23B-046 (104) ' P.O. BOX 656/TEXAS ROAD IMULff[ELn1 W
A 4Lrt]L�LiU���44Q�
NORTHAMPTON, MA 01061
(413) 584.4022 01 ,,2-
A,� FAX(413) 584.0011
A.QUADRO&CERRUTI uk. DATE 7-�� ^ JOB NO.
ATTENTITIOpI,�- �(
� /�n RE:
TO
WE ARE SENDING YOU kAttached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
=ao-0 3 1,- �-
?,A
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
XFor your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED: • � '�'��'���G'
If enclosures are not as noted,kindly notify us at once.
s P.O.BOX 656/TEXAS ROAD [WEVIUM VLr11L�L Q3KD1ff1ff11
NORTHAMPTON,MA 01061
(413) 584-4022 //�?_
FAX(413) 584-0011
AQUADRO&CERRUTI wo DATE
ATTENTIONS
TO RE:
Roo 5 y 67X 1Z
n C 7`
WE ARE SENDING YOU Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
,-e ,�- r"' (/ A C°Ct�T�t MCP --�e
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G
E'
i
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
<
I�For your use El Approved as noted ❑ Submit copies for distribution
❑\ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment
Cl FOR BIDS DUE ::_:J PRINTS RETURNED AFTER LOAN TO US
REMARKS_
�d1
.rT/' -r rE'C
COPY TO
,y
SIGNED:
If enclosures are not as noted,kindly notify us at once.
Cooley Dickinson Hospital
Summary of Work
— Roof Replacement at East Wing
— Repairs at Locust Street Concrete Canopy(Front Entrance)
— Repairs at Northerly Two Bank Elevator Penthouse
— Addition of Structural Members at Attic Space of Administration Building
— Rebuilding portion of West Masonry Wall at Administration Building
Note:
— West Wing Roof in Alternate#1 has been deleted
— The roof in Alternate#3 has been deleted
vy�tnal�T
=--
Q � - d ��ceexellnerffe - —_
�^ DEP lRTMENT OP DU11-DP\'C INSPECTION,; —
����� 212 IMa`in Strcet ' Municipal 13uildi;;n
Noi-thamptoll, Tiass. 01060
��I'�tCEj' .S CO �rP�NSA,'MN fNSYrRtV NC1~ AI FLDAV11'
(1ic,-ns!cl --I-aIIflee)
u nth a principal place of bt=Css/residenc: at.
P . O . Box 656 - Texas Rd . Northampton 413-584 -4022
(s�L t/cit;/s, ic�np) 0 106 1
C{C, 11C(�U}' CC%LI�', lfC1CI�r ChC p2.hS 2.11:] (�etl'�LleS OfpCr1Ui`; ......
I arn all etimloyCr prod` 6"'nr tilt.' NJO\Vii)? D, ( QL)CMII i0r my
etn loyccz wore g on this lob
_C_ommerce & Industry_Ins . WC-969_43-25
(Iasura��� Corn,acy) �
(x) Il a SOie prOpitCtOr ''e7er�1 GO ]SaCIOr i70[11CO3`;"i�" onC) 2nU CG1e '[U–Cd
the contactors listed below wuU eve --hC 'nmpensa6on ookles,
M . J . Moran AIM Mutual WMZ8002632012002 10/31 /03
(Name of Contractor) CIlS ra-0" Comparr}Polio Num c) (ErpiraCOn Date)
Collins Electric Arrow Mutual Liability Ins . 1462A 1 / 1 /04
(Name of Coonctor) (-nn,ranc-- Co=a=1Pohc;Number) (ExpLm6on Date)
Morris Roofing Valley Forge Ins . 248605600 05/01 /04
(Name of Contractor) Omsuranc-- Compacy Policy Numh-z:; (Eipimdon Date)
Ralph ' s Black Smith AIG WC 00969459200 12/31 /03
(Name of Con(ractor) j su=-- compaiayfpoi cy N,l abr (ExpL-non Date)
(eft zddrtioaal ccct ifneu>;xrf to c,��.;cz.storm-in co pcs-.a:. a�w all coc= "')
O X am a sole pmpnecor and have no one worming for I-e.
( ) 1 am a frme owner performing all the work myself.
NOTE:pf=s be aa-uc thzt wtrilc bCC=WDcr:who C:22:p l oy pcwai w&o ux «w on tau work oa i dwc l a3 of
not mete t;L.n thrrr:unrt in tr�icb the'co-.�-owocr r�idei or ca ebe p-ain�appuctc�.0 the-...n etc oct�Y t4 be
cuployca uodcz C6c.4vcxkc,��x�rr, -..✓...,;m ftt(GL152.»l<S)��P9lit�rion by a homco�vc�c fer e tiasr�cc psn:d r:ny erideYr the
ltgil ctznLC of na c ployx and dr Lo Wcri,1L Co¢ipmaiioa Act
I uaacaxnd th,i x copy of thu cna—w ccuy bo foe mud.od w cbo DcFnrtmcui oft_;,-gal 4. ec&Ofoa of LD5—'Dec for tba
covcr- vcri c:t=and that milt tc rr..uc cov,: a uc�:cam oa 2S A of MOL 152 can lid o the'Vao dioa of cz a- QX- l C:s
oomi�of n Ex of up to S1500.00 a'Gtcx fir,i:oa¢x-=of_up to one Y=and civil P=jllic in the fC m oC a Stop Wer1e or&- acd a
ficn of St00.00 1 diy W- me
F4- O"Y
NLL bCT
tj 1.Cj Lot#
Signature of i
r , Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-ST,RUCTURAL,,i Ed REVIEW°(780 CMR 110:11)
Independent Structural Engineering Structural Peer Review Required Yes......❑ No......®
SECTION ll,-OWNER,,AUTHORIZATION TO-BE,COMPLETED WHEN
OWNERS AGENT.OR C RACT
ONTOR APPLIESFOR BUILDING PERMIT -
Cooley Dickinson Hospital — George Nolan as Owner of the subject property
hereby authorize Aquadro & Cerruti Inc. to act on
my be If in all matter elativ to work authorized by this building permit application.
X 5-19-03
Sig ature of Ov;ne-ro Date
Cooley Dickinson Hospital — George Nolan as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
George Nolan
Print Nbuxv�x5-19-03 _
Signa ure of Owne gent Date
SECTION 12-CONSTRUCTION'SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Aquadro & Cerruti Inc. CS 062358 _
Richard D. Aquadro License Number
30 Forbes Avenue, Northampton, MA 01060 2/10/04
Address Expiration Date
413-584-7652
Signature Telephone
SECTION 13 -WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L, c. 152, §25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... No...... ❑
Versionl.7 Commercial Building Permit May 15,2000
SECTION.9 PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES W1,111 BUILDINGS AND STRUCTURES.SUBJECT TO
CONS�� RU w
CTIOt CONTROL PURSUANT T¢780:CMR,116(CONTAINING, �MORE,THAN„35,000 C F,,,;OF ENCLOSED SPAU),
9.1 Registered Architect: Not Applicable ❑
Name(Registrant): 410'e)
Registration Number
Ad
SExpiration to
Sign re Telephone
92 Registered Profes Tonal n ineer ):
lJ,-1 dVAA.- I V W f-'V X7"1 au L-LVOA-t--
Name /^ c_ Area of Responsibility
1-74, CN0112G('{ / l�L -mil 1(�12{ �. OIZO 1 30101
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
�l Q(IAD-0-0 % C r-z,c X71 T AC - Not Applicable ❑
Company Name:
A(4-0-dra
Responsible In Charge of Constru ion i
ddress
Signature Telephone
Version 1.7 Commercial Building Permit May 15,2000
7.Water Supply(M.G.L, c. 40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size -- --
Frontage -- --
Setbacks Front
Side L: — R: — L: . — R: —
Rear No Changes
Building Height
Bldg. Square Footage _ _ % _
Open Space Footage %
(Lot area minus bldg&paved — — — —
parking)
#of Parking Spaces --
Fill:
volume&Location)--A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW X YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: . enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW X
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES X NO
IF YES, describe size, type and location: No Changes
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No— X
IF YES, describe size, type and location: --
' Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-"CONSTRUCTION SERVICES FOR PROJECTS,LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
X p p
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
0 Accessory Building[ ] Repairs [ ]
D ;S ,P-TZ *J; See Attached Skmary of Work
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business Cf Base Bid Project 2A ❑
E Educational ❑ 28 I p
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑ 6a Se
Institutional ❑ 1.1 ❑ 1-2 ❑ 1-3 ❑ 3B Ki Sm Bid
M Mercantile ❑ 4 p Proj ect
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION. EXISTING'BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND CHANGE IN USE
Existing Use Group: No Change Proposed Use Group: No Change
Existing Hazard Index 780 CMR 34): No Change Proposed Hazard Index 780 CMR 34): No Chan eL_
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION ,0[F1:CE USE ONL]'
� O
Floor Area per Floor(sf) 5c ;
1
1st— 2nd
2nd -- 3rd a Affi,
RM
3rd __ 4 t __ s
X
to
4 -- No Changes
f
dK
Total Area (sf) Total Proposed New Construction (sf) x
_ - - MO—
Total ;.:
Height(ft) -- z
Total Height ft --- -- ----- �
Version].7 Commercial Building Permit May 15,2000
City of Northampton ,o
Building Department
212 Main Street g.
Room 100 ; :.
Northampton, 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
Lu
J��e _e3
SECTION 1-SITE INFORMATION
1.1 Property Address: This section to be completed by office
Cooley Dickinson Hospital Map "Lot Unitf
30 Locust Street Zone" Overlay:D"istrict"
Elm St;District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Cooley Dickinson Hospi f al 30 T.x-ii-,t Street
Nam (Print) Current Mailing Address:
X 413-582-2000
Si nature 0 Telephone
2.2 Authorized A ent:
Aquactro & Cerruti Inc.
Richard D_ Acniadrc) 1?,�zR,,,£ 6561 Mme. � xrj
te MA 01961—
Name(Print) Current Mailing Address:
X 413-584-4022
Signature Telephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 183,157 (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
3,647 Construction from 6
3. Plumbing 7,080 Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(I + 2 + 3 + 4 + 5) 193,884 Check Number
This ,eiptiprq For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date'
File#BP-2003-1064
APPLICANT/CONTACT PERSON Aquadro&Cerruti Inc
ADDRESS/PHONE P O Box 656 (413)584-4022
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 5
Typeof Construction: ROOF REPLACEMENT REPAIRS TO CANOPY,PENTHOUSE,ATTIC
SPACE MASONRY REPAIRS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildina Plans Included•
Owner/Statement or License 062358
3 sets of Plans/Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved 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 Stre ommission
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.
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~La � ?. � '� 9�'�.� �`�'�#�a � �$` 'g g�!tN b�4� � �. u�=-� ;��a ��wr $ `va`• .
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30 LOCUST ST BP-2003-1064
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23B-046 CITY OF NORTHAMPTON
Lot:-001
Permit: BuUft
Category: BUILDING PERMIT
Permit# BP-2003-1064
Project# JS-2003-1689
Est.Cost:$193884.0
Fee:$969.42 PERMISSION IS HEREBY GRANTED TO:
Const.Class:3B Contractor: License:
Use Groff: B Aquadro & Cerruti Inc 062358
Lot Size(ss.ft.): 667077.84 Owner., COOLEY DICKINSON HOSPITAL INC
zoning:M Applicant: Aquadro & Cerruti Inc
AT.- 30 LOCUST ST
Applicant Address: Phone. Insurance:
P 0 Box 656 (413) 584-4022 Workers
Compensation
NORTHAMPTONMA01061 ISSUED ON:5129103 0.00.00
TO PERFORM THE FOLLOWING WORK.-ROOF REPLACEMENT,REPAIRS TO CANOPY,
PENTHOUSE,ATTIC SPACE,MASONRY REPAIRS
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:O k
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATI F
ANY OF ITS RULES AND REGULATIOV.
J
Certificate of Occu an Signature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 5/29/03 0:00:00 20955 $969.42
212 Maui Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
Nor