Rockridge Sign-2File: Date:
Drawn for:
Approve y: ate:
Northroad Wood Signs <k Sign Graphics
203 Old Revolutionary Road, Temple, Nov Hampshire 03084
Copyright 2011 Northroad Wood Signs. This design is the property of
Northroad Sipes. It may not be copied or distributed without permission.
jo.. [)o any signs eidst on the property? YES X NO
IF yES, describe size, type and location: 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 additions of signs intended for the pmpW YES X NO
IF YES, describe size. "and k=lWn:-- Replacement
11. ALL nM0pjjATj0jF MUST BE COMPLETED, or PMLqJT CAN BE DMVXM DUR TO
ZACK OF IWORK"XON.
—lx= to be filzed -in
the A�Mt i&tnq pap"=.Me
13. Certification: Z hereby certify that the information contained harein
is true and accurate to the best of my knowledge.
DATE: April 11, 2012 AFPL-XCAYT's SXGNJz=RZ
NOTI—a-• of a moning pdewma does not miteve an mppl1camnV= bunden to oamply v(ftJ7 M11
tuning requiromonts and obtain all required p�ermlts front the Boarld of Heanh. Coirmer►atior.
Commission. 93,epaortammIt at-Flublio-Wbvftw-ane'-O-fhiiir'applloabio Permit grMnlins mutWoritiola.
coot ZLZTLUM XVd LZ:60 6002,'Z0,'L0
Existing
Proposed
maquilreu
By Zoning
Lot size
Frontage
Setbacks - frnnt
- side
-rear
L: R:
L: —R-
Building height
Bldg Square footage
%Open Space:
* (Lot area Minus bld-q
&paved parking)
# of '!Pariking spaces
f of Loading Docks
Fill:
4 V024.zW -4k lOr-at!012)
13. Certification: Z hereby certify that the information contained harein
is true and accurate to the best of my knowledge.
DATE: April 11, 2012 AFPL-XCAYT's SXGNJz=RZ
NOTI—a-• of a moning pdewma does not miteve an mppl1camnV= bunden to oamply v(ftJ7 M11
tuning requiromonts and obtain all required p�ermlts front the Boarld of Heanh. Coirmer►atior.
Commission. 93,epaortammIt at-Flublio-Wbvftw-ane'-O-fhiiir'applloabio Permit grMnlins mutWoritiola.
coot ZLZTLUM XVd LZ:60 6002,'Z0,'L0
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PEPIdrf APP.LICAT'XON (§10.2 )
PLrJLSE TYPE OR PR ?T ALL .aTF'ORMAT10H
1. Name of Applicant: Northroad Wood Signs
Address 03 Old Revolutionary Rd., Temple, NH Oawelhone. 603 - 924 -9330
2. Owner of �Y�
Prop P a Deaconess Abundant Life Communities
Address: 80 Deaconess Rd. Concord, MA 01742 Telephone: 978- 369-5151
3. Status of Applicant: Owner X Contract Purchaser Lessee
Other (explain):
a. Job Location: 25 / 37 Coles Meadow Road, Northampton
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Eidsting Use of Structure/Property Senior Living Residence
6. Description of Proposed Use/Work/ProjecMccupation: (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 Bulldtng Dept or Planning Depamtwnt Files,
8. Has a Special Permit/Variance/Finding ever been issued for /on the site?
NO DONT KNOW X YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOWS YES
IF YES: enter Book Page and/or Document #
9. Does the site contain a brook, body of water or wetlands? NO OONT 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)
Z00z %Z%RSCTf YVd L9:60 6009iZ0-L0
Alteratioz__(
Plans must be filed with *,e Building Inspector,' Repair --- - -- --- ---
before a permit will be gr=ted, Removal—(
t I j of Northampurt, 4qa5.5+
Application for a Permit to Place or Maintain-a Sign
or other Advertising Device
(Application W be filled out in ink or typewritten)
FEE.......... PAGE.......... PLOT..........
Northampton, Mam, April 11, 2012
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device. or marquee.
BUSLNESS NAME ...... R.o.c.k.ri.d.g.e Re.t.i.re me.n. .t. .. .C.o .............. rn m u n ity
........ . ...................... ........ ...................
1. LOCATION, STREET and No. 25 / 37 Coles Meadow Road
2.' Owner's name Deaconess Abundant Life Communities
3. Owmer's addrp-ng 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 name same
7. Erector's addr...
SIGN KIND OF SIGN
1. Sign will be (check one) illunihated- - X- non-illuminated
xzxquee
2. Will sign obstruct afire escape, window or door? no Projectin
3. Lower edge will be n/.a-t. ing. above the public way. Roof-
4. Upper edge will b.ft. ins above the public way.
5. Height -- 5 ft 2 j_n,,K. Widt►, 9 - ft___.Z.. (iqgpding posts) Temporary _____--
6. Face area 25 q. ft. wall - x
7. Inner edge will be --- n/a ims from the building or pole. Ground
8. Outer edge will by n/a ins. from the building or pole- Other—__
9. Face of building or pole is n/a inc. back from the street line.
10. Sign will project '/ beyond the street Line.
11. sign will extend n a g or pole.
_ _fL We. above the b`,�Umindm-clad MDQ. Treated Timbers, PVC Trim,
12. 0-1 wbat material wM sign be constructed? r S - -
$7000 '��IFe�no is impregnated -'High Density
13_ Estimate cost......:..... - _
Polyurethane Foam fi
The undersigned cclti:ftes that the above statements are true W the
best of his knowledge and belief.
(Signature of Owner
NOTE: 'In order that this Rp P1 Ite-Ati011 =aY_be_aCCeDt*d, t1:L@ data called for above must be set fortil
-
CLEARLY and FL UY.
T 0 0 01 ZL7TLQSCTt TV.4 17:90
File # BP- 2012 -0900
APPLICANT /CONTACT PERSON NORTHROAD WOOD SIGNS
ADDRESS /PHONE 203 OLD REVOLUTIONARY ROAD TEMPLE (603) 924 -9330 ()
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
Fee Paid
Typeof Construction: REPLACE GROUNDS SIGNS - ROCKRIDGE RETIREMENT COMMUNITY
New Construction
Non Structural interior renovations
Addition to Existiniz
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: § 3 w —7. 2-
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
Permit from Elm Street Commission
Demolition Delay
Well Water Potability Board of Health
Permit from CB Architecture Committee
Permit DPW Storm Water Management
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.