23B-011 (1) Initial Construction Control Document
W
To be submitted with the building permit application by a
d Registered Design Professional
for work per the 81h edition of the
r
°N SYe
Massachusetts State Building Code,780 CMR, Section 107
Project Title: Northampton Area Pediatrics Date: 7/29/15
Property Address: 193 Locust Street,Northampton, MA.01060
Project: Check(x) one or both as applicable: (X)-New construction (X)- Existing Construction
Project description: Interior renovations to approximately 2400 sf.of existing building space. Addition of new 50 sf.
entry vestibule.
I Mark O.Gelotte,MA Registration Number: 7804 Expiration date: 8/31/16,am a registered design professional, and I
have prepared or directly supervised the preparation of all design plans,computations and specifications concerning':
X-Architectural X- Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
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 if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports (see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'.
Enter in the space to the right a"wet" or
electronic signature and seal: Al�gcb
N
Na 7804 m
Phone number: 413 247-9624 HATFIELD
MASS.
Email: mgelotte @markgelottearchitect.com OF
Its C-
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised. If`other' is chosen,
provide a description.
Version 06 11 2013
Initial Construction Control Document
To be submitted with the building permit application by a
N
Registered Design Professional
for work per the 8th edition of the
Massachusetts State Building Code, 780 CMR,Section 107
Project Title:Northampton Area Pediatrics Date: 7/27/15
Property Address: 193 Locust Street,Northampton, MA.01060
Project: Check(x)one or both as applicable: (X)-New construction (X)- Existing Construction
Project description: Interior renovations to approximately 2400 sf.of existing building space.Addition of new 50 sf.
entry vestibule.
I Dean H.Azzam,MA Registration Number:45132 Expiration date: yo am a registered design professional,
and I have prepared or directly supervised the preparation of all design p ans,computations and specifications
concerning :
Architectural Structural Mechanical
(X)- Fire Protection (X)- Electrical (X)- Other: Plumbing
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
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 if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'.
Enter in the space to the right a"wet"or
electronic signature and seal: o� � ;�`
AZZAM
Phone number:. (860)548-9987 tCAL ca = -
Nn.4513
Email: Dean Azzam dazzam @aztecheng.com 2
Building Officia{Use Only
Building Official Name: Permit No.: Date:
Note 1. Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other is chosen,
provide a description.
Version 06 11 2013
Code Review for Northampton Area Pediatrics,Northampton, Ma.
Uniform State Plumbing Code 248 CMR 10
Section 10.10 Plumbing Fixtures
18. Minimum Facilities for Building Occupancy Other Than Residential.
Table 1: Minimum Facilities For Building Occupancy. (*Optional by owner)
Toilets Pertinent
Building Use Urinals Lavatories Other Regulations
Clarification Group Females Males Males Each Sex Fixtures 248 CMR
10.10(19)
Medical/ Health B 1 per 45: 1 per 55 50% 1 per 200 1 service sink (i), (k), (m), (n),
care Building perfloor (p)
Occupants: after renovations.
Staff:
5- Doctors
10-Nurses
4-Administrative
4-Scribes
3-Front Desk
8-Care Coordination
34-Total Staff= 17 male, 17 Female
Patients:
28- In exam Rooms
15-Waiting
15- Meetings
58-Total Patients/non-staff 29 male, 29 female
Mass Plumbing Code: Medical/Healthcare Building
1 toilet for every 45 Females
1 toilet for every 55 males
Staff Toilets: 2 needed
Public Toilets: 2 needed
The building meets the requirement with the current 4 toilet rooms, 3 of which are fully(HC) accessible. With the
proposed renovations, a staff toilet room will be created.
5
Code Review for Northampton Area Pediatrics, Northampton,Ma.
1006.1 Means of Egress Illumination Required: The means of egress, including the exit discharge, shall be
illuminated at all times that the building is occupied.
1006.3 Illumination Emergency Power: If power failure, emergency electrical system shall provide for the
following.
1. Aisles and stairways
2. Corridors and exit passageways
3. Exterior egress components
4. Exterior landings
1008.1.1 Doors Size: Required egress doors shall provide 32" clear. Will provide 36" doors
1008.1.2 Door Swing: Doors shall swing in the direction of egress travel.
1008.1.5 Landings: Level on each side of egress door
1008.1.7 Thresholds: %2" max
1008.1.8 Door Arrangement: Space between doors shall be door swing plus 48". (Vestibule)
1008.1.9 Hardware height: 34"—48"
1008.1.10 Panic Hardware: Will install panic hardware on new doors.
1009.4 Stairs Not Applicable
1010 Ramps:
Ramp shall meet requirements of CMR 521. Altered ramp shall meet requirements.
1011.1 Exit Signs,Where required. Exits and exit access doors shall be marked by an approved exit sign readily
visible from any direction of egress travel.
Exit sign placement shall be such that no point in an exit access corridor or exit passageway is more than 100 feet
or the listed viewing distance for the sign,whichever is less, from the nearest visible exit sign.
1014 Exit Access
1014.2 Egress through intervening spaces: Shall be allowed if spaces are accessory to one another.
One exit from a corridor shall pass through another space (Behavioral Health#1) and exit to the south parking
area. The intervening door shall not be lockable and the exterior door shall have panic hardware.
1016.1 Exit Access Travel Distance
TABLE 1016.1 EXIT ACCESS TRAVEL DISTANCE
WITHOUT SPRINKLER WITH SPRINKLER
SYSTEM SYSTEM
OCCUPANCY (feet) (feet)
A, E, F-1, M, R, S-1 200 250b
1-1 1 Not Permitted 250`
B 200 300`
Maximum distance to an exit from any space is: 72'
Meets Exit Access travel distance
4
Code Review for Northampton Area Pediatrics,Northampton,Ma.
IBC CHAPTER 6—TYPES OF CONSTRUCTION
602.1 Construction Classification. Buildings and structures shall be classified in one of the five construction types.
See table 601 and 602 for fire resistance ratings.
602.5 Type 5B. Structure, exterior walls and interior walls are of any materials allowed by code. See Table 601.
IBC TABLE 601 FIRE-RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS(hours)
TYPE I TYPE II TYPE III TYPE IV TYPE V
BUILDING ELEMENT A 713 Ad B Ad B HT Ad B
Primary structural frame' 3a 2a 1 0 1 0 HT 1 0
(see Section 202)
Bearing Walls
Exteriorf'g 3 2 1 0 2 2 2 1 0
Interior 3a 2a 1 0 1 0 1/HT 1 0
Nonbearing walls and partitions
Exterior See Table 602
Nonbearing walls and partitions 0 0 0 0 0 0 See Section 602.4.6 0 0
Interiors
Floor construction and secondary 2 2 1 0 1 0 HT 1 0
members(see Section 202)
Roof construction and secondary 1 b b,c be be be
members(see Section 202) 1 /2 1 1 ' 0 1 ' 0 HT 1 ' 0
IBC TABLE 602 FIRE-RESISTANCE RATING REQUIREMENTS FOR EXTERIOR WALLS BASED ON FIRE SEPARATION
DISTANCE a,e
Exterior Walls are required to have no rating.
FIRE SEPARATION OCCUPANCY
DISTANCE=X TYPE OF OCCUPANCY OCCUPANCY GROUP A,B, E,F-2,I,R,S-2g,
(feet) CONSTRUCTION GROUP Hf GROUP F-1,M,S-1g U
X<5` All 3 2 1
IA 3 2 1
5<_X< 10
Others 2 1 1
IA, IB 2 1 1d
10<_X<30 IIB,VB 1 0 0
Others 1 1 1d
X>_30 All 0 0 0
IBC CHAPTER 10 MEANS OF EGRESS
1004.1 Design Occupant Load
1004.1.1 Business areas,See table 1004.1.1
Table 1004.1.1
Business: Grade floor areas. 100sf. per occupant, gross.
7329 sf. : divided by 100 = 73 occupants
Actual calculation: 34 staff, 58 non staff.
1005. Egress Width: See 1008 Doors
3
Code Review for Northampton Area Pediatrics, Northampton,Ma.
IBC CHAPTER 5 - GENERAL BUILDING HEIGHTS AND AREAS
503.1 Building Height and Area Limitations.
Building Height and Area
Building Height: 16'.
Building Stories: 1 story.
Building Area: Ground Floor: 7329 sf.
Basement: Records Storage: 2780 sf.+
Total Building Area 10,109 sf.
Assuming Construction Type 5B, all height and floor areas are acceptable, See table 503 below.
IBC Table 503 Allowable Building Heights And Areas'
Building height limitations shown in feet above grade plane. Story limitations shown as stories above grade plane.
Building area limitations shown in square feet, as determined by the definition of"Area, building," per story
TYPE OF CONSTRUCTION
TYPE I TYPE II TYPE III TYPE IV TYPE V
A B A B A B HT A B
HEIGHT(feet) UL 160 65 55 65 55 65 50 40
STORIES(S)
GROUP AREA(A)
S UL 5 3 2 3 2 3 2 1
A-1 A UL UL 15,500 8,500 14,000 8,500 15,000 11,500 5,500
S UL 11 3 2 3 2 3 2 1
A 2 A UL UL 15,500 9,500 14,000 9,500 15,000 1 11,500 6,000
S UL 11 3 2 3 2 3 2 1
A-3 A UL UL 1 15,500 9,500 14,000 9,500 15,000 11,500 6,000
S UL 11 3 2 3 2 3 2 1
A-4 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000
S UL UL UL UL UL UL UL UL UL
A-5 A UL UL UL UL UL UL UL UL UL
B S UL 11 5 3 5 3 5 3 2
A UL I UL 1 37,500 23,000 28,500 19,000 36,000 18,000 9,000
For SI: 1 foot=304.8 mm, 1 square foot=0.0929 m2.
A=building area per story,S=stories above grade plane, UL=Unlimited, NP=Not permitted.
a. See the following sections for general exceptions to Table 503:
1. Section 504.2,Allowable building height and story increase due to automatic sprinkler system installation.
2.Section 506.2,Allowable building area increase due to street frontage.
3. Section 506.3,Allowable building area increase due to automatic sprinkler system installation.
4.Section 507, Unlimited area buildings.
b. For open parking structures,see Section 406.3.
c. For private garages, see Section 406.1.
d.See Section 415.5 for limitations.
2
Mark O.Gelotte Architect.
70 Elm Street
Hatfield, Massachusetts 01038
413 247-9624 mgelotte @markgelottearchitect.com
Code Review 7/29/2015
Northampton Area Pediatrics
193 Locust Street, Northampton, MA
Interior Renovations
IEBC 2009 with Mass. Amendments
IEBC CHAPTER 1 -SCOPE AND ADMINISTRATION
101.5 Compliance Methods: Select a compliance Method
Prescriptive Compliance Method:
101.5.4.0 Investigation and Evaluation. As a condition of the issuance of a building permit the building owner
shall cause the existing building to be investigated and evaluated in accordance with the provisions of this code.
This may include: evaluation of design gravity loads, lateral load capacity, egress capacity,fire protection systems,
fire resistive construction, interior environment, hazardous materials, and energy conservation.
Chapter 3— Prescriptive Compliance Method
302.1 Additions:
Vestibule addition shall comply with IBC 2009 for new construction
303.1 Alterations:
All alterations shall comply with IBC 2009 for new construction.
IECC CHAPTERS -COMMERCIAL BUILDING ENVELOPE
Table 502.2 Building Envelope Requirements
Climate Zone 5
Wood Framed Walls: Altered walls require R-13 plus R3.8 continuous insulation.
Heated slabs: R-15 at perimeter and below slab for 24"
Roofs: R-38
IBC 2009 with Mass. Amendments
IBC CHAPTER 3 - USE AND OCCUPANCY CLASSIFICATION
302.1 Classification of Structure
Existing Use:
Business, Group-B, Pediatric& Dental Offices
Proposed New Use:
Business, Group-B, Pediatric Offices
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. -arical (X)*w Other Plumbfiij
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n the construction -site on -a regular and. pen
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inate to the stagy of Construction to. becomt
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contractor of ids responsibility re ardm-9 ��
J, I shall submit field/progress reports (see
,3.k. building official..
Initial Construction Control Document
W To be submitted with the building permit application by a
Registered Design Professional
for work per the 8th edition of the
r
Massachusetts State Building Code,780 CMR, Section 107
Project Title: Northampton Area Pediatrics Date: 7/29/15
Property Address: 193 Locust Street,Northampton, MA.01060
Project: Check(x) one or both as applicable: (X)-New construction (X)- Existing Construction
Project description: Interior renovations to approximately 2400 sf.of existing building space. Addition of new 50 sf.
entry vestibule.
I Mark O.Gelotte,MA Registration Number: 7804 Expiration date: 8/31/16,am a registered design professional, and I
have prepared or directly supervised the preparation of all design plans,computations and specifications concerning':
X-Architectural X- Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
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 if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports (see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'.
Enter in the space to the right a"wet"or
electronic signature and seal: Ea A
No. rn �
Phone number: 413 247-9624 HAlT
MASS.
Email: mgelotte @markgelottearchitect.com (
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised. If`other' is chosen,
provide a description.
Version 06 11 2013
Code Review for Northampton Area Pediatrics, Northampton,Ma.
Uniform State Plumbing Code 248 CMR 10
Section 10.10 Plumbing Fixtures
18. Minimum Facilities for Building Occupancy Other Than Residential.
Table 1: Minimum Facilities For Building Occupancy. (*Optional by owner)
Toilets Pertinent
Building Use Urinals Lavatories ; Other Regulations
Clarification Group Females Males Males Each Sex Fixtures 248 CMR
10.10(19)
Medical/Health B 1 per 45 1 per 55 50% 1 per 200 1 service sink (i), (k), (m), (n),
care Building perfloor (p)
Occupants: after renovations.
Staff:
5- Doctors
10-Nurses
4-Administrative
4-Scribes
3-Front Desk
8-Care Coordination
34-Total Staff= 17 male, 17 Female
Patients:
28- In exam Rooms
15-Waiting
15- Meetings
58-Total Patients/non-staff 29 male,29 female
Mass Plumbing Code: Medical/Healthcare Building
1 toilet for every 45 Females
1 toilet for every 55 males
Staff Toilets: 2 needed
Public Toilets: 2 needed
The building meets the requirement with the current 4 toilet rooms, 3 of which are fully(HC) accessible. With the
proposed renovations, a staff toilet room will be created.
5
Code Review for Northampton Area Pediatrics,Northampton, Ma.
1006.1 Means of Egress Illumination Required: The means of egress, including the exit discharge, shall be
illuminated at all times that the building is occupied.
1006.3 Illumination Emergency Power: If power failure, emergency electrical system shall provide for the
following.
1. Aisles and stairways
2. Corridors and exit passageways
3. Exterior egress components
4. Exterior landings
1008.1.1 Doors Size: Required egress doors shall provide 32" clear. Will provide 36" doors
1008.1.2 Door Swing: Doors shall swing in the direction of egress travel.
1008.1.5 Landings: Level on each side of egress door
1008.1.7 Thresholds: %" max
1008.1.8 Door Arrangement: Space between doors shall be door swing plus 48". (Vestibule)
1008.1.9 Hardware height: 34"—48"
1008.1.10 Panic Hardware: Will install panic hardware on new doors.
1009.4 Stairs Not Applicable
1010 Ramps:
Ramp shall meet requirements of CMR 521. Altered ramp shall meet requirements.
1011.1 Exit Signs,Where required. Exits and exit access doors shall be marked by an approved exit sign readily
visible from any direction of egress travel.
Exit sign placement shall be such that no point in an exit access corridor or exit passageway is more than 100 feet
or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign.
1014 Exit Access
1014.2 Egress through intervening spaces: Shall be allowed if spaces are accessory to one another.
One exit from a corridor shall pass through another space (Behavioral Health#1) and exit to the south parking
area. The intervening door shall not be lockable and the exterior door shall have panic hardware.
1016.1 Exit Access Travel Distance
TABLE 1016.1 EXIT ACCESS TRAVEL DISTANCE
WITHOUT SPRINKLER WITH SPRINKLER
SYSTEM SYSTEM
OCCUPANCY (feet) (feet)
A, E, F-1, M, R, S-1 200 250b
1-1 1 Not Permitted 250`
B 1200 300`
Maximum distance to an exit from any space is: 72'
Meets Exit Access travel distance
4
Code Review for Northampton Area Pediatrics, Northampton, Ma.
IBC CHAPTER 6—TYPES OF CONSTRUCTION
602.1 Construction Classification. Buildings and structures shall be classified in one of the five construction types.
See table 601 and 602 for fire resistance ratings.
602.5 Type 5B. Structure, exterior walls and interior walls are of any materials allowed by code. See Table 601.
IBC TABLE 601 FIRE-RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS(hours)
TYPE I TYPE II TYPE III TYPE IV TYPE V
BUILDING ELEMENT A T B Ad B Ad B HT Ad B
Primary structural frame' 3a 2a 1 0 1 0 HT 1 0
(see Section 202)
Bearing Walls
Exterior f'' 3 2 1 0 2 2 2 1 0
Interior 3a 2a 1 0 1 0 1/HT 1 0
Nonbearing walls and partitions
Exterior See Table 602
Nonbearing walls and partitions 0 0 0 0 0 0 See Section 602.4.6 0 0
Interiors
Floor construction and secondary 2 2 1 0 1 0 HT 1 0
members(see Section 202)
Roof construction and secondary 1 b b,c be < be be
members(see Section 202) 1'/2 1 1 ' 0 1 ' 0 HT 1 ' 0
IBC TABLE 602 FIRE-RESISTANCE RATING REQUIREMENTS FOR EXTERIOR WALLS BASED ON FIRE SEPARATION
DISTANCE a,e
Exterior Walls are required to have no rating.
FIRE SEPARATION OCCUPANCY
DISTANCE=X TYPE OF OCCUPANCY OCCUPANCY GROUP A,B, E,F-2,I,R,S-2',
(feet) CONSTRUCTION GROUP H GROUP F-1,M,S-1' U
X<5` All 3 2 1
IA 3 2 1
5<_X<10
Others 2 1 1
IA, IB 2 1 1d
10 5 X<30 IIB,VB 1 0 0
Others 1 1 1d
X>_30 All 0 0 0
IBC CHAPTER 10 MEANS OF EGRESS
1004.1 Design Occupant Load
1004.1.1 Business areas, See table 1004.1.1
Table 1004.1.1
Business: Grade floor areas. 100sf. per occupant, gross.
7329 sf. : divided by 100 = 73 occupants
Actual calculation: 34 staff, 58 non staff.
1005. Egress Width: See 1008 Doors
3
Code Review for Northampton Area Pediatrics,Northampton,Ma.
IBC CHAPTER 5 -GENERAL BUILDING HEIGHTS AND AREAS
503.1 Building Height and Area Limitations.
Building Height and Area
Building Height: 16'.
Building Stories: 1 story.
Building Area: Ground Floor: 7329 sf.
Basement: Records Storage: 2780 sf.+
Total Building Area 10,109 sf.
Assuming Construction Type 5B, all height and floor areas are acceptable, See table 503 below.
IBC Table 503 Allowable Building Heights And Areasa
Building height limitations shown in feet above grade plane. Story limitations shown as stories above grade plane.
Building area limitations shown in square feet, as determined by the definition of"Area, building," per story
TYPE OF CONSTRUCTION
TYPE I TYPE II TYPE III TYPE IV TYPE V
A I B A B A B HT A B
HEIGHT(feet) UL 160 65 55 65 55 65 50 40
STORIES(S)
GROUP AREA(A)
S UL 5 3 2 3 2 3 2 1
A-1 A UL UL 15,500 8,500 14,000 8,500 15,000 11,500 5,500
S UL 11 3 2 3 2 3 2 1
A 2 A UL UL 15,500 9,500 14,000 9,500 15,000 1 11,500 6,000
S UL 11 3 2 3 2 3 2 1
A-3 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000
S UL 11 3 2 3 2 3 2 1
A-4 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000
S UL UL UL UL UL UL UL UL UL
A-5 A UL UL UL UL UL UL UL UL UL
B S UL 11 5 3 5 3 5 3 2
A UL UL 1 37,500 23,000 28,500 19,000 36,000 18,000 1 9,000
For SI: 1 foot=304.8 mm, 1 square foot=0.0929 mz.
A= building area per story,S=stories above grade plane, UL=Unlimited, NP= Not permitted.
a.See the following sections for general exceptions to Table 503:
1.Section 504.2,Allowable building height and story increase due to automatic sprinkler system installation.
2.Section 506.2,Allowable building area increase due to street frontage.
3. Section 506.3,Allowable building area increase due to automatic sprinkler system installation.
4.Section 507, Unlimited area buildings.
b. For open parking structures,see Section 406.3.
c. For private garages, see Section 406.1.
d.See Section 415.5 for limitations.
2
Mark O. Gelotte Architect.
70 Elm Street
Hatfield, Massachusetts 01038
413 247-9624 mgelotte @markgelottearchitect.com
Code Review 7/29/2015
Northampton Area Pediatrics
193 Locust Street, Northampton, MA
Interior Renovations
IEBC 2009 with Mass. Amendments
IEBC CHAPTER 1 -SCOPE AND ADMINISTRATION
101.5 Compliance Methods: Select a compliance Method
Prescriptive Compliance Method:
101.5.4.0 Investigation and Evaluation. As a condition of the issuance of a building permit the building owner
shall cause the existing building to be investigated and evaluated in accordance with the provisions of this code.
This may include: evaluation of design gravity loads, lateral load capacity,egress capacity,fire protection systems,
fire resistive construction, interior environment, hazardous materials, and energy conservation.
Chapter 3— Prescriptive Compliance Method
302.1 Additions:
Vestibule addition shall comply with IBC 2009 for new construction
303.1 Alterations:
All alterations shall comply with IBC 2009 for new construction.
IECC CHAPTER 5 -COMMERCIAL BUILDING ENVELOPE
Table 502.2 Building Envelope Requirements
Climate Zone 5
Wood Framed Walls: Altered walls require R-13 plus R3.8 continuous insulation.
Heated slabs: R-15 at perimeter and below slab for 24"
Roofs: R-38
IBC 2009 with Mass. Amendments
IBC CHAPTER 3 - USE AND OCCUPANCY CLASSIFICATION
302.1 Classification of Structure
Existing Use:
Business, Group-B, Pediatric& Dental Offices
Proposed New Use:
Business, Group-B, Pediatric Offices
860 *548-9987
Telephone
r
E
Telephone
Telephone
10-tructiral. Mechanic al.
Jectrical (X),w Other.- Plumbiftj
st of'my knowledge� "nformation, a
,o the be
visions of the Massac�husetts . State Buildin�
1 *ect, I understaind and agr thatl (bri
Proi
n the construction -site on -a regular and. pen
�is code the concept, shop
the requken ents of the--construction.
red design, professionals .in 780 CMR Chap
inate to the stage of Contructl'on to- becomc
ermine if the work- �sbeing performed xn
his code.
contractor of its responsibility regard'
J, I shall submit field/progress reports (see
!kl- building official..
Initial Construction Control Document
= W
To be submitted with the building permit application by a
Registered Design Professional
for work per the 8th edition of the
Massachusetts State Building Code,780 CMR, Section 107
Project Title: Northampton Area Pediatrics Date: 7/29/15
Property Address: 193 Locust Street,Northampton, MA.01060
Project: Check(x) one or both as applicable: (X)-New construction (X)- Existing Construction
Project description: Interior renovations to approximately 2400 sf. of existing building space. Addition of new 50 sf.
entry vestibule.
I Mark O.Gelotte,MA Registration Number: 7804 Expiration date: 8/31/16,am a registered design professional, and I
have prepared or directly supervised the preparation of all design plans,computations and specifications concerning':
X-Architectural X- Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
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 if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports (see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'.
Enter in the space to the right a"wet" or
electronic signature and seal: qr�
t�. 78M m
Phone number: 413 247-9624 H++TFED
MASS.
Email: mgelotte @markgelottearchitect.com
i
/Y
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised. If`other' is chosen,
provide a description.
Version 06 11 2013
Code Review for Northampton Area Pediatrics, Northampton,Ma.
Uniform State Plumbing Code 248 CMR 10
Section 10.10 Plumbing Fixtures
18. Minimum Facilities for Building Occupancy Other Than Residential.
Table 1: Minimum Facilities For Building Occupancy. (*Optional by owner)
Toilets Pertinent
Building Use Urinals Lavatories Other Regulations
Clarification Group Females Males Males Each Sex Fixtures 248 CMR
10.10(19)
-- ----- -- -
Medical/ Health B 1 per 45 1 per 55 50% 1 per 200 1 service sink (i), (k), (m), (n),
care Building perfloor (p)
Occupants: after renovations.
Staff:
5- Doctors
10-Nurses
4-Administrative
4-Scribes
3-Front Desk
8-Care Coordination
34-Total Staff= 17 male, 17 Female
Patients:
28- In exam Rooms
15-Waiting
15- Meetings
58-Total Patients/non-staff 29 male, 29 female
Mass Plumbing Code: Medical/Healthcare Building
1 toilet for every 45 Females
1 toilet for every 55 males
Staff Toilets: 2 needed
Public Toilets: 2 needed
The building meets the requirement with the current 4 toilet rooms, 3 of which are fully (HC) accessible. With the
proposed renovations, a staff toilet room will be created.
5
Code Review for Northampton Area Pediatrics,Northampton, Ma.
1006.1 Means of Egress Illumination Required: The means of egress, including the exit discharge,shall be
illuminated at all times that the building is occupied.
1006.3 Illumination Emergency Power: If power failure, emergency electrical system shall provide for the
following.
1. Aisles and stairways
2. Corridors and exit passageways
3. Exterior egress components
4. Exterior landings
1008.1.1 Doors Size: Required egress doors shall provide 32" clear. Will provide 36" doors
1008.1.2 Door Swing: Doors shall swing in the direction of egress travel.
1008.1.5 Landings: Level on each side of egress door
1008.1.7 Thresholds: %2" max
1008.1.8 Door Arrangement: Space between doors shall be door swing plus 48". (Vestibule)
1008.1.9 Hardware height: 34"—48"
1008.1.10 Panic Hardware: Will install panic hardware on new doors.
1009.4 Stairs Not Applicable
1010 Ramps:
Ramp shall meet requirements of CMR 521. Altered ramp shall meet requirements.
1011.1 Exit Signs,Where required. Exits and exit access doors shall be marked by an approved exit sign readily
visible from any direction of egress travel.
Exit sign placement shall be such that no point in an exit access corridor or exit passageway is more than 100 feet
or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign.
1014 Exit Access
1014.2 Egress through intervening spaces: Shall be allowed if spaces are accessory to one another.
One exit from a corridor shall pass through another space (Behavioral Health#1) and exit to the south parking
area. The intervening door shall not be lockable and the exterior door shall have panic hardware.
1016.1 Exit Access Travel Distance
TABLE 1016.1 EXIT ACCESS TRAVEL DISTANCE
WITHOUT SPRINKLER WITH SPRINKLER
SYSTEM SYSTEM
OCCUPANCY (feet) (feet)
A, E, F-1, M, R, S-1 200 250b
1-1 1 Not Permitted 250`
B 1200 300`
Maximum distance to an exit from any space is: 72'
Meets Exit Access travel distance
4
Code Review for Northampton Area Pediatrics,Northampton, Ma.
IBC CHAPTER 6—TYPES OF CONSTRUCTION
602.1 Construction Classification. Buildings and structures shall be classified in one of the five construction types.
See table 601 and 602 for fire resistance ratings.
602.5 Type 5B. Structure, exterior walls and interior walls are of any materials allowed by code. See Table 601.
IBC TABLE 601 FIRE-RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS(hours)
TYPE I TYPE II TYPE 111 TYPE IV TYPE V
BUILDING ELEMENT A7 B Ad B Ad B HT Ad B
Primary structural frame' 3a 2a 1 0 1 0 HT 1 0
(see Section 202)
Bearing Walls
Exterior`'' 3 2 1 0 2 2 2 1 0
Interior 3a 2a 1 0 1 0 1/HT 1 0
Nonbearing walls and partitions
Exterior See Table 602
Nonbearing walls and partitions 0 0 0 0 0 0 See Section 602.4.6 0 0
Interiors
Floor construction and secondary 2 2 1 0 1 0 HT 1 0
members(see Section 202)
Roof construction and secondary l b b,c b, b, b e
members(see Section 202) 1 /2 1 1 ' 0 1 ' 0 HT 1 ' 0
IBC TABLE 602 FIRE-RESISTANCE RATING REQUIREMENTS FOR EXTERIOR WALLS BASED ON FIRE SEPARATION
DISTANCE a,e
Exterior Walls are required to have no rating.
FIRE SEPARATION OCCUPANCY
DISTANCE=X TYPE OF OCCUPANCY OCCUPANCY GROUP A,B,E,F-2,I,R,S-2',
(feet) CONSTRUCTION GROUP Hf GROUP F-1, M,S-1' U
X<5` All 3 2 1
IA 3 2 1
5<_X< 10
Others 2 1 1
IA, IB 2 1 1d
10<_X<30 IIB,VB 1 0 0
Others 1 1 1d
X>_30 All 0 0 0
IBC CHAPTER 10 MEANS OF EGRESS
1004.1 Design Occupant Load
1004.1.1 Business areas,See table 1004.1.1
Table 1004.1.1
Business: Grade floor areas. 100sf. per occupant, gross.
7329 sf. : divided by 100 = 73 occupants
Actual calculation: 34 staff, 58 non staff.
