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23B-011 (3) Initial Construction Control Document To be submitted with the building permit application by a d Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code,780 CMR, Section 107 ��N Jev 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: � D ARgc�,lF W. 7804 Phone number: 413 247-9624 H`TFE MASS. Email: mgelotte @markgelottearchitect.com OF 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 w > 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 2#00 sf.of existing building space.Addition of new 50 sf. entry vestibule. I Dean H. Azzam,MA Registration Number:45132 Expiration date: So 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 Ai electronic signature and seal: Phone number: (860)548-9987 ICAL 46132 / Email: Dean Azzam dazzam @aztecheng.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 10'10Plumbing 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 care Building perfloor (p) Occupants: after renovations. Staff: 5- Doctors 10-Nurses 4-Administrative 4-Scribes 3'FrontDesk O'CareCoordinatinn 34-Total Staff= 17 nna|m\ 17 Female Patients: 2O' |n 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 4SFemales 1 toilet for every 55 males Staff Toilets: 2needed Public Toilets: 3needed The building meets the requirement with the current 4 toilet rooms, 3 nf 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 Nt 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 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 b b,c b'e < b'e b'e members(see Section 202) 11/2 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 I 5<_X<10 A 3 2 1 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 56, 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 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 A2 S UL 11 3 2 3 2 3 2 1 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000 A-3 S UL 11 3 2 3 2 3 2 1 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000 A-4 S UL 11 3 2 3 2 3 2 1 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 37,500 23,000 28,500 19,000 1 36,000 18,000 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 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 1 r<"[ is +., 4 ,.z&k _i.t .,5 V+' K+ F { •..5 C i+u Y^t 2n �tv- r.2: c^ n' £ § )i C .; t � P 1 J WN oi A too" too�OaM 81- MQU, NOR OIL T1403 lot is, � )b �'k Z. join Y to Ann, Y MY Awaumm"vf1 y pill q�j, TRY q r C.1 Y 4 e Z., Von oil All' OKA a4t k? y F r •9„ k } C?' t .e n- x-....,,. n.2.N..., �-, .. m1 fir.. v.: 3! ,r G-t... „ .. .V ..'- v. �Y -�. w,. ,.. . �..b.... ,-.a•+- � r'' ,.u.. .a..:,, „am.E.,'�y.• r^. �x� er ..c ,.,*a. e ,•.t+'�,.s r.,r-� x..,,..,:'..�. ^t--_ x. - ��,.zt; ..�t, ":`v s> `.K+� �'r." ,e , ... . ,.r .«s ., es r N. f, �m _ GOV WA Me Woo '. •.r- a ^' `'.`...^.^�«,�h' z:.n,. ^w'..r^'�m,x..e rs.. �.r+ Fy-,r , o .2 .-,. f tcm ..`F^+ X' ..,sa^" �'zt" t�#� �r�-3•%,.�'"" <'.fa.. .y-+S 5,.�"�-�'�. „e_'�' .-;..:sn �- - i } '. . ( 860) W5, 48-9987 Telephone r F Telephone Telephone I..tIUC,tural. Mechanical le um. biftj . ctrical (X)*w Other PI -o the best of'my knowledgeonformatiIIA. ;I visions of the Massachusetts - State BuildinE I "ec.t.- I uriderstand and ataree that I ('or i Proi %wee n the construction -site on -aregular and. pen is code ,and the design concept, shop rte. design-. professionals in '��� � �. ��P�. inate. to the stage of construction to. becomt ermine if the work- 1 sbeing Perfom.ed m' 'a , his code. contractor of its responsibility regardm-9 th >ha.11 submit. flield/progress reports (see building official.. SIN Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 81h 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: Cdr �� to No. 7804 F-A Phone number: 413 247-9624 HATFEM MASS. Email: m elotte @mark elottearchitect.com '`� g g 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 I1 2013 Code Revi6w 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 Revibw 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 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 A7 B Ad B Ad B HT Ad B Primary structural frames 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 2' 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 11/'b 1b'` 1b'` 0` 1b'` 0 HT 1b'` 0 members(see Section 202) 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-2B, (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 Gode Revi6w 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 56, 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(5) 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 1 9,500 14,000 9,500 15,000 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 37,500 23,000 1 28,500 19,000 1 36,000 18,000 9,000 For SI: 1 foot=304.8 mm, 1 square foot=0.0929 m'. 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 i 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 1 860 48-9987 Telephone 1 Telephone Telephone Mechanic al lu-ra Jectrical (X)*w Other:i Plumbftij ,o the bet ofmy kowl -dge- nf omat on a visions of the Massachusetts State Buifldin�Pro,��e�t. � � .� ta�� end a r �ia� �ar I n the construction -site on -a regular and. pen h-0� code and the desi;� eo�.cept? ��.ap d aw the requiremen. ts of the--construction. do=. red des-ign, professi'onals in: 7 'Q CMR Chal �. inate to the stage of construction to becomc * f the work- I.sbeing perfonned in -a -ermine 1 his code. contractor of ids responsibility re ark .