23A-115 (2) /19
November 15, 2011
A-
The City of Northampton
Building Department
HEALTHCARE City Hall Annex
ARCHITECTS INC. `J
210 Main Street
PRINCIPALS Northampton, Massachusetts 01060
Don Hafner, AIA
Richard E. Katsanos, AIA
" Whitham, AIA RE: Renovations for
SENIOR ARCHITECT / Baystate Heart & Vascular Program
PLANNER
Edward L. Jendry AIA Basement Level
10 Main Street
Florence MA 01062
Final Certificate of Occupancy Request
Dear Sir:
I certify that to the best of my knowledge, the renovations for Baystate Heart
& Vascular Program, 10 Main Street, Florence, MA has been completed
under my supervision and in compliance with all provisions of the
Massachusetts State Building Code.
..RED ARC //
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No. 8355 Richard E. Katsanos, AIA
EASTHAMPTON, L MA License AR 8355
° ��y MA Healthcare Architects Inc.
`qt TH O F V. ^as' 64 Gothic Street, Suite 01
Northampton, MA 01060
Subscribed and sworn to me before this 1 > day of p c
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(Notary Public) � �• � e R N Fr� 2
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Page 1 of 1
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10 MA. BP -2012 -0382
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23A -115 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2012 -0382
Project # JS- 2012- 000605
Est. Cost: $85250.00
Fee: $511.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: FIVE STAR BUILDING CORP 085319
Lot Size(sq. ft.): 21170.16 Owner: TEN MAIN STREET FLORENCE LLC C/O EDWARD L JENDRY
Zoning: GB(100)/ Applicant: FIVE STAR BUILDING CORP
:__ w___ -- Al: 10 MAi N ST
Applicant Address: Phone: Insurance:
17 EAST ST (413) 587 -4060 0 WC
EASTHAMPTONMA01027 ISSUED ON :10/25/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: RENOVATION TO MEDICAL OFFICE SPACE -
BAYSTATE
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:
44 Final: s2Pi'l�}l�I"
/i 0 /`, p Rough Frame: q
Gas: Fire Department Fireplace /Chimney:
oil! Insulation:
Final: Smoke: Final: f e J fk"i f dk. / f - - l/ c
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. #ceo t,O�w 14.444
Certificate of Occupancy Signature:
FeeType: ' Date Paid: Amount:
Building 10/25/2011 0:00:00 $511.50
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner