Rockridge Sign-1g
fkf ti a x'
t
lip, X75 Y. / /y!/ rif
?N'
{ f
� I
E
I j
I"
I`
_ 1
N
i
c
40 I f
w
"P
f h�
o
I
V ,
i� r � r✓ f! ��, t'✓ �I
§ � a � ✓f f df � �I
„ z
S i� G" ✓
i � q
S
„St = �Oglv/aund
'R I
„f8 = 7r7 -- H O t ►
„81= >z 4W ea ;un/
File: Date: Northroad Wood Signs (k Sign Graphics
Drawn for: 203 Old Revolutionar% Road, Temple, Nov Hampshire 03084
Co1wright 2011 Northroad lVood .Signs. This design is the property of
Approved y: ate: Northroad Signs. It may not be copied or distributed without permission.
rya
~ �-
1 t
a
w
5
4
w3
rya
~ �-
or
.I
C)o any signs e3dst on the property? YES X
NO
IF YES, describe size, type and I.ccation, Main Entrance and Driveway Entrance Signs
located where the subject signs of these applications are to be located.
These signs are replacement signs.
Are there any proposed Changes to or addiaons of signs intended for the Property? YES X NO
IF YES, describe size, " and location: Replacement
.1.1 AM r"0pAATj0K IfU.5T J)R COMPLETED, or PEPUILM CM BE DMVXM DUB To
LACK OF 2W0PMM-r0K-
=I-$ —lvwm to be fi2jAd in
bT C,
13. Certification: Z hereby certify that the information contained harein
is true and accurate to the best of ICY knowledge.
April 11, 2012
DATE: AP.FLXCAffT'S SIGN.A=RZ
NOTE= Aaauacu�" =t an awning permit dcoee not ralleve an 4wpp11canV= bur-di&n to _C�,Cmpry W-.'t]7 ARII
zoning requirements and obtain all required pairmits fpom the Board of Health. CorixeiLvation
Commission. Mep4wrtrnawt at-Publio-Vftvic:W-and'--*%4ip--r'applloablo permit gramU►ts awthrM054-
FILE it
Cooz %Z%RSCTt YU 4Z:60 6002 ,'Z0 /40
Existing
Proposed
rNw4ull Cu
By Zoning
Lot size
Frontage
Setbacks frnnf
side
-rear
L: R:
L: _R:
Building height
Bldg Square footage
%Open Space:
'(Lot area minus bldg
&paved parking)
# of 'Pariking spaces
f of Loading Docks
Fill:
I VOI•zme -& location)
13. Certification: Z hereby certify that the information contained harein
is true and accurate to the best of ICY knowledge.
April 11, 2012
DATE: AP.FLXCAffT'S SIGN.A=RZ
NOTE= Aaauacu�" =t an awning permit dcoee not ralleve an 4wpp11canV= bur-di&n to _C�,Cmpry W-.'t]7 ARII
zoning requirements and obtain all required pairmits fpom the Board of Health. CorixeiLvation
Commission. Mep4wrtrnawt at-Publio-Vftvic:W-and'--*%4ip--r'applloablo permit gramU►ts awthrM054-
FILE it
Cooz %Z%RSCTt YU 4Z:60 6002 ,'Z0 /40
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
Fite No.
ZONING FMWIT APPLICA�_'XON M 0.2)
PLEASE TYPE OR PRINT ALL =0RMA3'.r0X
1. Name of Applicant: Northroad Wood Signs
Address203 Old Revolutionary Rd., Temple, NH 03�e�ttone: 803 -924 -9330
2. Owner of Property: Deaconess Abundant Life Communities
Address: 80 Deaconess Rd. Concord, MA 01742 Telephone: 978`389 -5151
3. Status of Applicant: Owner _ X _Contract Purchaser Lessee
Other (explain):
4. Job Location: 25137 Coles Meadow Road, Northampton
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. E)dsting Use of Structure/Property Senior Living Residence
6. Description of Proposed Use/Work/ProjectfOccupatlon: (Use additional sheets if necessary):
same
7. Attached Plans: X X
Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the BuHding Dept or Planning Department Files,
8. Has a Special Permit/Variance/Finding ever been issued for /on the site?
NO DON'T 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 DONT 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)
z0oz %Z%SSCif TV'd LZ :60 60OZ!90-LO
P
Erection- - -
Alteration--(
Plans must be filed with *,e Building Inspector.' Repaiv. - - - - - ---- ---
,Repstinfin
before a permit w2l be gmnteu�, Removal (
Tftr Jaf Northampun,
io or a Permit to Place or Maintain- a Sign
7
APR 18 2im? or other Advertising Device
(ApplicaticW2 to be filled out in ink or typewritten)
ten)
71— FEE.......... PAGE .......... PLOT..........
Northampton, X.I...—April 11, 2012
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising de,4ce, or marquee.
BUS11NESS NAME. .-...R.o.c.k.ri.d.g.e.R.e.ti......... reme.. n.t. ... C.. o.mmunity
. ...-. ......... I ........ ........... ..................
. .. . ..............
1. LOCKTION, STREET and No. 25 / 37 Coles Meadow Road
2.' Owner's name.. Deaconess Abundant Life Communities
3. Owner's addres&_ 80 Deaconess Road, Concord, Massachusetts 01742
4. Maker's name — Northroad Wood Signs
S. Maker's address- 203 Old Revolutionary Rd., Temple, New Hampshire 03084
6. Erector's =me same
7. Erector's addra-z
SIGN KIND OF SIGN
1. Sign will be (check one) -non-Uluminated (D"i•nate)
2. Will s ? no Marquee
sign obstruct a fire escape, window or door.— Projecting
3. Lower edge will be _n/a---t. in-g- above the public way. Roof-
4- Upper edge will be_L/a_it. ins above the public way.
5. Height - 6 ft 4 in_R. Width 5 ft
__(iqQ.uding posts) Tempora.
6. Face area 14 Pq. ft. Wal I x
7. Inner edge will be.- n/a ins from the building or pole. Ground
8. Outer edge will be— n/a inc, from from the bull ding or pole-
S. Face of building or pole is��. back from the Q—xeet Line.
10. Siam will project a - Jn_q_ beyond the street lint.
11. sign will P-Ttetd2/a above the building or pole.
Aluminum -clad MDQ- Treated Timbers, PVC Trim,
12. Of wbat- material will sign be constructed?
$3000 TR)Ihienolic impregnated High Density
13. Estimate cost .. ...........
Polyurethane Foam
The undersigned certifies that the above =temeuts are true to the
best of his knowledge and belieL
(Signature of Owner or Agent)
N0TE: 1"A Order that this application =ay-be-actepted, tho data called for ab-ovt must be set fortli
CIZ-A.RLY and FUUY.
T0001 ZL7TLQSCU TVA L7:90 80n7/7n,,1A
File # BP- 2012 -0899
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
Buildiniz Permit Filled out 54 pa
Fee Paid
Typeof Construction: REPLACE GROUNDS SIGNS - ROCKRIDGE RETIREMENT COMMUNITY
New Construction
Non Structural interior renovations
Addition to Existiniz
Accesso1y 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 V 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: § 3-so —7,
Finding Special Permit
Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW
Septic Approval Board of Health
Water Availability Sewer Availability
Permit from Conservation Commission
Well Water Potability Board of Health
Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
C !f 2
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.