13-073 (13) i0. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: 6-3" high (10.6+/-SF) "ROCKRIDGE SERVICE ENTRANCE" post
sign located along North King Street; 7'-3" high (23.5+/-SF) "ROCKRIDGE RETIREMENT COMMUNITY"
monument sign along North King Street; 5'-10" (13.1+/-SF) "ROCKRIDGE RETIREMENT COMMUNITY"
post sign located along Coles Meadow Road ✓
Are there any proposed changes to or additions of signs intended for the property? YES _NO�_
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, ex tion, or filling) ov 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES c ✓ NO Fj
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 (Ex) PROPOSED (Pr) REQUIRED BY
ZONING
Lot Size 501,993+/-SF 501,993+/-SF
Frontage 755'(Coles Meadow Rd) 755'(Coles Meadow Rd)
1127'(North King St) 1127'(North King St)
Setbacks Front 21'Ex.Garage,31'Ex.House(C.Mdw Rd); 31'Ex.House, 37'Pr.Bldg(C.Mow Rd);
55'Ex.House(N King) 55'Ex.House,81'Pr.Bldg(N King)
Side L: 52'(C. R: 485'(N King St) L: 457'(C. R: 887'(N King St) L: R:
Mdw Rd) Mdw Rd)
Rear 52' 457'
Building Height 34'-3" 34'-6"
Building Square Footage 83,771 +/_SF 83,771+/-SF(Ex.)+31,470+/-SF(Pr.)
=115,241+/-SF(Total)
% Open Space: (lot area 372,103+/-SF 352,460+/-SF
minus building 0 paved (74.1%) (70.2%)
parking
# of Parking Spaces 84 74(Ex.)+16(Reconfigured)+
25(Pr.)=115(Total)
# of Loading Docks 1 1
Fill: N/A 130+/-CY(Pr. Bldg Location)
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: r� Applicant's Signature c�
1
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
requirements and obtain aII required permits from the Board of Health,Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
W:ADocumenis\FORMS\origin,il\Building-Inspector\Zouiug-Permit-application-passive.doc 9/4/2004
L 7---- - pit I
PERMITAPPLICATION (§10.2)
PTe-a-s-e-i-ype-dr print all information and return this form to the Building
Inspector's with the or le to the
City ofNorthampton
Deaconess Abundant Life Communities
I Name of Applicant:
AddBs ou Deaconess Ruao Concord, MA 01742 *13570-2851 /»
D~~~~''`~`'`~~'~~''^ Communities~~
2. OwnerofPrope�y: ~` `~ ^ �
Address: Telephone:80 Deaconess Rood Concord MA 01742 413'570'2851
3' Status of Applicant: Owner [�_|_Contract Purchaser � |_ Lessee_1 ] Other (expiain
25 & 37 Coles K0eadmwRood Northampton, MA
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
4. Job Location: ' '
5. Existing Use of Structure/Property: A residential retirement community consisting of 100 independent,assisted
|iving, and memory support residential units within 1 tu3'otorybuildings and 12 single-story cottages.
6. Description ofProposed Use/Work P if
Prop. 3-story residential bldg (31,470+/- SF) in the southeast corner of property for 39 memory support units
and li in assist elderly housing artm ta 35 new parking stalls ro north of the buildin n io and
along the existing i access driveway. 10 parking stalls will be reconfigured in the existing N lots
provide a total uf115 parking spaces. Wet and dry utility services upgraded nr extended to new structure.
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Vahance/Finding ever been issued for/on the site?
NO_-_L_-� DON'T KNOW LL YES �_�_L__. |F YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 1L DON7KNOYY _-_L-_L-__ YES -_�-v-1---
IF YES: enter Book 7276 Page 88
and/or Document#
9.Does the site contain a brook' body of water or wetlands? NO _J�~~L_ DONT KNOW _�~�~l_- YES
IF YES, has apermit been or need tobeobtained from the Conservation Commission?
Needs tobe obtained - 1��]____ Obtained ' date issued:
RDA Submitted nn 1'6'2015 (Form Continues On Other Side)
vv:\ovcumcom\rommSmric/uo|onuimmo'ms=cmuzvu/og'pvonit-appuc000n-pas»/,x.uoc 8/4/200*
File#MP-2015-0059
APPLICANT/CONTACT PERSON PROTERRA DESIGN GROUP LLC
ADDRESS/PHONE 4 BAY RD BLDG A STE 200 (413)320-4918 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
Fee Paid
Typeof Construction:�ZPA-3 STORY RES BLDG,PARKING
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 V Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan A IAiCeND EX 1 ST log
Major Project: Site Plan AND/OR—=�Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § v (,W o.L
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
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 the Office of
Planning&Development for more information.