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CITY OF NORTHAMPTON it ;`g
MASSACHUSETTS �
OP.... " �� i December 28, 1993
INSPECTOR OF BUILDINGS • _ .•.; DATE
SIGN PERMIT ,- L PERMIT NO. 1166
PERMIT FEES 20-
BUSI N ESS Mediplex of Northampton
ADDRESS 548 Elm Street
OWNER The Mediplex Group, Inc.
ADDRESS 15 Walnut Street, Wellesley, MA 02161
APPLICANT The Rangley Co.
ADDRESS 124 Rangely Rd. , Brookline, MA 02167
Erect a ground sign 3'x4' , non-illuminated, wooden face
PERMIT TO:
ESTIMATED COST $ 2000.
BUILDING DEPT. Northa ton, 1060
BY
Fran Sienkiewi
Building Co 'over
P •P
�
OO2U < <1"
Date Filed ��/ 4 File No.
ZONING PERMIT APPLICATION (510 . 2)
1. Name of Applicant:
Address: Telephone :
2 . Owner of Property: Ilk MgDii'i - 0Poop
2 - -
Address : 166 Wier(-4Jt_1i" svi56or Telephone : (off-62715
3 . Status of Applicant: Owner )( Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# , 5 12 Parcel# 1bi ,
Zoning District (s) (include overlays) U..IQ,6
Street Address �Zf� ,
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 L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs • POWeolut 5K j
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) R,EpGAC6 ZX Nto 516N wt't'H Nf,w sb4H 1
eE i(At,'/ agmi5 c12 wrrlt 0IF t N.-r arj —
.r
7 . Attached Plans : 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: pee_ i1 f iggi3 Applicant's Signature : &A.A.c.filk,%. R. .
THIS SECTION FOR OFFICIAL USE ONLY:
✓Approved as presented/based on information presented
Denied as presented--Reason:
S ecial Pe it and/or Site Plan Required:
ing i d: Variance Required:
p / /!3
gnat Build ' nspector V D V
NOTE: Issuance of a zoning permit does not relieve 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.
%c'9')-
. `oP2T
No.....____........._..+ '� ,
K1 i Erection.
.„ u :
Alteration ( )
Plans must be filed with the Building Inspector,
Repair _.........__...........( )
Repainting ( )
before a permit will be granted, Removal ( )
Titv of `ort1 am to n, Atass.
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., 19$
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME MEVIPC r or r HOH v
1. LOCATION, STREET and Nor s4f Q_......... 7M...�5775e`
2. Owner's name.........J.L.....M£Dl PL6f._6,70Qc,/P ,l r..-c-
3. Owner's address .1.5....l:V4t,J44,Tr ,Sr 14/... ...y..ta'» O216Q
4. Maker's name _Tide....Z..�..(.b.E.l.. .l CQ..,
5. Maker's address....._.«.4...._. 14 6 .� RP:. h�.nt>:�.,........t.2't�- v�7e:i7
.................
6. Erector's name .. /G Toil. ,U
7. Erector's address. `g Ci.A:11'.1P 12p iv, �.1,y. ee,:1 ..,.,;dM-
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated non-illuminated. X.
2. Will sign obstruct a fire escape, window or door?..... Marquee
3. Lower edge will be........,......ft. t. ins. above the public way. Projecting
4. Upper edge will be..._......_.....ft. ins. above the public way. Roof
5. Height........a......ft..... ins. Width.....J.t......ft.............. Temporary
•
Wall
6. Face area....1. .....sq. ft.
7. Inner edge will be...... 4. ..ins from the building or pole. Ground
edge will be...1-P�/ Other
8. Outer
la:..ins. from the building or pole.
9. Face of building or pole is ins. back from the street line.
10. Sign will project... ...ins.beyond the street line.
11. Sign will extend ..ft ..— ins. above the building or pole.
12. Of what material will sign be constructed? Frame t/vOOD Face......WOOP
13. Estimate cost... .X)...
The undersig
ned certifies that the above statements are true to the
best of his knowledge and belief.
-------44&2.11.---1.4.-.....4M-A -
(Signature of Owner or Agent)
NOTE: In order that this application may be accepted, the data called for above must be set forth pa,
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IN WSWWWW'
IN MEV
MI
ON I THE RANGELEY COMPANY
MS JIMA, sign graphics/engraving
▪ WIMMIIMM
WIMWISMIN
▪ WWIWWWWNWIM
December 17 , 1993
Building Inspector
City Of Northampton
Main Street
Northampton Maaa . 01060
Gentlemen :
Attached herewith please find application for permit to replace
existing sign with exactly the same size sign only identifying
new name .
I believe I have furnished the required information and , if possible
I would appreciate your respose as soon as possible so that Mediplex
can have proper identification.
Please call if you require additional information.
Thank you for your attention to this request.
Sandy Kurson
124 RANGELEY ROAD • BROOKLINE, MASS. 02167 . 617-731-8882 • FAX-617-277-8809
AHNLILA 11UN L_;HLL,K L15 I
PAGE 2- 3 D PLOT ZONE u �"' YES NO 'DATE-
1 , ZONING FORM APPLICATION
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 - MONEY ORDER
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL �/ Q
COMMENTS :