13-073 (25) City of Northampton Aisiiii073 Zone SR
Massachusetts Date issued 1 / 4 0:00:00
Inspector of Buildings Pe 0297
Permit Fee$30.00
SIGN PERMIT
Business ROCKRIDGE
4111111111112
Applicant Installer ROCKRIDGE
Applicant Installer Address 25 COLES MEADOW RD
Work Description ERECT NON-ILLUM 12 SQ FT GROUND SIGN -
ROCKRIDGE
Estimated Cost
Building Department
Approval by:
File#BP-2005-0297
APPLICANT/CONTACT PERSON NEW ENGLAND DEACONESS ASSOCIAT
ADDRESS/PHONE COLES MEADOW RD NORTHAMPTON O 586-2902 O
PROPERTY LOCATION 25 COLES MEADOW RD
MAP 13 PARCEL 073 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out n ,`� A3d
Fee Paid 'l 1
Typeof Construction: ERECT NON-ILLUM 12 SQ FT GROUND SIGN-ROCKRIDGE
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
IN. F9RMATION 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 CB Architecture Committee
Permit from Elm Street Commission
Signature of Building Official Date y
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.
7-157
No. ((!ter' ..
Nr#1 REP)r
-��-'_.�• Erection_____,------( ) ,
<I' ' Alteration''___...._---.( ✓)i
Plans must be filed with the Building Inspector, Repair________.....( )
Repainting ( )
before a permit will be granted,
Removal_-•-_--._...._ ( )
Oatp, of Nat-HI-amp-tart, Ya6r5 .
' iE2 ItE f4, a Permit to Place or
t t Maintain a Sign
11 other Advertising Device
SEP 1 0 2004 (t ppl ation to be filled out in ink or typewritten)
DEP10f BUIIDItIG INSPECTIONS
FITPAGE PI.OT
NC,,,RA+�PION,MA O1060 • Northampton, Mass., 19
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device. or marquee.
; /v rNf/4Nd 29P�on Px5- AS.S O t,.
BUSINESS NAME.......POC/le�YIC�
1. LOCATION, STREETt r and No _ S 3 7 co/PS 1Th?- pvtu ,' bd
2. Owner's name Ale"' tAe. .f,,q,e ,00e,p--4Owe,:5.._.../rf.(0.Ck-
3. Owner's address.. ... ....Ds- .C.cJte.5 jiirjo-v.aw-....Av• .
4. Maker's name , St..›�►J Se..sAe T .c i
S. Maker's address 'Y 4 AIM Si: ,/ a .. ':.n1T�; 2/1'S
/' , 017Yd'
6. Erector's name Oel h / .eO.N...87ie-uc-ha .•.l•
7. Erector's address.......%_.....CaCuY..1.._/..1 S .p / 7 V7
SIGN KIND OF SIGN
/ (Designate)
1. Sign will be (check one) illuminated non-illuminated V
2. Will sign obstruct fire escape, window or door?-....ND Marquee
3. Lower edge will be 'lam- ft. ins- above the public way. Projecting
Roof
4. Upper edge will be.N��• ft. ins. above the public way.
5. Height_ Co ft 0" ins. Width 7b 'ft O�. Temporary
iris.
6. Face area I ?" sq. ft. Wall
•
7. Inner edge will be "f: ins from the building or pole. Ground ✓
w
8. Outer edge will be N/lA ins. from the building or pole. Other
9. Face of building or pole is...01 ins- back from the street line.
10. Sign will project. /• ins- beyond the street line.
11. Sign will extend....70'?:-ft ins above the building or pole.
12. Of what material will sign be constructed ? Frame ;,,tii.a.to Face Zeacrifp
H. Estimate cost
The undersigned certifies that the above statements are true to the
best of his knowledge and belief.
(Signature Owner or Agent)
•
NOTE: In order that this application may be accepted, the data called. for above must be set forth
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: PO(//t. g 1.15t- ' . P V AT C cfrk M wti
Address: d 3 ? c 6/ec /sr pry/Telephone: ye P o
2. Owner of Property: / &Ai fit) '/f4i''0 Be/lc-ewes S /t 5 S d c Wrielod
Address: nb Op SrW1 f award 1�►�Mf Telephone: / —S7,j?369 --�lJ�1
3. Status of Applicant: / Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: Cerle..S /nfo-oaw Rd cCi o* 1"/1073er y (Rd.$v Pfce. t or,ve
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property /CPpr ( C 01,1 r u 'i i ss'sr?d + Re n Re/n#'uT
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan ✓ Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW YES G, IF YES,date issued: 20'3
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES 1/-
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO DON'T KNOW YES .✓
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ,� v�. Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
Project: I
NE Deaconess
Rockridge
Location: 01 Qty: 01
Description:
48w"x 36h"wide double faced nc
illuminated post and panel . Dual I
gic)Clitrposts 72"grade to top of sic
481' „4„.,
extended for direct burial installatic
into dirt with concrete footers.
At
Cabinet Color: 1 Shot Maroon
. Font Color: 1-Shot Metallic Gold
odes meadd,4 Road
_, ..._ .. ,...... - .._
_Rockridge
,-.., ,, Retirement Community 36" 72"
. ,
...... :, ,,,NW.A.Englund ilencoto,s assoulation Community
_ Typeface:
Times Roman, Bold
Client Approval:
.,.
