23B-046 (68) VY'l it/LVVV jL+VI 1I1J1 VVV Vi0 V4IV Y631'LL\ YYUU� —
03116 2085 14;08 4137957504 BARR & BARRj IHC. PAGE el/03.
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BARlt:&. iRAUt, INC.
with'`ptinci;W phice of busiocss/resideocn at_•
260• Coehituate•Road,:2nd Floor, •Framiuxham, MA :honer}_508-69,5750
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Version 1.7 Commercial Building Permit May 15,2000
SECTION 10 STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
w
�44 _. .-
d. e..- .._ ..... __ _..__ ....__ _ ', as Owner of the subject property
hereby authorize -Ao
act on my behalf, in all matters relative to work authorized by this building permit application.
t__ . __......
Signature of Owner Date
I,
as Owner/Authorized
Agent hereby declare 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
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder wuee s-. A2, r (,842j, _. ...,,
License Number
-pan-5, 1 vlu"A±;K�
Address Expiration Date
Signature Telephone
SECTION 13- ORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes 0 No
Version 1.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
_. Not Applicable ❑
Name(Registrant):
Registration Number
Address
Expiration Date
cco �� v
Signature Telephone
9.2 Registered Professional Engineer(s):
�N. QR �9at.Z4.r'or+�
Name Area of Responsibility
Address Registration Number
(617 9�q-qYv�
Signature T Telephone Expiration Date
Name Area of Responsibility
L r
Address Registration Number
Signature J Telephone Expiration Date
Name Area of Responsibility
..... __....
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone I Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Version 1.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage _.......
Setbacks Front
Side L: ._..W R: L:_.. R.,,. .. .. 'E
Rear
Building Height
Bldg. Square Footage _..
Open Space Footage °
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill: � .... ..... ..
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:....
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page _.. and/or Document# .,,.
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
4C�/ 0
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
IF YES, describe size, type and location
D. Are there any proposed changes to or additions of signs intended for the property?YES U No
IF YES, describe size, type and location: _.. ...
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition[] Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description Enter a brief description here.
Of Proposed Work: l i
SECTION;6 USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 113 ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ID 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify: .,
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: _._ _. ,.. Proposed Use Group: _.
Existing Hazard Index 780 CMR 34):i,.,,_„ _........., ._.. ., _.._..,,,,,' Proposed Hazard Index 780 CMR 34):
SECTION 6,BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(so
st
isr Y �� 1
_.
. _ ... 2nd `
2nd i
„..... 3rd
3
rd
Orr, __ ...
4m
Total Area(so Total Proposed New Construction(so,
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone,Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal E) On site disposal system
Version 1.7 Commercial Building Permit May 15,2000
Etfil t t0", u$@
�� � � �
t City of Northamptony y
t, Building Department
212 Main Street Sew r� tl �t lati .. ''
R✓ � �
Room 100 �Aii�l ;
MW
?�; + No`` hampton, MA 01060 Plsft�.
phone 413- 87-1240 Fax 413-587-1272 , r E
F APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 7;-SITE INFORMATION
1.1 Property Address:
This section to be completed by office
�O� CK.hSow� (- �it .�. _ Map Lot Unit
zone
�a.w+���� MA
l`�d/a D�a� Overlay District
.. „„_.... _.. ._ _. .. Elm St.District CS District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Signature Telephone y(3
2.2 Authorized Agent:
. ..... _ rh..e .. ... ...
Name(Print) Current Mailing Addr ss:
1f r // 3
Signature Telephon ( 3 x
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
...
1. Building I (a) building Permit Fee
_....
2. Electrical (b) Estimated Total Cost of
Construction from 6 :..... ... :. .. _.. ..mm.....
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) - ....... — -
5. Fire Protection
6. Total=(1,t 2+ +5 Check Number (S�
is Section For Official Use Only
Buil ' g Permit Number Date
Issued
Signature:
Building Commissioner/inspector of Buildings Date
File#BP-2005-1098
APPLICANT/CONTACT PERSON BARR&BARR INC
ADDRESS/PHONE 32 HAMPDEN ST SPRINGFIELD (413)739-6257
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
T_ypeof Construction: CONSTRUCT 34000 SQ FT FOUNDATION&SITE UTLITIES
New Construction
Non Structural interior renovations
Addition to Existing -
Accessory Structure - —
Building Plans Included:
Owner/Statement or License 000275
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION 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
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.
1 �w
l't'/"f�J Lei '� r•r �- !°' " � j V
N-W.
30 LOCUST ST BP-2005-1098
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23B-046 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: FOUNDATION IUILDING PERMIT
Permit# BP-2005-1098
Project# JS-2005-0999
Est. Cost: $2000000.00
Fee: $5100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: BARR & BARR INC 000275
Lot Size(ss . ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC
Zoninz: M Applicant: BARR & BARR INC
AT. 30 LOCUST S-C
Applicant Address: Phone: Insurance:
32 HAMPDEN ST (413) 739-6257 WC
SPRINGFIELDMA01103 ISSUED ON.5116105 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 34000 SQ FT FOUNDATION & SITE
UTLITIES
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:
Finai: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:OK 0 8 �7 (oc�t'�
THIS PERMIT MAY BE REVOKED BY TH ' ITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATION
Certificate of Occu angy Si nature:
FeeType: Date Paid: Amount:
Building 5/16/05 0:00:00 $5100.00
212 Main Street,Phcne(413)587-1240,Fax:(413)587-1272
Building Connnissioner-Anthony Patillo