13-073 (22) City of Northampton Map 13 Lot073 Zone
Massachusetts Date issued 11/17/2016 0:00:00
Inspector of Buildings Permit # BP-2017-0599
Permit Fee$100.00
SIGN PERMIT
Business
Address 25 COLES MEADOW RD
Applicant InstallerNORTHROAD WOOD SIGNS
Applicant Installer Address 203 OLD REVOLUTIONARY ROAD
Work Description NON-ILLUMINATED GROUND SIGN -
REPLACEMENT FOR ROCKRIDGE SERVICE ENTRANCE
Estimated Cost $1000.00
Building Department
Approval by:
A-o-A,
File N BP-2017-0599
APPLICANT/CONTACT PERSON NORTHROAD WOOD SIGNS
ADDRESS/PHONE 203 OLD REVOLUTIONARY ROAD TEMPLE (603)924-9330 0
PROPERTY LOCATION 25 COLES MEADOW RD
MAP 13 PARCEL 073 001 70NE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECK
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 4T
Building Permit Filled out ((jJ "te'?S
Fee Paid
Typo Construction: NON-ILLUMINATED GROUND SIGN-REP , CEMENT FOR ROCKRIDGE SERVICE
ENTRANCE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owned Statement or License
3 sets of Plans/Plot Plan
THEFOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN RMATION 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 CR Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay r!�'
4--- //j., ..—J 11 (!61.7
Signature of Building Official Date III
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 MOL 40A.Contact Office of
Planning&Development for more information.
(yittj at Narttjatnptun
Bias sachusetts
•
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building '' �
Northampton, MA 01060 n
l'Hliz..lot, Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee at3o�
(Application to be filed out in ink or typewritten) Number _.
n m et.: filed wit the Building Inspector Erection ( )
afore a it will he granted. Alteration (
cJ Repair ( X )
Repainting ( )
Removal ( )
--- FEE PAGE PLOT
Northampton, Mass. .... 26
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device. or marquee.
BUSINESS NAME Rocwidg4 Re' „Cocrn rt44
, Location, Street and No. 25 Coles Meadow Road.Nonhampton.MA 01050
2, Owner's name New En9Iwi oeaconesAswua5OA
3. Owner's address 80 00xoness Road,comad,MA
4. Maker's name Ndnhrdad Wood Signs
5. Maker's address 2031*RevosnaryR044.temSe.NH 03034
6. Erector's name Nomiroad Wood Signs
7. Erector's address 202 am Revoi ionarr Rddd.*emp e.NH 03004
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated Non illuminated _.X._.
2. Will sign obstruct a fire escape, window or door? . NO Marquee
3. Lower edge will be ,....,ft........ins above the public way. Projecting
4. Upper edge will be ft ins above the public way. Roof
5. Height ...6...ft...3...ins Width ...3...ft...5...ins Temporary
6. Face area ..,10.6....sq.ft. Wall
7. Inner edge will be ins from the building or pole. Ground X
8. Outer edge will be ins from the building or pole. Other
9. Face of building or pole is ...142.8....ins back from the street line.
10. Sign will project ins beyond the street line.
11. Sign will extend ft ins above the building or pole.
12. Of what material will sign be constructed? Frame wood Face Woe<
13. Estimated cost $1 000
The undersigned certifies that the above statements are fru; to the best of his nowledge and belief.
•
(Signature of Owner or Agent)
Page 1 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No,
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
I. Name of Applicant:RockridgeRetirement Community
Address:25 Coles Meadow Road, Northampton, MA 01060 Telephone:413-586-2902
2. owneroprop0y;t' W England Deaconess Association
Address:80 Deaconess Road, Concord, MA
Telephone:978-369-5151
3. Status of Applicant: X Owner Contract Purchaser Lessee
Olher(explain):
4 Job Lncation:25 Coles Meadow Road, Northampton, MA 01060
Parcel ID: Zoning Map ft Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing U - • - . . _ ••-
6. Description of Proposed UseNVork/ProjectOccupation: (Use additional sheers if necessary)
Replacement of existing "Rockridge Service Entrance" sign with equivalent sign
of equal face area at same location.
Refer to attached sign schematic and sketch plan.
7. Attached Plans: X Sketch Plan Site Plan Engineered/Surveyed Plans
8. -.s a Special PermitlVariance/Finding ever been issued for/on the site?
NO • 'T KNOW YES IF YES,date issued:
IF YES: Was the permi -•ded at the Registry of Deed
NO DON'T KNOW Y
IF YES: Enter Book '•ge .-. or Document t/
9. Does the site conta). • ook,body of water or wetlands? NO DON'T KNOW YES
IF YES- .s a permit been,or need to be,obtained from the Conservation Co sion?
eeds to be obtained Obtained ,Date issued
.. `• -r signs exist on the property? YES NO
IF YES: Describe the size, .- . . • -tion:
Are there any proposed changes to,or additions of,signs intended for the property? YES NO X
IF YES: Describe the size,type and location:
Page 2 of 3
11. ALL INFORMATION MUST BE COMPLETED;PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
This cdumn to be(filed in by
the Buddinr De•zrrtment.
Existing Proposed Required •
Zon'
Lot Size
Frontage
Front: ..
Setbacks: —
Side: L: R: L:
Rear:
Building Height
Bldg Square
Footage
Open Space:
(lot area minus bldg and
Paved parking)
# of Parking Space
#of Load! : e ocks
volume&location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.// ,f(/f/� �f,
DATE: 10/7? [LO APPLICANT'S SIGNATURE 1 / (iJ!/L;1/`!..�_j_/�
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
Requirements and obtain ail required permits from the Board of Health.Conservation Commission,
Department of Public Works and other applicable permit granting authorities.
FILE#
Page 3 of 3
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4 SIO WALK 11'-
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EX SIGN TO BE REMOVED ,
AND REPLACED
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ADDITION TO ROCKRIDGE:
ProTerra SIGN PERMIT RETIREMENT FACILITY
25 & 37 COLES MEADOW ROAD SIGN
DESIGN GROUP, LLC APPLICATION PLAN NORTHAMPTON, MA
SCALE Y P 10' DATE: OCTOBER 26, 2016
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File: Date: Norduoad Wood Signs • -Sign Graphics
Drawn for: 203 Old Rcs-olaoonary Road,Temple,Nc..Hampshire 03084
Copy right 2016 Northroad Wood Sign.. This de sign is the propert
of Northmtedlirixtd Sii, Stn } not hewined or dunMut d K shout
Approved by: Date:
cxpt perm,n 1.