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06-055 (8)Copyright © 2014 413-543-5252 Design Workshop, Inc. Linda Manor 34 Front Street This drawin is rovided for the ur oses of illustrating P.O. Boz 51114 the proposed protect. Unuthorized use, copying, scanning 349 Haydenville Road, Leeds, MA • 5/22/14 r Indian Orchard, MA 01151 or sharing is strictly prohibited by law. wwwLesignWorkShopinc.com Copyright © 2014 413-543.5252 Design Workshop, Inc. Linda Manor 4M..DesignWorkShopinc.com 34 Front Street This drawingis provided for the purposes of illustrating P.O. Box 51114 � P P P 9 Indian Orchard, MA 01151 the proposed project.Unuthorizeduse, copying, scanning 349 Haydenville Road, Leeds, MA ° 5/22/14or sharing is strictly prohibited by law. Page,2 of 3 31, AL INF RE Q 1, 0 1 R 00 9 BE COMPLETE C�- MOM11 QAN BE DEMEDW, T ACK FNFOM T N 12, i W.`—nn b to N,'od in ty Existing Proposed = Required by Lot Size Frontage Froft Setbacks: Sider: L: L R` Rear: Building Helight Bldg Square Footage % Open Space: (La area minus bfdg and Paved parking� # of ParkIng Spaces 99 # of Loading Docks Fill: (voiuma & iocavon) ti, Certification: I hereby certify that the Information containe4berein Is true and accurate to the best of my knowledge. a, DATE: "f APPLICAN-rS SIGNATURE NOTE. Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning Requirements and obtain all required peffnits from the Board of Health, Corsmation Comrnh�won, Department of Public Works and other applicable permit granting authoftes. FILE #- Page 3 of 3 Page 1 of THIS FORM IS PART OF THE SIGN PERMIT APPLICATION File No. _ ZONING PERMIT APPLICATION PLEASE TYP5OR PRINT ALL INFORMATION t . I+iittti3 t7t Applicant: Address 2. Owner of 4 t � t i r',�' �s+ ''1F- TeiephorF>: 'i l.y,k sP Address- 1 dr 3. Status of Applicant: ,. Owanr3r —Contract Purchaser _Lessee 4. job Locrtton: Parol 10Zoning trap ; Parcel tTO tic FtLI.E'J 1N fl`t THE BUILDING 93ErATi'a;:IENT} a, Etiist9ryg Ued of STcRIftF'rGrrf {t" r, _ 6. Description of Proposed UseAvorwPrg1ocv'0C=patlon,. (Use adaition2l sheets #I necessary 7. Attached i'tans "'-Skrtch Plan ....._`_ Its Plat En lrlaRredfSurvcyr�a Plans S. Has a Special PermitiVariancer'Finding ever beers i ued forlon tare sate? NGS— CONT K.NCN'.—_ YES-.._.._. IF YES, data IF YES: Was the permA recorced at the Registry of Deeos? I J -4 2014 i c Plumb nq & G tq utirrnrxxt T).8'PAJTT,VF,VT Ott 212 Yeir. StreaL. * Nfuhi.elpal Builfflng "lortlaampton. MA 0,1060 Application for a Permit to Place or Maintain a Sign Or other Advertising Device, or Marquee (Application to the fOled out in Ink ortYPOW611M) Nurn be r Z&Aq�3 El.ansmini bafiled' iyftb3he %11�flmn fnsppc*Erection.................. t&re A i5erml will be grimed -, Afterarion ....... ....... Repainfing..... .......... Removal .................. FEE........ PAGE__ ...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. it .. 1, Location, Stree� and ............. 2. Oviner's narno . ...... ........... nd� 3� Owner's a J 4. Maker's name ............ ..... 5. Maker's address. 'P� E. Erector $ name......... ... ................ ...... ...... ....... ............. ...... 7- Frectoer. address ......... ......... ................... SIGN KIND OF SIGN 1, (Designate) Sign will be {check one) illurhated Non -illuminated .2� Will sign obstruct a fire escape, window or door? Marquee ......... 3, Lo%rer edge YAJ be ins above the public way. Projecting 7 1C way� 4. Up.per edge vAl be .. " �, Jns above the publi Roof 5. Height ff_ft...U.Jns Width ins Temporary ........... Face area i_..z & _�& ��z_sq, ft. wall 7. Inner edge will be._Q<.Jns from the building or pole. 8. Outer edge will be...L" ...ins from tare building or pole. Other .................... 9. Face of building or fole is'�,WJns back from the street line. 10. Sign will project..a..ins beyond the` street line. 11. Sign will extend _L,tt ..,,?..ins above the building or pole... 12. Of what material will sign be constructed? Frame LFace. 13. Estimated cost ....... The undersigned certifies that the above statements are true to the best of his knowledge and belief, (Sjgnatur6 0 I(N-ineror gent) _')o File # BP -2014-1293 f r APPLICANT/CONTACT PERSON DESIGN WORKSHOP INC ADDRESS/PHONE 1225 SUMNER AVE SPRINGFIELD (413) 783-9700 tj 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 lI QJ ZONING BOARD PERMIT REQUIRED UNDER: § Sd r A'�e 0p S i0y�k �i¢ I Finding Special Permit Variance* � �IU , Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Septic Approval Board of Health Water Availability Sewer Availability 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.