23D-107 (20) Department of Bvtld'1.g Inspections
212 Main Street BUILDING ZDA iie DD
Northampton, Ma. 01060 0<
PERMIT
23D-107
VALIDATION
DATE March 24, 19 83 PERMIT NO. 133
APPLICANT Jospeh Coppola, Happ Company ADDRESS 13 Adelaide Ave., Wayland, Ma` 003550
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO Al terati nn ( 7 ) STORY Tnteri nr al terati nns DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 548 il DISTRICT IJRR
(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: Minor intarior alterations - indlvd1ng fire coda drywall & metal doors & door
frames - electrical outlets and minor plumbing changes.
AREA OR PERMIT .
VOLUME ESTIMATED COST $ 20,000 FEE 80 Dn
(CUBIC/SQUARE FEET)
OWNER New medico Inr_/P Lovear VaLLpy Nurc.i.ag Homo BUILDING EP
ADDRESS 150 T.incolrl St. , Boston, Ma. BY /_2
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
f ,,p 3rt tei t of 84?..#.,. , 144 L- :a..,
BUILDING ~�
#4414
oAotrpsE . , PERMIT as
a
f .. 2 -1AC
VALIDATION
DATE 19 83 PERMIT NO.
APPLICANT --,e i'"'"' ADDRESS 3 c a!a,"
(NO.) (STREET) (CONTR'S LICENSE)
— PERMIT TO (_) STORY NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 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: .jP. •4tr ltc +- i ;Aly.
frames - etectrteai outlets **4 minor pluOttnfr, ehang .
AREA OR PERMIT
VOLUME ESTIMATED COST .$ FEE
(CUBIC/SQUARE FEET)
OWNER
BUILDING DEPT.
ADDRESS BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
23D 107 . 15 -l. ' • - CITY OF NORTHAMPTON
•
VIII. ZONING PLAN EXAMINERS NOTES l MASSACHUSETTS
• _.�,) "el OFFICE of the INS ECTOR of BUILDINGS
DISTRICT URB � �T @$ ) 23
Page Plot 107 APPLICATION FOR
USE Nursing Home. ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. o
SIDE YARD SIDE YARD
ZONING
I. AT (LOCATION) 548 Elm DISTRICT URB
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN AND
NOTES Not a substantial improvement. BUILDING (CROSS STREET) (CROSS STREET)
SOT(Q(2iSUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D xi
>a
`--/-/J /l `/�� — rfr
J A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use -I
1 I New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 I I One family 18 F I Amusement, recreational
o/ new housing units added, if any,
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13) 13 I I Two or more family — Enter is I Church, other religious
31 X number of units— — — — —)► 20 Industrial
I Alteration (See 2 above)
14 I I Transient hotel, motel, 21 Parking garage
! 4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (If multifamily residential, of units — 22 Service station, repair garage
w enter number of units in building in 15 I 1 Garage 23 XI tio-s¢i4etZinstitutiona}
_ Part D, 13)
•1 6 I I Moving (relocation) 16 I I Carport 24 I Office, bank, professional 1k
17 1 Other — Specify 25 I Public utility
: 7 I I Foundation only t
■.N N.:�=••■■ : ! 26 pi School, library, other educational
■ : _ : B. OWNERSHIP 28 ❑ Ttores,anks, oweastile L
8 [X1 Private (individual, corporation,
_ nonprofit institution, etc.) 29 1 Other — Specify
• ■ • r • • ■ • .a •:::: ! e In: 9 I r
I Public (Federal,
government)State, or
OO•O•mes•_ : _ : C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
= processing plant, machine shop, laundry building of hospital, elementary
! 10. Cost of improvement $ 20�000� 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
••u•••SUU S ! a. Electrical yes.0 a : Minor interior alterations— including
a•■a.■■:SUSSI :: y e s
u ! _ : b. Plumbing
".«».•• •. • .p•, : = yes fire code drywall & metal doors & door
"'Z••l:::::::•: :
c. Heating, air conditioning
u:::ss:::::•! r ! = frames— electrical outlets & minor
'Urns 'iai:' !•num. :•::::::::: : : ! _: :• d. Other (elevator, etc.)
:'_ pi::•p■S
.n : : 11. TOTAL COST OF IMPROVEMENT $ ■�r dU6 plumbing changes .
p
�!l..:S.""""="".■p=== _"__'!'__•.. : III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L,
.S.l:i•.•. : run : loaf =ai•: :::::::: :• for wrecking, complete only Part J, for all others skip to IV.
::a _ _ :a■: :::::::::: _ ! ::::::::: E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
•:: • s: ■•s s••...apa•■a •• 48. Number of stories ..
!: =•sap••=a.=.•. _ : : 30, Masonry (wall bearing) 40 Public or private company
,� _= ■paN• r• N�p=
iiBUS UiiiiniSRSi::=::�L L...L :: : :••: feet of floor area,
31 Wood frame 41 I I Private (septic tank, etc.) 49. Total square
11i:::: :a:..::s::a:::11:::::: : _ :::::::•a• : 32 Structural steel all floors, based on exterior
ii�:!! _•�•_ ::sill: _ dimensions
1= � !::_ !:: ! _::_ : Al. .1 :!_ 33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
i: :::::::Ills!:::: : : : :• : '.moll 50. Total land area, sq. ft.
as seas=USS US • : 34 I I Other — Specify 42, 1 Public or private company Lf,
: :!loll::••.a • s• :pus ::::: i•:uu: 43 I I Private (well, cistern) K. NUMBER OF OFF-STRE€T
la: . :: s:::::::s::::::::: : : �si..a : l•': :::::::. r PARKING SPACES
:s:: ! : sass •••:
sli=suuS'�s'•::::::! :::::::::a•iY: am•:: S : sea?: :•': :::• ■• . • •• • pp s• 51. Enclosed
:_��_ !::'!!!_•'!'l :�a�.'!:Ill::::::l:S ! _ •• •• •• ::::::■■::: ! F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
::: :::iiiiiii 9':'=::l::sl::sss ::::::::a:::i::::e . .. . •:•:::
:■: :i:::l:u: :::i::.7i!!••••: l=•= : : : :•:•:::::::: i:::=::i=::i::: • u •• ■ Np ■ 35 I 1 Gas Will there be central air 52. Outdoors
_ __ s� ! _ 1...:! !!s�•a!!=•■_•:..•.:• 36X Oil conditioning'?: . ' : :::" p■=fir■•:::::■..:ua =. .........: esid:•a: . ' :i••i:r:•s'n:•.:du:. a ••■i u:i:l::::•iiii:::::n :::: ■ ::••:i 37 I I L. RESIDENTIAL BUILDINGS ONLY
°P: sou siaY:sl.i i"... s.asl.u: a :: ! !_ ..::=.•=:s • • ! ::i l:==Ci:!lsaui:a:�s.. .:i '� _••■p '• Electricity 44 Yes 45 f, No 53. Number of bedrooms
la•. •Isas: a ii a■. :iimi ' . ' ' • .:Liul::uu:n" ::::::u::: .r•jus:u:saes: i ui=:•:::l.a.....Rum 38 I 1 Coal
e :•alsaaee.■■suss:::sss : s•a.s:sa!■Ca■•: : eee:.■aa:r
• '••• •• • • • • • ••• ••• • •• •• • • • ■ • 39 I I Other — Specify Will there be an elevators Full
gsmni:l::::l::••■•::::u=;:�I „...•,a.map,::::I:a:•::i'•■a•:::::::!•� �i�itla!• •! :•:til:•::::■!•:::::: : Y 54. Number of
46 Yes 471j No bathrooms Partial
BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. 111
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
New MZsdico Inc.i NOTES and Data — (For department use)
Owner or Pioneer Valley Nursing Home- 150 Lincoln St. Boston Ma. 617-
Lessee 438 Elm St. Northampton, Ma. 586-3150 423-0123
2. Happ Company 13 Adelaide Ave. License`No. 617-
Contractor Wayland, Mass . 003550 899-7689
3• Albert Masone 150 Lincoln St.
Architect or
Engineer Boston, Mass.
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.
Signature of applicant , / )910 �,wp�N Address `ay AQL,y� 4.13- A vg- Application date
C- t✓A y/.,A Ajii r ,1I A • 6177 r 3/-L3/ —
N DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans ByNotes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained
Number By
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 / 33 FOR DEPARTMENT USE ONLY
Permit number
Building. -- —
Permit issued /LLc'q�y 19 3,2 Use Group
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TIE