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23B-046 (127) • ���t11►Alp�O 8 ♦6 Giy� of Nad4alltptan _ 11 $ LB �ti�ssd�usetts (1 DEPARTMENT OF BUILDINjG INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton,MA 01060 CONSTRUCTION CONTROL DOCUMENT (for professional En neers/Architects responsible for Entire Project) f mho .S to fl-L Project Title:MIX19m t!' JMa Date: 'yb/ "UV CvoWw Project I.ocation:_ 1,ow Map: Parcel: Zone: Scope of Project: i wiexioy. V� mwooh 613 -�a `}'G� �2et+S't' w i►� i n . H.c In accordance with the sixth edition Massachusetts State Building Code,780 CMR SECTION 116.0: I, ,�,,�r�, �,, Mass.Registration Number 4 1o6 Being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: []Entire Project for the above named project and that to the best of my knowledge,such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. ' Furthermore,I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in section 116.2.2: 1. Review of shop drawings,samples and other submittals of the contractor as required by the construction documents as submitted for the building permit,and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically,in a form acceptable to the building official,a progress report together with pertinent comments.Upon completion of the work,I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. Signature and Seal of registered professional: 3ENp,9 fFp� No.4105 �+ c, CONWAY a Fax 413-587-1272 -phone 413-587-1240 June 26,2001 HEALTHCARE Fire Narrative ARCHITECTS INC. Renovations to the Nuclear Medicine Department Cooley Dickinson Hospital CORPORATE DIRECTOR Northampton,Massachusetts Edward L.Jendry,A.I.A. SENIOR PRINCIPAL C.J.Whitham Under the proposed renovations,the following improvements will be made to the fire protection systems: PRINCIPALS Don Hafner Richard E.Katsanos A. Sprinkler System Ann Lawrence Knox Richard P.Wilk This area is currently sprinklered with a wet sprinkler system. Existing heads and piping will be relocated to accommodate the new construction. ENGINEERING ASSOCIATES William M.Barry,P.E. B. Fire Alarm System Ronald G.Stenlund,P.E. The existing fire alarm system will be replaced with a new addressable system that is compatible with the Hospitals new system. HEALTHCARE ARCHITECTS INC. 64 GOTHIC STREET NORTHAMPTON, MASSACHUSETTS 01060 413-585-1512 Version 1.7 Commercial Building Permit May 15,2000 SECTION 14 STRUCTURAL PEER'REV1E111f,(780;CMF241011) ndependent Structural Engineering Structural Peer Review Required Yes......❑ No..... SECTION 11'-OWNER AUTHORIZATION =TO`BE'COMPLETED WHEN )WNERS AGENT OR CONTI2ACTo APPLIES FOFt BUl[DING PERMITI as Owner of the subject property ereby authorize to act on ny behalf, in all matters relative to work authorized by this building permit application. signature of Owner Date as Owner/Authorized Agent lereby 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 pen Ities of perjury. ��OL� 3rint Name 'i ture of Own r/Agent 0 Date 3EGTION 12 CONSTRUCTION SERVICES. 10.1 Licensed Construction Supervisor: Not Applicable ❑Gj�j Vame of License Holder: (oZ(�(/�llG License Number \ddress Expiratiorf Date Signature // Telephone SECl'ION 13 ORKERS' COMPENSATION INSURANCE WIDAVITIM.G.L, c. 152,§25C(6)), 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 o the building permit. Signed Affidavit Attached Yes....... No...... ❑ Version 1.7 Commercial Building Permit May 15,2000 >ECTl;4N g A4FSS1( NAL DESIGN AND GO�NSTRl1CT IOhF SERVICES FOR BUILDINGS AND S.TRUCTtlRES;SUBJEC7 TON :ONSTRUCTItIVw TF�aL PUR„SUANT 70 7CI,;CMR;116(C,ONI`AWING MO.RE.7HAN:35,Q0O C.F '.OF EIVCL4$ED SRAC;E) ).1 Registered Architect: k& ,_ _.1 f-- {„ _* Not Applicable�❑.�.y ,( ame(Registrant): `tcv' �J tHbOg -- `'t' Registration Number d s g+ I, ZDO'y Expira 'n Date Qu re Telephone 7CJ 7 2 Registered Prof Sion ngin er(s): 'ame Area of Responsibility ddress Registration Number ignature Telephone Expiration Date Tame Area of Responsibility ddress Registration Number ignature Telephone Expiration Date !ame Area of Responsibility ddress Registration Number ignature Telephone Expiration Date lame Area of Responsibility ddress Registration Number ignature Telephone Expiration Date 1.3 General Contractor Ctmlcv d(c )-aso pq 1f o p jp/ - J Not Applicable ❑ :ompany Name: 6C o A e o/6 'esponsible In Charge Construction _ o C US S 1(10AV2AI-�,,prokl ddress Z:&� )?44'ex, )ignofure 0 Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION,4 .CONSTI;iUCTIdN,S.ERVICESi OR PROJECTS LESS THAN 3,5,000 :U13IC N{EET Ott 5I'ACE iterior Alteratio Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ y� ❑ ❑ xt rior Alterations Demolitiotm* New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building[ ] Repairs [ ] DESC2 p-7r FWl//4 2 N G -�3'� /yl M)q w ,l G& ECTION 5 - USE.GROUP AND CONSTRU..,CTION TYPE , USE GROUP(Check as applicable) CONSTRUCTION TYPE Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1 B ❑ Business ❑ 2A ❑ Educational ❑ 2B Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ High Hazard ❑ 3A ❑ Institutional 1-1 ❑ 72 1.3 ❑ 3B ❑ Mercantile ❑ 4 ❑ Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ Utility ❑ Specify: Mixed Use ❑ Specify: Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING:BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE fisting Use Group: Proposed Use Group: Z _ fisting Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): ;ECT,ION 6 BUILDING HEIGHT°AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION wwrg1, r .a•'",r� �ti���!.� f 1; v) AM =tee .:; loor Area per Floor(sf) 1st /V/T x � . 2nd A- V --- 2, 2nd r� t Jr 3rd /V f 4th I a' '7 3- 2 otal Area (sf) Total Proposed New Construction (sf) ,Ilk otal Height(ft) Total Height ft --wA........ �A f� Version 1.7 Commercial Building Permit May 15,2000 f� � E Q �i�o thampton Qt5 I partment 21 i Street JUN 2 5 2001 100 Northa pto , MA 01060 DEPT g 24 Fax 413-587.1272 NGRTRAMQ ON,MA 01060 4PPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING �-,(oo UA i-U hs TO 1V06 L- -PAA M f, D I C I Mp ie7p t SECTION 1-SITE INFORMATION: Thjs �- / m ff .1 Property Ad dress: by -ice ' y -/t/0, 1 A Gl i�?� �1 H- 0/066 ;ECTION 2., PROPERTY OWNERSHIP/AUTHORIZED AGENT '..1 Owner of Record: rooLoo D11 r 6c iti s 0.'u 12 rte 30 U Jame(Print) Current Mailing Address: y/3 762- 2-3 / 2 signature Telephone '.2 Authorized Agent: 30 &ccaST' 57. OC--a(16 /V4l-i4AJ a,'a)-7,fA 1'0/�i� Jame(Print) ]�/Q�LJZl/L ( g(/(�/T/ Current Mailing Address: 582-a3Z� ;ignaturZ Telephone 3ECTION 3 'ESTIMATED CONSTRUCTION COSTS tem Estimated Cost(Dollars)to be Official Use Only com leted by ermit applicant 1. Building //1000, 00 -(a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of .2- 0 vo - a a Corj"struction from.(6) 3. Plumbing Building"Permit Fee 7000 , 0C) 1. Mechanical (HVAC) 16-0 OOU .. 00 5. Fire Protection 7 >3—(jU • 00 o. Total =(1 + 2 +3 +4+ 5) 1 20 O 6—Q 0. C)o Check Number This Sectloni For.Offic al.Use Onl Building Permit Number: Date Issued: Signature e :_BuildingCommissioner/Inspector,of,"Suiidings � Dat % L File#BP-2001-1119 APPLICANT/CONTACT PERSON COOLEY DICKINSON HOSPITAL THE ADDRESS/PHONE 30 LOCUST ST (413)582-2312 O PROPERTY LOCATION 30 LOCUST ST-NUCLEAR MEDICINE DEPT MAP 23B PARCEL 046 ZONE M THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid i T_vpeof Construction: RENOVATE(2)NUCLEAR MEDICINE DEPT ROOMS W/OFFICE SPACE-SECTION 116 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 042199 3 sets of Plans/Plot Plan THE,F&LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: //Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § —w/ZONING BOARD OF APPEALS 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 Consery tion Commission Permit from CB Architecture Committee /5 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. 3 [ � 4 . ., - h ;� .,. - , ,#, t, ��) ... / Y /�. ;� _ a_ s,�, '. - - , ,, , - "- -� - - - ; ,";�-,!�-,"----,'e.,T'i"i'n, iEl,c ;� ,�, � ,, __- , ,/-/- 4x, - , � "ji, , � , , i,, : � �, , "-Fl -, . ,:' - il, -, , -I , �, � 1 7�1",,��,,i�,`,', � A,�,�,,,,,���,T, �'j",,- , M ia "T ,� -,-",; , - ,,.,�" ",, , , ,�,t,�`,' � 11 � I I - � � L' ' �,P ,', "O 0 -"':,"" - "I�-I.,�i-� . ,Ift-'I�i�'Iii�-"�� , ,�;:"�r�,�c-� :"I'I-III':,;"z-iI,,� ,',`,----',,,'--' yy t '� � �JF� -' 3 mss' .k X#5 ..11 F { 0 P �:T .� A CP ', - ,; --i 'i 1�� I , -", ", , , , , � ;�, ��.� �-,: ­I ,�� ;�- -'��, — , -'� .� - -�-��T� ,":i,� ,�;�'K.,, , ,�-,: �, �,�,--,,- � , -,,- , ,� 001, -,t',t- i" : "' 5 'k h rl`C' �. .' k r x .i 4 ^",an i�. t ar.a f �i .:y Y,' f �.a ,,�+ t 'r r�z''t�.. v h, +, r '"f"� .gw� E,� t- .4,� `� 'yam - '_` js € -q.4 r s-.«' '�„ z,, a r.11 11 'F 'fix C '. ) ,.,r sty.; ILI-I -' rF t - f � $ a z x "x ,u'ab r �rr ,ate , 4 '-Q t _ .�. -?.ai t' y 'w e AN 1� s ,_ `' aR A " 1.� y � k r ( 'i � ,,ag..a w 'u .. 11 I . 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' ?. � �,g`;a �*' .. 34h ti `�r 5 gee a ",€ �'. � M3 �+r & .. a � � �$6 � ' cv4°"(: CR ,. `5?" ,q, a 'F. �y,u xp Iny` n ,!. +` °`*` a a -- u x* t ,.hwsx'zx: c ,1 � �" " . :." �, s° ea sr. .. x °�a xa,. ^^,'',x. , x �a` % , y ,, x as f 3 >� � � `� * t ,y a r t 3' rs y �>r.11 a 1 "s, �. , g ,2 �, 4�. a �e ,� s .? Y .,`try." "'I` ..m ... sk ° ,.x�,S` - " i-Fr5 `4:-• 13 MCHUSETTS PM WISSION IS HER EBY GkolWED -- C?O3 EY t lCKJN C3.N kLLDALl Q 7 4 By eq 19 PDA f S© licanlAddreu. Ec MUT low, Gompensatiyn < : x Undergrounih , Fts:;; ita } Rou .. ���� � � Foundation: Fidat; Rm. Iz FTwc- Gas U Rough:: ' Iusulattn: Final: ANY OF e i#' of a. ' 71251}1 Q 0.00 $Q6'� 42 Main Street,Phone(413)587-1240,Fax:(413)587-1272 2 Building Commissioner-Anthony Patillo