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g�. -4; % FILE NAME:
BC_Northampton.PDF
>� ut . 1 JOB# 13325
-- 4 ,, + } E Client:
A Q Amedisys
''PEST 5959South Sherwood Forest Blvd.
fj 44rt; R Y r t �__ Baton Rouge, LA 70816
a s.,,_.�� ; ,ctrl Address:
e 1 t p1"t }}) 1 111 I Location N4416
x - t 7r g} t 320 Riverside Drive, Suite 100
{ i . x Northampton, MA 01062
Exist g Existing Description:
Awning:
# ro . ,y
� ° l' 5f � + LI ` 3 V Manufacture (2} .080 thick white
2 fi k - . } i i ''` f I 1 digital panels with applied
#x r digital graphic logos.
- '
��l „ % t m 9 � � r 1 Wall Sign: - Manufacture} I} 28' Is x 23'w
fi� - .080 thick aluminum panels with
- ' applied digital graphics.
i
+ .. Office Hour sign fetter height = 2'
Home Health Services _, I f
1
4 9 1 1 } f �,
� i . -
"� & ` .: : .y . . n , ,
,.,.- , P ', f 1 i. ':- •:. ': '! :' ''i''.'- ' : : .. ---'' :
Proposed Proposed 23
AWNING WALL SIGN Office Hours
B l Monday - Friday ,
2— 14.5 l 28" i 8:00 AM - 5:00 PM i l i
• Home Health Services ; CLIENT APPROVAL:
ORIGINAL DATE:
AnItYl.SIN ,, 10/12/2009
REVISION DATES:
MIS DESIGN ENGINEERING PROPOSAL WILL REr.WN TIE
“CIINNE PROPERTY OF EOM 5.16 AWNING CO. Utah
EGAN APPROVED AND ACCEPTED TNRU PURCHASE DY MEM NAMED SALES:IGD.K.
DIRECTLY ON DRAWING ANO MAY NOT RF DUPNCATED RY OTHER DRAWN BY: D.A.A. Page Z of 2
PA,:;, RDESIGNPEEWILLAPPLYR5 75,00PERHOUR.
S - - "—' �' Nome NwllA Services
I G N V 522 WILLOW STREET READING, PA 19602 TEL. 610.478.1330 FAX: 610.478.1332
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: 4.4. , . - ✓ . S A S ex i < a-w� ..
Are there any proposed changes to or additions of signs intended for the property? YES NO ?C
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO J'
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED I REIVIRED BY
ZONING
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: I .L: R:
Rear
Building Height
Building Square Footage
% Open Space: (lot area
minus building & paved
parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
/-) 3 -O elli Da te: / App li cants Signature / �i ■111111110
NOTE: Issuance of a zoning permit does not relieve an - a .. d ur to comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\ original \Building - Inspector\Zoning - Permit- Application - passive.doc 8/4/2004
File No.
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order) payable to the
City of Northampton
5
1. Name of Applicant: 36T- T vt- 5
Address: A_7 ek s S Telephone: 2 47 _ 5l 66 1% .
2. Owner of Property:
Address: Telephone: 0
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain G1 rte✓
4. Job Location: 3 2U � � � 5i c ; , - c S ,-�- - 1 c v /�
Parcg?c1 i��nc �i11ap 1Patcey# Distr�cs)
c ' `;;: a ll Street )ths`nct 't iti Ce nts 7- P*iri essThstnct, '
" , s_.. . _ " r ,6 E O 1N 8 ( THE" L* d3: 12TME*
5. Existing Use of Structure /Property: C.) 5
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
C'_.ck.,C) 5 Cm. e. sC lit ccA.i 9
23 w x Wiz;14 - (a-F k ! S cAot)r <_3a- V
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Permit /Variance /Finding 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 DONT KNOW YES
IF YES: enter Book Page and /or Document #
9.Does the site contain a brook, body of water or wetlands? NO DONT 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)
W:\Documents\FORMS\ original \Building- Inspector\Zoning- Permit- Application- passive.doc 8/4/2004
�� .G.. 1 „.0.,, (jam /'
s =.. ■�
E
No Erection.. ( ) .�
b j _....
,... ___._.�_ Alteration ( )
Repair ( )
Plans must be filed with the Building Inspector, t ,1 1 3 DA 1 Repainting ( )
before a permit will be granted, - i.emoval....._ ( )
__
(ERR of N' � tliampta t , �x .
c
Application for a Permit. to Place or Maintain a Sign
or other Adv Device
(Application to be filled out in ink or typewritten)
1=1:E:. .... PAGE ...... ... 1)1,01
Northampton, Mass., / / J 3 19 G
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME' 4 ' 5 44 ? 4- (;�-5e� , c _
1. LOCATION, STREET and No. �0i�3t
— ,sue {� /CSI ! 1 . ... 0 de--
2. Owner's name
3. Owner's address
4. Maker's name 3'e cl. 5
5. Maker's address.....7 .............• 4 ....V✓e- 'S '- - e-4- 4-- c -wAA
6. Erector's name
'i. Erector's address
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated non- illuminated... -...
2. V Will sign obstruct a fire escape, window or door
/ 74 Marquee
Projecting
3. Lower edge will be ..8,,.L ins. above the public way.
4. Upper edge will be c t ft. . ins. above the public way. Roof
Temporary
5. Height ft..../ L t. Sins. Width ft 7 C ins.
G. Face area. .. - L sq. ft.
Wall
*mild
i. Inner edge will be ° ins from the building or pole. Tr 6,1,
er
E. Outer edge will be 3 G ins. from the building or pole. ex i _ ' A_
9. Face of building or pole is....5' ins. back from the street line.
10. Sign will project f ins. beyond the street line.
1 1 . Sign will extend , - — ft ins. above the building or pole. C * "
12. Of what material will sign be constructed ? Frame F ace . • S e f
13. Estimate cost ''—
The undersigned certifies that the above statemei - : r . 1 't e > I e
best of his knowledge and belief. ff f
`/.� -..
(Si , 1, to WIWI or Agcnt)
t i
�
NO'I E: In order that this application may be accepted, the data called for above must be _e tfortl;
CLEARLY and FULLY.
File # BP- 2010 -0533
APPLICANT /CONTACT PERSON SEIGEL SIGNS
ADDRESS /PHONE 179 WEST ST WEST HATFIELD (413) 247 -5986
PROPERTY LOCATION 320 RIVERSIDE DR
MAP 30A PARCEL 032 000 ZONE SI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid joid7
Typeof Construction: REF END CAPS ON EXISTING AWNING - AMEDISYS HOME HEALTH
SERVICES
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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved 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 Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
4
Demolition Delay
j O
Signature of Building 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.
e
City of Northampton Map 30A LotO32 ZoneSI
Massachusetts Date issued 11/20/2009
0:00:00
Inspector of Buildings Permit # BP- 2010 -0533
Permit Fee$30.00
SIGN PERMIT
Business AMEDISYS HOME HEALTH SERVICES
AckiritiirVio RIVERSIDE DR
Applicant Installer SEIGEL SIGNS
Applicant Installer Address 179 WEST ST
Work Description REFACE END CAPS ON EXISTING AWNING -
AMEDISYS HOME HEALTH SERVICES
Estimated Cost $300.00
Building Department
Approval by: