23B-046 (212) ZONING •
DISTRICT
FRONT
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
1.
Owner or Cooley Dickinson 30 Locust Street Northampton, MA 01060
Lessee Hospi tat 4090
2. A uadro & Cerruti Texas Road Northampton, MA
UcenserN0. 013212
Contractor Inc. 01061
84-4022
3. Architects Inc. 78 !lain Street, Northampton, MA 01060 84-7224
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signatur f ap licon t Address ApJplication date�
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number
pp Obtained y pp By
Y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued Z/ l0 , t' 19 U-)
Building Fire Grading
Permit Fee $ `��t
Live Loading
Certificate of Occupancy
Occupancy Load
Appr a by: ,
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
la MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Pa e a� Plot �b g APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
I 30 Locust Street Northampton ZONING T
AT (LOCATION)
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT
D. PROPOSED USE — For**Wrecking" most recent use m
m
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
3 Alteration (See 2 above)
number of units- - - - -� 20❑ Industrial
�
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
units ------- - -� 22 ❑ Service station, repair garage
o
5 ❑ Wrecking (11 multifamily residential, f
enter number of units in building in 15 ❑ Garage 23 Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 F-1 Other - SpeciJy 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g.,. food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, $127,064 school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
7'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost 19,755
a. Electrical....................... Renovations to Waiting and Admitting Areas
b. Plumbing .....................
c. Heating, air conditioning.......... 8,700
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $159,645
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 1
30❑ Masonry (wall bearing) 40 ® Public or private company 48. Number of stories................
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior 1200
32❑ Structural steel dimensions .....................
33 ® Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 ® Public or private company 50. Total land area, sq. fT. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
3 Gas Will there be central air 52. Outdoors........................
36 Oi l conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 X] Yes 45 Ei No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 ® No bathrooms
Partial........
s e DEPT:OF WILDING INSPECTIONS BUILDING `°- a s5 `4 ` C
! 212 Main Street 0<
Northampton, MA 01060 PERMIT
23B - 46 p VALIDATION
DATE October 3, 19 85 PERMIT NO. 587
APPLICANT Aguadro & Cerruti, Inc. ADDRESS Texas Rd. , Nort ton 013212
IND.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO
Alterations STORY p Hos ital DWELLING UNITS
(�)
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
30 Locust St./Goole Dickinson Hospital ZONING iJRB
AT (LOCATION) Y DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for interior renovations only to waiting and admitting area
VOLUME 1200 sq. ft. %� $ 159,645 PERMIT $ 554.00
ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Cooley Dickinson Hospital
30 Locust St. , Northampton, Mass
ADDRESS . 01060 BUILDING D/
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