1005. Egress Width: See 1008 Doors
3
Code Review for Northampton Area Pediatrics,Northampton, Ma.
IBC CHAPTER 5 -GENERAL BUILDING HEIGHTS AND AREAS
503.1 Building Height and Area Limitations.
Building Height and Area
Building Height: 16'.
Building Stories: 1 story.
Building Area: Ground Floor: 7329 sf.
Basement: Records Storage: 2780 sf.+
Total Building Area 10,109 sf.
Assuming Construction Type 5B, all height and floor areas are acceptable, See table 503 below.
IBC Table 503 Allowable Building Heights And Areasa
Building height limitations shown in feet above grade plane. Story limitations shown as stories above grade plane.
Building area limitations shown in square feet, as determined by the definition of"Area, building," per story
TYPE OF CONSTRUCTION
TYPE I TYPE II TYPE III TYPE IV TYPE V
A F B A B A B HT A B
HEIGHT(feet) UL 1 160 65 55 65 55 65 50 40
STORIES(S)
GROUP AREA(A)
S UL 5 3 2 3 2 3 2 1
A-1 A UL UL 15,500 8,500 14,000 8,500 15,000 11,500 5,500
S UL 11 3 2 3 2 3 2 1
A 2 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000
5 UL 11 3 2 3 2 3 2 1
A 3 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000
S UL 11 3 2 3 2 3 2 1
A-4 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000
5 UL UL UL UL UL UL UL UL UL
A-5 A UL UL UL UL UL UL UL UL UL
B S UL 11 5 3 5 3 5 3 2
A UL UL 37,500 23,000 28,500 19,000 1 36,000 1 18,000 1 9,000
For SI: 1 foot=304.8 mm, 1 square foot=0.0929 m2.
A=building area per story,S=stories above grade plane, UL=Unlimited, NP= Not permitted.
a. See the following sections for general exceptions to Table 503:
1.Section 504.2,Allowable building height and story increase due to automatic sprinkler system installation.
2. Section 506.2,Allowable building area increase due to street frontage.
3.Section 506.3,Allowable building area increase due to automatic sprinkler system installation.
4.Section 507, Unlimited area buildings.
b. For open parking structures,see Section 406.3.
c. For private garages,see Section 406.1.
d.See Section 415.5 for limitations.
2
Mark O.Gelotte Architect.
70 Elm Street
Hatfield, Massachusetts 01038
413 247-9624 mgelotte @markgelottearchitect.com
Code Review 7/29/2015
Northampton Area Pediatrics
193 Locust Street, Northampton, MA
Interior Renovations
IEBC 2009 with Mass. Amendments
IEBC CHAPTER 1 -SCOPE AND ADMINISTRATION
101.5 Compliance Methods: Select a compliance Method
Prescriptive Compliance Method:
101.5.4.0 Investigation and Evaluation. As a condition of the issuance of a building permit the building owner
shall cause the existing building to be investigated and evaluated in accordance with the provisions of this code.
This may include: evaluation of design gravity loads, lateral load capacity,egress capacity,fire protection systems,
fire resistive construction, interior environment, hazardous materials, and energy conservation.
Chapter 3—Prescriptive Compliance Method
302.1 Additions:
Vestibule addition shall comply with IBC 2009 for new construction
303.1 Alterations:
All alterations shall comply with IBC 2009 for new construction.
IECC CHAPTER 5 -COMMERCIAL BUILDING ENVELOPE
Table 502.2 Building Envelope Requirements
Climate Zone 5
Wood Framed Walls: Altered walls require R-13 plus R3.8 continuous insulation.
Heated slabs: R-15 at perimeter and below slab for 24"
Roofs: R-38
IBC 2009 with Mass. Amendments
IBC CHAPTER 3 - USE AND OCCUPANCY CLASSIFICATION
302.1 Classification of Structure
Existing Use:
Business, Group-B, Pediatric& Dental Offices
Proposed New Use:
Business, Group-B, Pediatric Offices
1
The Commonwealth of Massachusetts
Department of Industrial Accidents -
Office of In vestigations
_ 600 Washington Street
Boston,MA 02111
`'H s• www.mass.gov/dia
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leaibl
Name(Business/Organization/Individual): �� ,9 �T� /��� / j �? C
Address: / ,,(�-r7` -r
City/State/Zip: /�" �=1` cflfj Phone.#: '�� ---i'`f,_suer 6
Are you an employer?Check the appropriate box: Type of project(required):
1. I am a employer with 5 4. [] I am a general contractor and I
employees(f and/or part-time).* have hired the sub-contractors 6. [ w construction
ull
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 3-R`emodeling
ship and have no employees These subcontractors have S. emolidon +
working or me in an capacity. employees and have workers'
g Y P h' 9. Building addition
[No workers' comp.insurance comp.insurance.
required.] 5. We are a corporation and its 10. Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.E]Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.D Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such_
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:����
Policy#or Self-ins.Lic.#: w L G%GS LJ f(L' 7.-f/ Expiration Date:
Job Site Address: Z�,.� City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
y
Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of+
Investigations of the DIA for insurance coverage verification.
I do hereby certik,under the sins and penalties of perjury that the information provided above is true and correct-
Sim
afore: Z Date:
Phone#: �� � �
Official use only. Do not write in this area,to be completed by chy or town offsciaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
hereby authorize �'� (�_�u( �` to
act on . b half, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, 6Z � , 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 penalties of perjury.
Print Name _
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: � /
License Number
Address / Expiration Date
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.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 of the building permit.
Signed Affidavit Attached Yes �' No
OO S4-36 73/
7111116
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Mark O. Gclotte Architect, 70 Elm St., I latfield, MA 01038 Not Applicable ❑
MA 7804
Name(Registrant):
Mark O. Gclotte Architect, 0 Elm St., 1 latfield,MA 01038 Registration Number
Add
08/31/2016
(413) 247-9624 Expiration Date
1 '74
gnature Telephone
9.2 Registered Professional Engineer(s):
Aztech Engineers, Inc. Electrical, Plumbing
Name Area of Responsibility
901 Wethersfield Ave, I lartford CT. 06114 2
Address Registration Number
—7A/ (860) 548-9987 V-'—�30
Signature Telephone Expiration Date
Name Area of Responsibility
70 Elm Street, Hatfield, MA 01038
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 //�,
o�� t"Y /Y 1y` � N� Not Applicable ❑
Company Name:
Resp�In Charge of Construction
Address
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 54731 54731
Frontage 198' 198'
Setbacks Front 71-6 80-8
Side L: 58-9 R: 59-7 L:97-5 R: 111d
Rear 20-3 123a
Building Height 16-0 16-0
Bldg.Square Footage 7265 13.3 % 7329 13.4
Open Space Footage %
(Lot area minus bldg&paved 1916 40__ 1916 40
parking)
#of Parking Spaces 68 68
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DON'T KNOW Q YES Q
IF YES, date issued: 03/11/2010
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES
IF YES: enter Book Page' and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO Q
IF YES, describe size, type and location:
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 ® NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE �,/
Interior Alterations El Existing Wall Signs I� Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description Interior renovations to approx. 2380 sf. Addition of 65 sf entry vestibule.
Of Proposed Work:
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑✓ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1-1 ❑ 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 ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: B Proposed Use Group: B
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 St 7,265 1 S 7,329
2nd 2nd
3rd 3 rd
4th
4th
Total Area(sf) 7,265 Total Proposed New Construction (sf)
7,329
Total Height(ft) 16
Total Height ft 16
7.Water Supply(M.G.L. c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑✓ Private ❑ Zone Outside Flood Zone❑ Municipal ❑✓ On site disposal system[_]
Versionl.7 Commercial Building Permit May 15,2000
Ca Department use only
City of Northampton Status of Permit:
Building Department Curb CuttDriveway Permit -
212 Main Street Sewer/Septic Availability,
"! Room 100 Water/Well Availability
Electric P;� '� Northampton, MA 01060 Two Sets of Structural Plans
, , -�....._
13-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
193 Locust Street Map Lot Unit
Northampton,MA
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
AILX411L OAP
Name(Print) Current Mailing Address:
��
Signature Telephone
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
`//3— S
Signature Telephone
SECTION 3 -ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 7 (a)Building Permit Fee
�v
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing 94G0 Building Permit Fee
4. Mechanical (HVAC)
5. Fire ProtectionU�
6. Total= (1 +?4 3 4 + 5) do � Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2016-0127
APPLICANT/CONTACT PERSON ROY OMASTA
ADDRESS/PHONE 21 North St HATFIELD01038 (413)247-5666
PROPERTY LOCATION 193 LOCUST ST-NORTHAMPTON AREA PEDIATRICS
MAP 23B PARCEL 011 001 ZONE SI(100)/
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: ADD 65 SF ENTRY VESTIBULE&INTERIOR RENOVATIONS Fb SiF.,NCT6 F PE I I Q
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included: _
Owner/Statement or License 006763
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF94MATION 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 Commission Permit DPW Storm Water Management
Demolition Delay
,�2L _1,e v-/,q
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.
193 LOCUST ST-NORTHAMPTON AREA PEDIATRICS BP-2016-0127
GIS#: COMMO TH OF MASSACHUSETTS
Map:Block: 23B-011 4,-AOIF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2016-0127
Project# JS-2016-000216
Est. Cost: $103000.00
Fee: $721.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ROY OMASTA 006763
Lot Size(sq. ft.): 39465.36 Owner: 193 LOCUST ST ASSOCIATES LLP
Zoning: SI(100)/ Applicant: ROY OMASTA
AT. 193 LOCUST ST - NORTHAMPTON AREA PEDIATRICS
Applicant Address: Phone: Insurance:
21 North St (413) 247-5666 Workers Compensation
HATFIELDMA01038 ISSUED ON.811712015 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD 65 SF ENTRY VESTIBULE & INTERIOR
RENOVATIONS - fire dept sign off prior to final
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: Date Paid: Amount:
Building 8/17/2015 0:00:00 $721.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner