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23B-046 (185) pp,, PERMIT APPLICAJION CHECK LIST PAGE 2-18 PLOT 7� ZONE �� (J--O - YES NO DATE 1 . ZONING FORM APPLICATION L 2 . PERMIT APPLICATION 3 , OWNER OCCU TA E T 4i:CIIF NOT 4 . 3 SETS QF P-���/PLOI--PLAN G� 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER VAI BI T FORMS , 8 . REMODELING INTERIOR 9 , ADDITIO 10 , ACCESSORY STRUCTURE 11 . SIGN / AWNI 1 2 , PERMIT FEE - CHECK ONLY - MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 , UNDER SECTION 127 - CMR 780 15 , FORM A 16 . FILL COMMENTS : z C C n• � a O r a d a=v eD Z Z O eD Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 584-4022 Alterations X a NORTHAMPTON, MASS. July 23 1993 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Cooley Dickinson Hospital 30 Locust Street Northampton, Ma_ Lot No. #46 2. Owner's name Cooley Dickinson Hospital Address 30 Locust Street Northampton 3. Builder's name Aquadro $ Cerruti, Inc. Address 14orthamp on.Ma_ Mass.Construction Supervisor's License No. 013212 Expiration Date 6-30-94 4. Addition N/A 5. Alteration Renovations to the 2nd floor - Med-Surg/Pediatric Unit 6. New Porch N/A 7. Is existing building to be demolished? No 8. Repair after the fire N/A 9. Garage N/A No.of cars N/A Size N/A 10. Method of heating Existing 11. Distance to lot lines N/A 12. Type of roof N/A 13. Siding house N/A 14. Estimated cost:- $452,777.00 The undersigned certifie t the abov ements are true to the best of his, her kno )edge and belief. nalu sible appican Remarks OR0 01 1-1 Date Filed '7 26 ONING PERMIT APPLICATION (§10 . 2) File No. I . Name of Applicant ; Address : �, �.-�, Telephone: - 2 . Owner of Property: �� ,cK►N' ;; q Address : o�� iz Teleph ne : Z,OCO 3 . Status of Applicant : Owner Contract Purchaser Lessee Other (explain : �o� ) 4 . Parcel Identification: Zoning Map Sheet# 2.36 6arcel# Zoning District (s) (include o erlay (�, Street Address p Required 5 . Existin Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L: R: L: R: - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Descr�tti,,on Proposed Work/Project : (Use additional sheets E- t — _ _ I4 a ,a 7 . Attached Plans : f Sketch Plan Site Plan 8 . Certification : I hereby certify that the informati contained herein is true and accurate to the best of nowledge. Date : Applicant' s S1 1-1 THIS SECTION FOR OFFICIAL USE ONLY: �' Approved as presented/based on information presented Denied as presented--Reason : Special' Permit and/or Site Plan Required : in ' g Re ired: _ Variance Required : gnat - e of B ctor ; ate NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation commission, Department of Public Works and other applicable permit granting aulhorilios. ii TL ` pp ww yE� oz OQ •jam ay-f �. H ° ►,� ° '.�� y►d ° ►d �. N o �y. (D 18 rl °M a M J° n�. Y, r* o' n o z rt •4•an (D n 4 0 o"° o.E o rr g A � ° R. y . N ,p o a 's. 9 rn Ln ~' nom �c °� 0 5 � � w � v' rb b F �C O H co O' C 08 a 0) po y n b H n a 0 o � ►C►C{{ VQ ivy' Woo co art L I rl 0 ^f o ci r = CD Lo 0 LO n rt ^ r y o 0 o rx a CD r. sr r� 0 to rt rt o v� 0- s s '� b En d �: a y :3 t V4 s O 0 C") O►+� O p (IQ N v 0 0, � [iJ � N ° W �-+ 0 ° v'5 ►� r0 .b� s' m ao �� vo a4 " `� o O 00 O � p CD Qvi� c io Cj ._o AC) o. s � D Q 3 "4 VA A � , ' W •}� Ewe co ON to A O r1"d o D C c r rr y rt rl bd g' R' •`` H n �' Cst q5• rt Q �y � H a o A4 Iz °..afro � � !T�► QC � y � t� �'i � o o �a 5 � � d y aro L.4 OPQ a o 5 ° 5' 5 0, N ; � a :0 a r � 5 y Ian nS ca R O O O N n ° Lj r� o W o 03 P b z CA W co cn cD log CD 0 �. y r o bb � fD � �, O c r V1 F° O Cz, n w y CD rt sag € � � g v tz ri � � ��—• rt � CCD fD 5' u ri et �J r 7+ � 0 CD O O ~ O o w o CA n _ CD Qp n � � o 0 'NC) v I �ITI og' .� � o g S � � � � °' 0 & = En pao o c CD 00 •� � � 14" 9- `-" Ib �� � c