23B-046 (207) �ovs r�ti Grifl! of Wartlja111ptor
' g ,t�laasacl�ui�tts
A
212 Main Street•Municipal Building ,7
Northampton, Mass. 01060 r •"
#607
CERTIFICATE OF OCCUPANCY
September 1 , 1989
Page No. 23B Plot _4.6--
Building (Name) Cooley Dickinson Hospital Address 30 Locust Street
Owner Same Address Same
Applicant Architects Inc. Address 78 Main St. , Northampton
Use: 1st Occupancy
2nd Occupancy —
3rd Occupancy
4th Occupancy
5th Psychiatric Unit Occupancy Hospital
Zone District URB
Required Inspections:
New Building Existing Building
Elevator Electrical
Plumbing S.D. Fire
Building Other
Inspector of Buildings
F �.
s� ; mn
EA1 DEPT.OF WILVING INSPECTIONS
August 31 ,
1589 NORTHAMPTON,MA.01060
ARCHITECTS INC. city of Northampton
210 Main Street
OR" Northampton, MA 01060
p_,;wral.{rnd,c A N
Attention Bruce Palmer
T.iclorl'.C�,iel.er,A LA
1\KA 1�O(l9TF.
Ai k Dear Mr. Palmer:
Dickinson
�,, „�t,h,,,, s chiatric unit at �CMA; Architects
in regards to the new p Y Northamp
rocess to renovall
Hospital at erviseasthetconstruction pr our opinion,
Inc. has sup wing on the 5th floor.
the existing codes and procedures have been met
applicable building occupancy-
and that the unit is suitable for cup
Sincerely,
ARCHITECTS INC-
Edward L• Jendty./
ELJ/jfd
( a13 784--223 J
109 CONCORD STREET 1 EggMl'JGHAM.MASSA<:HL'SE'T`15 01'01 (6P i g�2"83,�
?8 MA1N STREET!NOR�I'IIAMIrLON,MASSAC1il'SETTS 0l OGO ('
ZONING-PLAN NOTES
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
Ix. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION To be completed by all applicants
Name Moiling address Number, street, city, and State ZIP code Tel. No.
Owner or 1)',
Lessee
2. License No.
Contractor
3.
Architect or f
Engineer
L)E- 7 7(--;,
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant /i — I
Address Application date
�4 I
00 NOT W R I T E BELOW T H I S L I N E
V. PLAN REVIEW RECORD For office use
Plan Review Dote Plans BY Date Plans By Notes
Plans Review Required Check Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
I OTHER 1 1$
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dte Da
Permit or Approval Check Obtaained Number By Permit or Approval Check obtaitne
ed Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ �fn' Live Loading
Certificate of Occupancy $ cuponcy Load
Approv
Drain Tile $
Plan Review Fee $ e-
TITLE
CITY OF NORTHAMPTON
�+ MASSACHUSETTS
r r
$ OFFICE of the INSPECTOR of BUILDINGS
!Y T
Page Plot— — APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) �U T - ,l DISTRICT
LOCATION (N0.) (STREET)
OF BETWEEN --{�I;�H I) .E (CROSS j 5 R-,71 (4-i= AND ) (�(CROSS si�EE
BUILDING
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 n Two or more family - Enter 19 Church, other religious
number of units- - - - --> 20 Industrial
3 ` Alteration (See 2 above) 14 Transient hotel, motel, 21 Parkin
4 Repair, replacement or dormitory - I,nter number -� 9 garage
5 El Wrecking (Il multifamily residential, of units ------- - -� 22 �1 Service station, repair garage
enter number of units in building in 15 L_� Garage 23 Hospital, institutional
Part D, 13) r-
16 L I Carport 241,_ Office, bank, professional
6 Moving (relocation)
17 r j Other - Specify— _ 25 I_ ) Public utility
7 Foundation only
26 C_� School, library, other educational
B. OWNERSHIP 27 j Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other - .Specify
9 Public (Federal, State, or
local government)
C. COST (Q1nLt6 !Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,�, 1 ;t� school, secondary school, college, parochial school, parking garage for i
-- department store, rental office building office building at industrial plant.
7'o be installed but not included If use of existing building is being charged, enter proposed use.
in the above cost
t(jc' _
a. Electrical....................... OUL) �� 1`_1't-+-
,� ,L`,-,
b. Plumbing ai) ("Cu
1j),4 i C ..-tai ,A_ P—,
c. Heating, air conditioning.......... t f.o \
d. Other(elevator, etc.).............
---
it. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking; complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories................
30 L] I-Masonry (wall bearing) 40 �] Public or private ,.:ny -
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel l`,I dimensions ...... NI
33 n Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 I_J Other - .Sped private/ti, 42 � _� Public or private company p��
43 Private (well, cistern) K. NUMBER OF OFF-STREET
f� fti PARKING SPACES
51. Enclosed .. '
F. PRINCIPAL TYPE OF HEATI1G .UEL L TY'0_E`-Gf MECHANICAL
35 C Gash Will there b'&,central air 52. Outdoors........................ ice//'.
- _ ' conditioning"
36 Oil -. _ n t L. RESIDENTIAL BUILDINGS ONLY r
37 j Electricity ` r 44 r Yes 45 No 53. Number of bedrooms..............
38 Coal
l
39 Other - .Specify Will there be an elevator°
Full..........
54. Number of
46 Yes 47 D No bathrooms t
Partial........
y DEPT. OF BUILDING INSPECTIONS
BUILDING z°- 6 go " ex
212 Main Street 0
Northampton, MA 01060 PERMIT
23B - 46 VALIDATION
Architects Inc, DATE Sent._ 21 �s 19t rf`5t'. ,P5o�tThaM 607
APPLICANT ADDRESS 033i i i
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration STORY Hospital NUMBER
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 30 Locust Street/Cooley Dickinson Hospital ZONING URB
DISTRICT
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the renovation of 5th floor medical/surgical unit to a psychiatric unit
300,000.00 000.00 PERMIT 680.00
AREA OR existing
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER Cooley Dickinson Hospital f�Y
ADDRESS
30 Locust Street, Northampton
BU N D PT '
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK V- ASSESSORS COPY PjNT 11P
CONSTRUCTION CONTROL AFFIDAVIT
PROJECT NUMBER: DATE: 16 PL`7 /e')e-
PROJECT TITLE:
�1����N�j
PROJECT LOCATION: /VoQi rr14mp
NAME OF BUILDING:
SCOPE OF PROJECT:—' 666 lt7f-' 14,17-010100 !/AT/QNS
IN ACCORDANCE WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE,
I,S�DI�A"�f!Q� I' I��tZBUtZCj MASS. REGISTRATION NO. 32��
BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE
PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS
AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT (Z ARCHITECTURAL L7 STRUCTURAL(f) MECHANICAL❑
FIRE PROTECTION F1 ELECTRICAL] OTHER (specify)
FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS,
COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS
STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS
FOR; THE PROPOSED PROJECT.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE
PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT
THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 127.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction contract documents as submitted for building permit, and approval for conforngnce
to the design concept.
2. Review and approval of the quality control procedures for all code-required controlled
materials.
3. Special architectural or engineering professional inspection of critical construction components
requiring controlled materials or construction specified in the accepted engineering practice
standards listed in Appendix B.
PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT PERIODICALLY, A PROGRESS REPORT TOGETHER
WITH PERTINENT COMMENTS TO THE STATE BUILDING INSPECTOR.
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT Y
COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. '
S gnature
SUBSCRIBED AND 'SWORN `TO BEFORE ME THIS 16th DAY OF Ju y 19 87
�3
N PUBLIC MY COMMISSION EXPIRES ON April 8, 1994.