-9 �� J, I shall submit flield/progress reports (see !.k- buildi'ng 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 o w. aY�v 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: D %0� N No. 7804 r`n Phone number: 413 247-9624 H`TFELD Email: mgelotte @markgelottearchitect.com OF V. 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-1 200 250' 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 SB. 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 I 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 Exteriorf'' 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 b b,c b b b e members(see Section 202) 11/2 1 1 ' 0c 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-2,1, 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 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 1 15,000 11,500 6,000 A-3 S UL 11 3 2 3 2 3 2 1 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 37,500 23,000 1 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 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 Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ Please Print Le ibly Name(Business/Organization/Individual): r,9 rf f�"r r/ <� f C Address: / 'T Z City/State/Zip: / �=`.. Phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with Z 4, [] I am a general contractor and I mP y er w 6. Eg-New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. []�emodeling ship and have no e--Tloyees These subzcontractors have S. emohu_on + working for me in any capacity. employees and have workers' 9 0 Building addition [No workers'comp.insurance comp.insurance.$ required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have'exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 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.#: 7.Fi Expiration Date: Job Site Address: ��.� `���� S City/State/Zip: ' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). r r 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 Investieations of the DIA for insurance coverage verification. I do hereby certi&under the ains and penalties of perjury that the information provided above is true and correct. Signature: Date: �- Phone#: Official use only. Do not trite in this area,to be completed by city or town offcia! ° rr r 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 0 No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 9 `=Tc-e L, , as Owner of the subject property hereby authorize c U�U \ to act on nay b half, in all matters relative to work authorized by this building permit application. Signature of Owner Date 6Zas 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 J _ j Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address /j 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 Q-7�--- No 0 W Ck:9 S4(-3,-1- 7.3I MoJ .d -T f}1-1 ' 9 -7,111116 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. Gelottc Architect, 70 Elm St., Hatfield, MA 01038 Not Applicable ❑ MA 7804 Name(Registrant): Mark O. Gelottc Architect, 0 Elm St., I latfcld, MA 01 038 Registration Number Add 08/31/2016 (413) 247-9624 Expiration Date gn—at ure Telephone 9.2 Registered Professional Engineer(s): Aztech Engineers, Inc. Electrical, Plumbing Name Area of Responsibility 901 Wethersfield Ave, I lartford CT. 06114 44:�;-/3 2 Address _._ Registration Number t (860) 548-9987 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 `�, /Y-"/0 7 � Not Applicable ❑ CompanyyNName: �} dl �5�� Responsible In Charge of Construction Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 S. 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: 1114 Rear 20-3 123p 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 0 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 O DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q 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. Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE �/ Interior Alterations ❑ Existing Wall Signs ER 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 ❑ 113 ❑ B Business 2A ❑ E Educational ❑ 213 I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 313 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 513 ✓❑ 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 St 7,329 2nd 2nd 3 rd 3rd 4th 4tn 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 E] Private ❑ Zone Outside Flood Zone[-] Municipal 0 On site disposal system❑ Version 1.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: Building Department Curb CuttDriveway Permit - J ?' 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability rr C E�ec " °'� its u --� ` Northampton, MA 01060 Two Sets o f StCUG#uTct Plans 13-587-1240 Fax 413-587-1272 Plot/Site Plans Other S eci p fy 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 This section to be completed by office 1.1 Property Address: 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: r Name(Print) Current Mailing Address: Signature u ' Telephone 2.2 Authorized Agent: 917 d�,9s�9 d1 XJ44 r4 Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Buildin g 7S •.� (a)Building Permit Fee �11v ci 2. Electrical — (b)Estimated Total Cost of Construction from 6 3. Plumbing C>A Building Permit Fee 4. Mechanical (HVAC) -- 5. Fire Protection -7 6. Total = (1 +2 344+5) Check Number r 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 r Building Permit Filled out Fee Paid Typeof Construction: ADD 65 SF ENTRY VESTIBULE&INTERIOR RENOVATIONS Fb giF4 LICr6F PEI'(� 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 6ji q A G 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 Y OF 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 Grou. 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