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23B-046 (62) a� M71 a m �S t I I e- o dftp MID w I< W I- CL t V f I �I Cie{ E ... -° W i v ry 3 r"I} _ 1 I 1 ' 3 Q w V Q' Z p 3 � F-1 3 E VIII,S SX R Mlui .. . T w �l N k r. I dWdN 3H information, and conditions specified in the Stormwater Management Permit Approval dated 2/3/2005 and as amended by the above referenced plans and information and conditions attached to this permit amendment. Specific Permit Conditions: 1. Due to the proposed increased flows to the drainage system adjacent to the Wood Chip Heating Facility, the applicant shall install additional measures approved by the Northampton DPW (i.e. rip rap or appropriate alternatives) to stabilize the area below the reconstructed 18 inch outfall located to the east of the "New Cooling Tower" as shown on sheet C-4. 2. This project will require an amendment to the existing Stormwater Pollution Prevention Plan (SWPPP) for the Surgical Center Project. Copies of the amended SWPPP shall be submitted to the Northampton DPW prior to issuance of a building permit. Signature of City EnVneer Date cc. Planning Board c/o Office of Planning and Development Building Department Conservation Commission c/o Office of Planning and Development \\smbl\common\Dropbox\Doug McDonald\0030 Locust St-Cooley Dickinson Surgical Center_Amendment Ldoc Page 2 of 2 s ` M ' _STORMWATER MANAGEMENT PERMIT Amendment to Permit City of Northampton Department of Public Works <n il4r111 � `7 _`.aU�`J Project Name/Permit#: Cooley Dickinson Hospital - Surgical Center(Permit# SWP 05006) Project Street or Location/ Applicant Name: Richard Corder c/o Cooley Dickinson Hospital Applicant Address/Phone: 30 Locust St., Northampton/413-582-2216 Amendment Submission Date: 3/6/2006 THE FOLLOWING ACTION BY THE NORTHAMPTON DEPARTMENT OF PUBLIC WORKS HAS BEEN TAKEN ON THIS APPLICATION FOR AN AMENDMENT OF AN ACTIVE PERMIT BASED ON INFORMATION PRESENTED: Approval of the Stormwater Management Permit Amendment. X Approval of the Stormwater Management Permit Amendment subject to any conditions, modifications or restrictions required by the Department of Public Works (see below) Disapproval of the Stormwater Management Permit Amendment based upon a determination that the proposed plan, as submitted, does not meet the purposes set forth in the Northampton Stormwater Management. Standard Permit Conditions: 1. All clearing, grading, drainage, construction, and development of the proposed Wood Chip Heating Facility Expansion shall be conducted in strict accordance with the following plans and information submitted with the application and as amended by any conditions attached to this permit amendment. a. Cooley Dickinson Hospital - Wood Chip Heating Facility Expansion, Site Plans, Sheets C-1 to C-5, revised 12/2/2005 by Vanasse Hangen Brustlin, Inc. b. Stormwater Management Report for the Woodchip Heating Facility Expansion dated December 5, 2005 by Vanasse Hangen Brustlin, Inc. c. Stormwater Management Permit Narrative, Wood Chip Heating Plant (Amended) attached to the Stormwater Management Permit Application. 2. All clearing, grading, drainage, construction, and development of the Cooley Dickinson Hospital Surgical Center Project shall be conducted in strict accordance with the plans, \\smb 1\common\Dropbox\Doug McDonald\0030 Locust St-Cooley Dickinson Surgical Center_Amendment l.doc Page 1 of 1 d375 COOLEY DICKINSON HOSPITAL .�� DARTMOUTH-HITCHCOCK ALLIANCE L P.UJ L To: Ned Huntley Department of Public Works --— CC: Doug McDonald DPW/Tony Patillo Building Commissioner/Carolyn Misch Planning Department/CDH Project Team/Richard Corder Vice President CDH From: Juanita M.Forsythe—FCS for CDH Date: 8/5/2005 Re: Cooley Dickinson Hospital-Order of Conditions Modification Request This memo is to put forth a formal request for the modification of the Order of Conditions issued by the Planning Department with the Department of Public Works to Cooley Dickinson Hospital's expansion project. The order of conditions of approval were issued in February 2005. In the section,which requires completion of specific DPW items,we are asking for the revision to this section. CDH is specifically requesting that the building permit be released and the date of completion for these two items be revised to be tied to the Certificate of Occupancy and not the Permit. Below are the items of discussion; • SWMMP—this is the Storm water management and maintenance plan agreement. CDH delivered this document to the DPW at the end of April 2005.The DPW subsequently reviewed,commented and passed this agreement along to the City Solicitor around June 7,2005. CDH has made the initial changes based on the comments of Doug McDonald on May 19,2005. We are waiting for any additional comments or changes by the city solicitor and will make those changes when reviewed and received.When that document is completed,we will make the official filing as requested in the order of conditions.However,we would like to request that the building permit is not withheld based on the final filing. • Review of Existing Detention Basin.It was requested that the existing detention basin be reviewed for viability and capacity issues. An initial report was given to Doug McDonald as a Phase I of the report. Phase 11 is currently being compiled by VHB and will review measures necessary for CDH to undertake to have that basin function as intended.This Phase II report has taken longer than anticipated and will require additional design work and meetings with the DPW and the Conservation Commission and possibly MEPA. CDH is currently engaged in this activity and would like to request that the Building Permit be released without Phase II completed.The condition could be extended to be met by November 2006 or to tied to the Certificate of Occupancy. 30 Locust Street•Northampton,MA 01061 •http://www.cooley-dickinson.org•Phone (413) 582-2000• Fax(413) 586-9333 �& JUN 2 2 2005 21 June, 2005 41 Office of Building Inspection Town Hall City of Northampton, MA 01060 Re: Cooley Dickinson Hospital Expansion Sir, To follow up on our discussion yesterday,please remove my Construction Supervisor's License#000275 from all permits and applications concerning the above mentioned project. As you are aware at this time a cease and desist order has been issued by the Massachusetts Dept. of Health and I am no longer involved with the project. Regards, James W Clark c: Cohen esq. oa of of Building Regulations File i June 1, 2005 DoN Project #1-3A82 Cooley Dickinson Hospital , Inc . Page 2 Your letter indicates that "Cooley Dickinson would like to begin major construction during the week of June 1, 2005" . Massachusetts General Laws, Chapter 111 , Section 51, applicable to hospitals, states in relevant part : "In the case of new construction of a hospital (...) , or in the case of alterations or additions to an existing hospital (...) , preliminary architectural plans and final architectural plans and specifications shall be submitted to the division of hospital facilities of the department. Written approval of the final architectural plans and specifications shall be obtained from said division prior to said new construction or alterations or additions". Hospital Licensure Regulations, 105 CMR 130 . 000 , Section 130 . 107, states in relevant part : "In the case of new construction of a hospital, or in the case of alterations or additions to an existing hospital, preliminary architectural plans and final architectural plans and specifications shall be submitted to the Commissioner or his designee. Written approval of the Commissioner or his designee shall be obtained prior to said new construction or alterations or additions. (M. G.L. c. 111, § 51) "'. Page 3 of the Notice of Determination of Need dated April 25, 2005 states in relevant part : "Within the period of authorization, the holder shall make sub- stantial and continuing progress toward completion, however, no construction may begin until the holder has received final plan approval in writing from the Division of Health Care Quality". Based on the above requirements, we are informing you that construction of the project must not proceed until plan approval has been issued by the Department . Cooley Dickinson Hospital has the responsibility to notify in turn its architect and building contractors that the construction schedule must be revised in order to accommodate the above mentioned plan review timelines . If you have any questions, please call at (617) 753-8116 . app Very truly yours, CC : Dale Taglienti Keith Davis / ' Stanley Szewczyk�/ Daniel Gent Hospital file Project Engineer MW ' ✓' �s 714-o - The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health r Division of Health Care Quality 10 West Street, Boston, MA 42111 617-753-8000 MITT ROMNEY GOVERNOR _-- KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY J I�N - 'J '2005 PAUL J.COTE,JR. COMMISSIONER - -- _r June 1, 2005 Richard Corder Vice President of Guest Services Cooley Dickinson Hospital 30 Locust Street Northampton, MA 01061 RE : DoN Project #1-3A82 Cooley Dickinson Hospital , Inc . 30 Locust Street, Northampton, MA (Construction of 3-Story Addition) Dear Mr. Corder: This letter is in response to your letter which was dated April 22 , 2005 and was included in the documentation for plan review submitted on May 5 , 2005 in regard to the above referenced project . That project, which consists of the construction of a 3-story addition, received a Determination of Need on April 25 , 2005 . The design development plans which were submitted on May 5, 2005 are scheduled to be reviewed within 45-60 days of receipt according to our normal review timeline for Part I submission for our abbreviated review process . Our plan review letter listing non-compliance issues that will require plan revisions will be sent to your architect with a copy to you after completion of the Part I review. The Department anticipates that your architect will promptly incorporate the revisions needed as a result of our review to the plans and will subsequently submit final construction plans for Part II review of our abbreviated review process . Consistent with our normal review timeline for Part II submission, that Part II review should be conducted within 30 days of receipt of the final construction plans . It should be noted that these plan review timelines have been acknowledged on our websitel since February 2004 . As always, the Department will make every effort to respond to plan review submissions in a timely manner within the constraints of the general plan review workload. 1 http://www.mass.gov/dph/dhcq/plan.htm S \ Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection -Wetlands WPA Form 9 — Enforcement Order 246-596 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals/Signatures (cont.) In a situation regarding immediate action, an Enforcement Order may be signed by a single member or agent of the Commission and ratified by majority of the members at the next scheduled meeting of the Commission. Signatures: j Signature of delivery person or certified mail number Page 4 of 4 wpaform9a.doc•rev.7114/04 Massachusetts Department of Environmental Protection DEP File Number. Bureau of Resource Protection -Wetlands WPA Form 9 — Enforcement Order 246-596 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Order (cont.) ❑ Complete the attached Notice of Intent (NOI). The NOI shall be filed with the Issuing Authority on or before: Date for the following: No further work shall be performed until a public hearing has been held and an Order of Conditions has been issued to regulate said work. ❑ The property owner shall take the following action (e.g., erosion/sedimentation controls) to prevent further violations of the Act: cover spoils piles and secure erosion/sedimentation controls Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a) shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not more than two years, or both, such fine and imprisonment; or(b) shall be subject to a civil penalty not to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing violation shall constitute a separate offense. D. Appeals/Signatures An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of Environmental Protection, but may be filed in Superior Court. Questions regarding this Enforcement Order should be directed to: Bruce Young — Name 413-587-1263 Phone Number M-F 9-4:30 Hours/Days Available Issued by: Northampton -- Conservation Commission Conservation Commission signatures required on following page. Page 3 of 4 wpaform9a.doc•rev.7/14104 IN Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection -Wetlands WPA Form 9 — Enforcement Order 246-596 I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings (cont.) ❑ the activity has been/is being conducted in an area subject to protection under c. 131, § 40 or the buffer zone in violation of an issuing authority approval (i.e., valid Order of Conditions or Negative Determination of Applicability) issued to: Richard Corder 11101/2006 Name Dated 246-596 _ 1,13,17,25,27 File Number Condition number(s) ❑ The Order of Conditions expired on (date): Date ❑ The activity violates provisions of the Certificate of Compliance. ❑ The activity is outside the areas subject to protection under MGL c.131 s.40 and the buffer zone, but has altered an area subject to MGL c.131 s.40. ❑ Other(specify): C. Order The issuing authority hereby orders the following (check all that apply): ® The property owner, his agents, permittees, and all others shall immediately cease and desist from any activity affecting the Buffer Zone and/or resource areas. ❑ Resource area alterations resulting from said activity shall be corrected and the resource areas returned to their original condition. April 26, 2007__ A restoration plan shall be filed with the issuing authority on or before Date for the following: removal of sediment from resource areas The restoration shall be completed in accordance with the conditions and timetable established by thell issuing authority. Page 2 of 4 wpaform9a.doc•rev.7/14104 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection -Wetlands WPA Form 9 - Enforcement Order 246-596 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Violation Information Important: When filling out This Enforcement Order is issued by: forms on the Northampton March 13, 2007 computer, use Conservation Commission(Issuing Authority) Date only the tab key to move To: your cursor- do not use the Richard Corder return key. Name of Violator 30 Locust Street Northampton MA 01060 — rab Address 1 1. Location of Violation: e`er Coeley Dickinson Hospital pert Owner pf different) a Street Address Northampton 01060 Cit /Town Zip Code ft"ber 2. Extent and Type of Activity (if more space is required, please attach a separate sheet): Allowing large amounts of sediment to leave the construction site and enter into a resource area. Using rip rap for the construction of outlet areas of detention basin. B. Findings The Issuing Authority has determined that the activity described above is in a resource area and/or buffer zone and is in violation of the Wetlands Protection Act(M.G.L. c. 131, § 40) and its Regulations (310 CMR 10.00), because: ❑ the activity has been/is being conducted in an area subject to protection under c. 131, § 40 or the buffer zone without approval from the issuing authority (i.e., a valid Order of Conditions or Negative Determination). Page 1 of 4 wpaform9a.doc-rev.7/14104 to 06/21/2005 10:09 FAX CUUUfuv° Cooley Dickinson Hospital cont . Page 5 DoN Project #1-3A82 _ Construction 3 Story Addition 1) Final construction plans, which bear the architect's and engineers` seal, must include the following: Site plan. Architectural plans, drawn at a minimum 1/8'"=1 ' -0" scale, indicating all room & corridor dimensions . Structural plans, if structural work is involved. Complete Plumbing plans. Complete Mechanical plans. Complete Electrical plans. 2) Written response to the plan review comments resulting from Part 1 review. 3) Plan revisions narrative describing any revisions to the project design as reviewed in Part 1. 4) Architect's and Licensee's Affidavit including accurate project identification, waiver references, architect's stamp and signature, and facility representative and witness signatures. 5) Architect's Compliance Checklists 6) Waiver Request Form for each requirement that is not met, as indi- cated on the checklist, if not included in Part 1 submission. The referenced forms are available on the Department's web site_ www.state.ma.us/dph/dhcq/plan.htm. You should also be aware that additional revisions to the plans may be needed to e sure r r,_ ance ? t�, Accessib 1 - :;_cielines of the Americans wit!". DIsabi.cit2ES AC . {A.D' - Tnis ofL_C;t, !however, 15 not responsible for enforcing these guidelines. Please be reminded that construction of the project must not begin until this office has issued plan approval. If you have any questions, please call at (617) 753 8178 . Very truly yours, Emile J. Guy Project Engineer Enc. cc: Moan Goraa Hospital File Ub/Z1/ZUU5 lU:U9 FAX WJuU5/UU6 Cooley Dickinson Hospital cont . Page 4 DoN Project #1-3A82 - Construction 3 Story Addition 16 . Secure storage for staff personal items was not indicated on the third floor nursing unit . 17. Stretcher storage was not indicated on the third floor nursing unit. 18 . A bathing fixture for patients on stretchers was not indicated for the third floor unit . 19 . The required isolation room alcove with all the required components was not indicated on the third floor nursing unit. 20 . Complete dimensions were not indicated but the corridor appears to less than the required 810" width between the nursing station counter and toilet room 4028 on the fourth floor and at all the bowed nursing station counters on the third floor. 21 . A handwashing station was not indicated in exercise room 4033 . 22 . The required nursing office for the fourth floor m/s unit was located outside of the unit rather than within the unit_ 23 . The required nurses' lounge for the fourth floor m/s unit was located outside of the unit rather than within the unit . 24 . The required fourth floor m/s unit's multipurpose room was located outside of the unit rather than within the unit . 25 . The medicine room and nourishment station, are required to be separate from each other on the fourth floor nursing unit . 26 . Secure storage for staff perso; �_ tem= a not indicated on the fourth floor nursing unit. 27 , The required equipment storage room f Lor the fourth floor m/s unit was located outside of the unit rather than within the unit . 28 . The required bathing fixture (4011) for patients on stretchers for the fourth floor m/s unit was located outside of the unit rather than within the unit . 29 . Ar_ isolation roorr was not provides few- the fourth floor unit . 30 . Medical gases were not provided in the fourth floor exam room. 31 . The mechanical , electrical, and plumbing plans were not coordinated with the architectural plans with the designation. and location of the "future" ORs as shell space and the ORs that were being constructed. rte , :v ar nc Part 2 submis- cpl = cahiE ozr,._ are enclosed for the asterisk items) : 06/21/2005 10:08 FAX WJUU4iuub Cooley Dickinson Hospital cont . Page 3 DoN Project 41-3A82 - Construction 3 Story Addition 3 . Complete dimensions were not provided on the plans. Dimensions must be provided for all partition locations and all curtain tracks at cubicles . 4 . A handwashing sink is required in the blood donor room. 5 . A patient waiting/reception area is required at the specimen collection area of the laboratory. 6 . A toilet room is required at the laboratory for urine and feces collection- 7 . Fixed and portable equipment and their use must not reduce the corridor width. The furniture, equipment and files in corridor G036- LA reduce the corridor width. 8. The project narrative indicates that orthopedics is included in the hospital specialties. With orthopedics included as a specialty, the operating room(s) that are to be used for orthopedic surgical procedures must provide a minimum of 600 square feet of clear floor area and that clear floor area must be provided with a minimum dimension of 20 feet . Complete dimensions were not provided but when scaled ORs range in size between 539 to 550 square feet. 9. A minimum of 80 square feet of space is not provided in the PACU cubicles. Dimensions were not provided but cubicle sizes range from 67 . 5 square feet to 81 square feet with only two cubicles meeting the area requirement. EGr E rr 4' 0" are nct D O der the F�CL) cubicles v , uerween trig EnG CI 4iiE Oeds/stretcher£ G'?G _f!t ldali ticy1� enclosing surroundinc areas or the cubicles and at the partitions at , the sinks. These Y.'c; is/partitions restrict acc�,- t0 the patie7it5 11 . Stretcher storage was not indicated in the =ALU suite. 12 . A clinical sink and bedpan cleaning system were not indicated in the PACU suite. 13 . The required clearances of 4' 0" are not provided in the phase II recovery isolation, rooms between the ends of the beds/stretchers and the wails _ 14 . procedure room 1167-PO is located off corridor 1017 without other outpatient support services including but not limited to a nursing station, a medicine room, clean linen storage, a clean utility room and a soiled utility room_ F ri?'c cr with the soiled utility room corrects the deficiency. 06/21/2005 10:08 FAX iM003/006 Cooley Dickinson Hospital Cont . Page 2 DoIv Project #1-3A82 - Construction 3 Story Addition 3 . The project narrative must include information as to where the m/s replacement beds will be removed from within the Facility. Comments on the Project Application/Information Form* 1. . The section on Page-1 of the form relating to the quota increase was not completed. 2 . Page-2 of the form indicates a proposed start of construction date of May 31, 2005 . In accordance with the Massachusetts General Laws and the Licensure Regulations construction of the project must not begin until this office has issued plan approval for the project. The form is enclosed so that it can be updated and returned. Comments on the Capital Cost Estimate* 1. The project area was not indicated on the Capital Cost Estimate Form. 2 . Any changes to the project area, increase in the number of beds and decrease in the number of oRs must be reflected in the Capital Cost Estimate and the changes to the project must receive DoN approval . The form is enclosed so that it can be updated and returned. Comments on the Square Footage Chart* 1 . The Square Footage Chart did not identify the facility and did not reference the DoN #. 2 . The Lepartment' s Square Footage C'nart was lic', '_:ZrIized_ Both Doi approved areas as well as the proposed areas must be included on the form. A copy of the Department. Square Footage Chart : s enclosed for your use. Comments on the Design Development Plans 1 . The plans are identified as "Package F." . what other packages are associated with the nroiect? What are Packages A, B, C and D? Please noise the requirements for Lne submission in the last section of this letter. 2 . The access to the connector of the addition on the ground floor is through the current Same Day Surgery Suite. Access to the ground floor of the new addition must not be through the Same Day Surgery Suite as access to the recovery room must not be through a public co �nF n= F . . e' or not Same Dav but it appears that it is part of the project . The renovations to the existing Same Da,✓ Surgery Suite must not take place until the new surgical service area is licensed and occupied. 06/21/2005 10:07 FAX 191ouzivue The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health UW. Division of Health Care Quality MITT ROMNEY 10 West Street, Boston, MA 02111 GOVERNOR 617-753-8000 KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY PAUL J.COTE,JR. COMMISSIONER June 9, 2005 Dale Taglienti Project Manager The Ritchie Organization 80 Bridge Street Newton, MA 02156 RE: DoN Project #1--3A82 Cooley Dickinson Hospital 30 Locust Street Northampton, MA 01061 Construction 3 Story Addition Dear Mr. Taglienti: On May S, 2005, this office received the material dated May 4, 2005 for the above referenced project, as the Part 1 submission of the Depart- ment's abbreviated review process. Please note our plan review comments enumerated below. General Comments 1 . In addition to reviewing plans for conformance with the Department's physical plant standards, this office reviews plans for conformance with the approved Determination of Neec (DoN; . Please note the comparison chart below. The plans must reflect the approved DoN project or your client must file an amendment whiz the DoN Program and receive their approval before this Department can issue plan approval . DON Approved Project Plan Submission Comments Three story addition Five sl2ry addition _ Two additional floors 102,562 GSF of space 116.507 GSF(SO FT Chart) 15.890 extra GSF s (not including 5 space of approximately 1,945 GSF 8 ORs 6 replacement&2 new)�6 ORs 1 2 less ORs 32 m/s beds(third floor) l 32 m/s beds (third floor) 1 6 extra replacement beds -(21 replacement& 11 new) -(21 replacement& 11 new) ! 2 extra new beds j 8 mis beds(fourth floor) -(6 replacement&2 new) j overall quota with the additional two new m/s beds on the fourth floor unit . 06/21/2005 10:07 FAX 10001/006 Massachusetts Department of Public Health Division of Health Care Orcality 10 West street, 5'1' Floor Poston MA 02.111 JUN L FAX TRANSMITTAL LETTER Date: 06/21/05 To: Antony Patillo, City of Northampton Building Department @ FAX(413) 587-1272 From: Daniel Gent Message: Copy of letter regarding Cooley Dickinson Hospital, as a follow-up to our conversation of today. 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F z ^ .✓ Z^ = z ^ Z � ZG Z � Z ^ � Z ^ �X C: 0 y L � u u E E N N N O O O O O !� N 6- N N Ln u L L L y 3 IN, p cr [r 7 = O c O _ O cn a o C. ti y .� � .� � .� M •N g, Y Iv r FJ- C C U OU o E a0 Lr o o o CL Ob C M C O C bU C O 7 ❑ Q C Q � � U � O � G F ZD OM . bD w W W W w w .� C C G C G C N •E d b "� 'O_ '� '� b C h d iQ O '7 7 7 7 7 O ry O O _ O O O O O O N .fl O O O O O O ti N Y y 00 00 CN 0 0 0 N 4 r4 a N N N N N ■ y z a 7 7 r V V 7 r C d d h O c;, 3 _ O O O O O C O O O C O O C O ,� Q N ... �' O N C N O N O ^ O N O O �. •� y � N � N � p N a � N N N ^ � N N E G Q N V N ^� 7 N G^ 'T N \V' N CJ -- N F a N t N i rz O V E [- a o Ln = xz sediment control, to the DPW within 7 days of the issuance of this notice. The owner shall ensure that this revised plan is implemented correctly and completely. The revised SWPPP will outline a more effective plan to control erosion and sedimentation and plan for the timely stabilization of the detention basin and the entire site. Weekly inspection reports shall be submitted to the DPW. 1. Within 7 days of the issuance of this Notice of Violation, the owner shall start implementation of the revised Erosion and Sediment Control Plan under the guidance of a Professional Engineer or qualified professional in erosion and sediment control or risk issuance of additional Violation Notices and Stop Work Orders for all construction site work. The owner shall also make necessary and timely changes to the Erosion and Sediment Control plan under the guidance of a Professional Engineer or qualified professional in erosion and sediment control if erosion and sedimentation is not being effectively controlled or risk issuance of additional Violation Notices and Stop Work Orders for all construction site work. Date work must be completed by: April 2, 2007 (Revised Plan in place and implementation started) Failure to address this violation in a timely manner can result in civil, criminal, or monetary penalties in accordance with the enforcement authorized under the Stormwater Ordinance. Penalties/fines of$100.00, $200.00 or $300.00 may be assessed. Each day or part thereof that such violation occurs or continues to occur shall constitute a separate offence. A written notice of appeal of this Violation Notice may be submitted to the Board of Public Works within fifteen (15) days of the date of service of notice of violation. 1 312612007 Violation Served by: Douglas McDonald Date of service of violation notice: Northampton DPW Page 2 of 2 Notice of Violation 3-B—4(o CITY OF NORTHAMPTON- DEPARTMENT OF PUBLIC WORKS 125 LOCUST STREET,NORTHAMPTON,MAO]060 Phone:413-587-1570--FAX 413-587-1576 George Andrikidis,P.E. „ nA Director of Public Works Amin NOTICE OF VIOLATION The Department of Public Works has determined that the below cited activity is not being carried out in accordance with the requirements of City Ordinances Chapter 22,Article V the Northampton Stormwater Management Ordinance for Erosion and Sediment Control and Post Construction Stormwater Management. Name/Address Owner: Richard Corder, Cooley Dickinson Hospital/30 Locust St., Northampton Name of Contractors: Barr & Barr/Gagliarducci Construction Address/Description where violation is occurring: 30 Locust Street/Hospital Road/Elm Street, Detention Basin Modification as part of the Surgical Center Project Nature of Violation: Erosion of a slope and discharge of a pollutant (sediment) was observed to the wetland east of Hospital Road and to Elm Street Brook on March 15, 2007 on the Property of Cooley Dickinson Hospital. During modification work to an existing detention basin at Cooley Dickinson Hospital, a 36-inch drain line was diverted to a temporary 12-inch drain line,which discharged to a rip-rap pad at the top of the slope. The temporary diversion pipe had been installed contrary to the plan prepared by Vanasse Hagen Brustlin, Inc. and dated 12/15/2006. The erosion and sediment control barriers that were in place did not effectively dissipate the force of the discharged water, the staked haybales had been undercut by the force of the water, the discharged stormwater has eroded two to three foot deep gullies in the slope, and sediment had been deposited in the wetland area and to Elm Street Brook. There was also evidence of additional erosion from the area of the detention basin under construction and soil stockpiles and discharge of sediment outside the haybale/silt fence to the wetland. As part of three separate Notice of Intents (NOIs) for Stormwater Discharges Associated with Construction Activity Under an U.S. Environmental Protection Agency(EPA) NPDES Construction General Permit submitted and active for the Surgical Center project by Cooley Dickinson Hospital, Barr & Barr, Inc., and Hanford General Contractors, a Storm Water Pollution Prevention Plan (SWPPP) should have been prepared and implemented. This SWPPP should have been revised and implemented a to effectively control erosion and sedimentation at the Detention Basin Modification project. Failure to revise and implement an appropriate and effective SWPPP for this project is a violation of both the Northampton Stormwater Management Permit issued for the Surgical Center Project and the U.S. EPA's NPDES Construction General Permit. Measures needed to bring development activity into compliance: 1. The owner shall submit a revised SWPPP for the Surgical Center project including the Detention Basin Modification, prepared by a Professional Engineer or qualified professional in erosion and Northampton DPW Page 1 of 2 Notice of Violation d3-B- Ao' �r WAYNE J. GRIFFIN ELECTRIC INC. JOB# 1137 INSPECTION CERTIFICATION FOR COOLEY DICKINSON HOSPITAL Project Name 30 LOCUST STYREET Address,State The following area 1 ST FLOOR FINAL INSPECTION has been inspected by the NORTHAMPTON,MASS Wiring Inspector GEORGE FORMER Town Person on 4/12/07 The inspection has been found to be adequate and is consistent with the Date Massachusetts / National Electrical Code. Approved By: g_ 4�r�A_, k� Date: 'V//'z d:z Wayne J. Griffin Electric, Inc.: Project Forem CC: General Contractor: Project Superintendent ELECTRICAL CONTRACTORS,INC. ' 3 t for. �f March 31, 2006 ' Mr. George Fournier Town of Northampton Electrical Inspector 212 Main Street Northampton, MA 01060 Reference: Cooley Dickinson Hospital Telecommunication Wiring Dear George, Thank you for meeting with Andrew Sector and me to discuss the cable type that Coghlins will be installing for Cooley Dickinson Hospital in their new Surgery/Bed Expansion. Per our conversation, we have confirmed with Tuffes Industries, the HVAC Contractor, that the method of air distribution through out the space is hard duct for both supply and return and that there are not any ceilings that will be used for environmental air. We have also confirmed with Smith Automatic, the Sprinkler Contractor, that the facility will be sprinkled both above and below the ceiling grids. Based on this information and our conversation with you, Coghlins will be installing CMR cabling in the new Surgery/Bed Expansion for Cooley Dickinson Hospital. Andrew will be our Project Manager and he will shortly apply for the wiring permit for the project once Cooley Dickinson Hospital contractually awards Coghlins the project. 100 Prescott Street Thank you again for your time yesterday. We look forward to working together with you on this Worcester project. Massachusetts 01605 Please contact me directly at (508) 793 —0314 should you have any questions or concerns. Voice Sincerely, C lin El trical Contractors, Inc (508)793.0300 (508)420.5945 Facsimile (508)793.0303 Matthew S. Logan Massachusetts License A13033 `T o Nofthampton Fire j Depaftment Memorandum To: Tony Patillo �7 From: Duane Nicholst'/' Date: August 24, 2007 CC: Brian Duggan Re: Cooley Dickinson Hospital, West 3 renovations 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 Planning Board - Decision City of Northampton Hearing No.: PLN-2005-0060 Date:March 1,2005 4. The requested use will not overload,and will mitigate adverse Impacts on,the City's resources Including the effect on the City s water supply and distribution system,sanitary and storm sewage collection and 6 eatment systems,fire protection,sheets and schools.The applicant will be adding water meters and correcting sewage discharge issues. 5. The requested use does not trigger compliance with special regulations set forth In the Zoning Ordinance other than for site plan review. 6.Compliance with the following technical performance standards have been met: A.Curb cuts have been minimized as the site will be served by the same access points that currently serve the site. B.Pedestrian,bicycle and vehicular trafflc movement on site have been separated and will be greatly improved within the site and to adjoining properties. C. The applicant has mitigated peak flows from the two(2)and ten(10)year Sol/Conservation Service design storm from pre- development conditions(the condition at the time a site plan approval Is requested)and the runoff from a 4110 inch rain storm(first flush) is detained on site in accordance with the regulations. COULD NOT DEROGATE BECAUSE: FILING DEADLINE MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE 2/312005 2117/2005 3110/2005 REFERRALS IN DATE HEARING DEADLINE DATE. HEARING CLOSE DATE FINAL SIGNING BY: APPEAL DEADLINE: 2/101/2005 313112005 212412005 3/10/2005 312112005 FIRST ADVERTISING DATE: HEARING DATE VOTING DATE: DECISION DATE 211012005 212412005 22412005 •31112005 SECOND ADVERTISING DATE HEARING TIME: TANG DEADLINE: DECISION DEADLINE 2117/2005 8.30 PM 525✓2 . 5/252005 MEMBERS PRESENT: VOTE: Jennifer Dierfnger votes to Grant William Letendre votes to Grant Paul Voss votes to Grant Francis Johnson votes to Grant George Kohout votes to Grant Keith Wilson votes to Grant Kenneth Jodrle votes to Grant MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION: William Letendre Francis Johnson 7 Approved with Conditions MINUTES OF MEETING: Available In the Office of Planning 8 Development 1,Carolyn Misch,as agent to the Planning Board,certify that this is a true and accurate decision made by the Planning Board and certify that a copy of this and all plans have been fled with the Board and the City Clerk on March 1,2005 !certify that a copy of this decision has been mailed to the Owner and Applicant GeoTMS®2005 Des Lauders Municipal Solutions,Inc. Planning Board • Decision City of Northampton Hearing No.: PLN-2005-0060 Date:March 1,2005 6.Shut off gates shall be installed In accordance with Department of Public Works Water Division requirements. 7. Water and sewer lines must have a 10'separation,unless otherwise approved by DPW. 8.New connections to the sewer line on Locust should occur within an existing manhole. 9.No addition sewer connections will be granted until current discharge violations are addressed. jW. 10.A sampling site manhole should be provided. ' 11.Sewer line should not be constructed under the bus shelter. 12. The 8-DI pipe into the new facility shall be triple gated. 13.AM stormwater permit conditions as issued by the Department of Public Works must be met. 14.Sewage treatment and installation of the lift station must be coordinated with the wastewater treatment division and requires permits. The Planning Board granted Site Plan Approval for the 95,000+square foot surgical expansion based on the following plans and information submitted on the plans,as amend by conditions herein: 1).'Site Plans,Surgical Center Cooley Dickinson Hospital*,Prepared by VHB1Vanasse Hangen Brusdin,Inc.,December 8,2004.Plan sheets C101-0111. 2)"Site Plans,Parking Lot Cooley Dickinson Hospital',prepared by VHBNanasse Hangen Brustlin,Inc.Latest Issue:January 11,2005. Plan sheets C2-C13, SV-2. 3). "Cooley Dickinson Hospital Surgery/Beds expansion Phase 1" Elevations,prepared by TRO,December 8,2004.Sheets G002,G003, G021(PkgE),A400,A401,A410(Pkg E). 4). "Cooley Dickinson".Site Lighting. 5). "Traffic Impact Study,Cooley Dickinson Hospital Expansion",Prepared by VHB/Vanasse Hangen Brustlin,Inc January 2005. 6). "Technical Appendix,Cooley Dickinson Hospital Expansion ,Prepared by VHBNanasse Hangen Brustlin,Inc.January 1005. 7). "Conceptual Roadway Configuration(Lane Taper on Locust Street)"Prepared by VHB/Vanasse Hangen Brustlin,Inc.February 11, 2005. 8). "Stormwater Management Report Surgical Center Cooley Dickinson Hospital"Prepared by VHB✓Vanasse Hangen Brustlin,Inc. January 2005. 9). Memorandum: "Regarding Traffic Mitigation Proposal'from Cooley Dickinson Hospital,signed by Richard Corder,dated February 23,2005. In granting approval of the Site Plan the Planning Board found: 1.The requested use protects adjoining premises against seriously detrimental uses. All storniwater runoff will be treated and managed on site. The site is located in the Medical district and abuts commercial and Institutional property.No sound and sight buffers are necessary. The site has ample room to preserve views,light,and air. 2.The requested use will promote the convenience and safety of vehicular and pedestrian movement within the site and on adjacent streets,minimize traffic Impacts on the streets and roads In the area Including the arrangement of parking and loading spaces,and provisions for persons with disabitiNes.Provision for pedestrian connections have been made within the site and to abutting uses and properties through Improvements proposed to Hospital Road and to Locust Street The applicant will be adding a pedestrian phase to the signalized intersection at Locust Street that will allow safe pedestrian access from Prospect;Locust,North Eim Streets across a major vehicular corridor. Further the applicant will be Improving the existing mid-block crosswalks and accommodate PVTA transit bus service. The project,including any concurrent road improvements,w1M not decrease the level of service(LOS)of all area roads or Intersections effected by the project below the existing conditions.The traffic mitigation proposed by the applicant will address Impacts and Increases in traffic generated by the addition of the surgical wing. The applicant will conduct a follow-up study two years after the Issuance of a certificate of occupancy to address other unanticipated trafl9c Impacts. 3.The requested use will promote a harmonious relationship of structures and open spaces to the natural landscape,existing buildings and other community assets In the area. The addition has been designed to complement the existing hospital and wip be located on the portion of the site that was previously used for parking.The building will be closer to the Locust Street frontage,provioing a greater presence there while allowing the rear and side of the property,which abuts a residential d1strk4 to remain undisturbed open space. GeoTMS®2005 Des Lauriem Municipal Solutions,Inc. Planning Board - Decision City of Northampton Hearing No.: PLN-2005-0060 Date:March 1,2005 APPLICATION TYPE: SUBWSSION DATE: PS Major Site Plan 112&1005 Applicant's Name: Owner's Name: Surveyor's Name: NAME: NAW- COMPANY NAME: Cooky Dickinson Hospital COOLEY DICKINSON HOSPRAL INC ADDRESS: ADORE—SS;- ADDRESS: 30 Locust Street clo Richard Corder c%Richard Corder 30 LOCUST ST TOWN: STATE: ZIP CODE: TOWN: STATE ZIP CODE TOWN: STATE ZIP CODE: NORTHAMPTON MA 01060 NORTHAMPTON MA 01060 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: (413)582-2216 0 (413)582-2955 EMAIL ADDRESS: EMAIL ADDRESS: EMAIL ADDRESS: Site information: STREET NO.: SITE ZONING: 30LOCUSTST M TOWN: SECTION OF BYLAW: NORTHAMPTON MA 01060 Section 11:Site Plan Approval MAP: BLOCK LOT: MAP DATE: ACTION TAKEN: 238 046 001 Approved With Conditions Book: Page: 2485 335 NATURE OF PROPOSED WORK: Add approximately 95,000 square feet for a new surgery suite with hospital beds. HARDSHIP: CONDITION OF APPROVAL: 1.Prior to issuance of a building permit,the applicant shall receive sign off from the Office of Planning d Development that all relevant plan sheets have been amended to incorporate conditions herein as necessary. 2.Prior to Issuance of a building permit the applicant shall receive sign off from the Department of �C,t, ` Public Works that all water lines and gate locations that serve the site have been submitted to the �`. Department of Public Works. 3.Prior to any work on Hospital Road,the applicant shall apply for street discontinuance. 4.As offered by the applicant In a letter from Cooley Dickinson Hospital dated February 23,2005 the following traffic mitigation shall be performed: a. Improvements to signalized Intersection,including installation of a pedestrian phase with associated ADA compliant crossing and striping improvements as shown on preliminary plans to be revised as construction drawings; b. Improvements to existing mid-block crosswalks on Locust Street The restriping shall be completed In accordance with detail sheet C109. However,if it Is deemed safer,upon review by Department of Pubftc Works,Office of Planning d Development;and the appikant's consultant,to consolidate the 2 mid-block crossings Into one and move the bus shelter this shall be done. c. Two years from the date of Issuance of a Certificate of Occupancy,the applicant shall hire a traffic engineer to reevaluate traffic Impacts on the surrounding Intersections,Including the Milton,Riverside Drive and Ekn Street Intersection. The results of this study shaft be submitted to the Planning Board for review. Further mitigation In accordance with recommendations of the f afflc consultant and upon consultation with the Planning Board may be required to address any defielendes that have been created due to this project At this time,the applicant shaft also report on the progress or full Implementation of the efforts to extend the PVTA(Amherst to Smith route)bus service from Smith Campus through the hospital site. 5.Six water meters shalt be Installed In accordance with Department of Public Works Water Division and depicted on revised plans. GeoTMS®2005 Des Lauriers Municipal Solutions,Inc. a provide intormat]on ciocumenung [ne mu'utcuau\ic uML ucw vwu wauyavUw �-�-•��•• this structure and provide evidence that the 4"outlet pipe is still functioning as designed. Signs of City Engineer Date cc. Planning Board c/o Office of Planning and Development Building Department Conservation Commission do Office of Planning and Development 0 M:\StorTnwater Permits\Stormwater Fermits�Permits new applicationsW030 Locust St-Cooley Dickinson Surgical Center.doc Page 3 of 3 R Management Permit Application signed 1/5/05 by Richard Corder. 2. The Northampton Department of Public Works(DPW) or its authorized representative shall be provided access to the property to conduct i tions before, during,and after construction activities as necess sched EMS= ' Insp m spection. The DPW may also conduct random inspections to ensure effective control of erosion and sedimentation during all phases of construction. 3. Annual Reports that are stamped by a Registered Professional Engineer documenting the actions completed as required by the Operation, Maintenance and Inspection Agreement shall be submitted to the Northampton Department of Public Works by November 1'of each year. � 4. If construction of the proposed stormwater system has not started within five years of the issue date of this permit,then the permit will expire and a new permit will be required. Construction is defined as clearing, grading, excavation,filling,and installation of drainage structures on the lots specified in this permit- 1 illy z owners of land served by the private stormwater management facility by recording it in the land records of the Registry of Deeds.This agreement shall be signed by the applicant and approved by the Northampton DPW. The above-mentioned Agreement shall incorporate all stormwater operation, maintenance, and inspection tasks and requirements for the entire Cooley Dickinson Hospital site into one document. Section 22-85 of the Northampton Stormwater Management Ordinance provides additional guidance for the requirements of this agreement.The Northampton DPW will supply a template to the applicant for this agreement. 2. This project will be required to submit one or more Notice of Intent(NOI) to the U.S. EPA for coverage under the NPDES Stormwater Construction General Permit. A Stormwater Pollution Prevention Plan(SWPPP)must be developed and implemented. Copies of both the NOI and SWPPP shall be submitted to the Northampton DPW prior to issuance of a building permit. The SWPPP for each site shall be reviewed by the Northampton DPW and may need to be amended to the satisfaction of the Northampton DPW. 3. The applicant shall provide additional documentation that the existing detention basin continues to function as designed and is adequately designed for the proposed storm water flows.The original draic,%ge calculations completed by Thompson Consultants, Inc. in 1990 indicate a smaller planned flow to this detention basin than are shown in the proposed drainage calculations for the Surgical Center.Prior to issuance of a building f�e permit the applicant shall:provide an inspection report of the detention basin that is stamped by a Registered Professional Engineer and includes a list of maintenance tasks and/or retrofits that would allow the basin to adequately mitigate the proposed flows, EAStormwater Permits\Stormwater Permits\Permits_new applications\0030 Locust St-Cooley Dickinson Surgical Center.doc Page 2 of 3 \- aJa VaY.L..aaaala�a.aa as.•aVLa.1L♦\Z �a�a-a•aaa APPLICATION DECISION city or Northampton Department of Public Works Project/ Site Name: Cooley Dickinson Hospital - Surgical Center Project Street or Location/. Assessor ID: 30 Locust St./23B-046 Anp cant-N=e Richard (` Applicant Address/Phone: 30 Locust St.,Northampton!413-582-2216 Application Submission Date: 1/13/05 THE FOLLOWING ACTION BY THE NORTHAMPTON DEPARTMENT OF PUBLIC WORKS HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Disapproval of the Stormwater Management Permit Application based on a determination within seven days of the receipt of the application that the application is administratively incomplete(see attached documentation). Approval of the Stormwater Management Permit Application. X Approval of the Stormwater Management Permit Application subject to any conditions,modifications or restrictions required by the Department of Public Works (see below) Disapproval of the Stormwater Management Permit Application based upon a determination that the proposed plan, as submitted, does not meet the purposes set forth in the Northampton Stormwater Management. Standard Permit Conditions: 1. All clearing, grading, drainage, construction,and development shall be conducted in strict accordance with the following plans and information submitted with the application and as amended by any conditions attached to this permit. a. Surgical Center,Cooley Dickinson Hospital, Site Plans,Sheets C-101 to C-111, dated 12/8/2004 by Vanasse Hangen Brustlin, Inc. b. Stormwater Management Report dated January 2005 by Vanasse Hangen Brustlin, Inc. E:1Stormwater Permits\Stormwater Permltmermits new applications\0030 Locust St-Cooley Dickinson Surgical Center.doc Page I of 3 April 21, 2005 Peer Review-Dates- April 18,2oo5-Initial Independent review Completed and stamped.-Per T.Patillo Request this will be addressed to The Building Department for review and record.A copy is attached as it currently is written and addressed for the record. April 25,2005-Final and Superstructure-Peer review to be completed and stamped by Independent structural engineer.To be addressed to the Building Department for review and record. We are still waiting for a response from the Conservation Commissioner-Bruce Young to review if all his concerns and conditions are completed for the Conservation Commission sign off. Please let me know if any of these items are described in error or if there are any different expectations on the completion of these tasks. As always,Cooley Dickinson Hospital is committed to working cooperatively with the City on all matters related to the Surgical Project. 3 April 21, 2005 DPW Special Permit Conditions outlined • Develop and execute a Stormwater Operation Maintenance and Inspection Agreement that is an owner binding agreement(summary of line item).The agreement will be developed by CDH,reviewed,and agreed upon with the DPW. It will be in accordance with Section 22-85 of the Northampton Stormwater Management Ordinance.When approved by DPW it is to be recorded at the Registry of Deeds.EXPECTED COMPLETION by CDH-APRIL 28-2005 • Submit the Notice of Intent-NOI to the U.S.EPA for coverage under the NPDES Stormwater Construction General Permit.A Stormwater Pollution Prevention Plan (SWPPP)must be developed and implemented.Copies of Both are to be submitted and reviewed to the Northampton DPW prior to issuance of a building permit. EXPECTED COMPLETION by APRIL 26 2005. NOI will be completed today(4121/05)and submitted tomorrow by Fed-x.SWPPP will be completed by 05-02-05 • Applicant shall provide additional documentation that the existing detention basin continues to function as designed and is adequately designed for the proposed storm water flows. Prior to issuance of a building permit an inspection report shall be provided by a stamped P.E.and a list of maintenance tasks and or retro/fits that would allow the basin to adequately mitigate the proposed flows.Provide information documenting maintenance that has been completed and that the r outlet pipe is still functioning as designed.EXPECTED COMPLETED BY CDH-APRIL 28,2005 CDH understands that these items are separate from the Planning Departments 14 items criteria,which lists some additional DPW items.(Shown copied on the attachment) The dates requested and expected for submittal are shown below. Permit Request Dates- April 26,2005-CDH/Barr&Barr-Request for a Demolition Permit(Only)-to include the disconnect of lights utilities at the site(as approved by the Fire Department leaving all necessary life safety conditions accessible and operable.) April 26,2005-CDH/Barr&Barr-request for Demolition Permit to relocate Memorial trees and other items. May 2,2005-CDH/Barr&Barr-Demo Canopy at entry way May 16,2005-CDH Barr&Barr-Request Foundation Permit May 30-June 3(approx)CDH Barr&Barr request Building Permit-Based on final plans. 2 APR 2 1 20 C; Memorandum To: Anthony Patillo-Building Commissioner CC: Project Team/DPW-D.McDonald/Conservation Commission-Bruce Young/C.Misch From: Juanita M.Forsythe-Project Consultant-CDH e~ T Date: 4/21/2005 i ` i Re: Cooley Dickinson Hospital—Pre-Permit Condition Requirements Dear Mr. Patillo, I wanted to review the items that we outlined in our meeting on April 19,2005 held in the Building Department Office. Our discussions reviewed the following items; • Conditions from the Planning Department hearing and conditions from the storm Water Management Permit that has been filed and granted. • Dates for requested dates of filing in conjunction with various phases of work associated with the building • Peer Review Completion Attached on the next page is an outline of the expected materials required to be reviewed, (in some cases filed)and approved by the Conservation Commission and the Department of Public Works. 1 of vegetative cover, and overall performance according to design. The following routine maintenance shall be completed: • All areas in the detention basins devoid of vegetation or found to be eroding shall be immediately repaired. Repairs shall include replacement of eroded soils, re-establishment and protection of vegetative cover, and immediate stabilization with erosion control measures to control erosion until stabilization occurs. • Any objects that could block the outlet control structures (such as rubbish or fallen limbs) shall be removed from the basins and disposed of accordingly. • Sediment shall be removed from the forebay and main detention area of each basin when it reaches a thickness of 6 inches or more according to the installed sediment indicators or in relation to the outfall inverts. • Sediment shall be removed from the low flow channel of the reconstructed detention basin (located east of Hospital Road) when it reaches a thickness of 6 inches or as necessary to iaintain the low flow channel as designed. • Sediment shall be removed from the permanent pond of the detention basin located east of Hospital Road as necessary to maintain the proper functioning of the basin and outlet structure. b All outlet structures shall be cleaned when the thickness of sediment collected in the sump is greater than 50% of the capacity of the sump or as necessary if debris is found to be impeding flow. Any floatable pollutants shall be pumped from the outlet structures. • All material removed from detention basins and related structures shall be disposed in accordance with applicable local, state, and federal guidelines and regulations. Outfalls All areas down gradient of the basin outfalls shall be examined for evidence of erosion. Any areas devoid of vegetation shall be loamed„ seeded and protected with mulch or other suitable material. Record Keeping and Annual Reports Records shall be maintained by Cooley Dickinson Hospital at their offices as described above and shall document all routine and emergency maintenance work performed by Cooley Dickinson Hospital to the stormwater management system and shall bear the signature of the individual supervising the work. Annual reports documenting the inspection and maintenance of the stormwater management system shall be certified by Registered Professional Engineer and submitted to the Northampton Department of Public Works and the Northampton Office of Planning and Development no later than October 1St of each year. Page 3 of 3 Attachment A: Stormwater O&M Schedule s Winter Maintenance Snow shall not be plowed into the wetland resource areas or the detention basins on the property. Snow may be plowed to upland areas at the edges of the parking lots or roads. Catch basin grates shall be cleared of ice or snow buildup. In the event of icing, paved surfaces may be treated with sand or salt-free melting products. Products containing sodium chloride may only be used in severe situations (ice storms) when pedestrian and/or vehicular safety could be compromised. Drainage System All components of the drainage system shall be inspected at least twice per year or immediately upon evidence of malfunction. Maintenance procedures are described below: Catch Basins All catch basins within the premises shall be inspected twice per year for accumulation of sediment, installation of outlet hood, accumulation of fuel product and overall functioning of catch basins. Catch basins shall be cleaned when the thickness of sediment that collects in the sump is greater than 50% of the capacity of the sump. Any floatable pollutants shall be pumped from the basin. All materials removed from the basins shall be disposed of at an offsite facility in full compliance with all applicable federal, state and local regulations. Manholes All drainage manholes located within the premises shall be inspected twice per year for accumulation of sediment, integrity of manhole inverts, and presence of foreign materials within the flow line of inlet and outlet drainage lines. Water Quality Structures (Stormceptor) The Stormceptor water quality structure(s) shall be inspected and maintained according the manufacturer's specifications. Rinker, the manufacturer of Stormceptor recommends that maintenance be done on the structures at least once per year, but advises that the units be checked once every three months during the first year to determine the rate of sediment and oil accumulation and to establish an appropriate maintenance schedule. Maintenance or cleaning shall be performed after the stored volume reaches 15% of the Stormceptor capacity, or immediately in the event of a fuel or oil spill according the manufacturer's specifications. All material removed from the Stormceptors shall be disposed in accordance with applicable local, state, and federal guidelines and regulations. Detention Basins The Cooley Dickinson Hospital Site has a total of five (5) detention basins: 4 detention basins with forebays constructed as part of the Cooley Dickinson Hospital Parking and Roadway Improvements project as specified in the approved plans and specifications dated 1/11/2005 by Vanasse Hangen Bruslin, Inc. and 1 detention basin modified and reconstructed as part of the Surgical Center project as specified in the approved plans and specifications for the Detention Basin Modification dated 11/14/2006 by Vanasse Hangen Bruslin, Inc. All detention basins, for which there are a total of five, shall be inspected twice annually for cracking and erosion of side slopes and embankments, accumulation of sediment,performance of outlet structures, condition Attachment A: Stormwater O&M Schedule Page 2 of 3 ATTACHMENT A Stormwater Operation, Maintenance & Inspection Program Name of Project: Cooley Dickinson Hospital Parkinlz and Roadway Improvements and Surgical Center Project Location: 30 Locust Street Assessor's Map /Parcel(s): 2313-046-001 & 24C-041-001 Owner of the Stormwater System: Cooley Dickinson Hospital 30 Locust Street Northampton, MA 01060 Responsible Party for Operation & Maintenance of Stormwater System Cooley Dickinson Hospital, Director of Facilities 30 Locust Street Northampton, MA 01060 Financial Responsibility for Operation & Maintenance of Stormwater System: Cooley Dickinson Hospital 30 Locust Street Northampton, MA 01060 Maintenance Schedule Pavement Parking Lots, access drives and Hospital Road shall be maintained according to the following standards: Sweeping Paved areas shall be swept at least two times per year. Routinely pick up and remove litter from the paved areas, islands and perimeter landscape areas in addition to regular pavement sweeping. All materials swept from the parking lots and roads shall be disposed of at an offsite facility in full compliance with all applicable federal, state, and local regulations. 3 Attachment A: Stormwater O&M Schedule Page 1 of \VJ-I NIISS the following si-natffl-CS and seals: Company Name eal) By: -Y (Type Nam�) (Type Title)"r COMMONWEALTH OF MASSACHUSETTS County of Hampshire 01),this q'*6 day of '20 e ', before me, the undersigned notary public,personally appeared (., proved to me through satisfactory evidence of identification,which was a i— pi Driver's License,'-tel be the person whose name is signed on the proceeding document, and acknowledged to ille that he signed it voluntarily for its stated purpose. NOT RY RIJBLIC My Commission Expires:- C IY OF NORTHAMPTON MICHAEL R. B ROSLEY ACTING MAYO % COMMONWEALTH OF MASSACHUSETTS CITY COUNCIL P JESIDENT County of Hampshire On this - Y*' day of 20 before me, the undersigned notary public,personally appeared w proved to me through satisfactory evidence of identification, which was a Driver's License,to be the person whose name is signed on the proceeding document, and acknowledged to me that he signed it voluntarily for its stated purpose. N TA Y PUBLIC OFFICIAL SEAL COPINNF PHILIPPIDES N� MARY PUBLIC my Commission F W 0 ires: COMMONWEALTH OF MASSACHUSJTTS My -0mm.Expires Nov. 10,2011 Appi-) as For 11: Janct M. Sheppa d ity oficitor ijate', O&M "'\'-)1-Cc11Ic11t.doC Ic%, 8,-'12)000 Page 3 oI'3 the inspection is to assure sate and proper functioning of the facilities. The inspection shall cover the entire lacilitics, stormwater systems, berms, outlet structure,pond areas, access roads, etc. Deficiencies shall be noted in the inspection report. 4. The Landowner,its successors and assigns, hereby grant permission to the City, its authorized agents and employees, to enter upon the Property and to inspect the stormwater management facilities whenever the City deems necessary. The purpose of inspection is to follow-up on reported deficiencies. inspect the stormwater management facilities when annual reports have not been submitted and/or to respond to citizen complaints. The City shall provide the Landowner, its successors and assigns, copies of the inspection findings and a directive to commence with the repairs ifnecessary. 5. In the event the Landowner, its successors and assigns, fails to maintain the stormwater management facilities in good working condition acceptable to the City, and if after notice by the City Engincer to correct a violation requiring maintenance work_satisfactory corrections are not made by the Landowner, its successors and assigns within thirty days, the City may enter upon the Property and perform all necessary work to place the facility in proper working condition and assess the costs of such work and any penalties to the Landowner, its successors and assigns. This provision shall not be construed to allow the City to erect any structure of permanent nature on the land of the Landowner outside of the easement for the stormwater management facilities. It is expressly understood and agreed that the City is under no obligation to routinely maintain or repair said facilities, and in no event shall this Agreement be construed to impose any such obligation on the City. 6. 111 the event the City pursuant to this Agreement, performs work of any nature. or expends any funds in performance of said work for labor,use of equipment, supplies, materials.. and the like, the Landowner, its successors and assigns, shall reimburse the City upon demand, within thirty (30) days of receipt thereof for all actual costs incurred by the City hereunder. 7. This Agreement imposes no liability of any kind whatsoever on the City; and further the Landowner agrees to hold the City harmless from any liability in the event the stormwater management facilities fail to operate properly. 8. The Landowner,its successors and assigns, including any homeowners association, shall provide stonnuvater management easements as necessary for all areas used for off-site stormwater control, preservation of stormwater runoff conveyance, infiltration, and detention areas and facilities,including flood routes for the 100-year storm event, and access for facility maintenance and inspection. A list of easements with the purpose and location of each shall be specified in Attachment B. The Landowner, its successors and assigns shall record all easements in the land records of the Hampshire County Registry of Deeds.Commonwealth of Massachusetts. 9. The Landowner, its successors and assigns,shall notify the DPW of any changes in ownership. assignment of financial responsibility, reconstruction of the approved stormwater management tacilities and/or amendments to the maintenance schedule described in Attachment A. The maintenance schedule described in Attachment A may be amended to achieve the purpose of the Northampton Stornnvater Management Ordinance by mutual agreement of the DPW and the Landowner, its successors and assigns. Amendments shall be in writing and signed by the DPW and all responsible parties. I 0. This Agreement shall be recorded by the property owners or at the property owners expense among the land records of Hampshire County,Commonwealth of Massachusetts, and shall constitute a covenant running with the land, and shall be binding on the Landowner, its administrators, executors, assigns, heirs and any other successors in interests, including any homeowners association. - _ _ -- - ( &N A gr eemcnt.doc r cv. 8,21%2000 Page 2 of 3 STORMWATER MANAGEMENT OPERATION, MAINTENANCE, AND INSPECTION AGREEMENT HAWS HM City of Northampton, MA REGISTRYOMEDS Department of Public Works Book ..t�Y�.. Page 23S__ (413) 587-1570 Date # Tinect.�y THIS AGREEMENT,made and entered into this day of �,i v� .20G ,by and between Cooley Dickinson Hospital. Inc. hereinafter called the "Landowner", and the City of Northampton, hereinafter called the "City". WITNESSETH. that WHEREAS. the Landowner is the owner of certain real property at 30 Locust Street, Northampton, Massachusetts, as described as (City of Northampton Assessors Map/Parcel'Lot Number) 23B-46 and 24C-41 and as recorded by deed in the land records of Hampshire County.. Massachusetts,Deed Book 2485 Page 335 and Deed Book 7013 Page 94 hereinafter called the "Property". WHEREAS, the Landowner is proceeding to build on and develop the property; and WHEREAS, the Site Plans known as Cooley Dickinson Hospital Parking and Roadway Improvements, Surgical Center, Wood Chip Heating Facility Fxpansion, and Detention Basin Modification hereinafter called the "Plan", which is expressly made a part hereof. as approved or to be approved by the City.which provides for the conveyance, treatment, andior detention of stormwater within the confines of the Property; and WHEREAS. the City and the Landowner, its successors and assigns, including any homeowners association, agree that the health. safety. and welfare of the residents of the City of Northampton, Massachusetts,require that on-site stormwater management facilities be constructed and maintained on the Property; and WHEREAS, the City requires that on-site stormwater management facilities as shown on the Plan be constructed and adequately maintained by the Landowner, its successors and assigns, including any homeowners association. NOW, THEREFORE, in consideration of the foregoing premises, in accordance with the Northampton Stormwater Management Ordinance(Chapter 22 Article V of the City's Code of Ordinance'), the mutual covenants contained herein. and the following terms and conditions, the parties hereto agree as follows: 1. The on-site stormwater management facilities shall be constructed by the Landowner, its successors and assigns,in accordance with the plans and specifications identified in the Plans and d0Ctiments reviewed and approved by the Northampton Department of Public Works (DPW). 2. TI1e Landowner, its successors and assigns.. including any homeowners association_ shall adequately maintain the stormwater management facilities according to the maintenance schedule described in Attachment A. This includes all pipes and channels built to convey stormwater to the facility, as well as all structures,improvements, and vegetation provided to control the quantity and quality of the stormwater. Adequate maintenance is herein defined as good working condition so that these facilities are performing their design functions and so that water quality standards are met in all seasons and throughout the life of the stormwater system. The Landowner, its successors and assigns,shall inspect the stormwater management facility: and shall submit an annual report documenting the inspection and maintenance of the stormwater management system as certified by Registered Professional Engineer and submitted to the Northampton Department of Public Works annually by October 1" of each year. I he pwpose of O&M Agieement.doc rev. 8'21/2006 Pale 1 of 3 a3 T) -L& Etheredge & Steuer, P.c. ATTORNEYS AT LAW 64 GOTHIC STREET NORTHAMPTON, MASSACHUSETTS 01060 EDWARI>D, EiHEREDCE (413) 584-1600 FAX (413) 585-8406 SHELLEY STEUER' 'At-Ad—tted in Ne,v York and Cahf'—a April 20, 2007 Ned Huntley, Dir. Northampton Public Works 125 Locust Street Northampton, MA 01060 Re: Stormwater Agreement Cooley Dickinson Hospital Book 9103, Page 235 4 Dear Ned: _ I enclose a date and time stamped copy of the Stormwater Management Agreement which was recorded this date in Book 9103,Page 235. Very truly yours, Edward D. Ether`edge EDE/kap Enc. cc: Richard Corder, Dir. Anthony Patillo, Building Comm. (Letter sent via fax, copy by mail) Apr 20 07 09. 27a Etheredge & Steuer 413-585-8406 p. 1 Etheredge & Steuer, >?c. ATTORNEYS AT LAW 64 GOTHIC STREET NORTHAMPTON, MASSACHUSETTS 01060 -----_- Ef)WARD D. ETHE..R170GE (413) 584-1600 - SHL-CELT STEUER` SAX 4413) ,585-8406 'Also Admitted in New fork and C'alifnrnia APES 2 0 �!„vi April 20,2007 Ned Huntley, Dir_ Northampton Public Works 125 Locust Street Northampton, MA 01060 Re: Stormwater Agreement Cooley Dickinson Hospital Book 9103,Page 235 Dear Ned: i enclose a date and time stamped copy of the Stormwater Management Agreement which was recorded this date in Book 9103,Page 235. Very truly yours, Edward D. Eth edge EDE/kap Enc. cc: Richard Corder, Dir, Anthony Patillo,Building Comm. (Letter sent via fax, copy by mail) ?"f6cTwc- 5-rA I S GK Vj ke rA 64 -x119) c ne C-cVL"t-R st tp f A 7 C fljo6 FGoon C,69VQAI, FA'FT' U--&tfZ Ole- tj;,,t4 i 0 bAt I j ea ?t BP-2005-1228 GIs#: ClYlMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON ` Lot: -001 Permit - Build! i1Q T_ ULD:I1 -PERMIT Categor :NEW COMMERCIAL BUILDING 802005-1228 Projecf#" - JS-2005=0999 - e: 3 soo.otl -- -- P.E ISSIONIS HEREBI'—YRANTED TO: Const-Mass: Contractor: r License: U se GrouQ _ BARR &BARR INC 089188 tefsa:±. :-667077.$4 Owner. :COOT EY�ICKINSON 1iOPITAL INC zo oning:iyl;. Applicant: BARR &_BARR INC_._ - AT: 30 LOCUST ST Applicant A ddress: Phone: Insurance: =32 HAi11PDEN ST (4131739-6257 WC SPRINGFIELDMA01103 ISSUED ON.-8 118105 0:00:00 TO PERFORM THE FOLLOWING WORK-CONSTRUCT 4 STORY SURGICAL/BED EXP� SION (NO.CO'S TEMP OR OTHERWISE UNTIL STORMWATER PERMIT APPROVED) ?POST THIS CARD SO IT IS VISIBLE FROM THE STREET 3ns1�i ctor of Plumbing Inspector of Wiring; D.P.W. Building Inspector Under`round: Service:/dD� /cl Meter: g Footings: "Rough Rough: house# Foundation: D h-eway Final: Foal Final: p4�T��L Grlo�. d2 y� S/a� i4f� Rough Frame: `—� c+`�ir� Fire Department Fireplace/Chimney: Rough Oil: Insulation: Final: D Ft,.a o JH1nai: -- - - Smoke: Dx`9 7( TATS PFRiVIIT-MAYBE REVOKED BY-T11E ITY O1"_NORTHA 1PTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sianature• — Fee. Date Paid: Amount: ;Building 8/18/05 0:00:00 $39600.00 aLL 212IvIain Street,.Pbone,(41 j 87-i2�l0,Fax:-(413)587-1272 zl Builct'ing Co.Yunissianer=Anthony Patillo 3y �'FL+vllkin-'�a NAB".�p b* K L H — k ' 30 LOCUST ST BP-2005-1228 GIS#: COMMONWEALTH OF MASSACHUSETTS MQ Block:23B-046 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:NEW COMMERCIAL BUILDING BUILDING PERMIT Permit# BP-2005-1228 Project# JS-2005-0999 Est.Cost: $2000000.00 Fee: $39600.00 PERMISSIONIS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BARR& BARR INC_ 089188 Lot Size(sa.ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC Zoning:M Applicant: BARR & BARR INC AT. 30 LOCUST ST Applicant Address: Phone: Insitrance: 32 HAMPDE�1 ST (413) 739-6257 WC SPRINGFIELDMA01103 ISSUED ON.8118105 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 4 STORY SURGICAL/BED EXPANSION (NO CO'S TEMP OR OTHERWISE UNTIL STORMWATER PERMIT APPROVED) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring 00nn D.P.W. Building Inspector Underground: Service:/dl�d� /�Ji4� Meter: Footings: Rough: Rough: house# Foundation: Driveway Final: Final: Final: Rough Frame: s] °'i k- 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. -'' 60 DAY NNW Certificate of Occupanc nat°rely — FeeType• Date Paid: Amount: Building 8/18/05 0:00:00 $39600.00 212 Main Street,Phone(41 ) 587-1240,Fax: (413)587-1272 Building Co_,unissioner-Anthony Patillo STRUBLE ENGINEERING, LLC 603 Main Street Reading, MA 01867-3002 (781) 942-3845 (781) 942-7083 Fax Final Construction Control Affidavit Project Title: Surgery/ Beds Expansion, Phase 1 Project Number: JS-2005-0999 Building Permit No.: BP-2005-1098 (Foundations)/ BP-2005-1228 (Building) Project Location: 30 Locust Street, Northampton, MA 01061 Name of Building: Cooley Dickinson Hospital Nature of Project: Construct foundations and superstructure for four-story addition to existing hospital (spread footings, composite steel framing, moment frame lateral system) In accordance with Section 116.0 Registered Architectural and Professional Engineering Services- Construction Control of the Massachusetts State Building Code, I, Jeffrey W. Struble, Registration No. 32141, being a Registered Professional Engineer, hereby certify that I have prepared or directly supervised the preparation, of all the design plans, computations and specifications concerning the structural system for the above named project and that such plans, computations and specifications meet the applicable provisions of 780 CMR Massachusetts State Building Code, all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I have performed the necessary professional services and have been present on the construction site on a regular and periodic basis to determine that the work has proceeded in accordance with the Contract Documents submitted for the Building Permit. am submitting, therefore, this final report as to the satisfactory completion and readiness of the project's structure for occupancy. JEFFREY ; W. STRUBLE i*. T }/ V iS No.32141 vy ^' Signature d t mp 12 , a� ' 'srONALts' SUBSCRIBED AND SWORN TO BEFORE-ME THISDAY OF �//Q�cL. 2007 MY COMMISSION EXPIRES OTARY PUBLIC IN ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT Project Number: 2323 Project Name: Cooley Dickinson Hospital Project Title: Surgery/Beds Expansion Project Location: 30 Locus Street Northampton MA 01061 Scope of Project: The new Surgery/Beds Expansion Project is a building consisting of approximately 117,690 GSF. This building will serve as an inpatient facility consisting of Ground floor with logistical support services, laboratory and central sterilization departments. First floor has six operating rooms with two future operating rooms, surgical suite, and supporting PACU & Stage II recovery units. (There is no second floor in order to create a match with existing hospital levels). Third floor has 32 private, med/surg rooms. The relocation of the Joint Center and the mechanical penthouse is located directly above the patient care floor. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, W. Keith Davis, AIA Massachusetts Registration Number 30335 being a registered professional Architect, hereby states to the best of my knowledge and belief, that the architectural drawings dated 5/13/05, computations and specifications, and changes thereto, involving subject project have been prepared by or under the direct supervision of a Massachusetts registered professional Architect and bear his or her original signature, as defined by Massachusetts General Law (M.G.L.) c. 112, §81 R. For the above named project, I, or a registered professional Architect under my cognizance, have reviewed the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. I further state that I or my representative was present on the construction site at intervals appropriate to the stage of construction to become generally familiar with progress and quality of the work and have determined, in general, if the work was performed in a manner consistent with the construction documents. S Ef AlZ,��, (El' NE 01 i,q W1 a Architect Architect v Date Z1 7 �V\ Subscribed and sworn to before me this t day o 2007 Notary PubliU Date Notary Public Commission Expires 2323ArchfinalAff..doc MECHANICAL ENGINEER CONSTRUCTION CONTROL AFFIDAVIT Project Number: 2323 Project Name: Cooley Dickinson Hospital Project Title: Surgery/ Beds Expansion Project Location: 30 Locus Street Northampton MA 01061 Scope of Project: The new Surgery/Beds Expansion Project is a building consisting of approximately 117,690 GSF. This building will serve as an inpatient facility consisting of Ground floor with logistical support services, laboratory and central sterilization departments. First floor has six operating rooms with two future operating rooms, surgical suite, and supporting PACU & Stage II recovery units. (There is no second floor in order to create a match with existing hospital levels). Third floor has 32 private, med/surg rooms. The relocation of the Joint Center and the mechanical penthouse is located directly above the patient care floor. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, James F. Newton, PE, Massachusetts Registration Number 36478 being a registered professional Engineer, hereby states to the best of my knowledge and belief, that the mechanical drawings dated 5/13/05, computations and specifications, and changes thereto, involving subject project have been prepared by or under the direct supervision of a Massachusetts registered professional Engineer and bear his or her original signature, as defined by Massachusetts General Law (M.G.L.) c. 112, X81 R. For the above named project, I, or a registered professional Engineer under my cognizance, have reviewed the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. I further state that I, or my representative was present on the construction site at intervals appropriate to the stage of construction to become generally familiar with progress and quality of the work and have determined, in general, if the work was performed in a manner consistent with the construction documents. oa t��\�- P ssy. o J. ES F N EwaVTON Ii NAECWANICAL No 36478 AA Engine Date DIAL S scribed and sworn to before me this _day o 2007 Ir (n a3 ZA Notary Publi Date Not try Pul3lic Commission Expires 2323MecFina1Aff..doc ELECTRICAL ENGINEER CONSTRUCTION CONTROL AFFIDAVIT Project Number: 2323 Project Name: Cooley Dickinson Hospital Project Title: Surgery/ Beds Expansion Project Location: 30 Locus Street Northampton MA 01061 Scope of Project: The new Surgery/Beds Expansion Project is a building consisting of approximately 117,690 GSF. This building will serve as an inpatient facility consisting of Ground floor with logistical support services, laboratory and central sterilization departments. First floor has six operating rooms with two future operating rooms, surgical suite, and supporting PACU & Stage II recovery units. (There is no second floor in order to create a match with existing hospital levels). Third floor has 32 private, med/surg rooms. The relocation of the Joint Center and the mechanical penthouse is located directly above the patient care floor. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, Russell K. Garratt, PE, Massachusetts Registration Number 46056 being a registered professional Engineer, hereby states to the best of my knowledge and belief, that the electrical drawings dated 5/13/05, computations and specifications, and changes thereto, involving subject project have been prepared by or under the direct supervision of a Massachusetts registered professional Engineer and bear his or her original signature, as defined by Massachusetts General Law (M.G.L.) c. 112, X81 R. For the above named project, I, or a registered professional Engineer under my cognizance, have reviewed the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. I further state that I, or my representative was present on the construction site at intervals appropriate to the stage of construction to become generally familiar with progress and quality of the work and have determined, in general, if the work was performed in a manner consistent with the construction documents. N OF A4419, -70 o� RUSSELL KEITH tiG E R � ELECTRICAL 46056 Date Engineer q o e 9p� F'ISTEP` /0 AL�N6 Subscribed and sworn to before me this of 2007 � WtA, (PI d 3 2� Notary Public Date Notary Pubic Commission Expires 2323ElectFinalAff..doc Page 1 of 1 Anthony Patillo From: Richard Corder[Richard_Corder @cooley-dickinson.org] Sent: Friday, April 20, 2007 10:21 AM To: Anthony Patillo Cc: Norm Welch; Bill Aquadro Subject: New Buidling and DPH # Tony Thanks for taking the time to chat with me this morning. I am hoping that we can do what is necessary today to meet your expectations and stay on track with our schedule to: • Open N3 for patients on 4/21 • Open N4 for patient on 4/23 • Open OR's, PACU, SDC and Recovery(1St and Ground—except Lab)for service on 4/30 • Start moving into the Lab on 4/25—complete 4/30 Please let me know what else I can do to make this happen. The fax number for Valerie at DPH is 617-753-8094. 1 would be most appreciative if you could forward me a copy of what you fax—thanks Tony. Richard H.L. Corder Vice President, Operations and Facilities Management Cooley Dickinson Hospital Direct Line: (413) 582-2215 Cell: (413) 530-0762 EA: (413) 582-2216 - Kristian 4/20/2007 ' Message Confirmation Report APR-20-2007 0328 PM FRI Fax Number • 4135870917 Name B&B - CDH FIELD Name/Number 16177538094 Page 3 Start Time APR-20-2007 03:28PM FRI Elapsed Time 00'22" Mode STD ECM Results (0.Kj B ARB' BARR, INC, ""'""BUILDERS"'-' FAX MEMORANDUM TO: ,� r uL, FROM: COMPANY: DP44 DATE: FAX NO: (p 17 7S3 8 o q l-f PAGES(including cover): JOB: RE: COMMENTS: Cooley-Dickinson Hospital Field Office 30 Locust Street Northampton,MA 01060-2052 Tel:(413)587-0616 Fax;(413) 587-0917 I BARR o BARR, INC. BUILDERS FAX MEMORANDUM TO: � FROM: 0- COMPANY: �� DATE: FAX NO: I ""7 753 go cl PAGES (including cover): JOB: RE: COMMENTS: Cooley-Dickinson Hospital Field Office 30 Locust Street Northampton, MA 01060-2052 Tel: (413) 587-0616 Fax: (413) 587-0917 SWB Indirect Light Niche/Twin Tube 40W/Electronic 1 15 41 615 SWC Patient Bed Light/48" T8 32W /Magnetic 4 32 118 3776 SWD Decorative Wall Sconce/Triple 4-pin 13W/Electronic 2 53 29 1537 Wall Mounted Fixtures W lA Elevator Pit Light/Triple 4-pin 26W /Electronic 1 6 29 174 W 1J Decorative Wall Sconce/Triple 4-pin 13W/Electronic 2 17 29 493 Exit Signs ElA Single Face L.E.D. Exit/Other/Electronic 1 62 3 186 E1B Double Face L.E.D. Exit/Other/Electronic 1 11 3 33 E1C Edge Lit L.E.D. Exit/Other/Electronic 1 29 3 87 E1D Edge Lit L.E.D. Exit/Other/Electronic 1 4 3 12 Total Actual Watts= 142188 Section 3: Compliance Calculation If the Total Allowed Watts minus the Total Actual Watts is greater than or equal to zero, the building complies. Total Allowed Watts= 186720 Total Actual Watts= 142188 Project Compliance= 44532 (Lighting PASSES: Design 240%.better than code F7F 6"x4' Acrylic Lens/Other/Electronic 1 59 31 1829 Linear Wall Slot 178A 2' Wall Slot with Lens/24" T8 17W /Electronic 2 14 33 462 F8B 3' Wall Slot with Lens/36" T8 25W /Electronic 2 51 48 2448 178C 4' Wall Slot with Lens/48" T8 32W /Electronic 2 26 59 1534 F8E 4' Asym Distr Cove Light/48" T8 32W/Electronic 2 24 59 1416 F8J 2' Open Wall Wash/24" T 8 32W /Electronic 1 7 19 133 F8K 3' Open Wall Wash/36" T8 25W/Electronic 1 28 26 728 F8L 4' Open Wall Wash/48" T8 32W/Electronic 1 99 31 3069 F8P 8" Field Curvable System/Twin Tube 13W /Electronic 1 83 16 1328 F8Q 4' Linearl Wall Wash/Other/Electronic 1 40 62 2480 F8R 4' Linearl Wall Wash/Twin Tube 40W/Electronic 2 6 72 432 178S 4' Linearl Wall Wash/Other/Electronic 1 6 62 372 Medical Lighting Syst. Fixtures 179A 2'x2' Surgical Trofer/24" T8 17W /Magnetic 4 16 90 1440 F9B 2'x4' Surgical Trofer/48" T8 32W /Magnetic 6 64 228 14592 179C 1'x4' Surgical Trofer/48" T8 32W /Magnetic 3 4 117 468 F9D 4' Linear Exam Light/48" T5HO 54W/Electronic 1 144 62 8928 Basket Indirect FAl 2'x2' Dir/Indirect Basket/Twin Tube 40W/Electronic 2 86 72 6192 FB3 2'x4' Dir/Indirect Basket/48"T8 32W/Electronic 3 15 88 1320 FB4 2'x4' Dir/Indirect Basket/48"T8 32W /Electronic 3 11 93 1023 FD8 1'x4' Linear Dir/Indirect/Other/Electronic 1 80 33 2640 Fluorescent Pendants FPA 1'x4' Industrial Pendant/48" T8 32W /Electronic 2 148 59 8732 Fluorescent Surface FSC 4' Strip/48" T8 32W/Electronic 1 43 31 1333 Fluorescent Wall FWG 3' Direct/Indirect Wall Mtd/36" T8 25W/Electronic 2 2 48 96 FWJ 4' Direct/Indirect Wall Mtd/48" T8 32W/Electronic 2 30 59 1770 FWM 3' Direct/Indirect Wraparound/ 36" T8 25W/Electronic 2 1 48 48 FWN 4' Direct/Indirect Wraparound/48" T8 32W /Electronic 2 15 59 885 FWO Wall Mtd. Indirect/Twin Tube 55W/Electronic 2 7 109 763 Downlights RAA DOWNLIGHT /Triple 4-pin 42W /Electronic 1 19 46 874 RBA DOWNLIGHT /Triple 4-pin 32W /Electronic 1 6 36 216 RBE DOWNLIGHT /Triple 4-pin 32W/Electronic 1 8 36 288 RGG DOWNLIGHT /Triple 4-pin 32W /Electronic 1 4 36 144 RHJ DOWNLIGHT /Triple 4-pin 26W /Electronic 2 50 51 2550 RJF DOWNLIGHT /Other 1 66 200 13200 RMF DOWNLIGHT /Triple 4-pin 32W/Electronic 1 32 36 1152 RNA SHOWER LIGHT /Triple 4-pin 26W /Electronic 2 35 51 1785 RNB 18" DIA Ceiling Mtd/Triple 4-pin 26W/Electronic 2 7 51 357 RNC 18" DIA Ceiling Mtd/Triple 4-pin 18W/Electronic 3 36 54 1944 Night Lights NLA Patient Room Night Light/Triple 4-pin 13W/Electronic 1 13 16 208 NLB Patient Room Night Light/Triple 4-pin 13W/Electronic 1 33 16 528 Specialty Lighting SRA 5' Round Dome Light/48" T8 32W /Electronic 8 3 232 696 SRB Decorative Downlight/Triple 4-pin 13W /Electronic 1 42 16 672 SRC 2' Round Dome Light/Twin Tube 40W /Electronic 2 6 72 432 SRD Decorative Downlight/Triple 4-pin 26W /Electronic 3 4 78 312 Lighting Application Worksheet Massachusetts Commercial Code COMcheck-EZ Sollware Version 3.0 Release 2a Section 1: Allowed Lighting Power Calculation A B C D T otal Floor Allowed Allowed Area Watts Watts Building Type ($2) (watts/$2) B x Cl Hospital/Healthcare 116700 1.6 186720 Total Allowed Watts= 186720 Section 2: Actual Lighting Power Calculation A B C D E F Fixture Fixture Description/ Lamps/ #of Fixture M j=p Description/Wattage Per Lama Ballast Fixture Fixtures Watt- (D x El Space 1 F1A TASK LIGHT /24" T8 17W/Electronic 1 9 22 1 FIB TASK LIGHT / 36" T8 25W/Electronic 1 42 28 11177 6 F1C TASK LIGHT /48" T8 32W/Electronic 1 26 34 884 FIE TASK LIGHT /Other/Electronic 1 32 19 608 F 1F TASK LIGHT /Other/Electronic 1 12 26 312 F2A 2'X2' PRISMATIC LENS /24" T8U 32W /Electronic 2 128 59 7552 F2F 2'X2' W/Gasketed Lens/24"T8U 32W /Electronic 2 3 59 177 2'X2' Prismatic Lens F2J 2'X2' HOLOPHANE LENS /Twin Tube 40W /Electronic 3 10 113 1130 2'x4' Prismatic Lens 173A 2'X4' PRISMATIC LENS /48" T8 32W/Electronic 2 13 59 88 5 F3B 2'X4' PRISMATIC LENS /48" T8 32W/Electronic 3 81 85 6 688 F3C 2'X4'PRISMATIC LENS /48" T8 32W/Electronic 3 6 90 540 F3D 2'X4' PRISMATIC LENS /48" T8 32W/Electronic 4 3 118 354 F3H 2'X4' W/Gasketed Lens/48" T8 32W/Electronic 3 62 85 5270 F3P 2'X4' W/Gasketed Lens/48"T8 32W/Electronic 3 11 85 935 1'x4' Prismatic Lens F4K 1'x4' Prismatic. Lens/48" T8 32W/Electronic 3 4 85 340 2'x2' Parabolic F5A 2'x2' Parabolic/24" T8U 32W /Electronic 2 12 59 708 2'x4' Parabolic F6C 2'x4' Parabolic/48" T8 32W /Electronic 3 14 1 1260 1 F61) 2'x4' Parabolic/48" T8 32W /Electronic 4 14 118 1652 6"x4' Lens 1 F7C 4' Parabolic Baffle/Other/Electronic 1 18 5 F71) 6"x4' Parabolic BaEe/ Other/Electronic 2 94 1 117 10099 98 F7E 6"x4'Parabolic Baffle/Other/Electronic 2 9 124 1116 [ ] 5. Photocell/astronomical time switch on exterior lights. Exceptions: Areas requiring lighting during daylight hours [ ] 6. Tandem wired one-lamp and three-lamp ballasted luminaires. Exceptions: Electronic high-frequency ballasted luminaires not on same switch Section 4: Compliance Statement The proposed lighting design represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed lighting system has been designed to meet the Massachusetts Commercial Code requirements in COMcheck-EZ Version 3.0 Release 2a and to comply with the mandatory requirements in the Requirements Checklist v� 6� �s +,gv Principal Lighting Designer-Name Signature D Permit Number Lighting Compliance Certificate Checked By/Date Massachusetts Commercial Code COMcheck-EZ So$ware Version 3.0 Release 2a Data filename: PACooley Dickinson\2323 Surgery Beds\4.00 Design Data&Reports\4.50 Calculations\Electrical Calcs\Fixture Schedule\2323comcheck.cck Section 1: Project Information Project Name: COOLEY DICKINSON HOSPITAL SURGERY/BEDS EXPANSION PHASE 1 Designer/Contractor: TRO/THE RITCHIE ORGANIZATION Document Author: NICK VOTAW Section 2: General Information Building Use Description by: Whole Building Type Project Type: New Construction Building Type Floor Area Hospital/Healthcare 116700 Section 3: Requirements Checklist Bldg. Dept. Use Interior Lighting [ ] 1. Total actual watts must be less than or equal to total allowed watts Allowed Watts Actual Watts Complies(Y/N) 186720 142188 YES Exterior Lighting [ ] 2. Type(s)of exterior lighting sources: _Fluorescent Metal Halide High-Pr. Sodium � Exceptions: Specialized signal, directional, and marker lighting; lighting highlighting exterior natures of historic buildings; advertising signage; saiety or security lighting; low-voltage landscape lighting. i Controls, Switching, and Wiring [ ] 3. Master switch at entry to hotel/motel guest room. [ ] 4. Minimum of two switches, dimmer, or occupancy sensor in each space. Exceptions: Only one luminaire in space; Security lighting, 24 hour lighting; The area is a corridor, storage, restroom, retail sales area or lobby. Complete mechanical and electrical system testing and inspections will be performed by the contractor with the owner and owner's representative present. The tests and inspections must comply with the criteria stated for the work to be accepted. Refer to the contract specifications for complete testing requirements. HVAC • Balance airflow and water flow within distribution systems, including submains, branches, and terminals,to indicated quantities according to specified tolerances. • Adjust total HVAC systems to provide indicated quantities. • Measure electrical performance of HVAC equipment. • Verify that automatic control devices are functioning properly. • Measure sound and vibration. LIGHTING All systems installed will be tested to verify that they are complete and operable prior to area turnover to the owner. Extensive testing and inspections are specified throughout the project specifications. Refer to Division 16 specifications for test and inspection requirements. 6. OPERATIONS MANUALS AND MAINTENANCE MANUALS The general contractor will provide Operations Manuals and Maintenance Manuals for mechanical and electrical systems and equipment installed on the project. The project specifications outline the requirements for submission. 7. RECORD DRAWINGS AND CONTROL DOCUMENTS The general contractor will provide a complete set of record drawings for all mechanical and electrical drawings,which identify all modifications to the original contract documents incorporated during project construction. The record drawings will be an accurate depiction of the physical project as turned over to the owner. The control documents will include drawings,details,and narrative descriptions that accurately reflect the installed control systems.The documents should indicate all control points in the facility with complete details regarding design and operability such that the owner can modify the controls in the future, as required. 5 Steam is provided by the existing boiler plant. Chilled water is provided by the Hosptial's existing absorption,and electric centrifugal chiller as well as the new electric centrifugal chiller located in the plant consisting of a total of three 500 ton chillers for a total capacity of 1,500 tons. ELECTRICAL Lighting The lighting within the addition has been designed to provide IES recommended light levels in accordance with recommendations for health care facilities,as published in IES RP-29. Recessed fluorescent fixtures are used in rooms with lay-in and gypsum board ceilings. Low brightness luminaries utilizing indirect sources or those utilizing parabolic louvers will be specified for all VDT areas. Asymmetric lensed surgical luminaries with RFI filters will be used in operating rooms. Industrial or open strip type fluorescent fixtures will be used in areas with unfinished ceilings. Minimal incandescent lighting will be installed where high color rendition is necessary. Energy efficient lighting systems eligible for Massachusetts Electric rebates will be utilized whenever possible. Fluorescent tubes are of watt energy efficient T-8 or T-5 lamps with low harmonic electronic ballasts whenever possible. Downlights utilize compact fluorescent or HID sources. Electronic ballasts have been specified for all areas outside of operating rooms. Fluorescent lamps are typically 4100K color temperature and a CRI of 80 or better. Lamps in the operating suites have been selected to match the color of the exam light. Specialty fluorescent fixtures have been utilized in high profile public spaces and at areas where traditional fluorescent lighting is not appropriate. Accent lighting has been provided to assist wayfinding and highlight architectural features. Task lighting has been provided for all work surfaces such as architectural casework,counters,and nursing workstations. The main entrance lobby,elevator lobbies,nurse's stations, and public waiting spaces has been equipped with high quality semi-custom specialty fixtures to create a healing environment. Patient room lighting has been provided with multiple systems to provide at least three levels of lighting. General ambient lighting,general exam lighting,and patient reading lighting. Corridor lighting systems have been configured to provide uniform multiple light levels. Critical,normal and life safety lighting is independently switched to provide up to three distinct light levels under direct control of nursing staff. Architectural building lighting is provided to highlight architectural features of the new building. Significant architectural elements have been accented with LED flood or spot lighting. The fixtures will be integrated into the building design or arranged on the site for optimum performance. Power Distribution New electrical distribution from a new 2000 kVA 480/277 Volt double ended substation will serve the new addition. The distribution is configured to comply with Massachusetts Electric Code and section 1301.8.4.1 of the Massachusetts State Building Code. Feeders have been designed to meet the voltage drop requirements of the code. 5. TESTING 4 ■ Footcandle levels in accordance with IES recommendations for health care facilities,as published in IES RP-29. ■ Task lighting as required at desk and counter tops. ■ 0.9 watts per square foot for ambient lighting in active storage areas. ■ 1.3 watts per square foot for ambient lighting in corridors. ■ 1.4 watts per square foot in electric rooms. ■ 1.4 watts per square foot in utility rooms. ■ 1.3 watts per square foot in open offices. ■ 1.1 watts per square foot in enclosed offices. ■ 1.4 watts per square foot in rest rooms. 3. SEQUENCE OF OPERATIONS AND INTERACTIONS HVAC Cooling and ventilation for the addition will be provided by three variable air volume air handling units. Steam for humidification will be provided to the air handling unit from a clean steam generator. Space heating is achieved via hot water reheat coils in zone terminal boxes. Each terminal box and reheat coil will be controlled by a wall mounted temperature sensor. Control sequences include the following: ■ Spaces will be variable air volume with minimum airflow set to satisfy Massachusetts DPH requirements. ■ The Operating Rooms will have an unoccupied setback mode to reduce airflow while maintaining positive room pressure. ■ The supply fans use variable frequency drives to vary volume with accompanying power reduction as terminal boxes close. ■ Minimum outdoor air for ventilation is controlled by a dedicated ventilation air damper and airflow measuring station. ■ The units use airside economizer for free cooling when outdoor air conditions permit. An enthalpy- based routine is used to override to minimum outdoor air. ■ Space pressurization is maintained by volumetric supply/return fan tracking. The mechanical systems/equipment and all occupancy modes will be controlled by a DDC control system, which can be accessed remotely from the operator's head end workstation. Lighting Ambient lighting is controlled by a combination of single and multilevel manual switching. The lighting in small electrical closets,mechanical rooms,public bathrooms,and several offices are controlled via wall mounted occupancy sensors. Emergency lighting and exit lighting have separate controls. Security and safety egress lighting will be controlled by photocells for dusk to dawn operation. 4. SYSTEMS AND EQUIPMENT CAPACITIES HVAC The building space will be served by three air-handling units,one 32,000 CFM variable volume unit dedicated to the Operating Rooms and two 45,000 CFM Variable volume units in parallel providing conditioned air to the rest of the addition(Note:The dedicated operating room unit will have a cross connection to the other units on emergency power to provide redundancy/minimal shutdown to the operating rooms). The internal components of each unit include;supply fan,economizer section,pre- filters,steam humidifier,chilled water cooling coil,and final filters. The units will provide approximately 33%n outside air. The variable frequency drives on the unit's fan will allow the unit to operate at part load with maximum energy efficiency. 3 Operations manuals and maintenance manuals will be required by the contract documents for all mechanical and electrical equipment provided on the project. The manuals will be reviewed by the designer and turned over to the owner for their use. The contract documents will also require that all trade contractors,as coordinated through the general contractor,provide record drawings for all mechanical and electrical drawings which identify all modifications to the original contract documents incorporated during project construction. The designer of record will certify that the systems have been installed in accordance with the approved construction documents,in conformance with 780 CMR 1301.8.4.4. 2. BASIS OF DESIGN The following are the assumptions used to calculate the capacities and parameters for the building components. HVAC Interior temperature setpoints: Room Temperature Humidity • Lobbies,&Waiting Areas 70°F to 7°F 30%RH • Operating Rooms 68°F to 73°F 30%to60%RH • Critical and Intensive Care 70°F to 75°F 30%to60%RH • Recovery Room 70°F to 75°F 30%to60%RH • Examination Rooms 75°F 30%RH • Isolation Rooms 75°F 30%RH • Patient Rooms 70°F to 75°F 30%RH • Administrative Rooms 70°F to 75°F 30%RH • Conference Rooms 70°F to 75°F 30%RH • Central Sterile Areas 68°F to 73°F 30%RH • Central Utility plant 65°F Winter/90°F Summer Outdoor ambient design temperatures: • Winter design dry bulb -1°F • Summer design dry bulb 86°F • Coincident wet bulb. 73°F Occupancy: ■ 110 square feet per person(average). ■ 112,550 gross square feet in addition. ■ 42,012 square feet gross wall area. ■ 9'-0"floor to ceiling height in Cath Labs and Prep/Recovery areas,8'-0"elsewhere. ■ 14'-0"floor-floor height(Ground floor to top of First floor structure) . ■ 16'-8"floor-floor height(First floor to top of Third floor structure) . ■ 14'-0"floor-floor height(Third floor to top of Fourth floor structure) . ■ 18'-8"floor-floor height(Fourth floor to top of roof structure) . ■ 8,169 square feet vertical glazing area. ■ 36,491 square feet gross roof area U-Values(BTU/hr/sq.ft./deg.F): • Windows: 0.59 • Walls:0.07 • Roof: 5"concrete deck with minimum 3"rigid board insulation: 0.054 • Outside ventilation air: 33 % minimum,sized to satisfy HHS/AIA Guidelines for Design and Construction of Hospital and Health Care Facilities, 2001 ed. LIGHTING(also see attached COMcheck Compliance Report) 2 Narrative Report for Compliance with Section 1301.8.4.1 of the Massachusetts State Building Code(780 CMR)—"Approval and Acceptance" Cooley Dickinson Hospital Surgery/Beds Expansion Phase I Healthcare/Inpatient—Climate Zone 14a Owner: Cooley Dickinson Hospital (413-582-2000) Designer of Record:TRO/The Ritchie Organization(617-969-9400) Date of Submittal:June 9,2005 1. DESIGN INTENT General The project is a new four-story addition consisting of a ground floor,first floor,third floor and fourth floor with a total floor area of 112,550 square feet. The building will be for healthcare/inpatient occupancy,use Group I-2,building construction classification 1B. The building will be connected to the existing building entrance corridors at the ground,first,third and fourth floors. Central Sterile and Lab space will be constructed on the ground floor,Surgery and PACU will be installed on the first floor,Patient suite will be constructed on the third floor and patient care joint center will be constructed on the fourth floors within the new addition. The Chiller Plant addition will include a new High Efficient Electric Centrifugal Chiller and Cooling Tower adjacent to the existing. New boiler feed Surge and Deaerator Tanks and transfer pumps will replace the existing within the Boiler Plant. The exterior of the building addition is constructed of brick masonry and metal panels. The roof is a 5 1/4" composite concrete deck with tapered rigid insulation with a minimum 3"thickness at roof drains. The addition will be fully sprinkled. Normal power for the addition is provided via a new metal clad switchgear lineup with a main-tie-main configuration. Massachusetts Electric will relocate the existing riser poles to a location near the new addition. Two feeder circuits from the utility supply the new switchgear. The switchgear is configured in a primary selection status but has been designed to accommodate an automatic throw over scheme in the future. The new primary switchgear distributes 13.8 kV electrical power to the new addition and redistributes 13.8 kV electrical power to the existing Project 2000 substation and the existing Boiler Plant. The new switchgear lineup also provides power to a new 2000 kVA 480/277 Volt double ended substation located in a ground floor normal electric room. This substation distributes 480/277 Volt power distribution panelboards which feed lighting,power,and receptacle loads in the new addition. Essential electrical power distribution for the proposed addition will originate from three existing 800 kW 480/277 Volt standby generators. The essential power system distributes electrical energy at 480/277 Volts from a switchgear located in a two hour rated electric room on the ground floor of the addition. All essential electrical power equipment such as automatic transfer switches and main distribution panels are located inside this room. The essential power switchgear distributes 480/277 Volt power to distribution panels which feed lighting,power,and receptacle loads in the new addition. The planned operating schedule for the facility will be continuous 24 hours a day,seven days per week. Security lighting will be photocell controlled and connected to the emergency distribution system for emergency egress capability under loss-of-power conditions. Heating and cooling will be provided via air handling units located on the fourth floor mechanical room with duct distribution to zone terminal boxes with hot water reheat coils. All equipment sized and controlled to achieve the greatest flexibility and efficient operation. C:ADocuments and SettingsVDMeDonald\Local Settings\Temporary Internet FhesVOLK2\2323 Mass Energy Code Narrative Report.doc Climate-Specific Requirements Gross Cavity Cont. Proposed Budget Component Name/Description Area R-Value R-Value U-Factor U-Factor Roof 1: Structural Slab 31786 --- 22.5 0.042 0.054 Exterior Wall 1:Metal Frame, 16" o.c. 40606 19.0 5.0 0.073 0.079 Exterior Wall 2: Solid Concrete or Masonry>8" 1262 10.0 0.0 0.144 0.079 Furring:Metal Basement Wall 1: Solid Concrete or Masonry>8" Furring:Metal,Wall Ht 12.0,Depth B.G. 11.8 97375 10.0 0.0 0.148 0.103 Window 1:Curtain Wall Type-1,Clear,SHGC 0.38 6985 --- --- 0.590 0.547 Window 2: Storefront,Clear,SHGC 0.38 838 --- --- 0.590 0.547 Door 3: Glass,Clear,SHGC 0.38 158 --- --- 0.920(b) 0.547 Door 4: Solid 188 --- --- 0.700(b) 0.127 Floor 1:Heated Below-Grade Slab(c) 0 --- 5.0 --- --- (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. (b)Claimed performance does not exceed defaults in Tables 1301.9.3.1.No manufacturer certification required. (c)Certain building use types r nsulation(see Massachusetts Code Section 1304.2.7 and 1304.2.8). Envelope PASSES: Design 131%/ better than code Section 4: Compliance Statement The proposed envelope design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application. The proposed envelope system has been designed to meet the Massachusetts Commercial Code requirements in COMcheck-EZ Version 2.4 Release 2c and to comply with the mandatory requirements in the Requirements Checklist. DAU*I T � �k (a • F::)- 67r:1-P Principal Envelope Designer-Name Signature Date Permit Number Envelope Compliance Certificate Checked By/Date Massachusetts Commercial Code COMcheck-EZ Software Version 2.4 Release 2c Data filename:P:\Cooley Dickinson\2323 Surgery Beds\4.00 Design Data&Reports\4.50 Calculations\Architectural \2323—Envelope Analysis.cck Section 1: Project Information Project Name: Phase I-Surgergy/Beds Expansion Cooley Dickinson Hospital 30 Locust Street Northampton,MA 01061 Designer/Contractor: Designer: The Ritchie Organization,Inc. 80 Bridge Street Newton,MA 02472-1134 Document Author: Dale Taglienti,The Ritchie Organization Section 2: General Information Building Location(for weather data): Northampton,Massachusetts Climate Zone: 14a Heating Degree Days(base 65 degrees F): 6894 Cooling Degree Days(base 65 degrees F): 507 Building Type Floor Area Hospital/Healthcare 112550 Project Description(check one): New Construction _Addition _Alteration _Unconditioned Shell(File Affidavit) Section 3: Requirements Checklist Bldg. Dept. Use Air Leakage,Component Certification,and Vapor Retarder Requirements [ ] 1. All joints and penetrations are caulked,gasketed,weather-stripped,or otherwise sealed. [ ] 2. Windows,doors,and skylights certified as meeting leakage requirements. [ ] 3. Component R-values&U-factors labeled as certified. [ ] 4. Vapor retarder installed. This Side For Use by Building Department Only Official's Name: Title: " I Date Application Received: 200 ❑ Complete Narrative Report Received(141.8.4.1) M/Design and Specification Documents prepared/y le ally recognized professio 1(1301 .3 Application is: Approved Date: (- Signature: Denied ❑ Date: Reason(s)for Denial: (provide additional details as needed on separate sheet) IL Acceptance(1301.8.4.4) ❑ Successful system tests witnessed by Building Official,OR ❑ satisfactory test report received(check one) ❑ Certification by Registered Professional(per 780 CMR 116.2)that systems are installed in accordance with construction documents ❑ Confirmation by owner(or their authorized representative)that they have received record drawings, reviewed for reasonable accuracy Confirmation by owner(or their authorized representative)that they have received reports,controls documentation, operations manual(s), maintenance manual(s), an her documents ecif in 1301.8.4.1 06-5•--.--- Building Official's Signature: � ENERGY CONSERVATION MANDATORY CHECKLIST FOR NEW CONSTRUCTION (OTHER THAN LOW-RISE RESIDENTIAL) 780 CMR, 1301.8.1 \ , Owner/Agent Name: C40L.- 1p tcr-i OSO'N Rote, Phone: 1.413.552'�)S'�� Owner/Agent Address: D Loos,- - 9trt 2-'- - Ric-901r4 C ord t r City/State/Zip: or-bo n► jpk_bn ,fv\A 6�o (P i Project Name: ast ( — S J�q�rh I ids k rx�•-z S�cr+ Site Address: 3o Lo G►J4 %ey -+ City/Town T410 'I1b.�r,nY�';�n Applicant's Name: Signature: Applicant's Phone: Date of Application: I. Envelope Compliance Option (check ONE) D4 Trade-Off (1304.5)-Attach software Compliance Report (COMcheck-EZ) ❑Appendix J(1301.2-For buildings up to 10,000 sf only)-Attach Appendix 7 compliance documentation ❑Systems Analysis(1309)-Attach Registered Architect's or Engineer's report ❑ Prescriptive(1304.2)-Complete this section,and attach copy of applicable Table(1304.2.1 through 13.4.2.12) Climate Zone(from Table 1303.1) ❑ Zone 12a ❑ Zone 13a ❑ Zone 14a a. Gross above-grade wall area sq.ft. b. 'Total window&glass door area sq.ft. c. Glazing% (100 x b--a) % Table#utilized: 11. HVAC (check ONE) ❑ Simple Systems&Equipment(1305.2) >Vomplex Systems&Equipment(1305.3) ❑ Systems Analysis(1309)-Attach Registered Architect's or Engineer's report III. Lighting(check ONE) wilding Area Method(1308.6.2.1) Attach Compliance Documentation(COMcheck-EZ or other) ❑ Space-by-Space Method(1308.6.2.2) ❑ Systems Analysis(1309)-Attach Registered Architect's or Engineer's report IV.Approval & Acceptance Construction Documents(1301.8.4.1) Attach a narrative report describing the HVAC,Lighting, and Electric Distribution systems, including: For Official Use ONLY: 1.Design Intent 2.Basis of Design Building Official �' 3. Sequence of operation/systems interaction check off 4.Description of the systems(capacities,etc.) completed sections of report � 5•Testing requirements/criteria acceptance 6.Requirement for submittal of operation manuals and maintenance manuals 7.Requirement for submittal of record drawings and control documents '�RO TABLE. O `° CONTENTS Massachusetts Energy Code Compliance Submission Cooley Dickinson Hospital Surgery/Beds Expansion Project Northampton, MA ENCLOSURE 1. STATE MANDATORY COMPLIANCE CHECKLIST 2. ENVELOPE COMPLIANCE REPORT 3. 513 01.8.4.1—NARRATIVE REPORT 4. SUBMISSION OF OPERATION AND MAINTENANCE MANUALS (Refer to Specification Section 01730– Operation And Maintenance Data for more detailed description or requirements) S. SUBMISSION OF RECORD DRAWINGS (Refer to specification Section 01720—Project Record Documents for more detailed description of requirements) 6. LIGHTING COMPLIANCE CERTIFICATE 7. FIRE PROTECTION NARRATIVE A R C H I T E C T U R E P L A N N I N G E N G I N E E R I N G I N T E R I O R D E S I G N TRO/The Ritchie Organization 80 Bridge Street,Newton,MA 02458-1134 T 617.969.9400 F 617.527.6753 TRO L E T T E R O F T R A N S M I T T A L We are transmitting the following: RE: Date: ® Prints–Stamped&Signed ® For your use Cooley Dickinson Hospital June 8, 2005 ❑ Specifications ®As requested Surgery/Beds Expansion ❑ Proposal ❑ For review& Phase 1 Comm.#: ® Other- MA EC Submission ❑Other Northampton, MA 2323 To Attention Address No. Sent VIA 113�14 Barr&Barr �( .Jim Clark _ 32 Hampden Street 1 Fed-ex T. t �A rSP n Id A 03 ,— U IV LLI VIC II Comments: JUN 10 2005 Jim, Ji'N 1 2005 1I d BARRc�&��BARR,INC. l_.._ is �SUbissioil"TOT�lUtiYrfltiRffid7��it to Enclosed, please find the Massachusetts En�rgy��`c�;,> q�p� X16 the building department. Included in this subrrr sslo'a are'the�f� ng do uments: —___ • Massachusetts Energy Code Compliance Submission Table of Contents • State Mandatory Compliance Checklist • Envelope Compliance Report • Mechanical/Electrical Narrative Report • Lighting Compliance Certificate • Fire Protection Narrative You have also received (hand delivered by Dale Taglienti on 6/7/05), Three (3) sets of stamped and signed construction documents dated May 13, 2005 and entitled Cooley Dickinson Hospital Surgery/Beds Expansion, Phase 1, Package E, Volumes 1 and 2;along with three (3) sets of Project Manuals. Volume 1 includes the Life Safety, Architectural, and Interior Design drawings. Volume 2 includes the Fire Protection, Plumbing, HVAC, and Electrical Drawings. Copy to: Si ed: Dale Taglienti Tim Singleton COL Dana Cooper Juanita Forsythe(Apa� +,,\1 Sta Yeragot is If enclosures are not as noted, please notify us at once. 2323TR_050606_Jim clark_Permit Set_Pkg E.doc ARCH I '1' Ec 'ru RE PLAN N IN G E N G I N E L R I N G IN '1' ER [ OR DESIGN TRO/The Ritchie Organization 80 Bridge Street, Newton,MA 02458-1134 T 617.969.9400 F 617.332.0135 } Department y` -Memorandum To: Tony PatiNo rnt From: Duane Nicholsn*► Date: June 17, 2005 CC: Brian Duggan Re: Surgery/Bed expansion Cooley Dickinson Hospital Secondary to a review of the fire protection narrative and plans that were submitted to me for review, I concur with the issuance of a building permit subject to the following conditions. • No sign off will be given until the fire alarm graphic annunciator for the complex is agreed upon and purchased. Also a time schedule for installation needs to be presented to the Fire Department for approval and acceptance. • Installation shall follow the Northampton Fire Department Fire Prevention Checklist and Installation Guide. Available on the Fire Department web site or by request. • Plans for the sprinkler system and fire alarm need to be submitted to fire department as soon as possible for review. •Page 1 } n T cc) oox m zpo 0 X y ZNZ W O X pp r n m Z p cr m p l z v C) � p 4 T C) cco C C (., C', � v o (0 w Z4)-,, ! 3 °° C, y -0 ( o G m C m � O � JUN-13-2005 08:01 From:BAR 4137397684 To:4135349939 P.6/7 ' r ' 0311612805 14.08 {^4189^q'7594 BARR & BARRP ANC• PAOE 01/01 r t I ,Ib�a�M�kml.ttt• " r . " n�MAJ�7Ml.fJ'7''+Al 1lUlLDIl�C7 1N�riCl',lON t ' - '�1''orthMmpGoq. ,Hasa, QIG60 - , / WGR=A-S L.t/NMSI:rXI.DA=OJ'1 'WSUP 7 NNE A lL Xr- a " �itb'a ptittCipal plar�crfbusia�rtsid�aat;atc , ' .:-'--�� .-,.�,. A% Coc u+►t:a Rn, �2n door •?IIam;,n ham (,pbO )_U8-879o-5750 -- (M-OdMrf/vmcA jp)017 70 • tla hcrrbr , urrd'cr�rc.DaiAS¢ud"p��.ttfes of p�,jury, �ba� , ' , (g) +aAramplc +Rt pigvidig8,tha followira�hvprkctx cprhpcpszriaa ua4c for,ny kmp +ac WCA*vfidisiob:; , bY$YrIDra PCOIDGrty; avelcy,7aata. C{i. ]&MWf. -••233S)A772-05 w, 00 Cow . 6A?Gi�k Nu�mhcr� own) H � sok hdwj aiy=r(vrctao Olined bava Ent 401Ya,d pm Elrod below who'have cba foilQa gg,wOrkeM'c=p Lion powts;. _ �� of Coartx�ir. (laattfince Cennpu�tPn¢;cyNam�rl •CF��uou natra . t C OL'I�o0t1DC110r �, d�X'' O rSlo"'1 CV Alitaabet) - I C12UCI V y ^ at Cooa�Kuo�'],. ��Cx�mpa.Aylpati�Narshcrl t&p3rsdoa b�cr.� " t,�+•+ art�,rTarotiar a ir3.b�::�:� w,o..+rWon,} „ { � r kr pte}�riaaer=4 t8ft no afro warkjog"fbr m4, t i lun,u home nwncr pefcip�$wi tht:vmrk a path 1 N1asMtim.>tgm 0.a w�Ja�ae.los�+.4�craptq p�..lr�M is+iwwa+��w o ale rr.e+eilbg d M��arg14 61 itba b or.rwr a..r .pMr4.ppN►msn}b+r"uR NS omw w iO ' �W �•r�.y..w.tr�Mrr u► � x ��.�W• by•h w Ibra Cam our*Qc r me ( ,- �•w�wWll�d►�rdll� alrrr�a,y,6r¢�.rrj,ry��as,lD�•�eaoAOCL.dlaei� lrw,+�C.r� •• ' .��abs4irilwwiirr'dp�r�rawutrrwbt.pb�.l ar�Mlr��,?.t,i'1(QLI�;Iawli/u� da�fofodl�wbir . �m+iCs QncarRp gS7,�0aAD la/Ier lmr o!�y q„yar•.a��i•rD v�.m.a w 0'i.�` •tpn�[r+Otr�• ' pk afShbnpa•�+u►apbrL+K " • Perm&Wmba ; Ago >�f Port a 11 0n _ A E 61131RchnrcIIs' _ w � DEPARTI 4EN7 OP BUILDING INSPEC )ONS I — 212 Main Strcct ' Municipal Building Northampton, Mass. 01060 WOMCER'S CO\III'ENSATON. UNSURA-NCF Al=I A�Tl`I' " (lccus�J�crmittcc) " (phone:') tylstat.c 1z6 p) do hereby certify, under the p?_irLS --ad penalties of penury,, i_hal O I 2m an employer providing the following compcnsa�o, cove�Se for ulti Ctuployces worUng on Luis job. 0L2sux-�Dc Conrz-ny) (Policy Nu_mr_r) -- (r:-pinion Date) O I ain a sole proprietor, general coommactor or homeowher (ci cie one) aad h2ve hired the coop actors listed below who have the following worker's cooaensadon po!!cies: (l+= of Cont^ctor) (Insvranc: ColrlpaJl)/-j'Ic cy NIIU IC--r) Datc):` (Name of Contractor) (Inssraoc;. ComDan}/Folic; Nutnc^r) (ixpir,lion Date) (Name o(Coturaao;) (Inszuanc: Compan)'lPoliq-Numbu) (Expirdon Datc) I (Name of Contractor) (ILLSU=C— ComczaylPOUCY Numt zy) - (Expi-,,lion Dale). (na�ch •t�;bocaJ dvJ to iacudz taform+aoo ecru iaiag to.A oca7=--0:-3) O I am a sole proprietor and bave no one working for me. ( ) I am.a home owner performilig all the work- thyself. NOTE:picsc be ew-irc tt`+ �-t.,lt:bomcoKmcn wbo eaplay perL=to w r--- ccs.;ezn cr rcp*zY woric oo.d c1Lg of aot mat then U� =i',,is%%-t icb the bomoaw-o r reit�o of oo the p-ouarr�,z.7putycn:rl lbeeo c-c oo(gcx y occs;d7cd to be c mooyea Ume--the t vci der ecru -- ca Act(G Lt 92ss 1(5)�r pgiicL6oa by a boa co.-=f=a Gc�_or permit T=j-.?d—the Irgal M.-.X.or ea-=7loyo under dtu Work4e.Compoo tioa Act I—d--_d th-a copy of thia mzcmcce o y ba fora cried to tbo DW-,. w of 0moe of kvu -oca for the Qpvcx&c vaifctioo&nd aui Lilt=to sca=`covcrxEc under scciioa 25A of MOL 152 cza led to the impoaiiioa oraimiaA pcasLin ooasasmg or a fmc orup to S1 �oo.00 and/or 6=pr60am=orup to coc ycv and cavil pco Yrjo in d--form o(n Slop Work Or'da-d. fim of S 1 00.00.d:y tpiaa me For dcp=rttz��u.c oaiy JttijP., _- Lot rt sig=lturt:of Lic=L-, t'fPCrTllittcc ��e Version 1.7 Commercial Building Permit May 15,2000 SECT ION.i.0.-.STRLlGTC111AL PEER REVIEW(780 GMR Independent Structural Engineering Structural Peer Review Required Yes No 0 SECTION 11=-OWNERAIJTHORIZATIION•-m TO-BE£OMPLETEQ:WHEi�t OWNERS AGENT.OR CONTRACTORAPPIIES FbR BUILDING'.RERMIT 1, =-1— • A' AQ Cox e42- as Owner of the subject property hereby authorize 1%Au2 IJLt.t�OCt�t_ to act on ehalf,i all m e re iv rk authorized by this building permit application. I I Signatur ner Date VA 4 4 ,as Owner/Authorized fv�.1T�d►ht. Cc'}.t on 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 JDains and Denalties Print Name .�.4+t t y W- C .A.tik S Ci,K'arc. ��i e�,� ✓�'tA�a y ` <v �� Signature of Owner/Agent Date ' 'SEC'TIOW12:-CONSTRUC'I'tON SERVICES: 7T 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: t TL.:Ii`A-kr 4l-k d` C©W f-.,,o rt License Number ' I --4? Address Expiration Date Signature p �^ Telephone fr f Z �00 SECTION 1`3-WORrKER�SC"O`M-P�EINSATION`,INSURANCE`i4EFIQAYIT(M:G.t..c:152E.§;25Cf6)) 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 0 No 0 r - r Version l J Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL_DESIGN AND CdNSTkZUGTION SERVICES FOR BUIL_DtNGS QND STRUCTE) tES;;t1BJECTTO CONSTRUCTION CONT-ROL.PtIRSlt7 lVT TO 780 CMR 11fi�C6NTAINING-MORE T1.1AN 35,QOQ C.F.OF ENCLOSEDSPACE) 9.1 Registered Architect: ,ry Q ig. r` (Registrant): Not Applicable ❑Al Name Re istrant): � � �- ? Registration Number n Address ry e- 1 Expiration Date t�BW T1aty. /YL a Off.�S ✓ i i .. Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility i Address�O(t /r1 S R-eGk Registration Number i 1?zAQ;0L, mA bl13 Signature Telephone Expiration Date i i } Name Area of Responsibility i i Address Registration Number Signature Telephone Expiration Date I i Name Area of Responsibility j Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility i 3 Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor i Not Applicable❑ Company Name: I Responsible In Charge of Construction r ' Address Signature Telephone r Versionl.7 Commercial Building Permit May 15,2000 kX1DI Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage ` Setbacks Front Side L:' R: L:I i R:= f Rear Buildingg Heist �� _.... 4 Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved arkin ) #of Parking Spaces Fill: volume&Location) A. Has a Special Perm it/Variance/Findin ver been issued for/on the site? NO 0 DONT KNOW YES 0 IF YES, date issued: } IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES Q _ IF YES: enter Book ` Page; i and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: I D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Q IF YES, describe size, type and location: j 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 0 ' NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 i SECTION 4 CONSTRCTCTIQN SER�/ICES.FOR PRO.IEGTStESS THi4N,35,O,OQ CUBIC=-FEET OFENCtQSE1 $FACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description !Enter a brief description here. j Of Proposed Work:' ( T� S t ✓1'� I 'SECTIOW S USEGRQURANQ,CONSTRUC'GIOI ` YP E !. USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ El A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional .N; I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility El Specify: M Mixed Use 0 Specify:} S Special Use Specify:, 0 COMPLETE THIS SECTIGN(F XISTINv BUIL QDfftONS'ALVDfOE;~CEiANGE IN USE Existing Use Group Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SEC-TION`6.BUILDlNG€HEIGE r, AREA, BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION ,c. Floor Area per Floor(so 1st St 2nd 2nd 000 S 3rd 3rd DOt7 S —_f 4"' r Constru ction(sf) Total Area(so Total Proposed New t -�-; i <o0 0 o Sf M1 = t- Total Height(ft) i -Total Height ft i Y!C 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone; t Outside Flood Zone[:] Municipal ❑ On site disposal system[] Version 1.7 Commercial Building Permit May 15,2000 a 1� Ity of Northampton ilding Department 12 Main Street Room,1`00 : } 1 205 rtha pton, MA 01060 phone 4 587 1240 Fax 413-587-1272 APPLICATION TO`C�N` CT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION -S1TEiNFORNFATION JN-Property Addles s n]Firs secfiorF to be completed �roff%ce^ _ x r - L'.ao�Q� :4.4 urn � poi u► C so 5- a ae f t MA a""rt. "'eSG" Timx YLwddvON r az ;AEI StDlstr�ct CB Dsfrict � .r SECTION 2. PROPERTY QIAINERSHIFf 9THORIZED AGENT 2.1 Owner of Record: y. d i 3o Lt7CJ�+Sf � •�_�� Name(Prin Current Mailing Address: Afi) Irl /d6 / Signatu J,.. Telephone 3 / 2.2 Autho 'zed Agent: Name(Print) �p K BAnIZY�q—Currenn7 t Mailing Address. Signature Telephone -SECT ION 3,:ESTIMATED'CONSTRUCTION COSTS' Item Estimated Cost(Dollars_)to be .0fffcal Use 00y completed by ermit applicant 1. Building (a P, IdI'ng,'F,ermit Fee i 2. Electrical (b)Estimated Total Cost of 1 -Constriactron-from'.fi i 3. Plumbing Buildmg.Perm�tFee 4. Mechanical(HVAC) 1 5.Fire Protection i € 6. Total`=0 + +3+4+5) ) / =Check Number _this Section.For Offic'raFUse Orill .: Build�ig Permit Nurriber.: . . . Dafe`° Issued r Signature; Building Commissioner/IrspectorofBuildings Date File#BP-2005-1228 APPLICANT/CONTACT SON &BARR INC ADDRESS/PHONE 32 DEN SPRINGFIELD 413 ( )739-6257 a 7 LO PROPERTY LOCATION 30 C T ST 3 MAP 23B PARCEL 046 001 O j SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE J SURGICAL/BED EXPANSION -w"'s r✓ 1 TAKEN ON THIS APPLICATION BASED ON 6T/f, .Pc�tSG _ •,Kaired(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ CBjZ'�2°O I t AND/OR Special Permit With Site Plan a AND/OR Special Permit With Site Plan x RED UNDER: § !S /,OV nit Variai i 0 cc u�=� istry of Deeds Proof Enclosed _Water Availability lth Well Water Pot, emission Permit from C Asa)dz reMILL ILUL11 L 111 0u.,.,<<,,,.—lission 64 S— 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. File#BP-2005-1228 ' APPLICANT/CONTACT PERSON BARR&BARR INC ADDRESS/PHONE 32 HAMPDEN ST SPRINGFIELD (413)739-6257 PROPERTY LOCATION 30 LOCUST ST d` _ 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 Fee Paid 1119c- �Iz Typeof Construction: CONSTRUCT 4 STO Y SURGICAL/BED EXPANSION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000275 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 ssion e� OCT 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. BP-2005-1228 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Cate,ory:NEW COMMERCIAL BUILDING BUILDING PERMIT Permit# BP-2005-1228 Project# JS-2005-0999 Est. Cost: $2000000.00 f Fee: $39600.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BARR & BARR INC_ 089188 Lot Size(sq. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC Zoning:M Applicant: BARR & BARR INC AT: 30 LOCUST ST Applicant Address: Phone: Insurance: 32 HAMPDEN ST (413)739-6257 WC SPRINGFIELDMA01103 ISSUED ON:8118105 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 4 STORY SURGICAL/BED EXPANSION (NO CO'S TEMP OR OTHERWISE UNTIL STORMWATER PERMIT APPROVED) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Service:/(l�4� / 41-- Meter: U y'T& 3rd floor . Footings: Rough: Rough: House# Foundation: Driveway Final: Final:! 0.7 a,(�l " •- � � Rough Frame: t`- Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: l 41+?�O `"JC�, Final: ri< THIS PERMIT MAY BE REVOKED BY THE "ITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. 60 Day Temp. 4th floor Certificate of Occupancy- Si nature: — FeeType• Date Paid: Amount: Building 8/18/05 0:00:00 $39600.00 212 Main Street,Phone(41_) 587-1240,Fax: (413)587-1272 Building Co.-unissioner-Anthony Patillo Br" 2005 i2G� _ C0TMAI 0,NWE ALTH OFMASSACHUSETTS rte°" =�1 F,ts ...,r.., CITY OF S 7 ORTH� 3 O TN' k .: Permit: BUildina Cate2ora:NEW COVI_MERCLkL BUILDNG UILDE T PERMIT Permit T BP-2005-1228: Proiect# JS-2005-0999 Est. Cost:$2000000.00 Fee:$39600.00 PERMISSIONIS HEREBY GRANTED TO. Const. Class: Contractor: License: Use GIOnD: BARR & BARR INC 089188 Lot SIZe(So. f.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC Zonini:M Applicant: BARR & BARR INC AT: 30 LOCUST ST Applicant Address: Phone: Insitrance: 32 HAMPDENT 7 ST (413) 739-6257 WC SPRINGFIELDMA01103 ISSUED ON_•8/I8/O5 0:00.00 TO PERFORM THE FOLLOffTNG WORK CONSTRUCT 4 STORY SURGICAL/BED EXPANSION (NO CO'S TEMP OR OTHERWISE UNTIL STORMWATER PERMIT APPROVED) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring o� D.P.W. Building Inspector &dmyr Sery ice:/(��Ate Meter: day TEMP 3rd fZoor� Footings: Rough: Rough: house# Foundation: Driveway Final: Final!!LL }} Final: 4 Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: r� a K j s' Fcc�o(t Gam{J2 o� Crt�trS Final: Smoke: Final: Gr< (� THIS PERMIT NLaY BE REVOKED BY TIC CITY Of NORTHAINIPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUI•AT'ONS. Certificate Of C+CCUgafl wnature: _ FeeTvpe: Date Paid: Amount: -- 6U DAY'TII�IPORARY C CCi1P i�TCY �`,`3 sI= "f Poor = EXP Building 8/18/05 0:00:00 539600.00 212 Main Street,Phone(41_)587-1240,Fax: (413)587-1272 Building Co_-=,issioner-Anthony Patillo 15P 9-�Rffls 4 CITY P -ri,: Euildii a Catc2or-;: tiFtiv CONfMEPCL' z 2T`1 DItiG BUILD s LTG PERINUT Perllst= BP-2005-1228, Proiect T JS-2005-0999 Est. Cost:52000.000.00 Fee:539600.00 PEI A—USS-TO 'E HERE_ BY GrIZA TED TO., Const. Class: Contractor: License: Use Grout): BARR & BARR INC 089188 T Dt SiLe(sa. f-): 667077.84 Owner: CoOLEY DICxINSOV HOSPITai Lvc Zoninz:tit Applicant: BARR & BARR INC AT.• 30 LOCUSTS T Apolicant Address: Phone: Insizrance: 32 HA!WDE�d ST (413) 739-6257 we SPRINGFIELDMA01103 ISSUED ON.•8 178105 0:00:00 TO PERFOPz I THE FOLLO G WORK CONSTRUCT 4 STORY SURGICAL/BED - EXPANSION (NO CO'S TEMP OR OTHERWISE UNTIL S PERMIT APPROVED) POST THIS CARD SO IT IS VISIBLE FROM THE STREET , Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector 6T derF Service:/'dl�/a� � Meter: u as 3rd floors Footings: Rough: Rough: House# Foundation: Driveway Final: C Final:.}} /77 2 �,`✓' � �� Rough Frame: y�2s;/�� Gas: Fire Department Fireplace/Chimney: Insulation: Rough: Oil: I ,�i G� +23 07 lc�1i5 FLoOP I Final: Smoke: ( ;c k.lr� ��('(�X07 Final: THIS PER ET lL4Y BE REVOKED BY THE -`1"-',ITY Of NORTHANIPTON UPON VIOLATION OF AlNY OF ITS RULES AND REGUI, .'?'TONS. Certificate Of 0CCUDc(1CV - -]z ature: FeeTvpe: Date Paid: Amount:_ _ .•-S�-DA�`'PENJ�.ORAR ��-'f.FL?_ 8/18/050:00:00 539600.00 212 Main Street_Phone(411-')587-i2^0,Fax: (1113)587-1272 Building Co---uaisslOner-Anthony PaP!lO BP-2005-1228 GIs#: COMMONWEALTH WEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 Permit: Buildinq Catesorv:NEW COMMERCIAL BUILDING BUILDING ILDING PERMI 1 Permit# BP-2005-1228 Proiect# JS-2005-0999 Est.Cost:$2.000000.00 Pee:$39600.00 PERMISSION IS HERE_ BY GRANTED TO: - Const. Class: Contractor: License: Use Group: BARR & BARR INC_ 089188 Lot Size(s4.ft.l: 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC Zoning:M Applicant: BARR & BARR INC AT: 30 LOCUST ST Applicant Address: Phone: Insurance: 32 HAMPDEN ST (413) 739-6257 WC SPRINGFIELDMA01103 ISSUED ON.8118105 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 4 STORY SURGICAL/BED EXPANSION (NO CO'S TEMP OR OTHERWISE UNTIL STORMWATER PERMIT APPROVED) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service:/d1l,2 Meter: Footings: Rough: Rough: house# Foundation: Driveway Final: Final: Final: y-/l-c l M 3 r�� Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 3� �t,oave. aNt� Final: L'/-/q-074KSmoke: glV(2,7 6'0 c,(Fe_? Final: 3r ��.. t 6`0^1 L0'4 t i THIS PERMIT MAY BE REVOKED BY THE 'ITY Of NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND A Old 1 08 Certificate of Occupancy � n � Sr�Aatnre: __ FeeType: Date Paid: Amount: Building 8/18/05 0:00:00 $39600.00 212 Main Street,Phone(41 )587-,240,Fax: (413)587-1272 Building Co.-unissioner-Anthony Patillo r � pply -y�y L7P LJ� 1218 AL`s' OF IA SS C OF N flRT_MAN0Tflr rot. -001 P=it: Buildina Cate2or/: NEW C0y1_'v1ERCD L BUILDING U 1 �T 1 Permit�# BP-2005-1228: Proiect T JS-2005-0999 Est. Cost:52000.000.00 Fee:539600.00 PERAESSION S HEA_ BY GRANTED TO. Const. Class: Contractor: License: Use Grout): BARR & BARR INC 089188 Lot Size(sa. f..): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC zoning:M Applicant: BARR & BARR INC AT. 30 LOCUST S Applicant Address: Phone: Insurance: 32 HAMPDE17 ST (413) 739-6257 WC SPRINGFIELDMA01103 ISSUED ON.8118105 0:00:00 TO PERFORM THE FOZLO;VJNG WORK.CONSTRUCT 4 STORY SURGICAL/BED EXPANSION (NO CO'S TEMP OR OTHERWISE UNTIL STORMWATER PERMIT APPROVED) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector II',�,derQr�lln� Sery Meter: bU- aa� TEMP 3rd floor4 Ff otings: Rough: Rough: house Foundation: w� Dilveway Final: final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: t,00 123107 Final: Smoke: � 4, I. ��'��07 Final: O, THIS PERti1IT NIAY BE REVOKED BY THE "ITY OF NORTHA_INIPTON UPON VIOLATION OF A!NY OF ITS RULES AND REGU1,A-_TANS. c CertifiCcte Of Occul ICJ �anature: FeeTvpe: Date Paid: Amount:_. t- DAY TENiPOKF172F _ G ALL FLOORS - EXPIRES 8/120/07 BuiT�ing y 8/18/05 0:00:00 539600.00 212 Main Street,Phone(41 )581-1220,Fax: (413)587-1272 Building Co_-uaussioner-:A,,-ithony Patillo r a s s s v nirn`#. xx' $ r �F ate *.. �r^ �. r�' '., ,3 t - . 7 u`, y ,,``r'r. 3J , 7,,� .r- , r a tee. �` . A M - - ` 25 �-? �11,�r_ ,,i, " #a n xa � 11-11,11 11-111-.11111 x "r € , a - € .' 11 'a2*x � #., :. '. 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