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23A-291 • the donation comes thru) a private van owned by Golden Moments. We are open 5 days a week, Monday — Friday. We plan to open our doors Jan 1, 2012. At that time, (depending on how many clients are signed up, we will have one RN/LPN, one caregiver, 2 volunteers, and an office manager (who will also provide care as needed) It is our hope that we will be able to prepare our own meals on sight, as there will be a full kitchen available. However, if this is not allowed due to city restrictions, we plan to bring meals in from Highland Valley Elder Services HDM program, or contract with Smith Vocational HS or an area restaurant. Snacks will be provided at 10am and 2pm and will consist of fresh fruit, vegetables, cheese and crackers or homemade breads. Golden Moments will need to make some adjustments to the property I am hoping to purchase. We will need to add a fully handicapped bathroom, a shower, a kitchen (If allowed to prepare meals) a small hairdressing room for Smith Vocational HS students to cut and style hair, a room for massage, and an open area for dining. Golden Moments will be advertising in all of Western Ma, but hopes to be able to draw clientele from the Northampton/ Easthampton/Southampton/Holyoke as well as the hill towns. This is an area that has a great need, but no ADH. With seniors living longer and the population growing, we need more options for elders who would like to stay out of nursing facilities as long as possible. I hope to fill that need. It's important to note, that my present business Elder Care Access, LLC will be housed inside of this space. There are a total of 3 employees that run ECA. At present, I only occupy one room (10x 12) in Leeds to run Elder Care Access, LLC. Elder Care Access, LLC would simply use one of the rooms. In particular, I would be most interested in knowing the answers to the following questions, before I will sign an "offer to purchase" on this property. 1. Can I set up a full kitchen, and cook meals for 10 -20 elders? Meals would range from snacks, to a full hot meal at noon. The kitchen would have a stove, dishwasher, refrigerator, etc. It would be almost the same as having a "day care" in your home for children, and preparing their meals. 2. Can I have separate rooms for, and allow Smith Vocational students to come in once a week to offer nail care, and hair care. I want to be sure I don't need a special license. 3. Can I have a separate room, and allow a massage therapist to offer t his services 3 times a week to the elders who need it? Do I need a special permit? 4. The same would apply to Physical Therapy from the VNA, the foot nurse once a month, etc. Thank you for taking the time to review this application; Sheryl Fappiano LSW, CMC .,t • Golden Moments Adult Day Health Spa Sheryl Fappiano LSW, CMC —owner PO Box 429 Leeds, Ma 01053 (413)584 -6950 9/19/11 To whom it may concern; Golden Moments Adult Day Health Spa is planning to open its doors to elders in the community in the 2012. This program will resemble other Adult Day Health programs, but with an innovative, spiritual approach to aging well. Services will include Massage, Reikki, sound and aroma therapy, meditation, gentle yoga/Thai Chi and the traditional outings and activities. Our goal, as we enter the era of "Baby Boomers" is to create an environment where an elder in need of supervision, will not only benefit from the hands on care needed, but will also get social stimulation, physical activity, and spiritual healing. All of these have been shown to enhance well being, as well as reduce insomnia, restlessness, and isolation. Seniors will have access to state of the art technology, specialized programs (OT, PT, and foot nurse) as well as the feeling of being in a home like environment. They will enjoy the company of others their own age, and then return to their own home at night. (See overnight care in later paragraphs). This is a cost effect, safe and comprehensive way to provide these seniors with what they need, in an attempt to delay nursing home admittance for as long as possible. Golden Moments is working with community resources to provide as many of the above services at minimal cost to the elder. Smith Vocational HS will be asked to provide culinary students to make wholesome hot meals and snacks. The cosmetology dept will be asked to visit weekly to provide hair cuts and nail care. The PCA (personal care attendant) program will be asked to send 2 -3 senior students to work one on one with these elders, while being supervised by an RN. We will be asking for donations from local companies such as Big Y, Wal -Mart, Big E's, etc to offer help with food and supplies. A search for volunteers to assist with many daily tasks will hopefully reduce the initial start up costs. By utilizing -these services and volunteers, we hope to keep the cost down as much as possible, and the patient staff ratio at 4 to 1. We have located a local company who is making a state of the art " zero gravity sound therapy recliner" that has been proven to benefit elders experiencing issues related to Parkinson's, depression, and anxiety and more. As with many Adult Day (ADH) programs, the doors open between 7 -8am, and close between 4 -5pm. This will be the case with Golden Moments as well, but we also plan to have an option for late pick up. With sandwich generations families on the rise, we want to be as flexible as possible for those needing to work a traditional 9 -5 schedule. Our goal would be to work up to having 20 full tine clients, and we are planning to accept private pay and Mass Health participants. Transportation is offered via PVTA, families, and (if f . - ADD rot. �uo VI* G Rur .4 (� . • _ ii tfs I - . • I u 1i t. f` !7C R .17!., r tg,L � 2 .Stt - — ___ : _• 1 .--- -7 I 6=11= fl7Y �; K1I I & .71! -T i� - _ : �.. it —�. .111 ;.._ . f ' t _ air ur , , . 4 . • , • :cN -- .. i • p - - . { , �' •l ZC � I ,StR —VW AMMO— - sa • . gar i > a ? ifs cy r i T „, . i :- . R �� a, . .1„ ran tOO irl • . - , OOP i . . . -f lf(Vi^ L -> N �s ru air►. t/ 1 mom • . O• .A • ..,, , 4 : 5 .x . 0 . • • A0t bvku, 3, , Id Sj,.fn - uvb10•1r Y.1'NI • . ., NJ \n/P ! + JN , g0ow ∎ 12 m RD() wt. toor c a I G 3 ..._.... _ i t1 , �1+J K SJ f�` � - : , , a tE 6 - --c _..... „4.,„., i _ -_ f> 4,, lo►Lcr — . R cE P roan( , A. - 3 s f ( ,. ¢` 1 .,r r ` y (, , If U g gboM iv oT • J C P- L ‘ .. too m EMERGENCY EXIT PLAN ! E Roo ►■ SUITE 106 y oo w� , \� 9' R ap AA :: . . G1- i.1LL N 1 1 \ Assessment and Sales Report Location & Ownership Information Address: 190 Nonotuck St, Unit 3, Northampton, MA 01062 -1900 Map Ref.: M:023A B:0291 L:0003 Zoning: GI Owner 1: Katherine M Hicks Owner 2: Owner Address: 249 Crescent St,Northampton, MA 01060 -2116 Property Information Use: Office Condo Unit Style: Levels: 0 Lot Size: 0 Acres (0 sqft.) Year Built: 1989 Total Area: 0 sqft. Total Rooms: 0 Living Area: 0 sqft. Bedrooms: 0 First Floor Area: 0 sqft. Full Baths: 0 Addl Floor Area: 0 sqft. Half Baths: 0 Attic Area: 0 sqft. Roof Type: Finished Basement: 0 sqft. Heat Type: None Basement: 0 sqft. Fuel Type: Basement Type: Exterior: Concrete Block Attached Garage: 0 Foundation: Other Garage: 0 Air Conditioned: Yes Fireplaces: 0 Condition: Average Assessment Information Last Sale Date: 9/9/1999 Last Sale Price: $105,000 Last Sale Book: 5786 Last Sale Page: 224 Map Ref.: M:023A B:0291 L:0003 Tax Rate (Res): 12.96 Land Value: $0 Tax Rate (Comm): 12.96 Building Value: $276,200 Tax Rate (Ind): 12.96 Misc Improvements: $0 Fiscal Year: 2011 Total Value: $276,200 Estimated Tax: $3,579.55 Sales History Recent Sale #1 Sale Price: $105,000 Sale Date: 9/9/1999 Buyer Name: Katherine M Hicks Seller Name: Ellen Z Kaufman Lender Name: Easthampton Svgs Bk Mortgage Amount: $164,000 Sale Book: 5786 Sale Page: 224 Mortgage History Recent Mortgage #1 Buyer Name: Katherine M Hicks Lender Name: Easthampton Svgs Bk Mortgage Amount: $143,500 Mortgage Date: 6/14/1994 Mortgage Book: 4496 Mortgage Page: 15 The information in the Public Record is set forth verbatim as received by MLS PIN from third parties, without verification or change. MLS PIN is not responsible for the accuracy or completeness of this information. P ' r V - (� i _ rl / � �~-1 � mid ! r /S ) Jp Q rr c- • 2 ' f , bel)Piv a ` tYri ezr1/ 1.4 -rriW2-Q 10, Do any signs exist on the property? YES NO • describe size, type and location: YES. 1 Are there any proposed changes to or additions of signs Intended for the property? YES IF YES, describe size, type and location: - D d • ' k ii S 10 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 11 cre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW Is required. 12. ALL INFORMATION MUST SE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved far use by the Building De • artrnent IDITSTLNG PROPOSED I , .�• ,� '. . Lot Size 1° t' ;twt+�a. Frontage Setbacks Front. Side L: R: L Ft: { ,. Rear Building Height Building Square Footage flfiaL . , t11 vpe Space, t X n lot area - 'axf' . n a Lew= d" i. "'` . minus building & paved w. ,migo; •251 ? : rr � 1. : x....:: rkin # of Parking Spaces - - . _ f i_ of Loading Docks Flit: ( volume & location} • 13. Certification: 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge. 0/ Date: =J ' ^ Applicant's Signature v /. # ■0 �. NOTE: Issuance of a zoning permit does not relieve an cant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards. Department of Public Works and other applicable painnit granting authorities. wAnoc uments1l o km3"l origivaNsu7ding- tnspertort Zoniag•gamit•Appliclrion -pe imdac 814/2004 ZOPlZ ZLZTLineTt XVd 66:ET ITO2 /6T /6O RECEIVED Site 2I . /doll File No. 11 NOR _ 7 ti ! ` °"' C ;,,t Please type or print all information and return this form to the Building Inspector's Office with the $15 in► g fee (check or money order) payable to the City of.Northarpton 1 . Name of Applicant: .•P 1 . i: �t 1 ep feet - Address: � 1 1( �� Telephone: 3 )1 0 QS ° "� �G Z. • Owner of Property: AII%,.it! 11[ _ ; . ►�� > �(.� ( � Address: l ` a ( I1 ephone:L7► 'r 3. Status of Applicannt: Owner Contract Purctiaser, t Lessee Other (explain) 4. Jab Loc ation:j9 1 v. io-nf 4. • ^ • [� o �Slkrsir ..th,K +ray+` 1�W i•.c.,,.,.�. ..._..... /. S. Existing Use of Structure/Property: l 4 . '/' d • • 6. Description of Proposed Use/ Work/Project/Occupation: (Use additional sheets if necessary): dery 7. Attached Plans: Sketch Plan Site Pl an Engineered /Surveyed Pions 8. Has a Special Permit/Variance /Finding ever been issued for /on the site? NO DONT KNOW YES IF YES, date issued:. IF YES: Was the permit recorded at the Registry of Deeds? 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 V DONT KNOW — YES ____ IF YES, has a permit been or need to be obtained from the Conservation Commi Needs to be obtained Obtained _ , date issued: _ .... (Form Continuos On Other Side) WADocum nfslFomsoriginamunding- e#a Zoning •Pamir- Apgliauion- pasive doc 514/2004 TOO In ZLZTL6SCT6 fit :CT TTOZ /61/60 File # MP- 2012 -0028 FAT — 05 V a co P ` ELDER C' 2f • APPLICANT /CONTACT PERSON FAPPIANO SHERYL ADDRESS/PHONE 141 KENNEDY RD (413) 695 -8233 Q q tih 4E v f �`ii6J PROPERTY LOCATION 190 NONOTUCK ST flop C60 fe rt.. MWN C L. LC- MAP 23A PARCEL 291 000 ZONE �� f FT THIS SECTION FOR OFFICIAL USE ONLY: • � t't`w— co-f- � �� PERMIT APPLICATION CHECKLIST 6 S Pt ENCLOSED REQUIRED DATE ZONING F RM FILLED OUT (23 i( ZO I f 4/ ` I J V Building Permit Filled out Fee Paid Typeof Construction: ZPA - ADULT DAY HEALTH CARE 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 INFORMATION PRESyNTED: Approved (,/Additional permits required (see below) r1. PLANNING BOARD PERMIT REQUIRED UNDER : § T ` 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: § 350 - 9 2 3s-b.— 9 : 3 CO 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 l 9 � ` � 1 1, 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 the Office of Planning & Development for more information.