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23B-046 (34) General Narrative on scope of Construction Project Third Floor West Wing Cooley Dickinson Hospital In general the scope of the project creates a Medical Day stay unit from three existing rooms, changes any three bed rooms to two bed rooms and installs new case work the nurses station. Each of the existing patient rooms will receive new flooring and paint to match the North building. Because telemetry will now be located on this floor a monitor station has been created opposite the nurse station. Electrically communications wiring and auditable/ visual fire indicators will be installed in each patient room. The 2x2 lights in their existing hall locations will be changed for new style fixtures that match the north building. There will be some demo and installation work as we remove the old and install the new. Structurally and HVAC there are no changes to this space. Plumbing a tub room that is no longer required because of the patient load will be removed and turned into a storage area. We will be relocating five existing fixture and cutting and capping four. 103H Fm�s 1 � r� —— ® — or diS AIM LIB �l C3" ®n CI] o � 3N00 d1S NOW t�: u F -1 LJ On D u >< ® ---, Wd Aldd—IW3S diS AM I 0 103w or t ®� I MHS OLD vis AM y wL F O - y L J NO u �® wd Aldd—Iw3S FF—ViS AM II MHS 0 wd ANd—Iw3S Ul yaw L. �J c : 1 9Nlilvm r--1 r-l"I E Nd3l0 1 Q Yid AIdd—IYUS OGN �f r -Trn--i 791 1 SNIiIVM -�I sod �I El II NV310 F[21 n i� I t�7 {m4 it I NI -03! I 9 i (A� I i j , �°� I -I I - x$R I 1 I l I t I Her I., I L r�l s i r�r _ 4J i I ter; 11f'I( �Ci �,i� iC� ���� L_ ��r�.i i . �:7.. --_d �(r IB C- ..i rJ. U'.'I(IL U1 IJ�1G CDwqTnvjOp 7WAmy r.. pil rill 1J11,-, y-dh r _ C 2 S" WWWOI, gnmraj CQaC clad G( [?ou nuts C cOnnaWOFS Lott bc')O'N vao luvc It Wo mhg IPOWS GJOmii`-Cmn •pchaeS_ a -- - I Ti0t1 10 STRUCTURAL PEER REVIEVr. (72,13 CNIR 110 11) F c �aent Strccturai E^gir r ���- �. ��.�r-I Pee r viF - ` FCTION 11 O'iNNER AUTHORIZATION - TO BE COMPLETED V�H. N OIYNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT-, a i= S cam__ herebyauthorize Q p �f l�ov�e C oZs m�� beh in all matters rel ork authorized by this building permit application: Signature of Owner Date —mil�a /J'IDhe1 r/DU�` COhS T�'UGT/O_f� i7C . - -- _-, as Ovrne ho ,eed AUCn 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. -7-_�t2O_.f�h --------------------- Print Name Signature of Ow en __ Date _ __ SECTION 32 - CON S Tf2UC:fIOTlS'El_S 10.1 Licensed Construction Supervisor: vot A I PP Ilcable O Name of License Holder :__ S, Q /e tiei--- 066227 _icense Number D 7-o 7- U_ Address � Expiration Date _Q yr - �y 2 c,;gn?,ure Telephone SECTION 13 WORKERS' COMPENSATION INSURANCEAFFIDAVIT (M.G.L. c. 152,;§ 25C(5)) Compensation Insurance affidavit must be completed and submitted wit!-: Ynis app i�atic��:_ � lure rc: r esult in the denial of the issuance of the building permit. Signed Affidavit Attached Yes.... No.._.. ❑ __----__ _ CTI�hd a- PRO, ESSICP�Ai DES!Gh A CCNSTPCCTICII tiE6T1 L_� � �t BI_Ill�l dG�.��iD- 1 FUC-1 ES n�4 �EC7 10 rr! 1�, _-�TF;UC1-IJN C,ONTi,DL F��r,�UA?�T T07�0 Gl��rr, lc.��.(J 1, II- I(: i i RE i!lr, 5,000 C � . CFENCLOS t, �r-ACt1 ---- -------------- E,= rn-iu❑ 1� e I i Stu I c le p hone .2 Registered Professional Engineer(s): Jayne Area cf Responsi)Ihty i --- -- --- ----- ---------- ------ -- ------ — - ddress Registration Number i ignature e phon Expiration Date !ame Area of Responsbility I ddress Registration Number ignature i elephone Expiration Date amp Area of ReSoonsibility ddress Registration Number Telephor-,e— Expiration Date ---_--_—, arr�e Area of responsibility I i Jdress Registraucn Number Tel cr re r� `ria �a�s 3 General Cone actor Co 2002 o ,mpary Name: onsir le In c or C,onstr� ,ion l / ��� J Vcrsion1 "i Comn:crc al Blnlding Permit 1%Iay IS, 2000 >:_ipply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal Syste �ifli __-_—_-P ,�te ❑ -- Loner__--- Outs'de Flood Zone Muni i0r' � On site dlShoS,3 r F; NORTFL�AITTONZ0NgNG '- Ezisi-ing Proposed �r t,c.q,�._7 C � his coh:,:rn; ;, be Ellice ire'c}' — -- BUildinglJC� Lincnt Lot Size 9G 9, 5 7 S 96 9, X12 7,S i montage ---- Setbacks Front 102 / p2 ' Side L: 88 R: 5Z` L: 88 R y2 Building Height y 5 y 5 Bldg. Square Footage % yoz S 6 i. yoZ s l_ ---- --� Open Space Footage % (Lot area minus bldg&paved arcing) #of Parhng Spaces 76 _ 761 Fill: N/A N/�} (vo)ume k Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES X IF YES, date issued: De-(-- /3, 200/ IF YES: Was the permit reco,,-ded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book 6 SOy Page 2 3 9 and/or Document B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained obtained Date Issued:___ - C. Do any signs exist on the property? YES l� NO TF YES, describe size, type and location:__—VGa -- D, Are there any proposed changes to cr additions of signs intended for the property ?YES No 1 f ?F YES, describe size, type and location,_______----- —_ �------__� —-_------._-_--_ Versionl J Commercial Building Permit May 1S, 2000 SECTION 4.CO NS TRIiCTiONSERVI CES'FOR�RO]ECTS:LESSTHAN35,000 CUBIC FEETOF ENCLOSED SPACE Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ ❑ ❑ L� — -- Exterior Alterations Demolition[] New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] r � - XiSTi� Sc�C� 'jv Cl°e rTy 7`��' BRIEF DESCRIPTION: �G `� d j , f rctY4,1T �t6lj '[ 6"�" el�in 'caHtS V SECTION.5 USE GROUPAND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly I ❑ A-1 ❑ A-2 ❑ A-3 ❑ lA A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ ZA ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ I-2 I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1. ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixec Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS�ECTZON IFE)QSiNGBUILDING UNDERGOINGaENOUA330NS,{DDITIONS'ANDOR CHANGE IN USE Existing Use Group: I-� Proposed Use Group: Z '2 Existing Hazard Index 780 CMR 34): y Proposed Hazard Index 780 CMR 34): y SECTION 6'.BUILDING HEIGHTATIDAREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION / d E r Floor Area per Floor (sf) 1 � 2nd - t 2nd 3rd . 3�' – �x 4m L - 4 - r t? F .l - - , ( Total Proposed New Construction (st) i o�taci Area s� _ i Total Height(ft) Total Height n s Ve-rsionl.7 Commercial Building Permit Niav 15, 2000 City of Northampto Building Department 212 Main Street wliaYbili . � � Room 100 e 1 ai iii Northampton, f IA 01060 w ets -fry " phone 413-587-1240 Fax 413-587-1272 4PPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPAt 'C� [ M LI i�i kY �UILDING OTHER THAN A ONE OR TWO FAMILY DWELLINGf -- - - I AUG 1 5Oi ECTION 1s $ITEZNFORMATION �` ' 4Th�s S on. pl i e .1 Property Address: � _ ae`S' ,` Ma F r l n �fll' U i J✓�l7nrt r C'00% v U�ckihsoh h'osri fiat ] ter j r s .«o 1 1' »': `, a S 4 30 // /� veraay,Distnct' E , h�C U.S S a ayF tS Sa ti aY - �<��wR�N�'.jt?:°i�y`...�r"t.�..ij��'..'.�<..�4{' �.G C_R-+A".+�✓�'"`s',�.h�c�5.1��Yyy.�`���"^�rSai..-.,yy Le �F"�.� s 1 1 : Il\����JUJI.I�I G . 4 .."�•'3 -a+o�I5�f7 C� .t )4-�! ECTION Z PROPERTY OWNERS HIPJAUTt�ORIZED AGENT .1 Owner of Record: Coo/e v Dickinsoh f/os oiTa l 301 oc'os Po. 13ox Soo/ 3me (P' t) ' Current Mailing Address: 1723- 582 - a 3/3 ;nature Telephone 2 Authorized Agent: 3me3me(Print, � Current Mailing Address: 0�z do 3y7- 2 5oa 3nature Telephone _CTION 3 ESTIMATED CONSTRtiCTION COSTS 'm Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant Building {a)`Building Permit:Fee Electrical {h) -timafed Tota] Cost of 70 DOO ,Construction from,,6 Plumbing Building;Permit-Fee. /'0 Doo Mechanical (HVAC) �Di OorJ Fire Protection Total = (1 + 2 + 3 + 4 + 5) -5'aj QOo 'Check Number_. This Sectori For'Oicial Use'Qnl ilding PernitNurrber - Datelssued: nature: - Building Commissioner%Inspectornf:Buildings Date File#BP-2008-0149 APPLICANT/CONTACT PERSON Raymond R.Houle Construction Inc ADDRESS/PHONE 5 MILLER ST LUDLOW (413)547-2500 Q PROPERTY LOCATION 30 LOCUST ST MAP 23B PARCEL 046 001 ZONE M THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid d Typeof Construction: WEST3 RENO-NURSES ST,NOURISHMENT CTR,DAY STAY AREA New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 066227 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO IATION PRESENTED: pproved 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 ssion 2.0 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. 30 LOCUST ST BP-2008-0149 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: BUILDING PERMIT Permit# BP-2008-0149 Project# JS-2008-000228 Est. Cost: $500000.00 Fee: $2500.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Raymond R. Houle Construction Inc 066227 Lot Size(sq. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC Zoning-: M Applicant: Raymond R. Houle Construction Inc AT: 30 LOCUST ST Applicant Address: Phone: Insurance: 5 MILLER ST (413) 547-2500 O Workers Compensation LUDLOWMA01056 ISSUED ON.8/21/20070:00:00 TO PERFORM THE FOLLOWING WORK:WEST3 RENO - NURSES ST,NOURISHMENT CTR,DAY STAY AREA POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: �� 4 Footings: Rough � -'(7 t . Rough: ' House# Foundation: L)/ �� �_� � (' Driveway Final: Final: -�.� d f� Fnia1:c�' Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 1 Jk Final: Smoke: ���� Final: ®K\ o 1112 IC 7 THIS PERMIT MAY BE REVOKED BY THE C_TY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGU 'IONS. Certificate of Occu anc F nature: FeeType: Da.*,e Paid: Amount: r. Building 8/21/2007 0:00:00 $2500.0090452 212 Main Sheet,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo