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23B-046 (42) ,a � � . � � . . \ � � � ` �., ■ \ � 2 . � � »�° .�`~~�` ��® ,� . �� t i ze ! / / / J - 1 PLAN - SECOND FLOOR McCALLUM BUILDING - N.T,S, . COOLEY DICKINSON:HOSPITALJ. . . p� NORTHAMPTON;"MASSACHUSETTS 01060 4 f M 'CIi1S+t+_^•ww.Y••� '•n!v-:.�tPI.M'/ 'Vr�wih`i!'IYM Wr`M F. _ ..A. _ � .� a�,, I�""`°�� „� :. �_�► ^�, • �,; �` e. =� • :s f ii EXISTING CONDITIONS: PLAN - SECOND FLUOR McCALLUM BUILDING N.T.S. COOLEY DICKINSON_HOSPITAL . �p NORTHAMPTON; 'MASSACHUSETTS 0I060 *4- ,ecc�ss 'as/c+w+-•Y.,,._,.Y,.^ ../�sw....An...y' w.tia.'s...•...n-m e' ..c,..:. - n`" vV~�� y� Versionl.7 Commercial Building Permit May 15, 2000 SE;T10N 9-PROFESSIONAL.DESIGNAT�D?CONSTRUCTIOR—SEPVtgES F:gRBUIIDINGS'ANDSTitUCTURES�UEUECTTO: CONSTRUCTION CONTROLPURSUANTTO 780_CMR 116(CONTAINING MORE TF1AN 35;0,00 C F OF ENC.L`OSEOSPACE) 9.1 Registered Architect j Not Applicable ❑ Name(Registrant): Registration Number Address j Expiration Date i Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility I Address Registration Number I Signature Telephone Expiration Date j i I r Name Area of Responsibility i I i Address Registration Number Signature Telephone Expirabon Date I Name Area of Responsibility Address Registration Number, i Signature Telephone Expiration Date i Name Area of Responsibility Address Registration Number I � i I ! I Signature Telephone I Expiration Date 9.3 General Contractor I Not Applicable ❑ Company Name: I 1 1 Responsible In Charge of Construction r i 1 Address t Signature Telephone Version1.7CommercialBuildingPermitMay 15,2000 r :SECI-ION 10 STRUCTURAL;PEER REVIEW.(780 CMR 110,11) zt PN . endent Structural Engineering Structural Peer Review Required Yes......❑ No..... S E:'ION 11 -OWNER AUTHORIZATION -TO BE COMPLETED,WHEN. OV. ,ERS AGENT OR CONTRACTOR APPLIES FOR BUflf)ING PERMIT as Owner of the subject property he: y authorize to act on m, ' -,half, in all matters relative to work authorized by this building permit application. Sig 'ure of Owner Date son n , as Owner/Authorized Agent he ; declare that the statements and information on the foregoing application are true and accurate,to the best of my kn edge and belief. Si. d under the pains and penalties of perjury. Pn c SiF of caner/Agent Date SE `ION 12-''CONSTRUCTION SERVICES 10 !_ire_nsed Construction Supervisor: Not Applicable ❑ Na of License Holder . �Gc� i 1 �!-��saP � 23yy License Number oe Ac' ss Exp' ation Dat SiE ��T,1�,nhon, SE'-;ON 13 -WORKERS' COMPENSATION INSURANCE'AFFIDAVIT(M G.L.c 152, §25C(6)) W 3rs Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit wi ,su't in the denial of the issuance of the building permit. Sid ,ffidavit Attached Yes....... ❑ No...... Version 1.7 Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning. This column to be filled in by Building Department Lot Size Frontage Setbacks Front i�`+a 11104— i r Side L:I� .R: L:= R:!.LA � Rear Bldg_ Square Footage % '{ ;l Open Space Footage (Lot area minus bldg&paved I arldn � 1 #of Parking Spaces Fill: (volume&:Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 . YES IF YES, date issued: I IF YES: Was the permit recorded at the Registry of Deeds? NO C) D0N7 KNOW YES, ` IF YES: enter Book I Page e and/or Document# � B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 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 NO - _ _ I IF YES, describe size, type. and location. D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location:I E. Will the construction activity disturb (clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES_ a NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ' y s Version 1.7 Commercial E'ailding Permit May 15,2000 SE<�rt(lti ot-G1;!Sl $UN E1/1>vE}S� FRO RLC5 � } JS�LSSJF�APf35000 Ct'�B�,C�E�OEsNiICl"��T�E©�S E Interior Alterations' Existing Wall Signs ❑ :Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration 'Cl Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description: a brief description here. P PC-C-1 Of Proposed Work: i ii ILU 1 Gt h D 1�j �° r fA-C v--, 1 •�,'.`Y�.raid SE @;PION 3:=USE GgC1UP�AND COISTRt�GOtI� YPE ,. USE G_ROUP,(Check as applicable) CONSTRUCTION TYPE A Assembly O A-1 ❑ A-2 ❑ A-3 . ❑ 1A Ej A 4 ❑. A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational ❑ 26 I ❑ F Factory. ❑ . F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional I-1 ❑ 1-2 1-3 ❑ 3B El M Mercantile ❑ 4 R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility *'a Specify: M Mixed Use 0 S pecify: I S Special Use ED Specify I COIvIPLET11 ,SECTYION1FZEXISTING�BUIt`DlTalGliT 1DE1�GOli9G,REMQVAT(QNS ADDfTfOtt SANbfOR'CtiAIJ GE [N?USE Existing Use Group: l Proposed Use Group. 1 Existing Hazard Index 780 CMR 34). F Proposed Hazard Index 780 CMR 34): SECTIONry IL�INGFlE1GlT�ANQa7REA} BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) ..2nd� .� .t 2 3'd ' f. 3� 4 1 Total Area(so �� I Total Proposed New Const ctiioJn (so Total Height(ft) Total Height ft i i as " g btrY01 1 A 3 R 7. Water Supply(M.G.L.c.40,§ 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public Private ❑ Zone! I Outside Flood Zone Municipal On site disposal system❑ , Version 1.7 Commercial Buildin Pern-utMay 15,2000 City of Northampton Building Department 212 Main Street 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` t , cv S T� L/L/oxf4 ;9"(�k.4 s� 11 ill y. pg - ....x�ia a .a•Gv,... OR ZED, S GaT1C�N 2 1PRdPERTY OVVNERSNlPiAUT>Hp.GENT x ,ryes 2.1 Owner of Record: Name(Print) l Current Mailing Address. Signature Telephone 2.2 Authorized Agent: C_ea t L) A7.m� i / Name(Print) Current Mailing Address' y�3 Se 2- 31 I Signature Telephone SE'CTtON3.. ,1=STIMATE01',GONSTRUCTI"ON.COSTS item Estimated.Cost(Dollars)to be Octal (isexOnl�, completed by ermit a plicant �= 7. Building j s(a :Bu�ld�ng Perrn� fee } C C> i, 2. Electrical ,mar + (bsEstim�t�d Tota'I Cost 3. Plumbing �Buddrng e7 "Fee 4. Mechanical(HVAC) 1 5, Fire Protection 6. Total:=(1. + 2+ 3+4+ 5) `� 00 V CF eck,Nurnber r " �' i Thts�Section,'For,'OfficiahUse�Qnl . �Bwldtng�PRerrnit�Nurn'b'er, Date" , ' „, r.I55ued! Signature: Building,Gomm�ssionellnspecforr-of Buildings -0ate Mc cq flu'm U L � ct y r File#BP-2007-0630 APPLICANT/CONTACT PERSON COOLEY DICKINSON HOSPITAL THE ADDRESS/PHONE 30 LOCUST ST NORTHAMPTON (413)582-2312 Q 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 Buildiniz Permit Filled out Fee Paid Typeof Construction: MCCALLUM BLDG-2ND FLR CONVERT BATHROOM TO 1 OFFICE&SMALL BATHROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 082324 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF.ORYATION PRESENTED: proved 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 Co on 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. 30 LOCUST ST BP-2007-0630 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B-046 CITE' OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permt. Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit## BP-2007-0630 Project# JS-2007-000895 Est. Cost: $19000.00 Fee: ~95.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: COOLEY DICKINSON HOSPITAL 082324 Lot S;.e(sq. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC zon11;` M Applicant: COOLEY DICKINSON HOSPITAL THE AT: 30 LOCUST ST .-Ip]; icantA:tttress: Phone: Insurance: 30 LOCUST ST (413) 582-2312 O Workers Compensation N0r:THAM PTO N MAO 1060 ISSUED ON:1211212006 0:00:00 Tod PERFORM THE FOLLOWING WORK:MCCALLUM BLDG - 2ND FLR CONVERT BATHROOM TO 1 OFFICE & SMALL BATHROOM PO`T THIS CARD SO IT IS VISIBLE FROM THE STREET_ Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Untlei round: Service: Meter: Footings: Rou;:::: I I � C ti Rough House# Foundation: Driveway Final: Fin:::: ' V Final: G �' 7 �� Rough Frame: J Gas: Fire Department Fireplace/Chimney: insulation: Final: Smoke 5�:;�!�!,_ Y° I ZZ/ 7 Final: oj-�_ oLjlf�6.7 („rq'lS TI ii`s PERMIT MAYBE REVOKED BY THE CI V10F NORTHAMPTON UPON VIOLATION OF AN'_" OF ITS RULES AND REGUL IONS. Cef- ',Kate of Occupancy Si nature: _ Fee': vpe: Date Paid: Amount: 12/12/2006 0:00:00 $95.0078151 212 Main Street,Phone(413) 587-1240,Fax: (413) 587-1272 Building Conunissioner-Anthony Patillo