector's name Durocher Sian Co.
7. Erector's address 123 Hawley Street: Northampton
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated . non-illuminated....._• _...... (Designate)
2, Will sign obstruct a fire escape, window or door?....H.o._
Marquee
3. Lower edge will be....I __..ft._......_......ins.above the public way. Projecting._„............._.._
4. Upper edge will be 11 ft. 3 ins.above the public way. Roof”
5, Height . 1 ft 3 ins. Width 1.6 ft 9._ ins. Temporary R
6. Face area......._,...sq, ft. Wall
7. Inner edge will be_,__:__ins from the building or pole. Ground
8. Outer edge will be 1 ins. from the building or pole. Other
9. Face of building or pole is_..._ 20 ins. back from the street line.
10. Sign will project._._L,..ins.beyond the street line.
11. Sign will extend.. 0 _..ft 0 ins.above the building or pole.
12. Of what material will sign be constructed? Frame Wood Face Wood
13. Estimate cost $250
The undersigned certifies that the above statements are true to the
best of his knowledge and belief.
(Signature of Owner or Agent)
NOTE:In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY. 's'
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DICIUS r Hospital
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REFLEX (SLUE BUILDING SIGN
1�Ep"R�' Approx. 14" tall x 16' long
car+c.�C(f'OVN3) 3 Colors : Reflex blue, yellow and white
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CITY OF NORTHAMPTON Lel+ i, a
MASSACHUSE! IS , elf
INSPECTOR OF BUILDINGS crI � .�:� DATE Mar I�tiz
SIGN PERMIT nL°re
r:y PERMIT No.
PERMIT FEE$ _
BUSINESS The Dickinson Programs of the Cooley Dickinson Hospital
ADDRESS 76 Pleasant St.
OWNER The Cooley Dickinson Hospital
ADDRESS 30 Locust St, -.---
APPLICANT Durocher Sign Co.
ADDRESS 123 Hawley St. , Northampton, MA — —
PERMIT TO: To erect a non-illuminated butjdjng sip 14" tall x 16' lnrul.
ESTIMATED COST$ e 2c0 Ca
BUILDING DEPT.
BY Northampton, Ma.
/ `j<urf
Fran - -ki'ea£ci
Building Inspector