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23B-046 (187) PERMIT APPLICATION CHC-CK ZIST PAGE �3 6 PLOT�`ta ZQNE �p YES NO ATE 1 , ZONING .FORM APPLICATION 2 , PERMIT APPLICATION 3 . OWNER OCCU ANT STATEMENT ICA IF NOT 4 . SE S F OT PL N 5 NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 ADDITION 10 , ACCESSORY UC U 1 , SIGN W I 3d7gt � � 2 PERMIT FEE - CHECK ONLY - MONEY 0 DER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE --------- 15 . FORM A _ 16 . FILL COMMENTS : HEALTHCARE June 10, 1993 ARCHITECTS INC. CORPORATE DIRECTORS Ray S.Brown.A.I.A. Office of the Building Inspector Edward L.Jendry,A.I.A. City of Northampton SENIOR PRICIPALS 210 Main Street Skive T.Drskulloh,A.I.A. C.J.Whlthsm Northampton, Massachusetts 01060 PRINCIPALS Jebb Dennis Attention: Frank Sienkiewicz Mark Dunn,A.I.A. Debbi Got lab Main*'Don i Building Inspector Aisx Niypin• Richard liat sanos Ann Knox Richard Wilk Re: Third Floor Renovations ENGINEERING ASSOCIATES Cooley Dickinson Hospital Willies a B<:�f��S:P.E. Northampton, Massachusetts MEDICAL ADVISORY STOCKHOLDER COMMITTEE Suresh M.Bramavar,Ph.D. Dear Frank: Enzo V.DI Giacomo,M.D. Mary Lou DI Giacomo,R.N.,M.B.A. Leon J.Maynard Louis A.Rossi In regard to the above-referenced project, this is to Aisx 8zalran inform you that all work and construction will be performed in accordance with the Massachusetts State Building Code, Section 127 - Controlled Construction. Accordingly, we will be sending to you periodic progress reports as the construction continues. Sincerely, H ALTHCARE ARCHITECTS INC. Ed and L. n r ELJ:tam cc: Jebb Dennis 64 GOTHIC STREET/NORTHAMPTON,MASSACHUSETTS 01060 le VERNON STREET/FRAMINGHAM.MASSACHUSETTS 01701 M r C n• C t7 z a -h S. r � o l � z v �. o I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 584-4022 Alterations X a NORTHAMPTON, MASS. May 9, 1993 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Cooley Dickinson Hospital 30 Locust St. Northampton, Ma. Lot No. #46 2. Ownersname Cooley Dickinson Hospital _Address 30 Locust Street Northampton, Ma. 3. Builder's name Aquadro & Cerruti, Inc. Address Texas Road Northampton, Ma. Mass.Construction Supervisor's License No. 013212 Expiration Date 6-30-93 4. Addition N/A 5. Alteration Medical Surgery Unit - 3rd Floor, Pest Piing 6. New Porch N/A 7. Is existing building to be demolished? NO 8. Repair after the fire N/A 9. Garage N/A No.of cars N/A Size N/A 10. Method of heating N/A 11. Distance to lot lines N/A 12. Type of roof N/A 13. Siding house N/A 14. Estimated cost:- $414,305. 00 The undersigned certifies that thAabove ements are true to the best of his, her k� ge and b Signatble appicanl Remarks NNW RE: ZONING PERMIT APPLICATION #001054 FOR COOLEY DICKINSON HOSPITAL DESCRIPTION OF PROPOSED WORK: Renovations to the 3rd floor of the West wing at the Cooley Dickinson Hospital. (Approximately 12000 sq.ft.) . The scope of work includes the following: Minor demolition, minor floor layout changes, new millwork, all new floor, wall and ceiling finishes, minor plumbing revisions, complete new HVAC system, complete new sprinkler system, major electrical renovations. s I 00105 ,. Date Filed ' File No. ZONI NP, PERMIT APPLICATION (910 . 2 ) 1 . Name of Applicant: ^ •,, L-i33seft-+f0sptt-al Address : �+4a Telephone : '582-2000 2 . owner of Property:_ Cooley Dickinson Hospital Address : 30 Locust St. Northampton, Ma. —Telephone : 582-2000 3 . Status of Applicant : X Owner Contract Purchaser Lessee Other (explain : ) 4 . Parcel Identification: Zoning Map Sheet# -,'23,6 Parcel# , Zoning District (s) (in 1 de ove ys) CC Street Address Required 5 . Existing Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %Bldg . Coverage (Footprint) Setbacks - front _ - side L: R: _L: R: - rear Lot size _ Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces _ Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project : (Use additional sheets if necessary) See Attached. 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification : I hereby certify that the information contained herein is true and accurate to the best of my knowled Date : May 11, 1993 Applicant ' s Signature : THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason : pec ' al' Permit and/or Site Plan Required : ing q ired _ Variance Required : / gnat o;o6oni:ng Bu nspector ;Da e NOTE: Issuance of permit does not relieve an applicant's burdon to comply with all zoning requirements and obtain all required permits from the [bard of Hoalth, Conservation Commission, Depailrnonl of Public Works and other applicable permit granting authorities. OW � �� � m �n n t2l 0 o n tz 3S g t 0 Q ' v C O O N rt 0 O c;T� m O ° � NI ;a n 9. r. 0 n z a rj r m M` t0 r�� 0 E• O�-y-, 5. 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