23B-046 (74) BARR & BARR, INC. PAGE 02/02
03/16/2005 15:17 4137397684
BARR BARR 9002
83�15I2888 14:88 4237397684 BARR & MW, INC. PACE 81l @1
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Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 118:11)
Independent Structural Engineering Structural Peer Review Required Yes No kJ
SECTION 1 t�OWNER AUT HORIZATION••TO SE COMPLETED. WHEN
OWNERS AGENTOR CONTRACTOR APPLIES FOR BUILDING'PERMIT
C02,Gee . .! as Owner of the subject property
hereby authorize ------ --=-----=---- ==--- =.
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9=PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES•FOR BUILDINGS AND STRUCTURES SUBJECT TO
GONSTRUCTION:CONTROL'PURSUANT TO 780 CMR 116(CONTAINING'+"MORE�THAN 35,000 G.F. OF,,ENCLO3ED SPACE)
9.1 Registered Architect:
�._._ Not Applicable ❑
--------- -------- -- ----- ------=- ---- ----- -----
Name(Registrant).
----------------------------------
Registration Number
'_
_ '03
--- ---- ---- ----- -------
Addressc� RiC =---------
IV QW�or1 rn A• C7,2��v .... � Expiration Date
----------------------------------------
----------- - .........................____ _.
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
--- -
Sign-ature---------- Telephoonn e Expiration Date
. ..
---------------------------------------------------------------------- ---------------------------------
Name Area of Responsibility
Address Registration Number
----------- ------------- ------------------- ---------------- ----------------------------------
Signature Telephone Expiration Date
_...__
Name Area of Responsibility
E
Address Registration Number
------------------------ ----------
Signature Telephone Expiration Date
... w._._.....m..-.P........----
i j
Name Area of Responsibility
I
i
i
Address Registration Number
r.._........_....................._...,..._.,_.____________________
Signature Telephone Expiration Date
9.3 General Contractor
Version 1.7 Commercial Building Permit May 15,2000
� 1
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
LotSize �.. .. __.._.. .. ___.. ..: I".r__.. ._... _..... .._.w !.m_.....:._.._._._..................
m.._.__ _ ......_
Frontage .,_,,._7 __. .
Setbacks Front
Side L. R: mmm S L;`, R
Rear
W__-__,.
Building Height
Bldg. Square Footage
Open Space Footage %
..1
Lot area minus bldg&paved �
parking)
#of Parking Spaces
_._... W..,.
Fill: _......._ _,..,,_.... _.__. _..._ w.. . __..
�_ _
(volume&Location)
A. Has a Special Permit/Variance/Finding Ver been issued for/on the site?
NO 0 DON'T KNOW Or YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES U
... I
IF YES: enter Book Page and/or Document#1
B. Does the site contain a brook, body of water or wetlands? NO �ON'T KNOW U YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained , Date Issued:
C. Do any signs exist on the property? YES NO l
IF YES, describe size, type and location:
?m�__._..........._.._. _...�....me.......... ..._._..... .W......_.
D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO
IF YES, describe size, type and location:
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 0 NO U
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-..CONSTR6 6T.ION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OFNCLQSD 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: '
SECTION S.-USE+GROUP Ahlb CONSTRU.Gl°ION 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 ❑
Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B E]
_ ...._._w_.._d._.._....
U Utility F-1 Specify:
i E
M Mixed Use ❑ Specify: I
S Special Use ❑ Specify:
COMPLETE.THIS SECTION'lF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS ANDIOR CHANGE]WUSE
Existing Use Group: __ _._ _. _ _._ Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION,f6 13_UILDING:HEIGHT AND AREA;
- F C USE ONLY
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION y EP
Floor Area per Floor(sf)
St
°� A3
...._... ..._.__....
_._.
nd a" 3`
2nd 2 .., i
....,..,...................._.__._._... .._.__.._...._.._._.., z
a '
_ rd
3rd 3
th
__. 4
4th
_,. _. _. _._ _ _,_. _,_...___ i x r
` `�L
Total Area (sf) Total Proposed New Construction (sf) G
Amn
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 µ.m _ Outside Flood Zone❑ Municipal ❑ On site disposal system[]
Version 1.7 Commercial Building Permit Ma 15,2000
;'�'B d r Departrn nt
_21� Main Street
'�,1� Room 100
`Qthampton, 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
al
SECTI !ON $1 INFORMATION
r: ;-< u
1.1 Property Address: 1`h�ss� lon£toeo► >by�fce� s
_.n _.. .. _ w. I
s�/� (� unit.
AI
Z
Na
6 � InFsfi �Istrl Via;
SF,CTIQN 2 Pf OPER7Y OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: _
Name(Print) Current Mailing Address:
Signature Telephone J '62
2.2 Authorized Agent:
Name(Print) Current Mailin Address:
Signature _______ Telephone
—_--_--_--________—____ 3 .•
SECTCON 3 E5TI�VIA ED�GONSTRUCTION COSTS-
F R !
Item Estimated Cost(Dollars)to be .Official Use Only
completed b permit applicant
1. Building (a)Bulldtng C�ermit Fee
2. Electrical
Construotion:from fi'
3. Plumbing Bu!Iding Permit���Fee
x
4. Mechanical HVAC #
5. Fire Protection
6. Total=(1 +2+3+ +5) Ceck,Number" .
h This SectJoii For Official Use:Qn(
Bu,itl�n P rmi('lurnber data
=Issued
Slgnature
r
Building'Commissioner/Inspctor;of Quildings -- _--- — Date.
TARR `x BARR, INC Transmittal Cover Sheet
BUILDERS" " Detailed,Grouped by Each Transmittal Number
Cooley Dickinson Hospital-Infrastructure Project# 04207
30 Locust Street Tel: Fax:
Northampton, MA
D. 00 00
Anthony Patillo,CBO James W.Clark
City of Northampton Barr&Barr, Inc.
212 Main Street 32 Hampden St.
Room 100-Office of the Building Commissioner Springfield, MA 01103
Northampton, MA 01060 Tel:413-739-6257
Tel:413-587-1240 Fax:413-739-7684
Fax:413-584-1272
❑ Acknowledgement Required
Information, Review, Comments Hand
001 3.0 Drawing Civil drawings;C1 thru C5
002 3.0 Drawiing Arch drawing A-EE
003 1.0 Check $200.00 check for Building
Permit
004 1.0 Building Permit Application
Barr&Barr, Inc. File 1
Mr. Patillo:
Please find attached three(3)sets of Civil and Architectural drawings reflecting work associated with the new Employee
entrance.
The civil drawings show work associated with the new driveway @ the rear entrance.This work will be done in conjunction
with completing the final work for the Infrastructure project.
Also attached is an Arch.drawing which reflects improvements in the existing building.
We would appreciate if you could review and comment ASAP as we are facing an extremenly tight construction deadline of
mid-April.
Any questions please contact me @ our office number listed above or on my cell phone number 413-246-2426.
Thank you.
3
Signature Signed Date
P g Manager Printed on: 3/15/2005 barrma Page 1
File#BP-2005-0869
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
Building Permit Filled out _
Fee Paid Yr
Typeof Construction: BASEMENT&GROUND LEVEL RENOVATION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INYOY94ATION 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 C ssion
Signature of Building Official Da
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-2005-0869
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23B-046 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2005-0869
Project# JS-2005-1204
Est.Cost: $50000.00
Fee:$200.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: BARR & BARR INC
Lot Size(sg. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC
Zoning M Applicant: BARR& BARR INC
AT. 30 LOCUST ST
Applicant Address: Phone: Insurance:
32 HAMPDEN ST (413) 739-6257 WC
SPRINGFIELDMA01103 ISSUED ON:416105 0:00:00
TO PERFORM THE FOLLOWING WORK.-BASEMENT & GROUND LEVEL 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: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 4/6/05 0:00:00 $200.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo