13-073 (26) City of Northampton
Massachusetts Date issued 9/27/04 0:00:00
Inspector of Buildings Permit # BP-2005-0295
Permit Fee$30.00
SIGN PERMIT
Business ROCKRIDGE
Applicant Installer ROCKRIDGE, NEW ENGLAND DEACONESS
Applicant Installer Address 25 COLES MEADOW RD
Work Description ERECT ILLUM 6 SQ FT GROUND SIGN -
ROCKRIDGE — MAX 48" FROM GROUND TO TOP OF SIGN
Estimated Cost
Building Department
Approval by:
File#BP-2005-0295
APPLICANT/CONTACT PERSON NEW ENGLAND DEACONESS ASSOCIAT
ADDRESS/PHONE COLES MEADOW RD NORTHAMPTON 316-a j d "--
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 _
Fee Paid �d .3 4' `f.'� '
Typeof Construction: ERECT ILLUM 6 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
INFOIATION PRESENTED:
/,•Approved Additional permits required(see below)
it
PLANNING BOARD PERMIT REQUIRED UNDER:§ a 1"1
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan filfill
f l
Major Project: Site Plan AND/OR Special Permit With Site Plan
to top Df
ZONING BOARD PERMIT REQUIRED UNDER: § S 1644
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 Co ion
- _ .... 94*
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.
�pc VW/A., I V V i
.- _ Erection_-_----( )
Alteration'.'.___..____,(t...,•Y"—
Plans must be filed with the Building Inspector, Repair..____ ( )
Repainting_ ( )
before a permit will be granted, Removal ( )
fit of Ntirt4d111:1.1tat rrVx5 .
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
DC E 11 V ^ty,pplication to be filled out in ink or typewritten) c
rrr PAGE /3 PLOT 2 3 �J
SEP 1 0 2004 „ i Northampton, Mass., .4„..1 —.... - O
T'n the Piiildiu.g Cnmraissioner:
DEPT OF BUILDING INSPECTIONS
NCgRI T r 19l. a pPrrnit to place or maintain a sign or otheradvertising device, or marquee.
E3USINESS NAME r QC krz,igei 1\lertt..) ( Dasi S.S.
1. LOCATION, STREET and No. - � eo C`4 .� 1.- CO/Liven- j -St
2. Owner's name s e- 0,t.--.•Q 3 c.er.2-e S ' /4,e„
3. Owners address 'z...' Cc)4' ....it(.e-0.-421"-t I-c,r-Ih II ,
4. Maker's name : - v4'&, SO L
S. Maker's address �1� ...._...._. lb"t_ (Au P 4e4.1 1.—�.c.(_ -e..) I?( -
6. Erector's name Pe......1. k.f,•_e.gTea,�C.'K�j1O -�
7. Erector's address `'N-► CO L--,4 5"k- U l 7 u.
SIGN . KIND OF SIGN
1. Sign will be (check one) illuminated V non-illuminated (Designate)
2. Will sign obstruct a fire escape, window or door? 1.IV Marquee
3. Lower edge will be.... A Projecting
g ft. ins. above the public way.
4. Upper edge will be....M114 ft. ins. above the public way_
Roof
Temporary
a. Height. 5 ft ' ins. Width 3' ft 10_1..'...ins.
G. Face area 6sq. ft. Wall
7. Inner edge will be 0N� from the building or pole. Ground ✓
•
8. Outer edge will be...frh'*ins. from the building or pole. Other •
9. Face of building or pole is ins. back from the street line.
10. Sign will project.../.41....ins. beyond the street line.
11. Sign will extend....i144 ft ins. above the building or pole.
12. Of what material will sign be constructed ? Frame at 0UD Face 0-0D n
1,3. Estimate cost
The undersigned certifies that the above statements are true to the ..
best of his knowledge and belief.
(Signature()I ()wiler 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 INFORMATIO.704/1.4.4"--
,
1. Name of Applicant: pCC IC/2( dS, Coisi nt/u-,Dr •
Address: drrt � ? ('C IrS peiekerhUw j d Telephone:Y/3?6-?cO 2
2. Owner of Property: Al e-' eni 5J J) ,i 1 c 49-ts 5 / 13 cwrld.0
Address: /i>v 00 C (ih c,rat/,f /MO Telephone: /c'2,P —j6
3. Status of Applicant: s° Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: In p ow' a!'cie d,Jr r CI 4'?/4«, prer c:c
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ff *6 c,
C�1M u.vJ�� ins ISTta "l�i.TRe'fi
6. Description of Proposed UseNVorklProjectlOccupation: (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 KNO,: YES IF YES,date issued: . CO 3
IF YES: Was the permit recorded at the Registry of Deeds?
f
NO DONT KNOW YES
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 `f
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)
.u.isyu.v..'.:.�.::.�+_:. •..:iXn:, a••. r....... ...,.. x............ ........ .._. ........r x :.... ..., a♦ mn • r .A+r4r.n., t ...M x,
10. Do any signs exist on the property? YES '- NO
IF YES, describe size,type and location: 3 S i�N / 774 r '(314.17e, ctorn `5 410 e>4172) •
lhovvow(Rd, O m,9..)s f,u 3':cq'— eivTR,C ' r .fi t�ivy L 'a' ` ca„f,,9.y.vAime + j'rzeer
6e Av 1 �z° t ni7-kwioce Td 6'r k of ,G.�," J)1'P 'f rro ev:;fy c/v c/
/9CJnress � /
Are there any proposed changes to or additions of signs intended for the property?YES NO y
IF YES,describe size,type and location: Si Are 5 y17/ e S, e y TheL
. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
'his cols :a ba filled it
by the B ±J-' ng De-partmett
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved paz-king)
# of Parking Spaces
#' of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT'S SIGNATURE
NOTE: Issuanoe of a zoning permit dares not relieve an etppliosnt`s burden to oonsply math-ail
zoning requirements and obtain &I rQquired permits from the Board of Health, Coetservatidi
Commission, Department of Public. Works and other applioable permit granting authorities.
FILE I
ii 011011118
JOIN
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Project:
NE Deaconess
Rockridge
Location: 02 Qty: 01
Description:
36w"x 24h"wide single faced
iliymoil?ateci post and panel . alp/
od posts 60"grade to top oi
36 extended for direct burial install
into dirt with concrete footers.
Cabinet Color: 1-Shot Maroon
Font Color: 1-Shot Metallic Golc
-.All
A
()Ckridat 24"
Enter 60"
Typeface:
Times Roman, Bold
Client Approval:
Date:
Date of origin: 6/28/04
Now., '`,4 PTA g4, *IWAis,,JJ
Revision log
•••,` • 1.:).•
Direct Burial
:4•1::Y: Installation
... .. ..,.
3 driN 14)0 rdg cy,) s I 5A,,, /lee it,0 Lei efte/i/ sixe ,„„,„ IC,ev-
e i ea 4,e.,J.,-.--,,,e,- 0"fr- opAonia. oft,:cle4s14;t00 '
Sefr/6 ig'4 0 „ co e c-cdok td 1i/re Ta, , d'ee, or Atrirhr
pi Beci,4,,se ,) . 5-Atutj,AAA FI4r*1( 'VC/OW*040 1PrOalt•0 ell'irg r /a- 19 441,47 j A 4 4
cn 36" _
.... „..___,
c/
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... i , : , ‘ , ,
co
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---
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1. :...• I 1
I
1
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24"
) 14
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z 1 tio PC4 /A/1
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-.. .------ Direct Burial _
* 5.ii; l'ilE Installation
O . -..,-i3.. .. kW: ,:7:4:-!ft. ..fill•
N
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