23B-046 (30) Northampton Fire
Department
Memorandum
To: Tony Patillo '.
1
From: Duane Nichols 0� 2�$
Date: January 11, 2008
CC: Brian Duggan
Re: CDH, 1st floor
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 and fire suppression work permits shall be obtained for the project.
The C/O inspection fee needs to be paid prior approval of any fire alarm
and/or sprinkler plans.
• The graphic annunciator for the campus 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
•Page 1
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' DEPARTMENT OF BUILDDTG INSPECTIONS
INSPECTOR 212 Main Street a Municipal Building /
Northampton,MA 01060 '
CONSTRUCTION CONTROL DOCUMENT
(for professional Engineers/Architects responsible for Entire Project)
Project Title:111064 C9 PIZ&M c4c fl�f oV, Date: (Z�21/v 7
Project Location:A&44r~ 194 Parcel: Zone:
Scope of Project: Q�d(.if— selfVoV4T7 c�A/S
In accordance with the sixth edition Massachusetts State Building Code, 780 CMR SECTION 116.0:
1, �tl,(,lih. i ,(LkD4 t S Mass. Registration Number 3033 (-
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:
[q-/F,ntire Project ;
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 to
determine that the above mentioned portions of the work proceed in accordance with the documents
approved for 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 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.
i
Signature and Seal of registered professional:
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Fax 413-587-1272 -phone 413-587-1240 OF
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C.0 n t nv -n 0u UJGun clOr a aTj?" ( C7-(.) Lr)0 but KIM
Lie m bled DOWN D uvt lid fo0o 170 ,;,IC.N&; i_oo ,annoni nchles.
,f-L_ �.:, lLni=C1)
Vers1onl.7 Cormiercial Building Permit May i�, 2000
5ECT10N 10- STRUCTURAL.PEER REVIEW:(780 CMR 120.11) ,
I ncependent Structural Engineering Structural Peer Review Required �es-....-[I ;�
SECTION.11 - OWNER AUTHORIZATION TO BECOMPLETED WHEN
O1YNERS AGENT OR CONTRACTOR APPLIES FOR BUILDfNG PERMIT
D;c i�2soh /�os�� �L as cV.F�erof n :I �?
-reuy authorize a cf l�ou e C of s r/,
my Lie W, in all matters rel ork authorized by this building permit application,.
Signature of Owner Date
6,'J�nC;IZ=�" >
he reby dec are that the statements and information on the foregoing application are true and accurate, to the b-s of my
V:nowledge and belief.
g ed under the pains and penalties of perjury.
int Name
Signature of Ow aen Date
SECTION 12 - CONSTRUCTIONSERV'ICES
L
10.1 Licensed Construction Supervisor: Not Appilrable ❑
N1ame of License Holder :_ 72/ a??7'�4% S. Pe�% 7ze f=. I 066
_Ioense 'r .;m'oer
07
_ =0?--UZ--
S 7 � _�:oiration Cam._
�� -- �113- 6y7 P- soo
Sgnature Telephone
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SECTION 13 -WORKERS' COMPENSATION INSURANCE AFFIDAVIT!{M
ddorb:.ers Compensation Insurance affidavit must be completed and submitted with tnis apoiication F ai'ure ?a pro' -
esult in the denial of the issuance of the building permit.
--- — ----- — --- ----------
S g:�ed Affidavit Attacned Yes.....-. Nc...... 11
Version 1.7 Convnaercial Building Permit T,,ta,,
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT,TO
c0NSTRUCTION CONTROL PURSUANT TO 780 CMR i (CONTAINING MORE TH-AN 55;000 C.F. 0,F ENCLOSED SPACE)
- -----
19.1 Registered Architect —
g rt at cn
dress —
�x-ira'j5r,. Date -
l
-----------
Sigrature -- T elephone
92 Registered Professional Engineer(s):
-----------
Area of Res-rons0i,-L}
�
',r s
- s
.nahjr--- — - 'elephone Expiration Date
A eE c' P.spor,s a
:'address ^egistratio❑ Num er
I
- Telephone 'Expiration Date
Area of Responsibility -----
;rdr ss - -- - Re s`rat�on fJ_tuber
Signature - ----_-- --- --Tele none it E. pirato Date
I
,r-a Ke°--onsbi;ity
�dcress Peg'slrator- dumber
i
�aurz Telephone j �ipiratio �ate --
9.3 General Contractor
��GU/�OO� �._hv�� ro h� 7�UC 7—io 7 �. Iot p�� an e
o npany Name.
.�nOnSlb ° In f18 r�8 of C nstrUC IOr'.
ur_ 7eiepho-,e
Versionl.7 Commercial Building P=t.Nlay 1�,ZUUU
Ea 'Vater,Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Pubiic ❑ Private ❑ I Zone: Outside Flood Zone Municipal .P On site disposal -},stem ❑
d. NORTHAMPTON ZONING
Existing Proposed Required by Zor�n�,
This column to be filled Ti by
Buildine IDzpartment
I
Lot size �G 9, y27 8 I 96 9 5/27.8
Frontage
Setbacks Front 102
/ 2
I
Side L: 88 R: �i'2 L: 88 R: V2
Rear
Building Height 6 y 5 6 L/ C 1
7 J
Bldg. Square Footage yD2 % y02 s6 I.
Open Space Footage %
(Lot area minus'olog&paved
V0 6
parking) //
# of Parkin Spaces �b 76 /
iy/A YIA
(volume k,I,ocadon)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES_ X
IF YES, date issued: De-(-- 131, 200/
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book 6 SOy Page 239 and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW —
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained _ Obtained Date Issued:___ __
C. Do any signs exist on the property? YES lr NO
IF YES, describe size, type and location: VA r J o vs _
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No f
IF YES, describe size, type and location: __ _
ECTION4 CONSTRU MCI NSERVICESFOR�RO JECTSL'ESSTHAN35,.000 y
1-'UBIC FEET OFN,CL-0SEDP�ICE_
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
Exterior Alterations Demolition[] New Signs [ ] Change of Use [ ] Other [
❑ Accessory Building [ ] Repairs [ ]
BRIEF DESCRIPTION: /11Te pi o^ lee lzci e-0101 �v 7�e.�i��cevFfi7 � s il�c'/C '711.''o^e��7� ���c� '�'✓ �t!y-ee
SECTION 5 -USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) 11A STRUCTION TYPE
Pssembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ L)A1# ❑ A 5 ❑ ❑8 Business ❑
E Educational ❑ _ Z ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ _
H High Hazard ❑ 3A ❑
Instr`utional ❑ _ I-1 ❑ I-2 C7 I-3 ❑ 3B
M P,lercantile ❑ 4 ❑
R Residential I ❑ R-1 ❑ R-2 ❑ R-3 ❑ SA
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE 1 HIS SECTION I-.E>qs GBUTLDING U:�IDERGOINGREN0UA3 0NS,{1DDITIONS;ANDjORCHANGE IN`1JSE
xis-ling Use Group: Z-2 Proposed Use Group:
existing Hazard Index 780 CMR 34): �J� Proposed Hazard Index 780 CMR 34): _
:SECTION 6 BUILDING HEIGHT AND-AREA
IPE BUILDING AREA ECSING PROPOSED NEVV CONSTRUCTION *' ' ' OFF�C�USEflNLY
Floor Area per Floor (sf) 1�' •�r 1� - _ �`
2nd
r
nrj 3 —
�r -
i
w a t
J'
`cLal Area (sf) _ _ I Total Proposed New Construction (sf)
r
total Height (rt)--- �'�
T o al Height ft—N/�------
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City of Northampton
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Building Department
212 Main Street uv r al ail , .
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Room 100
Northam .on, MA 01060
phone 413-587-1240 Fax 413-587-1272
_y
APPLTCATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR,DEMDUSH:ANY-BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING ' ;c,
_ nn
SECTION 1=SITE INFORMATION
Thissec�io Ioe rom feted affte
1.1 Property Address.
�00�� p�Ck ih Map
'50/ HOSDI fad
O / t� -O e
y � ver]ay Des ct `
G-0C l/Ci t 5 /r c E.,?`
V-DlslncE'�
SECTION 2 .rPROP.ERTY OWNERSHIPJAUT{iORRED AGENT -i
2.1 Owner of Record:
Coo/ey Dickinson f/ospi7-ca ocwSt St. eo. 20ax SOo/
Name(P t) Current Mailina Address:
z 3/3
Signature Telephone
2.2 Authorized Agent:
7/1�2 th V S.
dame (Pnnt`� Current Mailing Address:
5'ij-5y7- 2 50o
Signature Telephone
:SECTION 3—`=ESTIMATED CONSTRUCTION°COSTS
Item Estimated Cost(Dollars) to be Ofncial-Use Only
completed by ermit applicant
1. Building ,, , t,,, {�) building Permit Fee
?.
Electrical c,,, {Y)Estimated Total Cost of
Construction from'.b -` :
Plumbing t r.,�? ��� Buildmy Permi tFee
Mechanical (HVAC) f �, o�"`' °` 3
Fire Protection
Total = (1 + 2 + 4 5) 3 e1 c Cy `" -Check Number ]
This Section.For.Offcial Use Onl
>uilding Permit Number Date' ssued:
>ignah.re:
Building Commissioner/Inspector of Buildings Date
File#BP-2008-0606
APPLICANT/CONTACT PERSON Raymond R. Houle Construction Inc
ADDRESS/PHONE 5 MILLER ST LUDLOW (413)547-2500 Q
PROPERTY LOCATION 30 LOCUST ST- 1 ST FLR OLD LAB
MAP 23B PARCEL 046 001 ZONE M
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out re U0Q
Fee Paid
Typeof Construction: RENOVATE 1 ST FLR SHEPARD RIGHT FOR NEW OB PRACTICE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 066227
3 sets of Plans/Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO IATION PRESENTED:
pproved 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 Pemut 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
Z 1,1101 2 0
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.
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City of Northampton
_ BUILDS!
G INSPECTION C TION
LABEL
� 0 -f�, )PPR E �
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Inspector
Date 1 ��
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30 LOCtJST ST- I ST FLR OLD LAB BP-2008-0606
GAS #. COMMONWEALTH OF MASSACHUSETTS
Mp:Block: 23B -046 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
P'-rmit: _Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILIDING PERMIT.
Permit# BP-2008-0606
Project# JS-2008-000851
Est. Cost: $973000.00
Fee: $4865.00 PERMISSION IS HEREBY GLINTED TO:
t on�,t lass: 313 Contractor: Lieense:
Use Group: B Raymond R. Houle Construction Inc 066227
Lot Size(sq. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC
zoning: M Applicant: Raymond R. Houle Construction Inc
AT. 30 LOCUST ST - 1ST FLR OLD LAB
a 15t;rCT 11 CP:
(413) 547-2500Q Workers
Com�ens:.rticn
LUDLOWMA01056 ISSUED ON:11'1512008 0:00:00
TO PERFORM THE FOLLOWING I,VORK:RENOVATE 1 ST FLR SHEPARD RIGHT FOR
NEW OB PRACTICE
C.ARD_S'OI_T_ IS VI: IBLE FROM THE STREET
?ial,ccrur �,1�i'it: ui;inr Insp cctoc of Wiring, D.P.W. Building Inspector
tiudergrotmd: Service: Meter: �,<< t �i�t� C
Footings: <
Rough4�_ �, L7 Rough:.�. /f C' a House# Foundation I
.� b
7_s" r
V�U� N? CoN•/te.J u,af2/C tqt Rough France:
Z-- C . ?i jam' 1� 'a 1A Par c' - L�� s
Gas: Fire Department _ I Fireplace/Chinrne�X
Rough: Oil: insulation:
0 NS'
F -C
,,!;'MP
smoke: (�'.S Final: 1,,!;'MP
F47,AIPIN6 I�AND'�2gIL3
THIS PERMIT MAYBE REVOKED BY THE QITY OF NORTI;AMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RF.GIJL NS,/ /•/ }JF .
Certfcate of Occu;;arlt:Y Sit._►tature:
Feel'�pe: _ Dat f id:_Amount:
Building 1/15/2008 0:00:00 54865.0014549
212 Main Strect,Phone(413) 587-1240,Fax: (413)587-1272
Building Conunissioner-Anthony Patillo