Date:
„...
Date of origin: 6/28/04
Revision log:
Is,41 ~44 ' • ;'-1 ititileVi a - .M., -%i 4------ Direct Burial
Installation ,:!:.,. -..,g,:p
:$A W
tit
'.;:'...F'
..W.W.!
11 I I 1 1 • Il
1 1 ; 1 1;_'! 1!'
1 1
I ' 11 I-; , I -
."��,
1 1 1 ! 1 I i I .
. I 1 1
1 1 : N '7 1 1 1 1. . ! I7-1 -i
' ! 1 II _ 7 I ( I I
I I I j . , 1 1 , 1 i-
1I 1 1 ■ I
1 1 , 1 I I i j I
1
I 1 : HI i 1 ,11 1 ! I1 ! 1
I ! 1 i , 'h h-- 1 I , 1 I 1 1 1
_ f I 1 1 �_l '� 1 1 I 1-1J- - ! I
1 i 1 I IJ I i i 11 I I '
11I1 - -I-� 1111 � ! .I1i1 11 ■ !
N■■I ■ I_ 1I IJ I _I L � Li I . :-
■ I . N - ■■ 1 1 1 ■C�■■■
1 ■■■■■ 1 - % • I l i ■■■__i - I ■ I �-
1 NEEM , , :
III ■ i I lI
N I ■■ I ; i c Z N 0---Or.:',: -I 1 I ■-__ 11 1
N II III
.� � __I ■N■ i I 1 III■■ , `� 1 I '
N■ N i� -- !
mom sm I N _ 1 r h
■■■■■N 1 I o• 7� `
■ ■N■N I 1_ �_ -_ N 1
I
�p 1 1 ! _
■�.• ■C I .■ I ,� jm.
... �, C
U. , •■ , ' 1 1 1 1 17 _� I 1 1 __= 1 ,N• 1 1til • �'•■.0 --, 1 1 ■ •iuu■N■r:
N _ ■ I_; I ■•1 I 1 IMEIN
•■■L ■ , I 1 1 N ■■■`21■■ ••II/A■■N■N
■■■■ ■■■■N■■ N•■■ 1 NN •■■■]� •■1 1►I■■N■ A
`uuu■N■iNwii■i i•• I N■■ iii�i■wi•11A i�=■u■■i
N �11■■■u■Nu■�■■NvM■ 1 1 j■ ■t.1•■ ■■•A. KM
NIPi2 1 NN•■NL•N
N■■■■■N•■••NU•N■■■■N G■••■■ N•i1u I u■■■■■■►.•■u
�.o.....■u■N ■■■�■■■■■•■N ■••••■■N■■ 1 I ' I IMIIIIIMI•Mlisummi I
11111=0111.11■■•m=......mums ■■ I ■Vu■■■■■■. IIKIIN ■•IPI■N• 1
N■■N■N
■N■•N■■ ■.I■[ ■ ■ ■N �f■■■■N ■■■■C■.rp■N■ ■
N■■N■N•NU 1 I 1 1 1 ■ i 1 1 1 I1■ I , ! I 1�1I■NN 'I■■ ■■N■ 1 -
■■■■■N■■ : 1 III 1 I I 1 ■ 1 1 ■■u■■■■■
■N■■N■■uN•■ I I : 1 1 1 I ; I 1I■■• ii l ■!h ' ■■■ ■■■■■
u■■■■■u■■■■ ■ I ■■ ' I R■■ 1 1 ■ 1 I 1 u■■ uu■u
N■■■NN■■N ■ 1 I ■Nu■■1!■N■■ NuW■u■M■ uu■N�
u■■■■■N■■■■ ■■•■ I ■■■■N■■I IUNN■■■■BI■■■I■■■■u■N ■
EOM 17 Nii■ni___ ____ ■me a ■i■■■iiii i■■■■N■■Ni■uT■■ii
ITT N■u• 1 WN■■N I _IT 1 ■CI•N i ■ I
N■N �•■U L 1 ..■N r N Trim
■NN ��■��NICC:ni■'■�i■■Ni:aii I :■ : ■:::CN■•
N■■■■■NCN■■■■■N■ ■■■ ■■NNNN• ■■•l■U5N■ ■
U. iMi ■■■N�i ■M■■Non ui■ii••••••••• ■
N■■N ■NN ■ ■ ■N ■■ ■W,iu■■■�I■■ I ■ ■
u.�■■■ ■■u ■■■■�UUI i••ua■ B:-_'y, NMI 1::•••:N ■
NNN N■■ ■■ IINNN■ - - ■I.■■■N.
■U■�■ m= IL N N�■N I■■■■■■■■■u ■ M• ■�
�U I I N IN■■■N■■ N ■ I •■
u■■N■N■•■ I ■■■■■■N■N■ ■■ppu�■■u■■•■■I■■ ■ u■ ■
uNN■••••EMISME■ ■N■■■N■■■N■■■■11u ■•MA 'N ' ■■WE= ■
TOPS FORM 35081 MADE:N U.5.A. ■10111. ■■■ ■M■■NN■■■■■■ _I :=�■
■N■N■N -_ .■■ ■■■■uN■■■■■■■■N■■ ■■M