23B-046 (214) ZONING •
FRONT .D
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NOTES and Data — (For department use)
,a
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
' Cooley Dic i n.6on Elm StAeet 413
owner or
Lessee H Northam ton, MA 01060 584_4090
�.
Ag uadno 9 Texab Read LBcens e`No. 413
Contractor Ce&&uti., Inc. No amp on, MA 0106
584-4022
3. Anehitect'a Inc. 78 Main Stceet 413-
Architect or
Engineer NwrMampton, MA 01060 584-7224
1 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.
Signature of applicon Address Application date
'L6u e /f,Y/9cS �
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
R--;— Rf'quiroj Check Plan Review Date Plans Date Plans
Fee Storied By Approved By totes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
Obtained Y Pp Obtained N b 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 �� y
Building.
Permit issued Use Group
Building Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ Approved by:
Plan Review Fee $ 1
-6:2
TIT E
s
t
1
' CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page _ !2? Plot Y6 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, II, 111, IV, and IX.
_ �`�p� ZONING �� p p
I• AT (LOCATION) 4 -�' ��nf7�N lfJ1 i1 C1�S-p(, �Lb) DISTRICT(Aft
LOCATION (No.) (STRE TI
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
1 R New building Residential Nonresidential
2 Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational
Of new bousing units added, if any,
in Part D, 13) 13 ❑ Two or more Family - Enter 19 Church, other religious
number of units- - - - -* 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (it multifamily residential,
of units ------- - -i 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Gbrage 23 ® Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 E:j g (relocation relocation ❑
� 17 ❑ Other - Specify 25 Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 ❑ Private (individual, corporation,
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,,,,•......"" school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost g
a. Electrical....................... Fenovatio" to RQd�f�iLOgy�OhRh lC1PF1
b. Plumbing ....................... Addit. on o6 Enctosed CnAidot to Stcu.etwte
Ic. Heating, air conditioning......... �ry y�'
=xaf1�
d. Other(elevator, etc.).............
o�
11. TOTAL COST OF IMPROVEMENT $
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
,i 48. Number of stories...............
30® Masonry (wall bearing) 40 Public or private company 49 Total square feet of floor area,
31 ❑ Wood frome 41 Private (septic tank, etc.) all floors, based on exterior 1242
32 ❑ Structural steel dimensions ...................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
i 42 ❑ Public or private company 50. Total land area, sq. ft. 1100
34❑ Other - Specify
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
i51. Enclosed ....................... -0-
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................ -Q-
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity I 44 LW Yes 45 F No 53. Number of bedrooms.............. -0-
38 ❑ Coal _
39 ❑ Other - Specify will there be on elevator? Full.......... -O
- 54. Number of
47 No bathrooms i
46 [ Yes Partial........ -0- V
)epartment Auilding Inspections
212 Main Street BUILDING Z° �J
Northampton, Ma. 01060 O<IL
P PERMIT
23B - 46 1
VALIDATION
DATE November 29. _19 82 PERMIT NO. 664
APPLICANT Francis J. Aqiiadro. Agent ADDRESS_ A quads & Pr'rllti 0 lnc• exam T ! raper
(N0.1 (9 TREE T) (C NTR'S LICENSE)
NUMBER OF
PERMIT TO_Add;tl(in (1_) STORY addi ti Inn to Radi nl ngy Du DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 30 Latust DISTRICT URB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIOE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: EnClASB corridor addition 10' x 9;5'
VOLUME 1242 ESTIMATED COST $ 66,900,00 FEE MIT 26R-00
(CUBIC/SQUARE FEET)
OWNER Cooley Dirkinsen Hospital
BUIL ING D PT
ADDRESS 30 Ln -ust S -rP t S Na'rt amn ton- MA- .010,60 BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY