PermitApplication_Linda Manor, LLCPermit Application
Todav's Date- 02/27/2013
Owner
Applicant
Linda Manor, LLC
Chakalos Investments - John Chakalos, President
349 Haydenville Rd.
52 Overlook dr.
Leeds, Massachusetts 01053
Windsor, Connecticut 06095
860 - 688 -5994
JCCInvestments@aol.com
City of Northampton department: No
Work Location Information
How many lots involved in the project: 2
Map / Block / Lots of all lots in project: 06 / 055 / 001
Deed Book of all lots in project: Bk. 5934, Pg. 19; Bk. 2257, Pg. 288; Bk. 1622, Pg. 118
Project work address: 349 HAYDENVILLE RD
City / State / Zip: Leeds 01053
Zoning District: SR
Application for following Permit Types
❑ Planning Bd. Special Permit w/ Site Plan
❑ Planning Bd. Special Permit w/
MAJOR Site Plan NO Special Permit
❑ Administrative Site Plan Review
❑ Planning Bd. Major Site Plan Approval (No
Special Permit), including 40R projects
❑ Subdivision Preliminary
❑ Planning Bd. Special Permit w/ Site Plan for flag
lots
❑ Planning Bd. Site Plan (NO Special Permit)
❑X Approval Not Required Plans
❑ Subdivision Definitive with Preliminary Approved
❑ Subdivision Definitive with no Preliminary
Approved
❑ Zoning Board Special Permit
❑ Appeal of Building Commissioner - Zoning
❑ Variance
❑ Historic District Determination of
Non - Applicability
❑ Historic District (Elm St) Determination of
Appropriateness
❑ Subdivision Definitive Amendment
❑ Zoning Board Finding
❑ Comprehensive Permit (40B)
❑ Demolition (Demolition
Delav)
❑ Central Business Architecture
❑ West Street Architecture ❑ Wetlands Notice of Intent IF ONLY local
❑ Wetlands Notice of Intent IF state wetlands wetlands
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262
Wetlands Certificate of Compliance
reauest
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262
Wetlands Request for Determination OR ❑ Wetlands Amendment or
Resource Delineation extension
Total Fee Amount: $250.00
Existing Use
Nursing Home / Extended Care Facility
Planned Use
Nursing Home / Extended Care Facility
Detailed Project Information
Number of Plan Pages:1
Special Permit Description: ANR plan.
Approval Not Required Description: Swap parcels of land between Linda Manor, LLC and
Tuperkeizsis properties to allow for creation of new facility.
Files Uploaded:
Approval Not Required:
Autocad: CHAKALOS- TUPERANR2012vers2000.dwg
Tiff or PDF: CHAKALOS- TUPERANR2012 ANRl.pdf
By typing my name in the signature box, I certify that all the information above is accurate to the best of my
knowledge, I am the property owner or have permission from the property owner to apply for this permit. I also
grant permission to the City of Northampton to inspect the proposed work
Signature: Randall E. Izer Date Signed: 02/27/2013
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262
Fee Information
Approval Not Required Plans - $250 /plan page $250