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23B-046 (18) s► Northampton `. Department t ` Memorandum !c`f1a I 1 4 .7 80 To: Tony Patillo -- From: Duane Nichols Date: March 10, 2009 CC: Brian Duggan Re: CDH-Emergency room renovations Secondary to a review of the plans submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • Fire alarm and fire suppression work permits shall be obtained for the project. The C/O inspection fee needs to be paid prior approval of any fire alarm or sprinkler plan. • 5 lb ABC Fire extinguishers are needed located at exits. This shall be in compliance with NFPA relative to maximum travel distance. Appropriate signage in compliance with ADA should be located above • Pull Stations shall be double action type. The graphic annunciator for the campus shall be changed to reflect the changes with the renovations. •Page 1 Mill CITY OF NORTHAMPTON CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 21-08-121 DATE: October 2, 2008 PROJECT TITLE: Emergency Department Renovations PROJECT LOCATION: 30 Locust Street NAME OF BUILDING: Cooley Dickinson Hospital NATURE OF PROJECT: Renovation IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, George Iskra BVH Integrated Services, Inc., 50 Griffin Road South, 860-286-9171 Bloomfield,CT 06002 NAME ADDRESS PHONE NUMBER BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATION AND SPECIFICATIONS CONCERNING: �l ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL / FELECTRICAL OTHER(Specify): FOR THE ABOVE 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 APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I OR A DESIGNATED BVH EMPLOYEE SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE AT APPROPRIATE INTERVALS 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 116.2.2: 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 conformance of 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 c? ,%U2 requiring controlled materials or construction specified in the accepted engineering practice, � �� s� UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT �TCTORY SKA COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. EC aY �� SUB RIBED AND S O TO BEFORE THIS 61 DAY OF N w 20 i ( MY COMMISSION EXPIRES �t7 blank-21-08-01 I-Affidavit 1WO CITY OF NORTHAMPTON CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 21-08-121 DATE: October 2, 2008 PROJECT TITLE: Emergency Department Renovations PROJECT LOCATION: 30 Locust Street NAME OF BUILDING: Cooley Dickinson Hospital NATURE OF PROJECT: Renovation IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, I, James W.Ohlheiser BVH Integrated Services,Inc., 50 Griffin Road South, 860-286-9171 Bloomfield,CT 06002 NAME ADDRESS PHONE NUMBER BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATION AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER(Specify): FOR THE ABOVE 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 APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I OR A DESIGNATED BVH EMPLOYEE SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE AT APPROPRIATE INTERVALS 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 116.2.2: 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 conformance of the design "A4, 2. Review and approval of the quality control procedures for all code required controlled matef o JAMES W OHLHEISER 3. Special architectural or engineering professional Inspection of critical construction compon4 t r it 9cAL '0 34b 3 c� w controlled materials or construction specified in the accepted engineering practice standards.; 4 p , �ar<c FG/STF tip'qC' UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SA TI COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. S SORE THIS �a6 DAY OF c` 20 �!S _ _ T✓IY COMMISSION EXPIRES IL 21-08-01 1-A-JSC-7.008-10-02-Affidavit J W O k CLZ t7 of Nortl1Alltptoll l l -v � �ttRSEAC{t IIE CttE �a DEPARTMENT OF BUILDING INSPLCT101JS INSPECTOR 212 Main Street • Municipal Buildin+ \o No rtharnplon, MA 01060 SECONDARY CONSTRUCTION CONTROL DOCUINIENT (for Professional Engineers/Architects responsible for only portion of a controlled project) Gce>I✓�t>%CWA-SbA WOTA-)kL Project Title:_ Lr �� �ff. 1 �!•Date:_ �.� 1�► 2G�C���' Project Location: Map: Parcel Zonc. Scope of Project: In accordance with the sixth edition Massachusetts State Building Code. 790 CNIR SECTION 116.0' Mass. Registration Number Being a registered professional Engineer/Architect hereby CERTIFY litat I have prepared or directly supen!is d the preparation of all design plans, computations and specifications concerning : [ ] Fire protection Architectural [) Structural [] Mechanical [ ] 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 projcc(. Furthermore, I understand and AGREE that I shall perform the necessan professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the work, I shall submit a final repo-t as to the s,ttisfactor) completion of the above mentioned portion of the work. Signature and Seal of registered professional: J = 1 No.30335 v. rh OF e�► Fax 413-597-1272 -phone 413-587-1240 •=off O a 4 6 �xsrxcf{nsreta' cn DEPAR'T'MENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 , WORTCER'S COWENSATION INSURANCE AF MA.VIT "Wall (li ten serJperrui tt ee) tivith a principal place of business/residence at. ,ST LLJ 16IcA1 d/©S.� (phone4) '51'17-2.S0o (stl-eei/city/stalrizi p) do hereby certify, under the pains and penalties of pcgw-y, that. NI am an employer providing the follollving worker's compensation coverage for my employees working on this job: 4-710Av Iva/ 11� 5. !z/rl28oD5S�90/2oog 12 -3 -09 (In i=ce Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (1-murancz— Compagy/policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attac3i additional abcci if necessary to include infocnutioo perCLining to aU o�trndon} i O I am a sole proprietor and have no one working for me. ( ) I am a home owner performing aIt the work myself. NOTE:ptcasc be aware that vihilo homcowacrs who employ persoW to dv n• coasruciica or rtp-,a it vrork on a dwelling of not moee than threo units is wEch the homoocv resides or m tbo g vaada apptutenaat thezdD ere oce generally 00o--n&v-e3 tc be employ=under the vemk is.cetnpcm4ca Act(GL152,ts I(5)},applitatioo by a homcow=for a tic= cc Permit may evidcaoc the legal eta of an amployor under tho woceceea cotupomatioa Act- I understand that a copy of thin ctalca cat m,ay bo forvew-c d to the Departed of lndiufri al A.,6&c iy QfSca of Lqt u anon for ttm coverage vcxi£cxtioa and that failure to&taut covttngo under section 25A cf MGL 152 can Icad to tbo in p oa of criminal pcoa cs 000usting of a fine-of up to S1,500.00&--I/-imprisoaaxizt of tip to one year and civil pcm2ties is the focm of a Stop work or&r and a film of 5100.00 a day Lpiasi tee. For d"tmeatal uaa Daly --- � Permit Number - Map Lot 4 �iguatuz, o iccascrJPcrmittce e _ Versi0nl.7 ronumiercial Building Permit NIL, I S,�(i0 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) r � i pendent Structural Engineenng Structural Pee, Rey ew Required SECTION 11 - OWNER AUTHORIZATION-TO BECOMPLETED WHEN 0YOiERS AGENTO I R CONTRACTOR APPLIES FOR.BOILDING PERMIT 1, ,---- 00�L'_ �/ �iC�l� So_���s�aL I 'Hereby authorize Q Ho U C D/ S ��'([l� fl��P_��G --- - — tc �,ci c my be. n all matters rely ork authorized by this building permit application. Date Signature of Owner _ — _---- _—_--- I as u � hereby` dec arere 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. Print Name j Signature�Ow I en Date SECTION 12 -CONSTRUCTIC)NSERVICES=:i j 10_1_�icensed Construction Supervisor: Not Applicable O Name of License Holder : �/ 1Q� 5,����e ��e`' -- -_- 066 ,227 _ ----- License Number I / _ z //e J^ S r 4 Address. Expiration Date 117113- 57 7 s!2 Signature Telephone r ----- SECTION 13 -WORKERS'-COMPENSATION iNStARANCE AFFIDAVIT V;jr:ers Compensation Insurance affidavit must be completed and submitted with this a,pp cation. Fai 11 ure to p,ov E,t s a result in the denial of the Issuance of the building permit. Signed Affidavit Attached Yes....... R No...... 13 ' VCI-SlOn l lCD,,i .l P,U1 Cl PO;, l �`✓t ii' 1� ��'�t i) S;=CTIbN 9 PROFESSIONAL DESIGN AND CONS T RUCTION SERVICES FOR E UILDINGS AND STRUCTURES SLJEJ CT TO GONSTRUCTION'CONTROL PUPSUANT TO 780 CL1R 116 (CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) °.1 F'egistered Architect: — --- — -- --- – : ( ff_? 1���---- G/�_- 72-0?60 ----- --- - Sin F Ure Telephone < 92 Registered Professional Engineer(s): I -------------- ----- JaF-ie Area o` Pesponslbil'ty Address stratior, fJurrher ---- signature Telephone Expiration Date I {,Jame Area of Responsrbihty I I Address Registration Number it onature Telephone Expiration Date Name Area of Responsibility ,Sddress Registration Number Signature — — Telephone Expiration Date Name Area of Responsibi'lity I 1 Address Registration Number —� 'elephone--- Cxpiratior, Dare —_-- 9.3 General Contractor 2g u/ 1� Not Applicable ❑ Cocpany Na.�me[: I Responsible ge of Construction Version1.7 Commercial Building Permit May 15,2000 ter'Supply (M.G.L. c. 40, § 54) � 7.1 Flood Zone Information: � 7.3 Sewage Disposal System; Public ❑ Private ❑ I Zone:_____ Outside Flood Zone Municipal 14 On site disposal system S. NORTHAMPTON ZONING Existug Proposed RPauired by Zoning his column to be �., �uildingD�artrnent I G 9 y27. 8 ?67, q,)78 y27.8 j Lot Size ___ Front2 e 2,658 2655 Setbacks Front /02 / 0 Side L: 98 R: y2 L: 88 R:`�2 Rear Building Height y 5 ' 6 y 5 Bldg. Square Footage % ypZ gb yo2 S('/. Open Space Footage % (Lot area minus bldg&paved yO 6 y0. 6 ar}an o-) # of Parking S aces 76 761 Fill: NIA NSA (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: DEC IF YES: Was the permit recorded at the Registry of Deeds? / NO DONT KNOW YES V IF YES: enter Book 6 54�/ Page 39 and/or Document # B. Does the site contain a brook, body of water or wetlands? NO D3N7 KNOW _ 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 1/' NO IF YES, describe size, type and location: VA)m o vs — D, r,re there any proposed changes to or additions of signs intended for the property ?YES _ No _ IF YES, describe size, type and location: —_—_ — Vers1onl.7 Co-mnercial Building Pe:znit May 15, 2000 iECiZON 4-=CONSTRUCTION SERVICES'- OR RO]ECTS LESS THAN35,000 _ _ U CTEE�LOS.Eb�P.AGE [[nterior Alt erations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing 7, F-1 0 [ exterior Alterations Demolition[] New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] BRIEr DESCRIPTION: yC�Gy `/�g 1+�2iJ pUu SECTION.5 USE GROUP AND.CONS7.RUCTI0N;TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE % Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A — -,ff A-4 ❑ A-5 ❑ _ 1B ❑ _� 3 Business ❑ 2 p E Educational ❑ 2B I ❑ i F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑_ H Hi gh Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ I 7. _ I-3 ❑ 313 — ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5� ❑ U Utility ❑ Specify: M Mixed Use C Specify: S Special Use ❑ Specify: COMPLETETHISECTIONIF�YISTINGBIJILDING UNDERGOING 2ENOVA3LONS {�DDIT�ONS ANDJOR CHANGE IN`;l1SE Existing Use Group: -1 Proposed Use Group: Z-2 Existing Hazard Index 780 CMR 34): y Proposed Hazard Index 780 CMR 34): y `SECTION 6"'B17ILDING,HEIGHTIIND�IREA BUILDING AREA EGSTING PROPOSED NEW CONSTRUCTION n Floor Area per Floor (std i =t. ..;, N w ?nd i µ 2nd-- 3`a 3 t ni -- 4th 4 T Total Area (SO _ Total Proposed New Construction (sf) s ; Total Height (ft) Total Height ft-------------- - ' t r t.i�lVU 1.! 'v V11111A1.1+lal LLLL.U111 L)' 1 l,l lllll lVldy' 1.� LVVV _ City,of Northampton Building Department r u i 9 2009 212 Main Street 4 i Room 100 North mpt'n, MA 01060 � '� ' phDne 413 587-1240 Fax 413-S87-127.2 k� .__—_. _ �'�.^v'F t_„ 1cr W)L arm ..-.r -�-.. C.iS"5� iv"�1_�t`._ •.R APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION SITE INFORMATION ,1 Prooe ` This section t ompleted ti�office , rty Address: l -W'! 7 1•I a-s,,, c�i+b` rc't`, t� g'-* �oOLe DiC�CIf'I SO// f/y6D/faL 1.1rp h r it ! v R r l7r�Tt k y 30 / Zon`e overlay D�sfi�pct F z y D C U s r S / - SECTION 2 PROPERTYOWNERSHIP JAUTHQRIZED_AGENT 2.1 Owner of Record: Coo/e v D/cki/')soh /7/0SD17O 30 oC4l . t s t. Ro. Qox sDo� Name(P t) Current Mailing Address: 6113- 588 - 2313 Signature Telephone 2.2 Authorized Aqent: Tw otfiy 5. 1e Ile tier 5129,, l/e' 57. Cud/0 u/, AV D/056 Name (Print) Current Mailing Address; 5'/3- 5y7- 2 500 Signature Telephone SECTION-3- ESTI MAT ED'CONSTRUCTI0 COSTS Item Estimated Cost(Dollars) to be - OfFca(use Only completed by ermit applicant 1. Building B e _(a) Building Permit Fee d i 2. Electrical �� q Est+mated Total Cost of Construction from'.6 3. Plumbing ,s ;Suildmg Permit Fee - 4. Mechanical (HVAC) 5. Fire Protection s DdD, O1 5. Total = (1 + 2 + 3 + 4 + 5) 'j�y8 damO d° Check'Number Th is-Se ction iFor Official Use Only B ding Permit Number - Date Issued. — :ignature: — Building ommissloner/Inspector of Buildings Date File#BP-2009-0705 APPLICANT/CONTACT PERSON RAYMOND R HOULE CONST INC ADDRESSIPHONE 5 MILLER ST LUDLOW (413)547-2500 Q PROPERTY LOCATION EMERGENCY ROOM-30 LOCUST ST MAP 23B PARCEL 046 001 ZONE M(99)/URB(I J/!VP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: EMERGENCY ROOM RENOVATION New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 066227 3 sets of Plans/Plot Plan THE F9L OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I1FORMATION 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 Commission Permit DPW Storm Water Management Demolition Delay 2 z Za Signatu 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. City of Northampton Massachusetts r 1 y x DEPARTMENT OF BUILDING INSPECTIONS � b 212 Main Street•Municipal Building SsNyy e"� ` Northampton,MA 01060 413-587-1240 Building commissioner June 26, 2009 Harvey Stone, CNMT Director Caritas PET Imaging, LLC 800 Washington Street Norwood, MA 02062 Dear Mr. Stone, In response to your inquiry regarding the zoning status for the area where Cooley Dickinson Hospital is located at 30 Locust Street, Northampton, Massachusetts, please be advised that this property is appropriately zoned for use by a hospital, including a licensed mobile medical clinic. Yours tr,,utyy Anthony Patillo Building Commissioner City of Nothampton Jun 29 09 08: 15a Alison Dias 978 692 1257 p. 2 June 26,2009 Harvey Stone, CNMT Director Caritas PET Imaging,LLC 800 Washington Street Norwood,MA 02062 Dear Mr. Stone, In response to your inquiry regarding g the zoning status for the area where Cooley Dickinson Hospital is located at 30 Locust Street,Nothampton,Massachusetts,please be advised that this property is appropriately zoned for use by a hospital,including a licensed mobile medical clinic. Yours truly, Tony Patillo Building Commissioner City of Nothampton Jun 29 09 08: 15s Rison Dies 978 692 1257 p. 1 FAX JUN 2 9 2009 Alison Esposito Dias � Managed Care Consultant Caritas PET Imaging, LLC Telephone: (978) 692-1257 Fax: (978) 923-8690 Tony Patillo, Building Commissioner To: 413-587-1272 Fax: Zoning letter Caritas PET Imaging Cooley Dickinson Hospital Re: June 26, 2009 Date: 2, including cover Number of pages: Message: Dear Mr. Patillo, Caritas PET Imaging is a mobile imaging provider currently approved to deploy at Cooley Dickinson Hospital. As part of a Determination of Needs process, the State has requested a zoning letter from each town our mobile medical unit visits. The following sample letter indicates the information the State requires for this process. I would appreciate your assistance in obtaining this letter. If further action is required on our part please contact me as soon as possible as we have a mkt July deadline. If the letter can be generated, please print this on City of Northampton letter head and mail to the address noted on the letter,Bawd. I may be reached at the above number. If an electronic file of the letter would expedite the process please email me at atisonediasl2gol.com and I will forward it along to you. Thank you for your time in this matter. • a MorrisSwitzer Environments for Health 11 Drydock Ave Suite 2060 / Boston,MA 02210 t 617.772.0260 � f 617.772.0261 '1 morrisswitzer.com To: City of Northampton, Massachusetts June 25, 2009 Attn: Building Commissioner Re: Cooley Dickinson Hospital ED Renovations In accordance with the Massachusetts State Building Code, 780 CMR, Chapter 1, Section 116:1, W. Keith Davis, Mass Reg. No. 30335, being a Registered Professional Architect, hereby certifies that the renovation to the building located at: Cooley Dickinson Hospital 30 Locust Street Northampton, MA 01061 Building Permit No.: Asp- has, to the best of my knowledge, been built/altered under my supervision and in accordance with the approved plans, and that such plans,to the best of my knowledge, do conform to all the provisions of the Massachusetts State Building Code. KElry� 9 No.30335 BOSTON, MA Architect Seal k� �Keith W. Davis Subscribed and sworn to before me this 2S day of Jy/ie 20 _ (Notary Public; My Commission Expires � — - PLANNING •f ARCH ITECTU RE of DES IGN BU ILD of D E V E L 0 P M E N T Maine Vermont Massachusetts 34-37-35 IM Nv 1��1�� �/ll����IGn( � �d�L/y j� " ���/•S " �i�tfr/ D�w; �'G.U�o1a � �o°Z�/ '571 ` J : VL" 47, c, EMERGENCY ROOM-30 LOCUST ST BP-2009-0705 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B-046 tCITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0705 Project# JS-2009-001033 Est. Cost: $448000.00 Fee: $2688.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: IA Contractor: License: Use Group: I2 RAYMOND R HOULE CONST INC 066227 Lot Size(sq.ft.): 1325051.64 Owner: COOLEY DICKINSON HOSPITAL INC Zoning: M(99)/URB 1 //WP Applicant: RAYMOND R HOULE CONST INC AT: EMERGENCY ROOM - 30 LOCUST ST Applicant Address: Phone: Insurance: 5 MILLER ST_ (413) 517-?500 O Workers Compensation LUDLOWMA01056 ISSUED ON:212712009 0:00:00 TO PERFORM THE FOLLOWING FORK EMERGENCY ROOM 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: Horse# Foundation: Drivcway Final: Final: ����_� Final:.t,, � 4,' 1�� Rough Framc: LAJ P'.,LS {:6t/I Lx'-L,l S Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: l Final: Smoke_ C FFinal: c1 j, Ot. t i r 1 r •y r,cl THIS PERMIT MAY BE REV6I{ED BV THE CITY OF NORTHAMPTON UPON VIOLATION Ol ANY OF ITS RULES AND REGULATIONS. �� rf // � Certificate of Occupancy t Signature: Feel e: _ Date Paid: Amount: Building 2/27/2009 0:00:00 $2688.0016058 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner- Anthony Patillo