23A-070 (16) 70 MAIN ST-VALLEY MEDICAL BP-2004-0568
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map.Block: 23A-070 CITY OF NORTHAMPTON
Lot:-001
Permit. Building
Cateeorv: BUILDING PERMIT
Permit# BP-2004-0568
Pro ject# ]S-2004-0797
Est.Cost:$24000.00
Fee: $120.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groan: Marois Construction Co Inc 016370
Lgu Size(sq.fr.): 71525.52 Owner: MIDDLE HAMPSHIRE DEV GROUP
zonnuc. GB Applicant: Marois Construction Co Inc
AT. 70 MAIN ST - VALLEY MEDICAL
Applicant Address: Phone: Insurance.
262 OLD LYMAN RD _ (413) 533-1320 Workers
Compensation
SOUTH HADLEYMA01075-2653ISSUED ON:11/14103 0:00:00
TO PERFORM THE FOLLOWING WORK.INTERIOR RENO, ENLARGE RECEPTION AREA,
LIGHTING & COUNTERS
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: /1•/11�GI1 ,r
Rough Frame: Qy(
Gas: Fire Department Fireplace/Chimney:
Rough: Off: Insulation:
Final: Smoke: Final: e1( /a -1 S't93
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. �
Certificate of Occuoancv
FeeTvpe: Receipt No: Date Paid: Check No: Amount:
Building 11/141030:00:00 18075 $120.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
70 MAIN ST-VALLEY MEDICAL BP-2004.0568
Gls 4: COMMONWEALTH OF MASSACHUSETTS
Ma : lock:23A-070 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit is BP-20040568
Proiect# IS-2004-0797
Est.Cast: $24000.00
Fee: 8120.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use croup: Marois Construction Co Inc 016370
Lot sme(sa.R.): 71525.52 Owner: MIDDLE HAMPSHIRE DEV GROUP
Zoning:GB Applicant.- Marois Construction Co Inc
AT: 70 MAIN ST - VALLEY MEDICAL
Applicant Address: Phone: Insurance:
262 OLD LYMAN RD (413) 533-1320 Workers
Compensation
SOUTH HADLEYMA01075-2653ISSUED ON:11/14/03 0.00.00
TO PERFORM THE FOLLOWING WORK.INTERIOR RENO, ENLARGE RECEPTION AREA,
LIGHTING &COUNTERS
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 Occupants Signature:
FeeTvpe: Receipt No: Date Paid: Cbeck No: Amount:
Building 11/14/030:00:00 18075 $120.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony PaU110
File#BP-2004-0566
APPLICANT/CONTACT PERSON Marms Construction Co Inc
ADDRESSIPHONE 262 OLD LYMAN RD (413)533-1320
PROPERTY LOCATION 70 MAIN ST-VALLEY MEDICAL
MAP 23A PARCEL 070 IXll ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid R
Tvoeof Construction: INTERIOR RENO.ENLARGE RECEPTION AREA.LIGHTING&COUNTERS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 016370
3 acts of Plans I Plot Plan
THE F.QUOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
EVF3MMATION PRESENTED:
Approved_Additional permits required(see below)
PLANTING 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:
Cub 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 Cormmmu:
Permit from Elm Street Co
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all miring
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 Off-ice of
Planning&Development for more inhnmation.
Version].]Commercial Building Permit Ma 15,2000
Department use only
City of Northampton Stands of perms:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
c Room 100 WaterANell Availability
Northam ton, MA 01060 Two Sets of Structural Plans
phoneAl-I 7-1 40 Fax413-587-1272 Ploti Plans
lati Other Spedly
APPLICATION TO-CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
-- OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address_ This section to be completed by office
70 Main Street Map a3g- Lot 20 unit
Florence Zone Overlay District
M.SL DlsMct CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORRED AGENT
2.1 Owner of Record:
Middle Hampshire Developentent 270 Exchange St Chicopee,MA
Name(Print) Current Mailing Address'.
(413)7465500
Signature Telephone
22 Authorized Agent:
I11Ahze., Illeno io�f� /,"q vu 276 e"oVe Sy Cj.cof>e; MA
Name(Pnm) Current Mailing Address:
/T/ A17'3 - 7vc 5500
h/W
Signature Telephone
SECTION 7-ESTIMATED C NSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permitapplicant
1. Building $16,000.00 (a)Building Permit Fee
2. Electrical $5,500.00 (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) x2,500.00
5.Fire Protection
6. Total=(1 .2«3«4.5) 524,000,00 1 Check Number Q
This Section For Official Use Only
Building Permit Nu Date
B0-5S Iced
Signature:
Bulling Canmi..,ors lnapector of Buildings Date:
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations O Existing Wall Signs ❑ Demolition[] Repairs,El Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑
Brief Description Interior modifications,Enlarge reception area,new metal stud walls,new lighting and counters.
Of Proposed Work: Infill existing interior windows.
SECTION 6-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 13A-2 ❑ A-3 ❑ to ❑
A4 ❑ A-6 ❑ 1B ❑
S Business +❑ 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑+
H High Hazard ❑ 3A ❑
I Insstiluubonal ❑ 1-1 ❑ 1.2 ❑ 1-3 ❑ 3B 13
M Mercantile ❑ 4 ❑
R Residential ❑ I R-1 ❑ R-2 ❑ R-3 ❑ SA ❑
5 Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Ufility ❑ Specify.
M Mixed Use ❑ Specify.
S Special Use ❑ Specify.
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: NO Change Proposed Use Group'.
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(at)
1° 13,415 1" 13,415
2O° 0 2n0 0
3" 0 3" 0
4. 0 e 0
Total Area(sl) 13,415 Total Proposed New Construction(sl)
13,415
Total Height(fo 15
Total Height it 15
7.Water Supply(M.G.L.c.40,§64) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑� Private ❑ Zone 0 Outside Flood Zone[] Municipal [Z] On site disposal system❑
Versionl.7 Commercial Building Permit May 15,2000
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
Thrs column to be fined in by
Building Dewmmt
Lot Sim 73814
Frontage 34'
Setbacks Front 34'
Side L: 126 R: 14 L: R:
Be.
Building Height 14.5
Bldg.Square Footage 1340
Open Space Footage %
(Lot area minus bldg&paved 2950
azkin
#of Puking Spaces 71
Fill:
vdivoe&lucetion)
A. Hasa Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site Contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location: 4x4 free standing
D. Are there any proposed changes to or additions of signs intended for the property?YES O No O
IF YES, describe size, type and Iocation:
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 ICONTAINING MORE THAN 75,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name(Registrars):
Registration Number
Address
Expiration Date
Sigrature Telephone
9.2 Registered Professional Engineehs):
Name Area of Resporeibglty
Mdress Registration Number
Signature Telephone Fxpiratim Date
Name Area of Responsibility
Address Registration Number
SignatureTelephone Expiration Dale
Name Area of Resporaibiay
Morass Registration Number
Signature Telephore FVibb.Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Dale
9.7 General Contractor
Ma[ai6 Co115trucdoa Co. Not Applicable ❑
Company Name:
Tom Lucia
Responsible In Charge of Construction
262 Old L)llmban Rd. S Hadley,MA
Address
o Ila 413)533-1320
Signa Telephone
Venior l.T Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineenng Structural Peer Review Required Yes O No O
SECTION II-OWNER AUTHORIZATION-TO BE COMPLETEDWHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Matthew J McDonough,Manager,Middle Hampshire Development LLC as Owner of the subject property
hereby authorize Mamds Construction Co.Inc. Tom Lucia to
act o my beh 11 am relative to work authorized by this building permit application.
/l�3/a3
Signature of Date
1 Matthew J McDonough,Manager,Middle Hampshire Development LLC as OwnedAueonzed
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury_
Mauhe J McDonough
Prla Name
1113103
Sgnature of Omer Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holaer Thomas P. Lucia,Mamis Consmuction 016370
License Number
262 O #Lyman Rd. S96th Hadley,MA 07/28/2005
AM.ir Expiration Date
(413)533-1320
Si a e I 14LTelephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.162,§26C(8))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit
Signed Affidavit Attached Yes O No
aro ��oe 6ii�] of giDrtllamptou 7
NW-06-2003 15:00 MMIS C015TRUCTION 1 413 532 1149 P.02
FRW : '1 R S �A mx+e w. aix,ri,:w ✓.
INDUSTRIAL RESIDENTIAL SECURITY CO.
396 MAIN STREET
EASTmMPTONMA 01027
FIRE ALARM NARRATIVE
ATT: 70 MAIN ST. BUILDING
REG: 70 MAIN ST.,FLORENCE,MA-.01052
THE PROGRAMMING OF THE SILENT KNIGHT SYSTEM:
TFIE SILENT IC41GHT 5209-10 SILENT KNIGHT FIRE ALARM SYSTEM AND ANNUNCIA-
TION IS AT DEFAULT FOR WORK AND ZONE DESCRIPTION ON THE ANNUNCIATOR
WHICH WHEN ANY OF THE FIRE ALARM ZONES TRIP THE DISPLAY SHALL READ ZONE 1
FOR ZONE I AND ZONE 2 FOR ZONE 2 ETC..
THE DIGITAL DIALER BUILT INTO THE SYSTEM DL41S TO THE NORTHAMPTON FIRE
DEPT. ON ANY ALARM CODES. THE CENTRAL STATION RESPONDS ACCORDINGLY TO
THE INFORMATION PROVIDED BY THE OWNER OF SAID BUILDING. FORMAT AND SPEED
OF COMMUNICATION IS 4X2 23DOHTZ. THE ZONES AND RELAYS ARE PROGRAMMED FOR
PROPER OPERATION OF THE SYSTEM ALL TROUBLE CODES TO BE CALLED INTO
C.O. P. S. MONITORING.
FIRE ALARM DIRECTIONS AND OPERATIONS:
THE FIRE ALARM SYSTEM IS A 24 VOLT DC LOW VOLTAGE SYSTEM CONSISTING OF
SMOKES DETECTORS,PULLS STATIONS ,HEATS DETECTORS FOR TRIPPING THE SYS.
TEMS AUDIBLE DEVICES.
ZONES I -10,ARE REGULAR INITIATING DEVICES SMOKE DETECTORS,PULL STA-
TIONS, HEAT DETECTORS,&SPRINKLER FLOW SWITCHES. AT SUCH TIME OF ALARM
ACTIVATION THEY SHALL TRIP THE MAIN SYSTEM AND CAUSE ALL AUDIBLE DEVICES
TO TRIP AND CALL THE A. U. L. CENTRAL STATION TO REPORT SUCH ALARMS. TO
REPORT SUCH ALARMS,TROUBLE,TAMPER AND LOW BATTERY SIGNALS ARE TO BE
MONITORED BY THE U. L. CENTRAL STATION. THE CENTRAL STATION WILL IMMEDI-
ATELY RELAY THIS INFORMATION TO THE OWNER FOR CORRECTIVE ACTION.
INSTRUCTIONS TO RESET THP SILENT KNIGHT 32101N ALARM MODE,
AT THE ANNUCIATOR KEYPAD PUSH SILENCE THEN ENTER THE CODE( 1111 ), TO RE-
SET THE ZONE TRIPPED PUSH RESET ALARM,ENTER THE CODE( 1111 )
ANNUNCIATOR SHOULD THEN READ SYSTEM NORMAL/MEMORY.
NOV-06-2003 15:00 PYM01S CONSTRUCTION 1 413 532 1149 P.03
.
FIRE ALARM NARRATIVE (PAGE TWO)
FIRE CONTROL PANEL SILENT KNIGHT 05208-10 ZONE LOCATED
1N FRONT DOOR AREA.
SMOKE DETECTORS SYSTEMS SENSOR 02100S LOCATED PER PLANS
HEAT DETECTOR CHEMTRONICS 0601-135 LOCATED IN KITCHEN AREAS,
MANUAL PULL STATIONS FIRE LITE MBG-12 LOCATED AT ALL EXIT DOORS
PER PLAN
BORNISTROBES SYSTEM SENSOR+1'P-251575 LOCATED PER PLANS
STROBES SYSTEM SENSOR 02.251575 LOCATED PER PLANS
EXTERIOR STROBE.SYSTEM SENSOR S-251575K LOCATED Q FRONT DOOR
KNOX BOX AS REQUIRED AT FRONT DOOR.
NOTE: THIS IS A ONE STORY COMMERCIAL BUILDING.
1
TOTAL P.03