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06-055 (12) JANFILE I C `J 1 J 3 t APPLICANT /(`CONTACT PERSON all e('/2' r e/ ADDR: !Si$ifkHONE: .574-27z:z —• 5 ca-r.142422-, PROPERTY LOCATION: „ilk-1 %�'y"L MAP PARCE C51' ZONE SIC' THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST 7 ENCLOSED REQUIRED DATE ZCINTNG Ff1RM FlT/S/.F/[p (MTfT . CiY��64 z / Fee Paid L ^T-,jf,7 3 11+� Building Permit Filled out /� L�02't-� S/1/«%at'4epga Fee Paid ig)/ #" Y Type of Con afflict inn• New Construction Remodeling Tnterinr Addition in Keisling Arrecanry Structure _ Building Plane Included Qwner(flrrupa nt Statement or T irence # I Setc of Plane / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: s Approved as presented based on information presented Denied as presented: J 12 Y a.11DuRO " 1.3 (t{-) - ,Special Permit and/or Site Plan Required under: § 7.01(b3) Tddendi(I Caficm pP,.g9ia/Ai — PLANNING BOARD X ZONING BOARD dt aaOpmedn - gmat a.I'D; Received&Recorded at Registry of Deeds Proof Enclosed to -td Z Finding Required under: § w/ZONING BOARD OF APPEALS Received& Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from Conservati Signature of Building tooror P.to ' I NOTE Issuance of a zoning permit does not relieve an applloant's burden tocomply with all zoning requirements and obtain all required permits from the Board of Health. Conaervatio, Commission, Department of Public. Works and other applicable permit granting authorities. JAN 6 File No. 9d/Z ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Linda Manor ECF Address: 349 Haydenvil le. Road. Telephone: (413)586-7700 2. Owner of Property: John Chakalos Address: 349 Haydenvil le, Roads Telephone: (413)5R6-7700 3. Status of Applicant: Owner Contract Purchaser X Lessee Other(explain): 4. Job Location: 349 Haydenvil le. Road Leeds. MA. Parcel Id: Zoning Map# (p Parcel# District(s): J/C,,, - (TO BE FiLLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Nursing Home 6. Description of Proposed UseANork/Project/Occupation: (Use additional sheets if necessary): Same 7. Attached Plans: X Sketch Plan X 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 Permibvariance/Finding ever been issued for/on the site? NO DON'T KNOW YES X IF YES,date issued: 1-06-1988 IF YE& Was the permit recorded at the Registry of Deeds? NO DONT KNOW X YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook,body of water or wetlands? NO x DONT KNOW YES 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) • 10. Do any signs exist on the property? YES X IF YES,describe size,type and location: 'ft - • -. t• • i . • t :o Linda Manor The sign is a 2.5'x6' flat stone with 411 letters. The sign sits on top of a stonewall . This sign will be removed to make way for the new sign. Are there any proposed changes to or additions of signs intended for the property?YES X NO IF YES,describe size,type and location: The new sign is made of wood, its lettered on both sides. The sign is 4' by 8' , it will be painted white with Green letters. It will be -ltfly'ttd ut tin. en taco e • • r • 1 • 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thiscolt= to ha filled sa by [be sculling Department 'Required Existing Proposed 3 By Zoning Lot size 439,390 Sq. Ft. 30,000 Sq. Ft. Frontage 125' 125' Setbacks - front 51$' 30' - side L:142' R:225' L: R: 40' - rear 109' 20' Building height 20' Bldg Square footage 37,348 Sq.Ft. 6,000 Sq.Ft. %Open Space: (Lot area minus bldg 342,724 21 ,000 Sq.Ft. &paved parking) # of 'Parking Spaces 80 ¢' 'of Loading Docks 0 Fill: (volilme--& location) 13. Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: /A—y y.� APPLICANT is SIGNATURE ' v� yi. NOTE: Issuanoe of a zoning permit does not retieve an applicants bu •en to comply witp,a _.-- zoning requirements and obtain all required permits from the Board of Health. Conservation Commission, Department of Public Works and other applicable permit granting authorities:- FILE {_.... 74r n 1IJ yYR � r fh ,,,4 Si 6 Erection ^ :- Alteration -( V 1a s'dustbe�fdedwu ()1eBulctingInspector, Repainting ( -) before a permit will ((bee granted, �,[ Removal ( ) TD.1 itg Xortliamptatt, jlitasz. Application for a Permit to Place or Maintain a Sign or other Advertising Device (Application to be filled out in ink or typewritten) FEE PAGE PLOT Northampton, Maas.,._..._—__.,....._. ..19c...__. To the Building Commissioner: Application for a permit to place oromaintain a sign or other advertising device, or marquee. BUSINESS NAME...... 2.in:14 ,�nS.nP e'!" ```'''e. C t"• Li- g. . I. LOCATION, STREET and No,., !J.Y9 (�.L�Z.aYcien 1e 81 ,� e ..y;,. ..hv.___.....___. 2. Owner's name-___S-422__...0 1R,A ._/p �' ._._..._.... ...._............_._.__.. 3. Owner's addr L9. den al/Df !irJ �^(?,<-a _,A4,,,_....____--------- 4. G 4. Maker's name u f OC !or^ C2 Co. . 5. Maker's address-441' D.lt.ttr]r 0^ Y A+'- _ ..._v....._�._..._ 6. Erector's name.... .SQ.,2nC,,.-- ....._..— _-._ .....--.._....,.... _.._... 7. Erector's address „ .,.,,_.___... ___ SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated .,non-illuminated__...»... 2. Will sign obstruct a fire escape,window or door? r✓U,,, Marquee—..........--- 3. Lower edge will be.W.4._ft.... ins.above the public way. Projecting— 4. Upperedge wit)be.iy. 4t. ins.above the public way. Roa£_..._...._._.. ... 5. Height L ft. 0 w .....ins. Width--t...,ft. 0 6) .ins. Temporary._ ---- 6. Face area. j7.2 eq. f5.Wall 7. Inner edge will be ins from the building or pole. Ground— '�� S. Outer edge will be I�FL,X- inn"s�/.. from the building or pole. Othor..._..._.. 9. Face of building or�,pp/qoole""is.l& .._.ins.back from the street line. 10. Sign will projecte—ns.beyond the streetline. 11. Sign will extend �( ft_.....ins.above the building or pole. 12. Of what materriial�/will sign be constructed? Frame I-' el.' ci Face r<J0°d 13. Estimate cost..XdYi a'J The undersigned certifies that the above statements are true to the best of his knowledge and belief. p lebora►.ry 0.4xSoNe14 AkwinurA (Signature of Owner or Agent) NOTE:In order that this application may be accepted, the data called for above must be set forth .a CLEARLY and FULLY. i ;`_ , *tejtill) �I PPP 4,(v"_ - _ --- �a 6EaQK* ctv * .**VAS It . .. 4 1• or, , .. .- } 1 f � f / . Y � t �T :. i: i. ` it.. i { fy ,�_ fot tA Cp .I 7 c, a. /. , 1 I`4 it i14 . , F 'l � t A f. ... yY� ( i . }. k �111//f,,.. ..� `t� i.ir 'tF , ls�' y !„C yY fi f" . ^+ � . 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