23B-046 (251) I f
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Final Construction Control Document
u To be submitted at completion of construction by a
d Registered Design Professional
for work per the 81h edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Cooley Dickinson Hospital Emergency Department Renovation Date: October 15,2015
Property Address: 30 Locust Street,Northampton,MA 01060
Project: Check(x)one or both as applicable: New construction I X Existing Construction
Project description: Renovation of existing Emergency Department including the addition of 2 treatment rooms and the
renovation of 4 secure holding rooms for psychiatric patients. Secure holding suite also contains a new toilet room, staff
work room and soiled utility room.
I Dan Morris, MA Registration Number: 31405 Expiration date: 5/31/16 ,am a registered design professional, and I
have prepared or directly supervised the preparation of all design plans,computations and specifications concerning:
X Architectural Structural Mechanical
Fire Protection Electrical Other:
for the above named project. I, or my designee,have performed the necessary professional services and was present at the
construction site on a regular and periodic basis. To the best of my knowledge,information,and belief the work
proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building
permit and that I or my designee:
1. Have reviewed,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. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Have been 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 was performed in a manner consistent with the
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
XA
Enter in the space to the right a"wet'or 4� DA Y
electronic signature and seal: ��� S Mu Ile
No.3140
11. 0
or-
Phone number: 617 772-0260 Email: dmorris @morrisswitzer.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 06 11 2013
/e-z
ol
7
30 LOCUST ST BP-2015-1039
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23B-046 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2015-1039
Project# JS-2015-001973
Est.Cost: $392925.00
Fee: $2357.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Grolqp: RAYMOND R HOULE CONST INC 066227
Lot Size(sq.ft.): 1325051.64 Owner: COOLEY DICKINSON HOSPITAL INC
Zoning: M(99)/WP(21)/UR13 1Z Applicant: RAYMOND R HOULE CONST INC
AT. 30 LOCUST ST
Applicant Address: Phone: Insurance:
5 MILLER ST (413) 547-2500 O WC
LUDLOWMA01056 ISSUED ON.51712015 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATE EMERGENCY DEPT TO CREATE
TREATMENT ROOMS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
�.. -/ S
Underground: Service:(,;,,'h Meter:
Footings:
Rough: ! ough: IS— House# Foundation:
Driveway Final:
Final: �d�c/ �S Fina0 Cl ' 0
ke Rough Frame-
Gas: Fire Department J , Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smok 44-- U,s,,,,r Cam'-ld�, { Final:
THIS PERMIT MAY BE RET/WSEi2nature:F NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RO p
Certificate of Occupancy
FeeType: Date Paid: Amount:
Building 5/7/2015 0:00:00 $2357.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner