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06-055 (8) LINDA MANOR Rehabilitation • d Skilled Nursing Living Members Center Community of Berkshire 90"x 59"x 3"dark green double-sided HDU sign with carved ivory letters "Linda Manor, Rehabilitation&Skilled Nursing Center,Assisted Living Community" Flat ivory logo and"A Berkshire Health System Affiliate." Routed 22K gilded border and vertical rule.Mounted on 6"x 6"x T painted cedar posts with 22K gilded ball finials. I Copyright©2014 413-543-5252 Design Workshop, Inc. Linda Manor 34 Front street This drawing s provided for the purposes of illustrating .O.Box 01114 the proposed project.Unuthorized use,copying,scanning 349 Haydenville Road, Leeds, MA • 5/22/14 � �r Indian Orchard,MA 01151 or sharing is strictly prohibited by law. www.DesignWorkShopinc.com LINDA MA NOR Rehabilitation & Assisted Skilled Nursing Living Members Center Community of Berkshire 90"x 59"x 3"dark green double-sided HDU sign with carved ivory letters "Linda Manor, Rehabilitation&Skilled Nursing Center,Assisted Living Community" Flat ivory logo and"A Berkshire Health System Affiliate." Routed 22K gilded border and vertical rule.Mounted on 6"x 6"x 9'painted cedar posts with 22K gilded ball finials. Copyright©2014 413-543.5252 Design Workshop, Inc. Linda Manor + 34 Front Street This drawing s provided for the purposes of illustratin P.O.Box 51114 9� P P P 9 � � �r Indian Orchard,MA 0 11 51 the proposed project.Unuthorized use,copying,scanning 349 Haydenville Road, Leeds, MA - 5/22/14 or sharing is strictly prohibited by law. www.DesignWOrkShopinc.com a it a d, lid+ w� �S` ��_ tj rs a• .'� �_ New sign to x `, all. re*ce`ekkting's��n - ame 10cation5 NN t 7Y e I I • . • .- . Inc. • • MUMMA Page,2 of 3 31, ALLINMMMAMONMV B MP T : • AN 9 T I MATTJN 12, 7l*�s CY°r'`tnn b to Niod in ty the Buildinq Ge rtmnt. Existing Proposed = Required by i Zonin Lot Size Frontage Front: Setbacks; Sider: L L R` Rear: Building Height Bldg Square Footage %Open Space: fLGt area minus brdq and Paved parking #of Parking Spaces 99 i ............ #of Loading Decks Fill;(voiuma&iodation) fs. Certification:I hereby certify that the Information containe4 herein is true and accurate to the best Hof my knowledge. r, DATE a� t "f APP'LICANrS ,SIGNATURE iv NOTE.Issuance of a zoning Permit does not relieve an applicants burden to comply with all zoning Requirements and obtain all required perrraits from the Board of Health,Corsmation Comrnh;Won, Department of Public Works and rather applicable permit granting autho ties. FILE Page 3 bt 3 Page 1 of THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. _ ZONING PERMIT APPLICATION PLEASE TYP5OR PRINT ALL INFOR14ATION t. Name of Applicant: ' r c)y',r� JC t` .' Address; 2. Clwnerot FroPe .__ L,, L i Acidr 3. Status of Applicant:,. O an r —Contract purchaser _Lessee 4. job Loeat=: Parcel lD Zoning trap: Parcel �....,.._ tT0 5Z FILLED IN fl`t THE BUILDING 93ErAA'a;:IENT} a, Etiist9ryg Ued of STcRIftF'rGrrf r ; {t" r, _ 6. Description of Proposed Useyior'ru'Pro octfOccUpatlon:(Use additional sheets if necessary) ,= t !d '^�.•' r y- 1 r Y_ j ,s J t__ - Y'n... 7. Attached Mans "' Sk€tbh Plan . ...._`_��It�Flan _ En�inaRred'Survcy�c Plans a. Has a Specak Permitr'4'ariancer'Findi ig ever been i ued forlon the sate? NO_ CONT K.NGN'._____ YES_ IF YES,data issued--- IF YES: Was the permA recorced at the Registry of Dees? NOa C3ON'T KNIOW_ YES IF YES; Enter; 8aok Pacga•_ ___._: andlcr Documeni# 9 Does the site contain a brook,b of water at wretlana ?' njC 0ON7 KNOW YES IF YES: Hasa permit been,or new.o be,obtained from the Conservation Commission? Needs to be obtained. „_ Obtained Datff is-5uo1 t w, 10. Do any signs exist on the ptopelty? YES !rte NO—_ IF YES: Describe the size,type and Location: Are there any proposed changes to,or adoitlons ref,signs iuttended ter the property? YES r`'L NC IF YES: Describe the size,type and location JUN 4 c, P umbina &Gas fnspectio5 tq of _A1'jar14araVtazi A. f-)F'farS;t'7;ti"'FiVT OY WlfI-WaV:i 212 Yeir, Street • Nfuhicipa1 BuiDffing lartl:ampton. MA 0,1060 r f:11 App�licat on for a Permit to Place or Maintain a Sign Or ether Advertising Device, or barques ��,y�� (Application to be fOled out in Ink or typawritten) 1�4umber Z ... + ns mirst to filud imitti the%ll�flnn lnsppc1� ..................( Y` tgftre a i5ermlwill be grimed Aftorarion....... ....... ...{ } Ramdual..................f FEE........PAG E...:,...PLOT.....,, Norlhampton,Mass. To the Building Commissioner Application for a pem)il to place or maintain a sign or other advertising devi_'e,or marquee 1. Location,Stree' and No. .'...,......,...,: . t: viper s name,...... Owner's address 4. Maker's name %.,4 °..... .. L :..A. . �.. ....t ,... .., 5. Maker's address *' �..'...� 6. Erector's narric.. ....... , 1.. ._. : ....... ..... . 7- Frectoi~'s address .......... ......... _ ................... . .......... .... ... SIGN' KING!OF SIGN Sign will be{check one)illurrtirlated : Non-illuminated ..,x�.. Will sign obstruct a fire escape, window or door? .r i... Marquee ... ......... . 3, Lo%rer edge vr'ili be ,..ft..rF,:,_.ins above the public way. Projecting 4. Upper edge vrill be " i s p y: 1 ,ft .. Ift above the ubllowa Root .....,.. , 5. Height .` ..ft.U..lns Width..`-;,,f#. ;..ins 7errlporary...... ..::.: &. Face afea _..z_sq,ft. wall_ ..... 7. Inner edge will Le !. ins from the building or pole. 8. Outer edge will be .t,:"...ins from tare building or pole. Other .............. 9. Face o building or pole is ktWJns back from the street line. 10. Sign will project..a..ins beyond the`street line. 11. Sign will extend ._,i...,ft .,tins above the building or pole. 12. Of what material will sign be constructed? Frame 13. Estimated cost « .��'�'.... The undersigned certifies that the above statements are true to the best of his knowledge and belief, Signature 0 t Ch-r>Zer car gentj ,� File#BP-2014-1293 f r APPLICANT/CONTACT PERSON DESIGN WORKSHOP INC ` ADDRESS/PHONE 1225 SUMNER AVE SPRINGFIELD (413)783-9700 t PROPERTY LOCATION 349 HAYDENVILLE RD MAP 06 PARCEL 055 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 1 Fee Paid Typeof Construction:_REPLACE GROUND SIGN-LINDA MANOR 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: ApprovedAdditional 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 .31J 1 _ ZONING BOARD PERMIT REQUIRED UNDER: § �Sd r `��` dr` � � ��¢� 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 Demolition Delay 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.