13-073 (3) •
(Lai .
a
4
, \ \............1 , ,,,, 4 w 0 I.)
V t
1
Z
f „. - • = 1y6iay1at7nd
„8L = 7 Vf4J2H/pMa O
File: Date: Northroad Wood Signs k Sign Graphics
203 Old Revolutionary Road, Temple, New Hampshire 03084
Drawn for:
Copyright 2011 Northroad Wood Signs. This design is the property of
Approved by: Date: Northroad d Signs. It may not be copied or distributed svithout permission.
y
s " `. a '� „ : y c,° W� ' - 44'" 'b'
s a 1
"
a. a +
s d a : i" er �§ "a
-Yr ti � h YM«rp P 2' ° "3 S '✓.' 4
t 3 . , x r z, • z ¢.
'4
do ' ^ 4
"'w ^s
•
10. 00 any signs exist on the property? YES X NO
IF YES, describe sizetype and location: _Main Entrance and Driveway Entrance Signs
,
located whre the subject signs of these applications are to be located.
...........--sonsesimr.••■■•■..■•••••■•■■••■••■
•
These signs are replacement sisns.
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size. type and location: Replacement
Li. ALL INFORFIiTION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To
.LACX OF INFORMATION.
2.i onion to be tilted
br ch. iftrildisey Dapartzsen t
Required
• Existing Proposed '• By Zoning
• Lot size •
•
Frontage
Setbacks - frnnt
• rim
• side . L: R: L: R:
- rear
Building height
•
Bldg Square footage
•
%Open Space:
(Lot area minus bldg
&paved parking)
# of "Paiking Spaces
_
f of Loading Docks
Fill:
( volame -& location)
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
April 11, 2012
DATE: 0-PPLICANT's siGNATura
NorE tatocuoncaa ag zoning Permit doe* not valleys an aipplioantO burden to comply atith all
roving requirements and obtain all required permits from the Board of Health. ConserVation
Commkteinn. r3eportment ot permit granting authoritioo•
FiLi ' t -
CO0J Z1212.8SCTI INd 12:60 600Z/Z0/L0
w -
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No
ZONING PERMIT APPLICATION ( S1,0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant Northroad Wood Signs
Addr es s 03 Old Revolutionary Rd., Temple, NH 03p4hone: 603 - 924 -9330
2. Owner of Pro a Deaconess Abundant Life Communities
Pity:
Address: 80 Deaconess Rd. Concord MA 01742 Telepho 978 369
3. Status of Applicant: Owner X Contract Purchaser Lessee
Other (explain):
4. Job Location: 25 / 37 Coles Meadow Road, Northampton
Parcel Id: Zoning Map# Parcet# District(s):
(TO BE FILLED iN BY THE BUILDING DEPARTMENT)
5. EAsting Use of Structure/Property Senior Living Residence
6. Description of Proposed Use/Work/Preject/Occupaton: (Use additional sheets if necessary):
same
7. Attached Plans: X Sketch Plan X Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the BuHdtng Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for /on the site?
NO KNOW X 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 X 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)
Z00(J ZLZTLBSCTt YV3 LZ :60 6002/Z0-L0
P-Ig 95v
No
g'ir•
Erection ( )
Alteration ( )
Plans must be filed with ±e e Building Inspector Repair ( ) ,
Repainting ( )
before a permit will be granted, Removal ( )
Titp rif Narthamptert Stla5s.
• —
Application for a Permit to Place or Maintain Sign
or other Advertising Device
(Appllemzien to be filled out in in or typewritten)
FEE PAGE. PLOT
N or th ampton, m aas., April 11, 2012 19_.
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device. or marquee.
SINESS NAME Rockridge Retirement Community
BU
1. LOCATION, STREET and No. 25 / 37 Coles Meadow Road
2.• Owner' s name Deaconess Abundant Life Communities
3. Owner's addre cn 80 Deaconess Road, Concord, Massachusetts 01742 ,
4. Maker's name _allorthroad Wood Si ns
5. Maker's addre
203 Old Revolutionary Rd., Temple, New Hampshire 03084
-
6.
same
Erector's nam -
7. Erector's addreqn —
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated X non
Marquee
2. Will sign obstruct a hre escape, window or door?
3. Lower edge will bp Ilia ft. ins. above the public way. Projecting—
4. Upper edge will be n/a ft. iris above the public way. Roof
5 H Wid posts) Tenaporary_.....—._
25 Wall
6. Face area Aq. ft.
n/a Ground
n/a X
7. Inner edge will be ins from the building or pole.
8. Outer edge will be ins from the building or pole_ Other
ia
9. Face of building or pole n/a back from the s cet
n
10. Sign will project... beyond the street line.
n a
11. Sign will extend.—_ft_iMs. above the building or pole.
Aluminum-clad
12. Of what material will sign be con.stru MD4 Treated Timbers, PVC Trim,
cted?
Frar frhenolic impregnated c &F, High Density
13. stimate cost $7
Polyurethane Foam
The undersigned certifies that the above statements are true to the
best of his knowledge and belief.
(Signature of Owner or A2entl
- NOTE: In order that this appitcation =ay - be - accepted, the data called for above must be s.e.t. forth
CLEARLY and FULLY.
inCP ZLZT/Ac.CTt TV4 17:R0 finn7/7.n//n
File # BP- 2012 -0900
APPLICANT /CONTACT PERSON NORTHROAD WOOD SIGNS
ADDRESS /PHONE 203 OLD REVOLUTIONARY ROAD TEMPLE (603) 924 -9330 Q
PROPERTY LOCATION 25 COLES MEADOW RD
MAP 13 PARCEL 073 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out t �Z Q
Fee Paid � � `� �/ b
Typeof Construction: REPLACE GROUNDS SIGNS - ROCKRIDGE RETIREMENT COMMUNITY
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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: § 50 .L (
Finding Special Permit i!� 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
Demolition Delay
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.