24B-046 • The Fire Alarm Control Panel and/or Fire Alarm Annunciator must be labeled
with red engraved signage with one -inch white lettering "Fire Alarm Control
Panel" and /or "Fire Alarm Annunciator". Also engraved signage listing all fire
alarm zone locations installed near panels.
• A fire alarm annunciator shall be installed by the front entrance
• Page 2
i t- S -
}
Northampton Fire
Department
__-
Memorandum
To: Tony Patillo -
From: Duane Nichols V%
Date: October 14, 2009
CC: Brian Duggan
Re: 39 Carlon Drive, Dr Katherine White
Secondary to a review of the plans and narrative submitted to me for review, I concur
with the issuance of a building permit subject to the following conditions:
• Fire alarm work permit shall be obtained for the project. The C/O inspection
fee needs to be paid prior to approval of any fire alarm plan.
• The graphic map for the building shall be changed to reflect the changes with
the renovations.
• 5 lb ABC Fire extinguishers are needed located at exits. This shall be in
compliance with NFPA relative to maximum travel distance. Appropriate
signage in compliance with ADA should be located above
• Keys with engraved key tags are required for the Emergency Access Key
Box.
• Pull Stations shall be double action type.
• Page 1
2.16 10/9/09 Countertop bracket - detail reviewed by Fran & Michael. Brackets to be fabricated using
birch plywd w /edge tape, for paint. Rough SKs drawn by MW/FG on back of Linda's 11x17 A501
print - in lieu of shop drwgs. Item closed.
SUBMITTALS
Submittals from Michael White -
10/9/09 Submittal Log to be distributed weekly. Item closed.
Submittals from WB -
10/9/09 Submittal Log to be distributed weekly. Item closed.
1.20 10/2/09 Window /glazing shop drwgs - Per Walter, WB ok to cut masonry openings. They are
drawn per architectural drwgs. No changes anticipated.
Windows - Michael will review today and email approval today. Formal shops to follow.
Prelim review at mtg - Per Walter, glass needs to be 3/8" thick at glass wall. Bendheim NELW -208
(MW's preferred choice) comes in 7/32 ". Michael will show Katherine 3 alternate glass samples
tonight. Walter to revise submittals to meet intention of design to make glass wall as transparent as
possible. Walter to relay intent to glass fabricator (preferred glass only comes 83" ht). Michael and
Walter to work on directly.
Pete Loshier is glass fabricator "Curved Glass" out of CT.
1.21 10/2/09 Marlite - Fran requested a template for pc of glass and also channels at reception desk so
he can make adjustments to substrate as needed. Michael said marlite panels could be shop
fabricated as an assembly. With 5/8" baltic birch. Fran to do this work in his shop to help expedite
fabrication and, in turn, installation on site.
10/9/09 Michael noted the Marlite to be installed w/VERTICAL GRAIN.
Fran noted that the framing as drawn will not be structurally sound enough for the installation of the
Marlite soffit. Michael Ok'd for WB and Fran to work out the design of framing as deemed nec for
the Marlite install.
Next Job Meeting: Friday, October 16th, 9:00 at Wright Builders' Office. Site visit to follow.
The above is intended to be a record of meeting items. Please inform the writer of errors or omissions.
2.6 10/9/09 Hogan / Low voltage - Low voltage, IT, data and wiring of wand security at entry doors to
be done by Hogan (contracted directly by Dr. White). Michael said they would also like to have
Bright Glass Alarm System on windows (not shown on drwgs). Todd suggested this go thru Hogan
since they are dealing w /security. Hogan will also be wiring/installing the light signalling system
w /paging system at Exam Rms. Todd Warren is contact at Hogan. WB to call them today since
framing has started and, also confirm they have pulled their low voltage permit.
Todd/ME will send their inspection dates to Hogan for coordination of low voltage inspections at
same times. Rough & fmal inspections. (service inspection for new meter affects ME only).
2.7 10/9/09 EMR Electronic Medical Records - will be installed by Ensight Company, not Hogan.
Michael will forward contact info to WB.
2.8 10/9/09 Panel / device locations - Michael to do SK elevations of panel / device locations - ht
above FF, dimensions from dr casings etc.
2.9 10/9/09 Corridor 111 light fixtures - Todd & Michael reviewed reflected ceiling plan and 4'L clg
fixtures confirmed in Corridor 111. Item closed..
2.10 10/9/09 Fire alarm dialer - Todd asked WB to get letter to the landlord re: dialer. Per Todd, Perry
is supplying it. Needed by end of November.
Post mtg: Todd /ME to order, install and bill Perry.
ARCHITECTURAL
1.16 10/2/09 Reception desk top - Michael brought in a sample of Stone Source "Celador" #851
Polished for top material. Roger to price.
10/9/09 Roger gave Stone Source pc to Tom/Westone for pricing. Tom will bring sample of
material originally priced for Michael to see.
2.11 10/9/09 Pay requistion - Roger is requesting invoicing from subs by 20th reflecting work thru end
of month. He will present pencil req to Michael & Dino on 10/23. Two (2) notarized AIA invoices
to be submitted to Michael on 10/30.
2.12 10/9/09 C.O. Log - Roger gave Michael a copy of the C.O. Log which will be reviewed at end of
each job mtg. Michael will prepare the AIA Change Order document based on approved WB C.O.
Proposals. Item closed.
2.13 10/9/09 Door change - (2) Two 1'6" drs at Storage closet (near lockers) to be changed to (1) one
2'6" rh dr centered on wall between coat closet and lockers. WB to track cost on CO Log. Michael
to note change on door submittal. Item closed.
2.14 10/9/09 Window sill detail - Roger & Jim reviewed A7 window sill detail w/Michael. He Ok'd
installation of flashing pan under windows and deletion of weep hole detail. Item closed.
2.15 10/9/09 Wood window sill - Fran to prep poplar (for paint) sill pcs, w/kerf cuts on bottom.
Coordinate exact dimensions w /Greenfield Glass windows and reveals per Michael's direction. Item
closed.
2.2 10/9/09 Mixing valve - Per Paul, spec is overkill for for 10 gal elec water heater, located on shelf
above janitor slop sink. Per Michael, Ok for Paul to review w /Jay/L &S direct, document decision.
Discuss with Dino on site today.
2.3 10/9/09 Return & supply layouts - Per Dave, the return & supply layouts in Exam Rms 3 & 4 and
Lab 113/Procedure Rm 2 are reversed. Dave will review with Dino on site today and supply as-
builts at the end of the project.
Post mtg: Dave & Dino reviewed Daves recommendation- ok'd.
2.4 10/9/09 Flex connectors - to diffusers are recommended by Dave. He thinks it could be drawn this
way but can't see it. Dave will review w/Dino on site today.
2.5 10/9/09 Dampers - in return duct required? Dave to confirm with Dino on site today.
ELECTRICAL
1.11 10/2/09 Elec panels - Todd/ME made request to keep existing panel in closet as
"Owners/Landlord" panel and set new "Tenant" panel next to it.
Drawings say to remove back to meter and install from existing. Need to keep 100amp for
Owner /Landlord and set new 200amp and new meter. Martin Electric to request new service.
Adjust layout as necessary for both panels to fit in space per code.
10/9/09 Michael decided to change dr #120.1 to server closet to (2) two 2'w drs (originally two
2'3 "w) biased as far South as possible so there is room for the panel. Also, install a floor stop close
to hinge of door so it is not in the way. Michael to note change on door submittal.
Rm.
Todd waiting for info back from the engineers to request new service.
Michael & Todd/ME to talk w/Perry regarding appropriate locations for both bldg & tenant(s)
meters, panels etc for access and maintenance.
Post mtg: Perry ok with Todd /ME to order & bill him for new service.
1.13 10/2/09 Symbol as fire alarm strobe - Todd/ME thinks a mistake, it should be an emergency
light. Clarify with Joel/L &S today.
10/9/09 Review with Dino on site today.
1.14 10/2/09 Can elec transformer be fenced for aesthetics? Todd suggested Michael contact
National Grid.
10/9/09 Item closed.
1.15 10/2/09 Existing circuits - Todd found a couple circuits that feed adjacent tenant space. This has
been brought up to Perry and Tim to contact their electrician.
10/9/09 WB/Todd to remind Perry or Todd can do the work and bill Perry directly.
Post mtg: Perry's electrician has come & disconnected. Item closed.
The following items were discussed:
Mtg.
Item
MECHANICAL
1.2 10/2/09 One 4' electric basebd heater - (120V) is planned for Office Bath. Todd/ME and
Dave /AS are wondering if this basebd heater is needed? Dino to confirm.
10/9/09 Review with Dino on site today.
Post mtg: Dave /AS will install as per plan. Item Closed.
1.3 10/2/09 Office 108 controls - Per Dave, there is nothing in this office to control the rooftop unit.
Clarify with Dino, he may want to add another control. So duct heater doesn't come on when in a/c
mode. Per Michael, the intent was to make her office a mini zone. The doctor uses her office off
hours, evenings and weekends.
10/9/09 Review with Dino on site today.
1.5 10/2/09 Location of cleanout(s) - Confirm with Dino.
10/9/09 Per Paul, cleanout locations were reviewed on site with Jay /L &S. All cleanouts are
installed and located in the floor as planned. Item closed.
1.6 10/2/09 Existing Bath vent - has ductwork connecting to adjacent space. It will need to be
removed or fire damper added. Michael and Dave think this ductwork is "dead ". To be confirmed
w /Perry and removed.
10/9/09 Review with Dino on site today.
Post mtg: Dave will check and cap off /re -route if needed.
1.8 10/2/09 Location of shutoff for hose bib - confirm with Dino.
10/9/09 Paul confirmed the shutoff is above the ceiling. Item closed.
1.9 10/2/09 Plumbing venting required at common wall - which is a fire separation wall (one hr
separation/one layer 5/8" sheetrock). Procedure Rms 1 & 2 and Bath 118.WB suggested a 3 1/2 " +-
chase wall up against fire wall. Per Michael, every inch of open space in Procedure Rms is
important for the doctor's practice. Dino to clarify if pipe can go in wall.
10/5/09 Post mtg: Roger confirmed installing vent pipe in fire separation wall is OK w /Larry, the
Plumbing Inspector. LG emailed Tony Patillo requesting his review /approval as Building
Commissioner. WB awaiting his reply.
1.10 10/2/09 Location of Office 108 wall at jog - Michael to relay exact location of Office
108 /Corridor 121 wall by Friday, 10/9 (prior to start of framing).
10/9/09 Michael gave wall location dimensions to WB. WB forwarded to Monty /framer. Item
closed.
2.1 10/9/09 Pipe hangers - Per Paul, spec is overkill for 1" insul copper pipe. Per Michael, Ok for Paul
to call Jay /L &S direct, just document decisions. Discuss with Dino on site today.
Post mtg: Paul called Jay and was ok to use hanger Paul suggested.
0 7 I/3
Wright Builders, Inc.
48 Bates Street
Northampton, MA 01060
Tel: 413 -586 -8287
Fax: 413 -587 -9276
Dr Katherine L. White , 4
Medical Offices
Meeting Minutes
Date: 10/9/09
Re: Dr. Katherine L. White Medical Offices
39 Carlon Drive
Northampton, MA
Construction Meeting #2 - 10/9/09
To: Attendees - via email
Present: Michael White - Nelligan White Architects PLLC (NWA)
Todd Sessions - Martin Electric (ME)
Dave Lampron - All Seasons Heating & Air Conditioning (AS)
Paul Graham - Paul's Plumbing (PP)
Fran Gallo - Francis Gallo Residential Contractor
Roger Buzzell, Jim Saucier, Linda Gaudreau - Wright Builders, Inc (WB)
Cc: Tony Patillo - Northampton Building Commissioner
Dino D'Angelo, Jay Sexton, Joel Patruno - Lindgren & Sharpies (L &S)
Perry Messer - Building Owner
Bruce Sheible - Westek Architectural Woodworking (WAW)
Doug Mercier - Mercier Carpet (MC)
Walter Schmalenberg - Greenfield Glass (GG)
Owen Lococo - Lococo Painting (LP)
Mark Ledwell - Wright Builders, Inc (WB)
By: Linda Gaudreau - Wright Builders, Inc.
Health & Safety / DEP: 10/9/09 No DEP or Safety issues.
Work Progress:
Slab plumbing, inspections, backfill & concrete pour complete.
Masonry window openings started. To be complete by 10/13/09.
Framing & rough plumbing ongoing week of 10/12/09
Submittals returned & material being ordered.
y w
Operations Manager
Wright Builders, Inc.
48 Bates St.
Northampton, MA 01060
Ph — 413 - 586 -8287
Fax — 413 - 587 -9276
lgaudreau @wright- builders.com
2
Anthony Patillo
From: Linda Gaudreau [Iaudreau @wright- builders.com]
Sent: Friday, October 02, 2009 8:50 AM
To: Anthony Patillo
Subject: Re: Katherine L. White MD PC Medical Offices
here it is...must've typed your email address in incorrectly - he sent it on Tues, 9/29
Michael White wrote:
> Mr. Patillo & Mr. Lepine,
> I understand from Wright Builders that we are required to designate
> Men and Women bathrooms for the two public corridor bathrooms on the
> subject project. Our intention was to provide two unisex rooms. If
> that is not allowed, this email is to confirm that we will designate
> one Women and one Men.
> Please let me know if you need any confirmation other than this. Thank
> you for your prompt review of our documents.
> T. Michael White, AIA
> /T. Michael White, AIA/
> Nelligan White Architects PLLC
> /20 West 20 / ^ /th/ / / /Street // // / /11 / ^ /th/ / / /Floor/
> /New York, New York 10011///
> /212.675.0500// /
> /tmw0nelliganwhite.com/ < mailto :tmw()nelliganwhite.com> //
> /www.nelliganwhite.com/ < http:// www .nelliganwhitearchitects.com> //
> /
>/
> /62 Revell Avenue ///
> /Northampton, MA 01060///
> /telephone 413.341.3449///
> /cell //646.489.5672/
> /tmwarch(acomcast.net/ <mailto:tmwarch(thcomcast.net>
Linda Gaudreau
NARRATIVE REPORT
FOR
FIRE PROTECTION & ALARM SYSTEMS
AT
Katherine L. White, MC, PC
Medical Offices
39 Carlon Drive
Northampton, MA 01060
PREPARED BY:
LINDGREN & SHARPLES, P.C.
CONSULTING ENGINEERS
435 COTTAGE STREET, SUITE 1
SPRINGFIELD, MA 01104 -4005
TEL. 413 - 732 -4336
September 11, 2009
•
3404.19 Energy Conservation Measures New work will
maintain or increase
energy conservation
End of Review
fi
•
1014.0 Minimum Number of Exits Allowed 1 1
Table Occupancy B, Max load 50 Max load 24
1014.1
1203.1 Ventilation Requirement Mechanical or natural Mechanical
CHAPTER 34:
Alteration, Addition, and Change of
Use of Existing Buildings
3400.3 Applicability Will continue Use
Group B
3400.4 Non - conforming egress Existing Existing is conforming
therefore not applicable
3400.5 Hazardous Means of Egress Existing Existing does not
appear to be hazardous.
New work and
modifications will
comply.
3400.6 Unsafe LightingNentilation Existing Existing does not
appear to be unsafe or
inadequate. New work
and modifications will
comply.
3402.1.1 Existing Building Investigation and Will comply
Evaluation for Building Permit
Application
3402.1.2 Investigation and Evaluation Submittal This report will be
submitted for
consideration
3404.3 New Building Systems will conform to New work and
780 CMR for new construction modifications will
comply with 780 CMR
3404.4 Alterations and Repairs New work and
modifications will
comply.
3404.5 Means of Egress in compliance with 1 exit exist and will be
1014.0 requires 1 maintained
3404.6 Exit Capacity to comply with 1005.1 New work and
modifications will
comply.
3404.7 Exit Sign and Lighting to comply with New work and
1023 modifications will
comply.
3404.9 Height and Area Limitations to comply Existing complies and
with 504, 505, 506 there is no change in
height or area.
3404.12 Fire Protection Systems to comply No change in Use
with 9 Group. New work and
modifications will
comply.
3404.18 Accessibility for Persons with The existing complies
Disability and all new work and
modifications will
comply.
DETAILED CODE SUMMARY
The following is a detailed summary of Code related items as regulated by 780 CMR including
Chapter 34 for alterations to an existing building:
Zoning:
The existing zoning classification for the site is B (Business) and this project will not
request any change.
Occupant Load:
The occupant load allowed for these medical offices is 24 persons based on the 2370 s.f.
being partially modified as part of this project. The actual occupant load will more likely
be 15 —20 maximum.
Construction Classification:
The existing construction is 2B and this project intends on matching or improving this
classification.
Section Item Required Proposed
304.1 Use Group B Existing to remain.
503.1 Height and Area Limitations for 4 stories and 23,000 Existing tenancy 2,370
Table 503 Construction Classification 2B s.f. max s.f. will not be
increased
602.1 Protection of Exterior Walls >10ft 0 hour Existing to remain.
Table 602
602.2 Protection of Structural Members 0 hour Existing to remain.
Table 601
602.2 Roof /Clg, Flr /Clg Assemblies 0 hour Existing to remain.
Table 601
704.8 Exterior Wall Allowable Area of >5ft - I Oft = 10% 6% (side)
Openings - Unprotected >1Oft — 15ft = 15% 1.3% no change (front)
803.5 Interior finish requirements
Table 803.5 Corridors to exits Class B Class B
Non Sprink. Rooms or spaces Class C Class C
804.5.1 Interior Floor Finish - Use Group B Class II or better Class II or better
903.2.2 Fire Suppression System Requirement Not required if area None existing. Existing
less than 12,000sf Bldg. area approx
9,000sf
906.2 Portable Fire Extinguisher Required Will comply
1003.2 Use Group B Ceiling Heights in exit >7' -0" Ceiling height 9' -0"
access and occupiable rooms provided
1004.1 Maximum Floor Area per Occupant in 100 g.s.f. = 24 15 — 20 actual
Use Group B
1005.1 Exit Capacity minimum width in Use 0.2 required 4.8" and 48" actual
Group B without sprinklers 36" allowed under
1011.3
1011.3 Path of Egress Travel Distance with 100ft 80ft max.
one means of egress
BACKGROUND INFORMATION:
39 Carlon Drive in Northampton is an existing single story masonry and steel building
approximately 16' high. The building contains business offices and will continue that use. The
proposed project comprises a new renovation of the existing tenant space to the southwestern
corner of the building with the existing entry on Carlon Drive. The building contains no
basement and is at grade. The building is serviced and surrounded by its parking lot for 30 cars
to the north and east with appropriate existing signage and access points at grade. There is an
adjoining parking (not yet paved) lot to the west. The proposed medical offices are expected to
draw on the Northampton local area for the bulk of its patients.
PROPOSED NEW MEDICAL OFFICE:
The new medical offices for Dr. Katherine L. White, MD, PC are for her medical practice that
specializes in dermatology. Routine examinations of patients and dermatological procedures will
be performed which will occur during normal working hours in the five new exam rooms and
two new procedure rooms. The new medical offices will replace the existing offices on the first
floor of this building and will enhance the natural lighting by the addition of six new windows in
the west facade. The new offices will maintain the existing tenancy area of approximately 2,370
square feet and will comply with all code requirements including fire alarm, egress, ADA
compliance, etc, and will maintain the same entry and exit locations.
EXECUTIVE SUMMARY:
The new medical office that constitutes this renovation, will replace the current offices in this
tenancy of the building. Zoning approval for use of the subject office space for medical office
was obtained by the Owner on 12 -17 -2008, Hearing No., PLN- 2009 -0012. The existing internal
offices will be demolished and the new medical offices constructed as code compliant. No
exiting discharge or exterior path of travel will be altered; no existing code compliant
components that may remain will be degraded. The new medical offices will maintain or upgrade
all existing fire and smoke separations, fire suppression system, exiting lights, exiting paths,
contain only metal wall stud framing and Class II or B/C interior finish material, and install fire
safing at all penetrations as part of this project. No new services will be required for this project,
and there will be no decrease in the public safety, health, and general welfare as a result of this
tenancy renovation.
780 CMR NARRATIVE
In Compliance with Chapter 34
Dr. Katherine L. White Medical Offices
39 Carlon Drive
Northampton, MA 01060
Owner
Messer Investments, Inc.
306 King Street
Northampton, MA 01060
(413) 585 -8500
Architect
Nelligan White Architects PLLC
20 West 20 Street
New York, NY 10011
(212) 675 -0500
Engineer
Lindgren & Sharples, P.C.
435 Cottage Street
Springfield, MA 01104 -4005
Tel: (413) 732 -4336.
Fax: (413) 731 -0786
September 14, 2009
Initiation of the fire alarm sequence of events will immediately and
simultaneously activate all horns and visual units in the building to notify
occupants, and perform all activities as programmed, including annunciator
interaction. The red exterior strobe shall be engaged. The Fire Alarm control
panel shall send an alarm signal via a digital 2 -line auto - dialer to the 24 -hour UL
listed monitoring station. The monitoring station shall sequentially notify the
appropriate responders including the Town of Northampton Fire Department.
The Fire Alarm System reset button returns the system to its normal state.
Display messages shall provide operator assurance of the sequential steps as they
occur. The Fire Alarm Control Panel is equipped with a 24 -hour battery back up.
The Fire Alarm Control Panel is equipped with visible and audible signals to
indicate alarm and trouble conditions.
3.0 Test Criteria:
All features, devices, components, and modes of operation shall be tested for acceptance in
accordance with the code and NFPA 72. Smoke detectors shall be activated using a magnet per
the manufacturer's recommendations. All pull stations shall be activated by opening and upon
activation of each device; the Fire Alarm System shall be checked for proper operation including
annunciation at the Fire Alarm Control Panel and transmission of an alarm signal to the Fire
Department. Proper operation in the emergency power mode shall be demonstrated as well as a
check of supervision circuits for opens and shorts.
* ** End of Basis of Design Narrative * **
L &S 1774 Page 5
B. The existing fire alarm system features a zone type Fire Alarm Control Panel
(FACP) by EST - Fireshield. The FACP is located in this tennant's mechanical
room and serves the entire building. The emergency (battery- backup) power
supply has been sized to be adequate for both 24 hours of monitoring and a
minimum of 15 minutes of alarm and is located at the FACP.
C. A fire alarm annunciator is located at the entry vestibule from Carlon Street. This
is the Fire Department primary response point and also features an exterior red
strobe interlocked to the alarm, and key box. A digital communicator is located
adjacent the FACP for external monitoring of the system.
D. System connected smoke detectors will be installed at the fire alarm control panel
and elsewhere as required by code. The Activation of any system smoke will
initiate the fire alarm system sequence of events.
E. Manual pull stations are required to be installed and located within 5 feet of each
exit door and at all entry points leading to an egress way and shall initiate the fire
alarm system sequence of events.
F. Fire alarm system notification and signaling devices in this building will include
the following features:
1. Audio notification devices in the form of Horn/Strobes to be installed as
shown on plans. It is the intent of this design that audible notification
devices achieve sound pressure levels of 15 dba above ambient sound
levels in all areas of the building in compliance with chapter 4 -3 of NFPA
72.
2. Visual notification devices in the form of Horn/Strobes and Strobe only
appliances to be installed as shown on the plans. It is the intent of this
design that visual notification devices achieve appropriate coverage for
public areas in compliance chapter 4 -4 of NFPA 72.
G. System connected duct smoke detectors are not required to be installed at HVAC
units as dictated by air handling capacity of the units.
H. This project does not include any special design considerations or anticipated
deviations from the code requirements.
2.0. Sequence of Operation:
A. This fire alarm system is designed to detect fires normally associated with this
type of facility. The system can be activated manually through the use of manual
pull stations. The system shall be activated automatically via smoke detector. In
any of these events the system shall initiate the fire alarm sequence of events.
L &S 1774 Page 4
SECTION 2 - APPLICABLE LAWS, REGULATIONS & STANDARDS
Systems were designed in compliance with the following:
1. 780 CMR 9, "Fire Protection Systems ".
2. NFPA 13 — 2007, "Installation of Sprinkler Systems ".
3. NFPA 72 — 2007 "National Fire Alarm Code ".
4. 521 CMR 40, "Architectural Access Board
5. 527 CMR 24
6. 780 cmr34 "Existing Buildings"
SECTION 3 - DESIGN RESPONSIBILITY
Fire Alarm System
Lindgren & Sharpes, P.C.
Consulting Engineers
435 Cottage Street
Springfield, MA 01104 -4005
Phone: 413 - 732 -4336
SECTION 4 — DESIGN METHODOLOGY
1.0 The project consists of minor renovations within the existing building. Under this contract
all areas affected by renovation work will be evaluated for code compliance, fire alarm
system modification will be made as well as upgrades to much of the existing detection
and notification systems. New fire alarm system devices will be addressable and
compatible with the existing system.There is no requirement for automatic sprinklers in
the renovated tenant space.
SECTION 5 - FIRE PROTECTION
1.0 Basis of Design
The existing building is not served by an automatic fire protection system and based upon
the use group and size of the building, as well as the type of renovation planned, no
sprinklers are required.
SECTION 5- FIRE ALARM SYSTEMS
1.0 Basis of Design
A. New fire alarm system work associated with this project includes the removal of
all zone type initiation devices, as well as notification appliances from the tenant
space.
L &S 1774 Page 3
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CONSTRUCTION CONTROL DOCUMENT
Project Title: Katherine L. White, MC, PC Medical Offices Date: September 16, 2009
Project Location: 394 Carlon Drive, Northampton, Massachusetts
Scope of Project: Renovations to existing space to accommodate new medical offices
In accordance with SECTION 116.0 - 116.4.2 of the 7th edition of the Massachusetts State Building Code :
I, Charles P. Sharpies, . Mass. Registration Number 28940
being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly supervised the preparation of
all design plans, computations and specifications concerning:
[ ] Entire Project [ ] Architectural [ ] Structural [ X ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other (specify)
for the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable
provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed
project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction
site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the
building permit and shall be responsible for the following as specified in section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the construction
contract documents as submitted for the building permit, and approval for the conformance to the design concept.
2. Review and approval of the quality control procedures for all code - required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine, in general, if the work is being performed in
a manner consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon
completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the
project for occupancy.
Signature and Seal of registered professional: ` ,"° ' ''
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CONSTRUCTION CONTROL DOCUMENT
Project Title: Katherine L. White, MC, PC Medical Offices Date: September 16, 2009
Project Location: 394 Carlon Drive, Northampton. Massachusetts
Scope of Project: Renovations to existing space to accommodate new medical offices
In accordance with SECTION 116.0 - 116.4.2 of the 7th edition of the Massachusetts State Building Code :
I, Mark W. Felgate, . Mass. Registration Number 47531
being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly supervised the preparation of
all design plans, computations and specifications concerning:
[ ] Entire Project [ ] Architectural [ ] Structural [ ] Mechanical
[ ] Fire Protection [ X ] Electrical [ ] Other (specify)
for the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable
provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed
project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction
site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the
building permit and shall be responsible for the following as specified in section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the construction
contract documents as submitted for the building permit, and approval for the conformance to the design concept.
2. Review and approval of the quality control procedures for all code - required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine, in general, if the work is being performed in
a manner consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon
completion of the work, I shall submit to the building official a final report as to the satisfactory corn • letion and readiness of the
project for occupancy.
Signature and Seal of registered professional: . MARK W cy
I FELGATE r
C C,, ELECTRICAL 4
No. 47531 • • 9F„ISTE
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Ntoste/ 727 -3200
,Fax1677) 727 -5782
CONSTRUCTION CONTROL DOCUMENT
Project Title: Katherine L. White M.D. PC Medical Office Date: 09.15.2009
Project Location: Carlon Avenue Northampton Massachusetts 06010 _
Scope of Project: Renovation of Medical Office
•
In accordance with SECTION 116.0 - 116.4.2 of the 6th edition of the Massachusetts State Building Code :
I, Bruce G. Nelligan Mass. Registration Number 11158
being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
[ ] Entire Project [x] Architectural [ ] Structural [ ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other (specify)
for the above named project and that to the best of my knowledge, such plans, computations and specifications meet
the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all
applicable laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on
the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the
documents approved by the building permit and shall be responsible for the following as specified in section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the construction
contract documents as submitted for the building permit, and approval for the conformance to the design
concept.
2. Review and approval of the quality control procedures for all code - required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine, in general, if the work is being performed in
a manner consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent
comments. Upon completion of the work, I shall submit ' .'ng official a final report as to the satisfactory
completion and readiness of the project for occupanc . oat.v ARc,,
Signature and Seal of registered professional: �4 �
N
ejir
b
N
''s r %1 t x:
• RYAN S. HELLWIG, PE • STRUCTURAL ENGINEER •
August 24, 2009
Michael White
Nelligan, White Architects
20 West 20 Street
New York, NY 10011
Re: Medical Offices for Katherine White
39 Carlon Drive
Northampton, MA
LINTEL SCHEDULE
Design Criteria:
8" CMU Wall
ASTM A36 Steel Angles
One Lintel for Each 4" Wythe of Masonry
Angles Placed Long Leg Vertical
6 Inches Bearing at Each End of Lintel
Masonry Opening Head is 6 ft below roof bar joist bearing
Masonry Opening Lintel Size
4ft.max. L3- 1/2x3 - 1/2x5/.16
6ft.max. L 5 x 3-1/2 x 5/16
.
RYAN S. C
HELLWIG ■ ,
v STRUCTURAL Z
No.
A I
• /C‘
• Y
• 28 ALDRICH STREET • NORTHAMPTON, MA 01060 •
• VOICE 413 - 584 -HLWG (4594) • FAX 413 - 584 - HLWFax (4593) •
The Commonwealth ofMassachusetts
Department of Industrial Accidents
--1 Office of Investigations
; 600 Washington Street
Boston, MA 02111
WWW. mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information 't' Please Print Leeibly
Name (Business/Organization /Individual): W ervi.)( e I Mk"'
Address: rg Pit-1- ( C1 '
City /State /Zip: (Yb tom^ j) /tik Phone #: ' e"
Are you an employer? Check the appropriate box: Type of project (required): '
1.] I am a employer with S 4. ❑ I am a general contractor and I
employees (full and/or part- time).* have hired the sub - contractors 6. [] New construction
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7.,Remodeiing
ship and have no employees These sub - contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. 0 Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
• employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have
employees. If the sub - contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information. r
Insurance Company Name:. ( tl" eNe1 3 11 fANec
Policy # or Self-ins. Lic. #: W G L v0t 3')I t Expiration Date: � /1 0
Job Site Address: 3/ e4P-0 NO A,M ('To I" City/State /Zip: / 0 4 ,
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and pen flies of perjur
y the information provided above is true and correct.
Sienature: 1"b telem 1I.. `,6 t at Date: C t K/D I
f
Phone #: °
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: _ Phone #:
..
■
Version1.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780.CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 38(
SECTION 11 - OWNER AUTHORIZATION -TO BE COMPLETED -WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
: MeCt÷ I IV t j N '
C.. 1
:
as Owner of the subject property
hereby authorize
r ...._
. . ,, . . . _ _ ________ .... _ _ _ . .__.# • i to
act on m • - alt, in al m Av atter relative to work authorized by this building permit application. _____
Al
1
as "P ,-.:....4.„...„
- Signature of Ov e V Date
&itr _AP Li gc-- . _ j , as Ownelkuthorizedi
gen hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
na D lief.
Signed under tile pains and penalties of pegury.
.': 0 - 44-- 4vv _
p. _ , - 1
._., . . ,.
Print Name l 'k- -- [I: W
• ill
ftit4-- pn,ve-
Signature of Owner/Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable El__
11;141- 1) ---- .1: 4-"--- A 4-' rte3f767.
Name of License Holder :1,___ ,_.. . .., .. — • .. •._
License Ny_mb r
-- ________
1
'ft Ukie"Cr ---- F It
Address
tk-- Expiration Date
e-vhe-- 6 (n4/614- -- CIL i
1 1
Signature Telephone
SECTION 13 -WORKERS! COMPENSATION INSURANCE AFFIDAVIT;(MALC,. § 2
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 Igi No 0
..,
Version I.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTIONSERVICES •- FOR BUILDINGS AND STRUCTURES SUBJECT TO
.
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN.35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
-. —_ -- i Not Applicable
• /v5LL /6 A/` 1•✓ir� T�I�CHiTE p L L G _ _ I
Name (Registrant) t
gut G _ nl� 61-1-1 6-4/4 — —
j Registration Nu ber
Addres ` ZE3 ?V A I - - - c/ 3 / X/
• k r ti!°f° M — - Expion Date
- i
gnature Telephone
9:2 Registered Professional Engineer(s):
Name Area of Responsibility
•
_
Address Registration Number
7 e..erT IZ ¢33,
!
Signature Telephone Expiration Data
Name Area of Responsibility
f tNIA -A-1 Fier LZJf _._ _. _._._._-- ___- _.__._.. ____ r_.__—
Address > A4, 7Pi . S ez L (l i nki__ _qt /4 or t0J ?G` Re ii stration Number.
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number _ __
Signature Telephone Expiration Date
Name Area of Responsibility
Add[es Registration Number _
Signature Telephone Expiration Date
9.3 General Contractor
. ! . H.0 - • t `� Z. > 1...1` ___ ___ __ -__ _______.._.._.. Not Applicable
Company Na
Responsible In Charge of Construction ��
�� //a
Address
Signature Telephone ,
i
•
i
Version1.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON. ZONING:
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size .'? _ ._ I r
7.S i 7 ... __- !
Frontage �.. _ ___..=
Setbacks Front - 1:111 (_
Side L:..__:.- R:11101 LE L] R:<- -_m i__....,._ ._._ ._.t
Rear . 'Q] - -- �� Noe r--n._Tl
Building Height
Bldg. Square Footage r % ' L - ' ; -
^
Open Space Footage C---] % ,
(Lot area minus bldg & paved f .,z .._ _ 7 f_._ - - �.-t ]
parking)
# of Parking Spaces I1 � ---I
Fill: i ■
(volume & Location) _ -- - -° _..�. _
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW Q YES er Felt art; .
IF YES, date issued: lr)T kNptt.
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW (F) YES Q
t
IF YES: enter Book r Page — _ and/or Document #
. B. Does the site contain a brook, body of water or wetlands? NO ei DONT KNOW Q YES 0
W YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued: 1 1
C. Do any signs exist on the property? YES e( NO Q
IF YES, describe size, type and location: Z Ow ft.. t .S, pUS
D. Are there any proposed changes to or additions of signs intended for the property ? YES e5 NO Q
IF YES, describe size, type and location: te 6 $ fit! +
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO e
. IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
Versionl.7 Commercial Building Permit May 15, 2000
• SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
r —
Interior Alterations gl Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑
Exterior Alteration 121 Existing Ground Sign ❑ New Signs 0 Roofing ❑ Change of Use ❑ Other ❑
Brief Description Enter a brief description here.
Of Proposed Work: 3 C d7f F-i iJ Wt ( U`
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE "
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business Ee 2A ❑
E Educational ❑ 213 ' I ig .
F Factory 0 F-1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A I ❑
I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ 5 -1 ❑ 5 -2 ❑ 5B ❑
U Utility ❑ Specify: r 1
M Mixed Use ❑ Specify: r I
S Special Use ❑ Specify: _ -__ _�- �= T .._ � = ..T_,.._ J
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING'RENOVATIONS - °ADDITIONS AND /OR CHANGE IN. USE
Existing Use Group: 1. ! ! S_.:...L !.._.. I Proposed Use Group: _. _— i
Existing Hazard index 780 CMR 34): ;.__ .:____-__-_......__-_..______! Proposed Hazard index 780 CMR 34): r__________________ .,— _...__Tf
SECTION 6 BUILDING HEIGHT AND AREA /b 0 ' t flG.t goe-e- so rr`
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Z - OFFICE U ONLY
Floor Area per Floor (sf)
y � I 1 st -- - -- °- ` �
1st ! / .. ' LR-t9�
_ . -- .� 2nd ( _ _ �,
2`d, — `—
3,d — — _
3r1 ____ _ _.. _ t —
4th I
Total Area (sf) 4 r 1 Total Proposed New Construction (sf) 1
Total Height (ft) _.. i
Total Height ft i 1
7. Water S ppiy (M.G.L. c. 40, § 54) 7.1 Flood-Zone Information: 7.3 Sewage D' posai System:
Public ( Private 1:1 Zone _,________-J Outside Flood Zone Municipal Sewage site disposal system{]
. '
. ,
Versionl.7 Commercial Building Permit May 15, 2000 _
; ::PPP , P 119 1g01#0 9 910 1 :::- ., ::5!.5'..!,::,t,'-'-'•
(1,: City Ot"Northampton Status
uildfrig Department Oftt?.:ClifigrP)qt014::'F-T.'''"'''''''''''---',',:-:::,::-:::,-;:...7,-ifo.i,,,,].;.
c< . /i12 Main Street ig4We6V81)Oililf;iii:4:;I41:.0?...::;:-.F
, _ww,;:wa,*-,,,,,,:::„.2 . -,./ : .,A ;: -. , ,s .: :*.: :: ,=,, 77:?..4;:: . : , i ,
Room 100 waterAiven parabitittf-.----:
- - Northampton, MA 01060 Wigegi1;tgfaiik:::oraK;04--5--E,F.-:?:1::,...)-..1:=:,'''',.
«C _,=;: - , - '.:;: - ...1 . : -
s ' : , phone 413-587-1240 Fax 413-587-1272 viotisite
,
ouler.40eify. -,-----',, - ',-,',--;),,,,,:::..,-, ii:
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
This section to be completed by office .
1.1 Property Address:
.-?" C-#41z6oxi Pta Ve- Map
- : Lot Unit
' 42 r rat I itfriA eV() j Zone 6 en
. Overlay District
• -
. . „,.Eliri Si; Ii14116t CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
[ 50 .f2_ V. tVVL4J. __51 A- -1-i-r'-
Name (Print)
Current Marling Address:
0. t 7/7 / c FR _..,.... .
4 -- 5 ..
/
Signature K al.....e_i__ A.._ Telephone
111,
2.2 Authorized Act t: ,
,.....„., ___________ _____ itemo,fritoThr ji
1 tec Sal" Iv 0 ____,
: t 1 v P ) ht( I Lemke-6r ...ft(_-.... ,_ ___ -------4---- -----—
Name (Print) Current Maiiirigikddressi ___ .,,, , 1
tj r-/ . r .f.._9
ow -
Signature P-efty2-- Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be .. ., . - - Official Use.Only
completed by permit applicant . -- _:: ._. _.
1. Building 7------- ---- ,7, --, --",: .(a.). Building Permit Fee .. .. I
L _ ____ ___,// lio f..‘,':.'. if. .- .,---. ,. — ' • r: ', ' ' - ,
2, Electrical I -------- 7 1 (b) Estimated Total Poet of
i . 1-5, etr ,., e'l+ • :- Construction-from (6) 1,------------- .- - - --- ...... _A
3. PlUmbing ' --- ------ --- •:BUilditigF'dernit Fee
1 !
4. Mechanical (HVAC) - ;
. 5 3-4 ' " 1
5. Fire Protection .,
5
= / s 3+ ) 08 )33
1 9
6. To .1
I 65 ,5 , ei Check NUmber /
//0 This_Section For Official.Use Only. . •
Building Permit mber •Date-
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
...
File # BP- 2010 -0315
APPLICANT /CONTACT PERSON NELLIGAN WHITE ARCHITECTS PLLC
ADDRESS/PHONE 20 W 20TH ST NEW YORK (212) 675 -0500
PROPERTY LOCATION 39 CARLON DR
MAP 24B PARCEL 046 001 ZONE HB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /�.5� �� 1 �
Fee Paid 7
Typeof Construction: CREATE MEDICAL OFFICES, ADD WINDOWS TO WEST WALL
New Construction
Non Structural interior renovations
Addition to Existing I
Accessory Structure
Building Plans Included: R ,
Owner/ Statement or License JI&U2‘11241140
3 sets of Plans / Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required (see below)
PLANNING 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:
Curb 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 Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
/��.✓ / d L
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
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 Office of
Planning & Development for more information.
` # 1 = BP- 2010 -0315
GIS #: COMMONWEALTH OF MASSACHUSETTS
xs * t CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0315
Project # JS- 2010 - 000420
Est. Cost: $165500.00
Fee: $993.00 RMISSION IS HEREBY GRANTED TO:
Const. Class: 2B Con ctor: License:
Use Group: B WRIG T BUILDERS 84280
Lot Size(sq. ft.): 31842.36 Owner: MESSER INVESTMENTS INC
Zoning: HB(100)/ Applicant: NELLIGAN WHITE ARCHITECTS PLLC
AT: 39 CARLON DR
Applicant Address: Phone: Insurance:
20 W 20TH ST (212) 675 -0500 Workers
Compensation
NEW YORKNY10011 ISSUED ON:10/2/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:CREATE MEDICAL OFFICES, ADD WINDOWS
TO WEST WALL
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 Occupancy Signature:
FeeType: Date Paid: Amount:
Building 10/2/2009 0:00:00 $993.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo