23B-046(1) Cooley Dickinson Hospital
Switchboard Relocation
Fire Protection Narrative
1. Verify the absence of unwanted voltages between circuit conductors and
ground.
2. Test all conductors for short circuits using an insulation-testing device.
3. With each circuit pair, short circuit at the far end of the circuit and
measure the circuit resistance with an ohmmeter.
4. Test initiating and indicating circuits for proper signal transmission under
open circuit conditions. One connection each should be opened at not
less than 10 percent of the initiating and indicating devices. Observe
proper signal transmission according to class of wiring used.
5. Test each initiating device for alarm operation and proper response at
the control unit. Test smoke detectors with actual products of
combustion.
6. Test the system for all specified functions according to the approved
operation and maintenance manual. Systematically initiate specified
functional performance items at each station, including- making all
possible alarm and monitoring initiations and using all communications
options. For each item, observe related performance at all devices
required to be affected by the item under all system sequences.
Observe indicating lights, displays, signal tones, and annunciator
indications.
7. Test Both Primary and Secondary Power: Verify by test that the
secondary power system is capable of operating the system for the
period and in the manner specified.
b. Retesting: Correct deficiencies indicated by tests and completely retest work
affected by such deficiencies. Verify by the system test that the total system
meets the Specifications and complies with applicable standards.
c. Report of Tests and Inspections: Provide a written record of inspections, tests,
and detailed test results in the form of a test log. Submit log upon the
satisfactory completion of tests.
Page 7
Cooley Dickinson Hospital
Switchboard Relocation
Fire Protection Narrative
c. If, in the course of testing, a deficiency is found relative to system
performance or integrity, said deficiency will be repaired and the test repeated
until the results are satisfactory. The system will not be accepted by the
design professional until satisfactory performance is achieved.
d. No testing will be performed unless all appropriate code officials (Building and
Fire Department) and hospital staff have the option of being present.
e. This section identifies the equipment that will be provided on site at the time
of witnessing the operational features of the fire protection systems,
integrated building life safety and systems that require validation from code
officials to expedite the acceptance testing.
1. Manufacturer's Instructions
2. Specifier's Special Instructions
3. Approved Narrative report, Sequence of Operation Section
4. Smoke machines
5. Smoke Candles
6. Voltage Meter
7. Magnets
8. Communication Radios
9. Notification Announcement
f. At the completion of construction and testing, the various subcontractors will
submit to the General Contractor the following:
1. Existing condition drawings and a mapping plan of the installed alarm
wall.
g. Upon successful completion of systems installation and testing, the design
professional shall certify that the fire protection systems have been installed
in accordance with the approved fire protection construction documents. In
addition the facilities engineering shall certify that he has reviewed the shop
drawings for conformance to applicable codes and design intent and had
identified deviations if any, from the approved fire protection construction
documents.
Section 2: Fire Alarm System:
a. Minimum System Tests: Test the system according to the procedures
outlined in NFPA 72. Minimum required tests are as follows:
Page 6
Cooley Dickinson Hospital
Switchboard Relocation
Fire Protection Narrative
"Inspection, Testing and Maintenance" schedules and standards
are established for the inspection, testing and maintenance of the
fire alarm system.
Sequence of Operation:
Section 1: Sprinkler system:
a. Upon opening of a sprinkler head either by fire or mechanical damage, water
flow in the piping occurs and water discharge occurs at the affected
sprinkler(s).
b. The water flow activates a flow switch, which sends a signal to the fire alarm
system. This water flow will also cause a flow condition through the alarm
check valve causing the activation of a pressure switch, which also sends a
signal to the fire alarm system and activates an electric bell/water motor gong
located on the building exterior.
Section 2: Fire Alarm System:
The renovation work included in this project does not alter the existing sequence of
operations.
Testing Criteria:
Section 1: Sprinkler system:
a. The general Contractor for the project is responsible for the overall
construction of the renovation. They oversee the various subcontractors
responsible for installing and testing the various building components
including the fire protection systems. Their contractual role makes them
responsible, through their subcontractors, for the coordination of all system
testing.
b. The design professional will be notified by the General Contractor and his
subcontractors when the installation of various fire protection systems are
complete and ready for testing. He will also be notified when the system
performance tests are scheduled to be held, so they may be witnessed if the
design professional deems appropriate. The Contractor is responsible for
also notifying code officials so they may be present if desired.
Page 5
Cooley Dickinson Hospital
Switchboard Relocation
Fire Protection Narrative
Refer to established hospital plan.
b. Emergency response personnel, site and systems features:
Refer to established hospital emergency response plan.
c. Safeguards, Fire Prevention and Emergency Procedures During New
Construction: Per Fire Department regulations.
1. Specifications call for Sprinkler Contractor to comply with the
"Construction Safety Act", the "Occupational Safety and Health Act of
1970" and all Federal, State and local requirements. Contractor is
required to have one (1) representative to act as a Safety Engineer,
who is responsible for maintaining all safety requirements of his trade
and to attend all project safety meetings. Fire Protection Contractor to
inform the General Contractor of any flammable, combustible and/or
toxic materials used on the project and he is to furnish the General
Contractor with literature pertinent to the use and control od such
materials.
2. Appropriate Cooley Dickinson personnel shall be made aware of areas
under construction in close coordination with the General Contractor.
d. Method of Future Testing and Maintenance of Systems and Documentation:
(a) Sprinkler testing: The sprinkler system will require on going
inspection, testing and maintenance. Under the provisions of
NFPA 25, "Standards for Inspection, Testing and Maintenance od
Water Based Fire Protection Systems", a schedule is established
for the various components within the system. A summary of the
items within the system, required activity and frequency of activity is
as follows.
(b) Most of these activities shall be done by firms/individuals qualified
by training and experience to perform this work. The activities shall
be carried out according to procedures outlined in NFPA 25.
(c) The Construction Manager shall facilitate the requirement for as-
built drawings and maintenance manuals as outlined by Cooley
Dickinson Fire Safety personnel's specifications.
(d) Fire Alarm systems shall require on-going inspection, testing and
maintenance. Under the provisions of NFPA 72 Chapter 7
Page 4
Cooley Dickinson Hospital
Switchboard Relocation
Fire Protection Narrative
Section 3: Design Responsibility for Fire Protection Systems:
a. No sprinkler or Fire System work is required on this project
Section 4: Fire Protection Systems to be Installed:
a. The following provides performance design criteria and features of this
specific fire protection system:
1. Water Supply, Mains and Hydrants:
(a) There is an existing fire service that will remain active and un-
modified as part of this project.
2. Automatic Sprinkler System and Components:
a) There is an existing sprinkler system that will remain active and
unmodified as part of thie project
3. Fire alarm systems and components:
This project consists of the relocation of the switchboard and
associated alarms. With in the space. All systems are redundant and
will be 24 hour watched ( staffed) during the relocation. Preparation of
the space will include pre-wiring and pre placement of boxes to
alleviate any down time within these systems
4. Automatic Fire Extinguishing Systems: None.
5. Manual Suppression Systems: None.
6. Smoke Control/Management Systems: None
7. Kitchen Cooking Equipment and Exhaust Systems: None.
8. Emergency Power Equipment: The current renovation does not modify
the existing emergency system.
Section 5: Features Used in Desiqn Methodology:
a. Building occupant notification and evacuation procedures:
Page 3
Cooley Dickinson Hospital
Switchboard Relocation
Fire Protection Narrative
(d) No. 99 — Health Care Facilities.
(e) No. 101 — Life Safety Code.
b. Electrical work shall comply with the current editions of the following codes:
BOCA - National Building Code
NFPA 70 - National Electrical Code
NFPA 72 - National Fire Alarm Code
NFPA 99 - Health Care Facilities
NFPA 101 - Life Safety Code
ANSI C2 - National Electrical Safety Code
Massachusetts Electric Code
c. Electrical work shall comply with the current standards of the following
organizations:
U.S. Department of Health and Human Services - Guidelines for
Construction and Equipment of Hospital and Medical Facilities
ADA -Americans with Disabilities Act
OSHA - Occupational Safety and Health Act
FM - Factory Mutual Association
UL - Underwriters' Laboratories
ANSI - American National Standards Institute
NEMA - National Electric Manufacturers Association
ASTM -American Society for Testing and Materials
d. In addition to complying with the specified requirements, comply with
pertinent regulations of governmental agencies and authorities having
jurisdiction including local and state building, plumbing, mechanical, electrical,
fire, and health department codes and standards.
Page 2
Cooley Dickinson Hospital
Switchboard Relocation
Fire Protection Narrative
Basis (Methodology) of Design
Section 1: Buildinq Description:
a. Building "Use" Group: 1-2, Hospital
b. Total Square Footage of Renovation Area: 1200 SF
c. Existing Building Height: ± 66' to main roof
d. Number of Floors above Grade: 6 floors plus mechanical penthouse
e. Number of Floors Below Grade: 1
f. Types of Occupancies (Hazards) Within Building: Pharmacy, Inpatient
g. Type of Construction: Type 1A
h. There is hazardous material used or stored within the building.
i. There is no high storage of commodities in the building (over 12 feet).
j. Emergency access for the hospital will not change.
Section 2: Applicable Laws, Regulations and Standards:
a. The following regulatory codes are applicable for the work done on this
project.
1. Massachusetts State Building Code — Sixth Addition
2. NFPA Standards as follows:
(a) No. 13 — Installation of Sprinkler systems and all references.
(b) No. 25 — Inspection, Testing and Maintenance of Water Based Fire
Protection Systems.
(c) No. 72 — National Fire Alarm Code.
Page 1
J U N 1 2004 LJ -IRE PROTECTION NARRATIVE
Cooley Dickinson Hospital
30 LMa ust Street
Northampton) assachusetts 01061
Switchboard Relocation Project
Prepared by:
Cooley Dickinson Hospital
1
�(riM!pT
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northampton, MA 01060
CONSTRUCTION CONTROL DOCUMENT
(for professional Engineers/Architects responsible for Entire Project)
ProjectTitic: Office Renovation Date: May 21, 2994
Cooley Dickinson Hospital
Project Location: 30 Locust Street Map: Parcel: Zone:
Scope of Project: Interior off ice renovat i nn i ncl Winn mi nar ,PmQr1 s t�;
en-r
wall construction and interior finishes uppgqrade.
In accordance with the sixth edition Massachusetts State BuiCdfrig Code, 780 CMR SECTION 116.0:
1, KerrT_nipt- Mass. Registration Number 5264
Being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly
supervised the preparation of all design plans, computations and specifications concerning:
[4 Entire Project
for the above named project and that to the best of my knowledge, such plans, computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable
engineering practices and all applicable laws for the proposed project.
Furthermore,I understand and AGREE that I shall perform the necessary professional services to
determine that the above mentioned portions of the work proceed in accordance with the documents
approved for the building permit and shall be responsible for the following as specified in section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction documents as submitted for the building permit, and approval for the
conformance to the design concept.
2. Review and approval of the quality control procedures for all code-required controlled
materials.
3. Be present at intervals appropriate to the stage of constnrction to become generally familiar
with the progress and quality of the work and to determine, in general, if the work is being
performed in a manner consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official,a progress report together witl;
pertinent comments. Upon completion of the work, I shall submit to the building official a final report as
to the satisfactory completion and readiness of the project for occupancy.
Signature anti .Jgftregistered professional:
kt"0'- n r >i� u
y�
g.
irrg:;ra f�.Ji.
ax 413-587-1272 -phone 413-587-1240
1 ,
.tvr�r
�3.�cy� (riff �f �llcz;flf�zllt}�folt _ _-
\ f 6711 3$itch R r ell S•
DEPART MEN7 OP DUIL.DrNG INSPECT1otJS - —t
212 Main Strcct ' Kuojcipal Baddin0,
Northampton, Hass. 01060
WOMCER'S C0iYTENSATION C1SURA-'Cc A=AVrr
Ravmond._R. Houle Construction Inc.
kLriLh a principal plat.- of business/residence at:
187 East St. South Hadely, MA 01075 (phone.) 413-532-9243
do hereby cc.rzd -, under Lhc pz'ns and penalties of pc9ury, h'!
I am an employer providins dic following wonccr's cotnocasr:ion covervge for Ind•
etuplovccs woriJng on•Luis job:
Arch Insurance Company IRWC100737 12/31/04
(t^Sw=nw Conrre}) (Policy N*_err) - (�:pircior Dzte)
O I,am a sole proprietor, general conc-actor or hotneow-oer (cic;e one) god hwe hued
the COdu'aCOrS llSt��d below wbo have the '000%gig workers comoen_pdon ae!icies:
(Nam-, 0. CO.^.'. cio') (IIIRr1ni Comp
(Nnmc or Coocacaor) (I11S1rZII Gomoaa}vPo!ic, i\urncrr) (–Lxoira6on Datc)
Name of Coczaetor) ([l>s (Expira600 Datc)
(Namc of Coatractor) (tnsuranc-- Comoauy/Policy Numbzr) (ExPLrJdoo Diu:).
(+:L� .1.:�oc3J bcv if ococ 1•to c>-!u�lcfor�j oa pc-tnir�s to.1J ooC-LO-�)
( ) I a sole proprietor and bave no one workjog for me.
( ) I a t.a home owDer perforr=, c all the work myself.
NO tt:pi=.-lx ew ar:(he {�!c 6c�cotix3..bo c-plvy pe oc:w w- c=---.c.,00 c m7z. work oz.d..<ir: or
cue _ c_ ��o rs is ulyy�+y the Sm o.oc r=do o<oe the y oc G-ni Lo be
I(5); :,WLiaaoo t y. o ax rim c� .or pcsr rry e deuce the
Ic dzJ�.�=+�of e;c�loyx a�nLer d—'-V" ,C41=;,e� ' lvX
!uadc-r..,�C 'ts.a a mpy oru3i,—,—�-.y b, p�cmcrG orincitr;J oz-of Ir-.,uroco ror Lb..
oo�c�^c of rcuon��d th t-500.0 to seal:'wvc aoC uz ro4ion 23 A of 1.IOL 152 as Icd to t;x L p aE on of ci-mjr•r pccil6,=
ox�o 0. [x of to S1 500.00 a xlor y ofup to ooc y-_-� evil pcv.tia n tx form or.S%L p Work Ordcr Lod.
fr+o of SiC0.00 �c:y���me
For dq..^ _..•,�u.c oyy
Pcrmit Numb--r
SI&O.3tu%,of L1c=scc/PCrrr6uc.. ce J
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10 STRUCTURAL-PEE,
L PEER REVIEW(780 CMR 110 llj
77
Incependent Structural Engineering Structural Peer Review Required Yes......❑ No......(A
SECTION 31 OWNER AUTHORIZATION-,TO BE COMPLETED WHEN
OWNERS AGENT-DR CONTRACTOR APPL(ES`FOR-BUILDING PERMIT
as Owner of the subject property
he-eby authorize Raymond R. Houle Construction Inc. to act on
m,: beha f, all matters relat ve to ork �uthh rrized by this building permit application.
Signature of Owner Date
I, Timothy S. Pelletier as Owner/Authorized Agent
he-eby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Si:-ed under the pains and penalties of perjury.
Timothy S Pelle 'er
Pri-.; Name
_0
Signature of Owner/Agent Date
SECTION 12 -CO N'STRUCTIONISERVICES
10.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder : Timothy S. Pelletier 066227
License Number
187 East .South Hadley, MA 01075 07-07-2005
Aic-ess Expiration Date
413-532-9243
S I g-ature Telephone
SECTION 13 -WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M G 1- c. 152.:4.25 C
We--:ers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affic
-esult in the denial of the issuance of the building permit.
Sig-ed Affidavit Attached Yes....... ® No...... 0
Version 1.7 Commercial Building Permit May 15,2000
SECTION :9- PROFESSIONAL DESIGN AND CONSTRUCTION:SERVICES FOR_BUILDINGS;AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT T078QCMR 116'ZCONTA1NIhfG MORE THAN 35 O0 C F OF-ENCLOSED SPACE)
9.1 Registered Architect:
% G Not Applicable ❑
Name(Regis rant):
/ Registration Number
42 L
Addr s
Expiration Date
Signatur Telephone
92 Registere ProfF I En i er(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Raymond R. Houle Construction Inc. Not Applicable ❑
Company Name:
Timothy S. Pelletier
Responsible In Charge of Construction
187 East
Address _
413-532-9243
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
7.Water Supply(M.G.L.c.40,§ 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public)& Private O 1 Zone: Outside Flood Zone RX Municipal 12 On site disposal system ❑
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 969 427.8 969427.8
Frontage 2,658' 2,658'
Setbacks Front
102 102'
Side L: 8g,R: 42, L: gg!R: 42,
Rear 18' 18'
Building Height
64.5' 64.5'
Bldg. Square Footage
402,861 402,861
Open Space Footage %
(Lot area minus bldg&paved 40.6 40.6
azldn )
#of Parking Spaces 761 761
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES XX
IF YES, date issued: December 13,2001
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES XX
IF YES: enter Book 6504 Page 239 and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO XX DONT KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES XX NO
IF YES, describe size, type and location: Various Locations on Site
D. Are there any proposed changes to or additions of signs intended for the property ?YES—
No. =_
IF YES, describe size, type and location:
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4 CONS3 RUCTION-SERVICfS.FDR�It07ECT3 LESS THAN 35,fl00
Si
'CUBIC FEET OFIVCt�SEDP ►Cf—'' "`l�" � �_t 4
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
Exterior Alterations DF-9 ionO New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building [ ] Repairs [ ]
BRIEF DESCRIPTION: n r ,
�l G-l� 7� 0
SECTION 5=.USE GROUPAND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ 1A NX
A-4 ❑ A-5 ❑ iB ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ I-2 3a 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B Cl
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
:.;COMPLETE THIS
SECTION IF-EXISTING BUILDING UNDERGOING ftENOVAT3ONS ADDITIONS ANDJOR CHANGE IN 115E
Existing Use Group: 1-2 Proposed Use Group: I-2
Existing Hazard Index 780 CMR 34): 4 Proposed Hazard Index 780 CMR 34): 4
SECTION 6 BUILDING JiEIGHT AND AREA_
CEJS)='flNLI$
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION � � n
Floor Area per Floor(sf) 1n
a� �e
�R..-yT^i^arey—.,� <" ,3ar.tea.�- n •--,c,Cvr,`'�i..
`��iG"a..tom "Y.'✓'J„`SS�34� •+4 @'3 �`_'1N��h°.�.,.m
2 nd
2"d 3�
z
3 rd
a
m
KE
4
Total Area (sf) Total Proposed New Construction (sf)
r�
W
Total Height(ft) _ "-------------- W' `
Total Height ft—__---------
Versionl.7 Commercial Building Permit May 15,2000
City of Northampton
Building Department
212 Main Street
Room 100 , , -
Northampton, MA 01060 i
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE(T U U P _ F 'DEMOLISH ANY BUILDING
OTHER THAN A ONE OR T1 r
r ' M AY 2 5 2004
SECTION I SITE-INFORMATION
1.1 Prooerty Address: Ple -ty Office s
- ' � ar
Cooley Dickinson Hospital
,A yaUnrt r �
30 Locust St. Zo ne � O�r&1lay Distinct
tea. A
RYt:"D75tlJCt �?a flIS7Ct � 3F'" �
^: c
;SECTION 2 :;PROPERTY OWNERSHIPJAUTHORIZED,AGENT
2.1 Owner of Record:
Cooley Dickinson Hospital 30 Locust St.
Na r t) �lJ ,� Current Mailing Address:
lX r, l , ,t/J�- 413-582-2313
Sign ture Telephone
2.2 Authorized Agent:
Raymond R. Houle Construction Inc. 187 East St. South Hadley, MA 01075
Name(Print) Current Mailing Address:
413-532-9243
Signature Telephone
SECTION 3-'ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Offidal-Use Only
completed by rmit applicant
1. Building (a) Building Permit Fee
2. Electrical {b)Esbmated dotal Cost of
�Q�' " .Coristrvctiori-from: 6
3. Plumbing Build mgPermitfee 'Lr-,r
4. Mechanical (HVAC) L�
5. Fire Protection
i
6. Total = (I + 2 + 3 +.4+ 5) 70 CheckNumber
s Section For Official Use Only
Building Permit Number: - - Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2004-1203
APPLICANT/CONTACT PERSON Raymond R.Houle Construction Inc
ADDRESS/PHONE 187 East St SOUTH HADLEY (413) 532-9243
PROPERTY LOCATION 30 LOCUST ST-OLD ENTRY
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
Typeof Construction:_RELOCATE SWITCHBOARD&VOLUNTEER SPACE/CREATE NEW OFFICES
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 066227
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION 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 Co sion
r a
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.
t
30 LOCUST ST-OLD ENTRY BP-2004-1203
GIs#: COMMONWEALTH OF MASSACHUSETTS
Mag:Block:23B-046 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2004-1203
Project# JS-2004-1817
Est.Cost: $70115.00
Fee: $269.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: lA Contractor: License:
Use Group: I2 Raymond R. Houle Construction Inc 066227
Lot Size(sc. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC
Zoning:M Applicant: Raymond R. Houle Construction Inc
AT. 30 LOCUST ST - OLD ENTRY
Applicant Address: Phone: Insurance:
187 East St (413) 532-9243 Workers Compensation
SOUTH HADLEYMA01075 ISSUED ON.611104 0:00:00
TO PERFORM THE FOLLOWING WORK:RELOCATE SWITCHBOARD & VOLUNTEER
SPACE/CREATE NEW OFFICES
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 6/1/04 0:00:00 9181 $269.50
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo