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23B-046 (74) BARR & BARR, INC. PAGE 02/02 03/16/2005 15:17 4137397684 BARR BARR 9002 83�15I2888 14:88 4237397684 BARR & MW, INC. PACE 81l @1 ''Y 1 ° 212 Maim Stet ' vAk;pnt Bw"or AARR ! 'N'orths,sp�oa, .M'mss_ 02040 • r • - \r�� - Fyn. .�-•�..r-... - wtih'a lirvtaptJ ptaoe ofbusiars�residec�e ai:• - , ' - .-. . . Q6Q.Coohltuate�Road, 2,md Floor, •Framingthim. ZiA (pbeu ) 508^$79-5750 �mdkae#parrtrip}01770 d"e herebq cet*.Iiwctr(be-pains=4 pars of geToy-thu i �); E? afl.cmnblrnt yr og.the foilowi kvacke:'s roa:pcItseoo"covev'st for my - easp�vyas.w4siriog t>i►,-tlps,jQb:• . ' &4c lty•Ias. C4• . . 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Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 118:11) Independent Structural Engineering Structural Peer Review Required Yes No kJ SECTION 1 t�OWNER AUT HORIZATION••TO SE COMPLETED. WHEN OWNERS AGENTOR CONTRACTOR APPLIES FOR BUILDING'PERMIT C02,Gee . .! as Owner of the subject property hereby authorize ------ --=-----=---- ==--- =. Versionl.7 Commercial Building Permit May 15,2000 SECTION 9=PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES•FOR BUILDINGS AND STRUCTURES SUBJECT TO GONSTRUCTION:CONTROL'PURSUANT TO 780 CMR 116(CONTAINING'+"MORE�THAN 35,000 G.F. OF,,ENCLO3ED SPACE) 9.1 Registered Architect: �._._ Not Applicable ❑ --------- -------- -- ----- ------=- ---- ----- ----- Name(Registrant). ---------------------------------- Registration Number '_ _ '03 --- ---- ---- ----- ------- Addressc� RiC =--------- IV QW�or1 rn A• C7,2��v .... � Expiration Date ---------------------------------------- ----------- - .........................____ _. Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number --- - Sign-ature---------- Telephoonn e Expiration Date . .. ---------------------------------------------------------------------- --------------------------------- Name Area of Responsibility Address Registration Number ----------- ------------- ------------------- ---------------- ---------------------------------- Signature Telephone Expiration Date _...__ Name Area of Responsibility E Address Registration Number ------------------------ ---------- Signature Telephone Expiration Date ... w._._.....m..-.P........---- i j Name Area of Responsibility I i i Address Registration Number r.._........_....................._...,..._.,_.____________________ Signature Telephone Expiration Date 9.3 General Contractor Version 1.7 Commercial Building Permit May 15,2000 � 1 Existing Proposed Required by Zoning This column to be filled in by Building Department LotSize �.. .. __.._.. .. ___.. ..: I".r__.. ._... _..... .._.w !.m_.....:._.._._._.................. m.._.__ _ ......_ Frontage .,_,,._7 __. . Setbacks Front Side L. R: mmm S L;`, R Rear W__-__,. Building Height Bldg. Square Footage Open Space Footage % ..1 Lot area minus bldg&paved � parking) #of Parking Spaces _._... W..,. Fill: _......._ _,..,,_.... _.__. _..._ w.. . __.. �_ _ (volume&Location) A. Has a Special Permit/Variance/Finding Ver been issued for/on the site? NO 0 DON'T KNOW Or YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES U ... I IF YES: enter Book Page and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO �ON'T KNOW U YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES NO l IF YES, describe size, type and location: ?m�__._..........._.._. _...�....me.......... ..._._..... .W......_. D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO U IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-..CONSTR6 6T.ION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OFNCLQSD SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description !Enter a brief description here. Of Proposed Work: ' SECTION S.-USE+GROUP Ahlb CONSTRU.Gl°ION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business 2A ❑ E Educational ❑ 2B I ❑ F Factory _ ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B E] _ ...._._w_.._d._.._.... U Utility F-1 Specify: i E M Mixed Use ❑ Specify: I S Special Use ❑ Specify: COMPLETE.THIS SECTION'lF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS ANDIOR CHANGE]WUSE Existing Use Group: __ _._ _. _ _._ Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION,f6 13_UILDING:HEIGHT AND AREA; - F C USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION y EP Floor Area per Floor(sf) St °� A3 ...._... ..._.__.... _._. nd a" 3` 2nd 2 .., i ....,..,...................._.__._._... .._.__.._...._.._._.., z a ' _ rd 3rd 3 th __. 4 4th _,. _. _. _._ _ _,_. _,_...___ i x r ` `�L Total Area (sf) Total Proposed New Construction (sf) G Amn Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone µ.m _ Outside Flood Zone❑ Municipal ❑ On site disposal system[] Version 1.7 Commercial Building Permit Ma 15,2000 ;'�'B d r Departrn nt _21� Main Street '�,1� Room 100 `Qthampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,REPAIR; RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING al SECTI !ON $1 INFORMATION r: ;-< u 1.1 Property Address: 1`h�ss� lon£toeo► >by�fce� s _.n _.. .. _ w. I s�/� (� unit. AI Z Na 6 � InFsfi �Istrl Via; SF,CTIQN 2 Pf OPER7Y OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: _ Name(Print) Current Mailing Address: Signature Telephone J '62 2.2 Authorized Agent: Name(Print) Current Mailin Address: Signature _______ Telephone —_--_--_--________—____ 3 .• SECTCON 3 E5TI�VIA ED�GONSTRUCTION COSTS- F R ! Item Estimated Cost(Dollars)to be .Official Use Only completed b permit applicant 1. Building (a)Bulldtng C�ermit Fee 2. Electrical Construotion:from fi' 3. Plumbing Bu!Iding Permit���Fee x 4. Mechanical HVAC # 5. Fire Protection 6. Total=(1 +2+3+ +5) Ceck,Number" . h This SectJoii For Official Use:Qn( Bu,itl�n P rmi('lurnber data =Issued Slgnature r Building'Commissioner/Inspctor;of Quildings -- _--- — Date. TARR `x BARR, INC Transmittal Cover Sheet BUILDERS" " Detailed,Grouped by Each Transmittal Number Cooley Dickinson Hospital-Infrastructure Project# 04207 30 Locust Street Tel: Fax: Northampton, MA D. 00 00 Anthony Patillo,CBO James W.Clark City of Northampton Barr&Barr, Inc. 212 Main Street 32 Hampden St. Room 100-Office of the Building Commissioner Springfield, MA 01103 Northampton, MA 01060 Tel:413-739-6257 Tel:413-587-1240 Fax:413-739-7684 Fax:413-584-1272 ❑ Acknowledgement Required Information, Review, Comments Hand 001 3.0 Drawing Civil drawings;C1 thru C5 002 3.0 Drawiing Arch drawing A-EE 003 1.0 Check $200.00 check for Building Permit 004 1.0 Building Permit Application Barr&Barr, Inc. File 1 Mr. Patillo: Please find attached three(3)sets of Civil and Architectural drawings reflecting work associated with the new Employee entrance. The civil drawings show work associated with the new driveway @ the rear entrance.This work will be done in conjunction with completing the final work for the Infrastructure project. Also attached is an Arch.drawing which reflects improvements in the existing building. We would appreciate if you could review and comment ASAP as we are facing an extremenly tight construction deadline of mid-April. Any questions please contact me @ our office number listed above or on my cell phone number 413-246-2426. Thank you. 3 Signature Signed Date P g Manager Printed on: 3/15/2005 barrma Page 1 File#BP-2005-0869 APPLICANT/CONTACT PERSON BARR&BARR INC ADDRESS/PHONE 32 HAMPDEN ST SPRINGFIELD (413)739-6257 PROPERTY LOCATION 30 LOCUST ST MAP 23B PARCEL 046 001 ZONE M THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out _ Fee Paid Yr Typeof Construction: BASEMENT&GROUND LEVEL RENOVATION 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 INYOY94ATION PRESENTED: Approved Additional 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 ZONING BOARD PERMIT REQUIRED UNDER: § 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 C ssion Signature of Building Official Da 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. 30 LOCUST ST BP-2005-0869 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23B-046 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-0869 Project# JS-2005-1204 Est.Cost: $50000.00 Fee:$200.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BARR & BARR INC Lot Size(sg. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC Zoning M Applicant: BARR& BARR INC AT. 30 LOCUST ST Applicant Address: Phone: Insurance: 32 HAMPDEN ST (413) 739-6257 WC SPRINGFIELDMA01103 ISSUED ON:416105 0:00:00 TO PERFORM THE FOLLOWING WORK.-BASEMENT & GROUND LEVEL RENOVATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 4/6/05 0:00:00 $200.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo