23B-046 (94) Fete-13-04 10: 33A Lee Audio 'N Security Inc 413-243-1273 P . 02
LEEAUDIOW
450
i CURU"% INC 1-800-369-3905
65 FAIRVIEW ST. - P.O. BOX 299 - LEE, MA 01238 FAX 1-413-243-1273
TO: James Jaron
FROM: Paul Malek
DATE: February 13, 2004
SUBJECT: McCullum Building
Upgraded Fire Alarm Panel and Equipment in the McCullum Building.
Included:
1 Nutifier NFS-640 Fire Control
54 Notifier Analog Smoke Detectors
13 Notifier Addressable Pull Stations
19 Notifier Horn/Strobes
8 Notifier Strobes
All itemv listed above have been Tested and Certified
Sincerely,
Paul Malek,
Service Manager
Fire & Security Contractors - Communications Contractors
MA Lic. 41468C -CT Lic.1-5-00105680- NY Lic. 12000022800-VT Lic. ES 1000
A UL Listed Company - NICET Certified
COOLEY DICKINSON HOSPITAL
,. DARTMOUTH-HITCHCOCK ALLIANCE
February 13, 2004
FED
To Whom It May Concern:
From: James Jaron
RE: McCallum Building Fire Alarm Narrative
The McCallum building fire alarm was installed in 2003 by Collins Electric& Lee Audio. The
system is a Notifier Smart System that includes a remote enunciator, a red exterior strobe &
smoke detectors located throughout the building. The building elevator is connected to an
elevator recall system. All sprinklers, water flows &tampers are connected to the Fire Alarm
System. In addition,the Fire Alarm System when in an active alarm dials the Fire Department
directly and notifies the hospital switchboard, which is staffed 24 hours a day.
Sincerely,
-' James Jaron X'
Electrical Supervisor
30 Locust Street• Northampton,MA 01061 •http://www.cooley-dickinson.org• Phone (413)582-2000• Fax(413) 586-9333
1
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DEPARTMENT OF BUILDING INSPECTIONS./
INSPECTOR 212 Main Strect • Municipal Building
N�rdtamp
c ton MA 0106)0
CONSTRUCTION CONTROL DOCUMENT
(for professional Engineers/Architects responsible for Entire Project)
Project Title: Renovation Information Systems Date: February 6, 2004
Cooley Dickinson Hospital
Project T.acstion: 30 Locust Street Man: Parcel: Zone:`_ _
Scope of Project: Interior office renovation including minor demolition,
wall construction and interior finishes upgrade.
In accordance with the sixth edition Massachusetts State Building Code, 780 CMR SECTION 116.0.
1, Kerry L Dietz 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:
LA 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 construction to become generally familiar
with the progress and quality of the work and to determine, in general, if the work is being
performed in a manner consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together witli
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 acdal>cr! registered professional:
4�1
�f
3�P0 Fax 413-587-1272 -phone 413-587-12.10
.tin>•r 0
n
-.�T ti� Cris cf Tcr#()U»1 Olt _ --
\ E _qt asaRchaectle'
DEPARTMENT OP ➢UILDr>\C WSPECr10N's - —
212 Main Strcct ' Municipal Building
Northampton, Mass. OIOGO
«rOR CCIZ'S CONfPENSATTON 5NSURA-NCE AF MAV17'
(lic,- s pernjttcc)
v,111 a principal place of business/residence at:
(phone!')
(sic/c��siai.c'a p>
do hereby certify, under the puns and penalties of pefJury, that
I ?n employer providing die following workcr's comocnsadon cove age Cori Illy
el pioyces wor�Jng on'diis job:
(Insurn� Conr�cy) (Pclic: NL ter) (r:pirtior, Dom)
( ) I.am a sole proprietor, general contractor or homeowner (c' cie one) and hive hirea
the conLT actors listed below who have the follo1�g workers compe,asaaon policies:
( a1vC Oi CO.^.1 CiO:'� (In- rznc:. Compwi)•ili obc; ?NlUIILC1) CY`:J Ina:?Qn DItC)
(Name of Cootraetor) (insJrzn Companyt?aUcy Numi:cr) (L»tf7.6on Due)
(Name of Co=-aclo,) Onsurancr Compan)•/PoUcy Nttmbzr) (txaim6oa Date)
Ma-Mc of Coanctor) (Insuran= Comcany/PoUcy Numkr) (Expi atioa Dau).
(att�_ddi Deal acG it nco�zi:}•w c,e'u�iafort�,�oa pe�'�to.L ooc�--_c.o:�) .
( } I am a sole proprietor and have no one worldog for me.
( ) I am..a home owner performing all t-be work myself.
NOTE:plcse be aw1rc the M jG bemcoIvcn M100 QIIplay DC.Zo=Lo 0o rcpair work oc a d.•cIL:Z of
got mat tb.r,L-,= L-lf r is wb the bov�made (oa the pounds rppklrtce-e tbe•an Lc o A occ=d.-rcd to t�c
etiplo)r—LLOd tUC..Q 1 O—P---'gym AC zw ieLAoo by a boa=-=fer:6ca--x or pe-mit r=y c.idmoc the
legal ctayc of w eraloyx coder dso WOCk4e&COCU oO3aL Act.
t u04--d dv¢a copy o(u)!-m.ICmcc2 r y b.rar-xvded to tba pogarcaxnt or 1-i-e d Ati dc a&OSioo or ror tb.
colorise V-6-xioc n--,d th_t L'1.ILM to socurc)Cove triad,=S4cx;oQ 23A of MOL 132 cna la.d to tba iapositioo oraimical pcatltia
O=irr g or a Goc oCLrp to S t S00.00 andror caprisoo Dc=of up to ovc year acd civj pm,.t•JP io t5c form of a Stop Wort Order and a
rtm 0(5100,00 a d_y aptitrn ate
r
For dca.rtm=�u.c mfy
Permit Number
L;92— �� Map°F Lot ..
signaw ,;o Lia�scc/Pcrmiucc Date J ::.
• Versionl.7 Commercial Building Permit May 15,2000
SECTION 10 STRUCTURAL PEER REVIEW(780 CMR 110.1
Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑
SECTION 11 OWNER AUTHORIZATION; TO BE COMPLETED WHEN
u ,
OWNERS AGENT OR CONTRACTOR'AP .LIES FOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize to act on
my behiaA in all matters rela Uve t work authorized by this building permit application.
2 1v a
Signature of Owner Date
e �57/��j/�£ f / as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penal ies of perjury
Tf
Print Name
,Fr4
Signature of Owner/Agent Date
SECTION 12 CONSTRUCTIONSERVICES
10.1 Licensed Construction nSSupervisor:
/ Not App�plliicable ❑
Name of License Holder : / /. =1�/1� �G // / �� - (iC7�2 C?
License Number
Address Expiration Date
Signature Telephone
SECTION 13 WORKERS'COMPENSATION INSURANCE AFFIDAVIT{M G t c 152, 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidav t
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... No...... ❑
Versionl.7 Commercial Building Permit May 15,2000
7.Water Supply(M.G.L c.40,§54) 7.1 Flood Zone Information: 7.3 Sewagg.Disposal System:
Public Private ❑ 1 Zone: Outside Flood Zone Munidpaag On site disposal system ❑
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
c�/ Building Depmtment
Lot Size 1,7 12-7, F /t� Z 2
Frontage 6 SZ� 2,6 5
Setbacks Front /e,2 ' /0 > �
Side L: ��'R: L: ZJ, R: .42 �
Rear
Building Height f
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg&paved
arlan ) /
#of Parking Spaces f�/
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES
IF YES, date issued: 13. 2-0<)Z
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book w Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: Ii?/�'%��c' �o �7-io/�5 CW S"Tc
D. Are th e any proposed changes to or additions of signs intended for the property ?YES
No +
IF YES, describe size, type and location:
Version 1.7 Commercial Building Permit May 15,2000
SECTION 9 uPROFESSIONAL DESIGN ANDNCONSTRUCTION SER1/ICES -FOR.BUILDINGS AND STRUCTURESSUBJECT.TO
CONSTRUCTION�ONTROL.P:.URSUANT 70.780,CMR 116:{CONTAINING MORE THAN5,000 C F `O:F ENCLOSED;SRACE7
9.1 Registered Architect:
Not Applicable ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(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 L/
,,XIVawb P /7dci,/C— 6/-/s/ Not Applicable ❑
Company Name:
Responsible In Charge of Construction //
Address
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
a -
SECTION 4ONSIUCT30N ORRO7ECTS LESS THAN 35,fl00
CUBICEET OFNCLOSEDPACf y t
y
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building [ ] ,, Repairs [ ]
BRIEF DESCRIPTION: /�Tt Yv %ff W,VW1
SECTION 5=:USE GROUP AND CONSTRUg7PN_IYPP
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ 1A A
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ I-2 I-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE T#iIS SECTION IF DQSi3NG BUILDING�IVD-RGOINGRENOV�1T30NS,�IDDITIONS AND%OR;CHANGE IN USE
Existing Use Group: Z Proposed Use Group: '
Existing Hazard Index 780 CMR 34): 4 Proposed Hazard Index 780 CMR 34):
'SECTION.6'BUILDING HEIGHTAND`AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION r FIC �DNL?Y »- �, =
r
�P0
Floor Area per Floor(sf) in r
2nd 3rd
3rd
th
Total Area (sf) Total Proposed New Construction (sf) µ>
M
Total Height(ft) -0f >»
Total Height ft
- Versionl.7 Commercial Building Permit May 15,2000
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
':L
;sECTION� SITE INF012MATION F E 3 1 LV�
issecihono�ie.�complete offce� ;
1.1 Property Address: .
..
Coil cy �� ���,c.s�z.v / sii'T z
� � s
Ica d C as% =S / syay:°Duct " �5
SECTION 2 ,PROPERTY OWNERSHIPJAUTHORIZEDAGENT ,
2.1 Owner of Record:
Name(Pr Current Mailing Address:
X
Signature Telephone
2.2 Authorized Agent:
Name(Print Current Mailing Address: �
O/T
'40- P
Y13 S32- " 2 `i3
Signature Telephone
SECTION-3-ESTIMATED CONSTRUCTIOWCOSTS .
Item Estimated Cost(Dollars)to be OffidaFUse Only
completed by rmit applicant
1. Building (a)'Building Permit Fee
2. Electrical {b) stamated Total Cost of
Construction fro-
m:.
3. Plumbing Bu`ildmgperm�tfee -
5Z) 2_
4. Mechanical (HVAC)
5. Fire Protection
b
6. Total = (1 +2 + 3 +4+ 5) � �C-�), ?e `Check:Nurriber ZK5
This°Section For Offcial'Use Only
Building Permit Number °? ilw Date Issued:
Signature:
Building Commissioner/InspectornfBuildings Date
1 File#9P-2004-0795
APPLICANT/CONTACT PERSON Raymond R.Houle Construction Inc
ADDRESS/PHONE 187 East St SOUTH HADLEY (413)532-9243
PROPERTY LOCATION 30 LOCUST ST-MCCALLUM BLDG
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: INTERIO11f RENOVATIONS TO MCCALLUM BLDG
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 LLOWING 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 Stree mmission
i nature of Building Official Date /
g g
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.
7 J-
30 LOCUST ST-MCCALLUM BLDG BP-2004-0795
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23B -046 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category BUILDING PERMIT
Pernut# BP-2004-0795
Project# 35-2004-1180
Est. Cost: $17500.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Raymond R. Houle Construction Inc 066227
Lot Size(sq. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC
Zoning,: M Applicant: Raymond R. Houle Construction Inc
AT: 30 LOCUST ST - MCCALLUM BLDG
Applicant Address: Phone: Insurance:
187 East St (413) 532-9243 Workers Compensation
SOUTH HADLEYMA01075 ISSUED ON:2127104 0:00:00
TO PERFORM THE FOLLOWING WORK:INTERIOR RENOVATIONS TO MCCALLUM BLDG
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: d House# Foundation:� riveway
Final:
Final: Fina1: ,--
5 Rough Frame Sj�f ��t
o%icl zv 311?4,1 w--
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: v 5 ~I� Insulation:
r y
Smoke:'��": " �'_nn��� J r i A Final: (jlC Jr
Final: ,,;" �` �- d�✓�
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOiL.ATION OF
ANY OF ITS RULES AND REGULATIONS. -
Certificate of Occupancy i Signature:
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 2/27/04 0:00:00 8830 $75.00
212 Main Street,Plione(413) 537-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo