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23B-046 (53) b) A new air-handling unit will provide heating, cooling and ventilation for the remaining spaces. c) Exhaust air for toilet rooms, locker rooms, soiled utility and housekeeping shall be provided via tieing into an existing exhaust duct system serving the area. d) The catheterization lab and prep/recovery rooms shall have new constant air volume (CAV) terminals with reheat coils to maintain space ventilation levels and temperature. e) The remaining spaces will have variable air volume(VAV)terminals with reheat coils for space temperature control. f) Galvanized sheet metal duct systems shall distribute conditioned air from the existing or new air handling systems to the space terminals. g) A direct digital control (DDC) system shall provide automatic temperature control. 5. Testing Upon completion of installation, all HVAC systems shall be started up and tested,making all necessary adjustments for proper function. After completion of the test and start-up, all systems shall be adjusted and balanced to deliver air and/or water quantities as indicated on the drawings. Balancing shall be performed by an independent balancing contractor using Certified Testing, Adjusting and Balancing Technicians. After balancing is completed and any necessary adjustments made,the mechanical contractor and control subcontractor shall perform in the presence of the owner and/or owner's representative, a start- up and complete sequence of operations demonstration/simulation for all systems. A report of all tests will be provided to the owner. 6. Operation and Maintenance Manual Upon project completion, the owner will be provided with two complete sets of operating and maintenance manuals. Each manual will be in a three ring hard cover binder with index and tabs to clearly identify: all contractors, vendors, equipment, material, valve tag charts, control systems, balancing reports and contractor warranties. 7. Record Drawings Also upon project completion, as-built conditions of all new and renovated HVAC systems on 1/4"= F- 0" scale drawings will be provided to the owner. 3 HVAC Narrative Report Cardiac Catheterization Lab 1. Design Intent The Cardiac Catheterization Lab project on the ground level of the Cooley Dickinson Hospital will involve the renovation of approximately 3,600 square feet of space. The existing spaces include; fitness center, offices, workrooms,toilet rooms, clean and soiled utilities. New spaces will include the catheterization lab and its control room, scrub room,prep/recovery rooms, locker and toilet rooms, work room, office and clean and soiled utility rooms. The 1 VAC systems will provide heating, air conditioning,ventilation,humidity and air filtration as required by hospital codes and the Massachusetts building code. HVAC systems shall include modifications to the existing systems serving the area along with a new air handling system to provide additional ventilation requirements and temperature control for the new spaces. 2. Basis of Design The areas affecting patient care; catheterization lab and prep/recovery rooms shall be designed per hospital codes to maintain space conditions as follows: 70-75°F space temperature, 30-60%relative humidity,positive room pressurization and a minimum of 15 air changes per hour with 3 air changes of outdoor air for the catheterization lab and 6 air changes minimum with 2 air changes of outdoor air for the prep/recovery rooms. All other spaces shall be designed for interior conditions of 72°F (heating)75°F(cooling)at outdoor design conditions of 87°db/73° wb(summer) and 0°F db(winter)per 780 CMR 1303.00 Code required fresh air and exhaust ventilation shall be provided in accordance with 780CMR 2801.00 and hospital codes. All HVAC loads shall be calculated in accordance with procedures per ASHRAE Fundamentals Handbook and per owner furnished equipment load data. 3. Sequence of Operations The HVAC systems shall be controlled via existing modified and new direct digital control (DDC) systems to maintain interior design conditions on a 24 hour/7day occupied schedule. 4. Description of Systems The HVAC systems shall consist of. a) Existing AHU-2,which serves this area, will provide 3200 cfin out of a total airflow of 34,611 cfm. The spaces served will include the areas affecting patient care; catheterization lab and prep/recovery along with the control room, scrub room and main corridor. This unit provides temperature; humidity, HEPA filtration and outdoor air required for patient care spaces. 2 HVAC NARRATIVE REPORT FOR COMPLIANCE WITH SECTION 1301.8.4.1 OF THE MASSACHUSETTS STATE BUILDING CODE (780 CMR) Project Name: Cardiac Catheterization Lab Location: Cooley Dickinson Hospital Northampton, MA 01060 Owner: Cooley Dickinson Hospital Prepared By: M.J. Moran, Inc. Mechanical Contractors Robert M. Roy, P.E. 4 South Main Street Haydenville, MA 01039 (413) 268-7251 Date of Submittal: January 27, 2006 SECTION 2 —Approval Requirements Approval of local authorities is required. Construction control is provided and the engineer shall forward a certificate of completion and supervise the installation. All test certificates, as required by NFPA 13 are required to be provided by every fire protection contractor. 4 SECTION 4—Fire Protection Systems to be installed a) Automatic sprinkler systems—existing system to remain. The sprinkler system must be modified as required to maintain compliance with NFPA 13, 2002 edition. Including the following: • Adjusted sprinkler head locations • Additional sprinkler heads as necessary • Adjust sprinkler coverage to accommodate wall changes b) Seismic considerations-modification will incorporate or maintain existing seismic bracing. SEQUENCE OF OPERATION SECTION 1 WET SPRINKLER SYSTEM—System operates automatically upon the fusing of a single fire sprinkler. Operational Sequence. 1. The activation of a single sprinkler will discharge water and close the contacts of a vane type flow switch. 2. Closed contact on the flow switch will provide an alarm contact for the alarm control panel. GENERAL NOTE: All supervisory and alarm contacts are to be relayed to the fire alarm panel. The main fire alarm panel is required to be supervised by a central station service. TESTING CRITERIA SECTION 1 — Testing Criteria FIRE SPRINKLER SYSTEM Testing-Building Modifications Isolate and test all new installations hydrostatically at a pressure of 200 psi for two hours without a loss in pressure. Exception: small modifications that can not be isolated, such as relocated drops, shall not require testing in excess of normal system pressure. System Flow Test—Upon operation of the system inspectors test, alarm must activate within 60 Oseconds. 3 M. J. MORAN, INC. MECHANICAL CONTRACTORS FIRE SPRINKLER SYSTEM MODIFICATIONS SECTION 1 —Building Description This project consists of the modification of an existing portion of the Cooley Dickinson Hospital. The use group will be I2 Institutional, and will be occupied by medical staff and patients of the hospital. The area will include the following rooms: • Control • Cath. Lab • Scrub • Soil Utl. • Tel-Com . Meds • Prep. -Recovery • Work • Nour • Clean Supply • Toilets • Locker • Housekeeping The existing sprinkler system will be modified to accommodate the final use. Included in the sprinkler system modifications are: • Adjusted sprinkler head locations • Additional sprinkler heads as necessary • Adjust sprinkler coverage to accommodate wall changes SECTION 2 —Applicable Laws, Regulations and Standards a) NFPA Standards and Edition used for design of each specific fire protection system. • NFPA 13, 2002 edition, "Installation of Sprinkler Systems" SECTION 3- Design Responsibility for Fire Protection Systems This report provides a summary of the scope and intent of the work required. The sprinkler modifications are being performed by a fire sprinkler contractor, M.J. Moran, Inc. and supervised by and engineer. 4 South Main Street •P.O. Box 278 Telephone: (413) 268-7251 MA Master Plumbers Lic. #7872 Haydenville, MA 01039-0278 Fax: (413) 268-9375 MA Master Pipefitters Lic. # 11581 E-Mail Address: mjmoraninc.com CT Plumbers Lic. #P100204501 2 CT Pipefitters Lic. # S100388409 M. J. MORAN, INC. MECHANICAL CONTRACTORS FIRE SPRINKLER NARRATIVE REPORT FOR COOLEY DICKINSON HOSPITAL CARDIAC CATHETERIZATION LAB 30 LOCUST STREET NORTHAMPTON, MA 01060 4 South Main Street •P.O. Box 278 Telephone: (413) 268-7251 MA Master Plumbers Lic. #7872 Haydenville, MA 01039-0278 Fax: (413) 268-9375 MA Master Pipefitters Lic. # 11581 E-Mail Address: mjmoraninc.com CT Plumbers Lic. #P100204501 CT Pipefitters Lic. # S100388409 :iIJ 2UUb 1'.5: 4b 41 -t 2-IJ413 Kam`! HUULE GUNS I K PAGE e2 Opp �� Critu of cN rt4aillp f an � 6 L DEP4R7MEN7 OF BUILDING INSPECTIONS INSPECTOR 212 Main Street a Municipal Building Nortba.rnptou.MA 01060 - CONSTRUCTION CONTROL DOCUMENT (for professional Engincers/Architects responsible for Entire Project) Project Title: GA"I*r- CA". 614/3 Date: I/Zd fob Project Location-AJA&nA41 P VAJ Map: Parcel: Zone: Scope of Project W*y ors./ a r= APf°�oX t wtA'f'xfGG y 330 SF In accordance with the sixth edition Massachusetts State Building Code,780 CMR SECTION 116.0: W161,1444 K-14M 'j�AyLS Mass_Registration Number ,So 331- STAT>l: Being a registered professional Engineer/Architect hereby e111110111MY that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: V-Entire Project ; for the above named project and that to the best of my Imowledge, such plans, computations and specifications meet the applicable proAsions of the Massachusetts State Building Code, all acceptable engine,vrirtg practices and all applicable laws for the proposed project_ Furthermore,I understand and AGREE that T shall perform the necessary professional services to determine that the above mentioned portions of the"'rk proceed in accordance,with the documents approved for The building permit and shall be responsible for the following as specified in section 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for the building permit,and approval for the confotmancc to the design concept 2. Review and approval of the quality control procedures for all code-required controlled materials. 3'. Be present at intervals appropriate To the stage of construction to become generally familiar with the progress and qualiry of the.work and to determine,in general, if the work-is being performed h).a manner consistent with the construction documents. I shall submit periodically,in a form acceptable to the building official,a progress report together with pertinent comments.Upon completion of the work,I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. Signature and Seal of registered professional: KEI �'/1� No.ao co N " I Fax 413-587-1272 -phone 413-587.1240 Northampton k j Department Memorandum To: Tony Patillo From: Duane Nichols Date: February 6, 2006 CC: Brain Duggan Re: Cardiac Cath Lab at Cooley Dickinson Hospital Secondary to a review of the plans and fire protection narrative that was submitted to me for review, I concur with the issuance of a building permit for this property subject to the following conditions: • The area of renovations has at all times during construction full sprinkler and fire alarm coverage • Fire Alarm and Fire Suppression Work permits are obtained for the project. •Page 1 W-r nT amp toil i�t7i p DEP/RTMENT OP 13UILDI,\'C JNSpECT10l S 212 Train Strcct ' Municipal Building NrorLhamptorn, Mass. 01000 Worua R'S CONTENSATZON 5�SV CT- AI-r AVYT a� ',_f No_v_/e C�/?rs (1;ccnScrJpcnni tt�) 2 prtncipal place of business/residence at. L c /056 U hone ') 5�/3-,Sf'7 25"00 (stt�a ty/state/zi P) do hereby cerrif;, under the p?_ins and penalties o,Pu3,ury, hat I a= an employer providing file following \vorkc�'s for u>> eluplo�ccs worming on'tJus job. CO- _RA6V C b'©/CAS l Z-3/-0 6 (L2sur� Conr�c.) (Peke; ? ur) ;pir,uor, Dai..) sole proprietor, general COD=czor or homtow-ner (ciIcie one) a06 have hued the coQuactors L-5eti below who have the folloV,in2 WorkCe S GoDner Edon poLicies: (1�amc o.Co^r c;orl flnsuran c Cornoanyii cucf ?dum'<;) :pi;aeon Ditc) -- (Name of Cooaaczor) (lnssrzn� Comoaa /Pol�c� Nu�lcrr) (���r uor, Dztc) Name of Coaaaelo;) ([nsurancc Compan}'1Po�c� N;unb r) ( rvo❑ Datc) (Namc of Cooaactor) (Iasu=c-- Compzny/PoL CY N=b"IS) (E.\pim600 D'a°) ;ocsl�cc J❑cam� w c�GUw iaforCi..._'ioc pmniai-n�to.li cuc�-..r..-0-�) ( ) i am a sole proprietor and have no one working for me. ( ) I a-m.a home owner performing all the work myself. NOTE:plc-be.wztc tht w'1rJc bocrxr.vm ubo cnploy pcwns taw cc:.'.r_.,00 ca•�orz oo.d..--..IL^;or mt Mc'- in ,-�nch he bornoo oe-rcz�d=of ea the w a-�—Ty 0r,=6-ai io t, —p loys the An(GL157.I(5) oa try.Com=4vc(c c cam_a pc-Mn 7 c dcrr Y )cpl—or e —Ploy-u d< d-Wo�co , Ad f unb_-:.-aid +[b-d>'on-(Lbi D,c�n�v�- or 1.�i.J Offs-or L-c��- ��Ifx �vcz.o.c vv-iL�;oo n.-td Lt"C:iltac to secure'w Y;rao�c u>OS suction 25 A of MOL 152 as lcl w the aioa orci mini Kco wo aci:ix�of.Cane oC up to 51,00-00 ffr.-S/or chi_ oCup to o yc:r cad ei`il pectin is be roan or.SwP Wo,t ordc.nd. fib of 5 100.00,d_y ,piml me Fonda _ Perm t Number Lot Siena ccnsc�lPrrmiuc Tice ) -::. Versionl.7 Commercial Building Permit May 15, 2000 SECTION 1O STRUCTURAL PEER REVIEW,{780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑ SECTION lI -,OWNER,AUTHORIZATION�,TO BECOMPLETED WHEN OWNERS AGENT ORCONTRACTOR APPLIES FOR BUILDING PERMIT 1, roole y D;ckih s/on flos�iT�L as Owner of the subject property hereby authorize Q G R. A/oU C o/ S r Li c, o G . _to act on my be in all matters rel ork authorized by this building permit application. Signature of Owner IV Date 1, /?aVIV60hA 1�oVAe Cohs7`lUC7—/0/7 asOwne Authorized A en hereby dec are 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. Ti�oth i s. �e/% titer Print Name Signature of Ow en Date SECTION 12 --CONSTRU,CTION'SERVICES= 10.1 Licensed Construction Supervisor: Not Applicable El Name of License Holder : //A'lp7/1% S, �e/% ties _ 06(. R27 License Number /1 , //er s r L vWl,::; . /�i9 d/Uu�6 07-07-07 Address. Expiration Date 1711,3- 6517- 0 Signature Telephone SECTION 13 -WORKERS' COMPENSATION i1NSURANCE AFFIDAVIT{M, L c 152,§25 C(6));3 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affida. will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... R No...... ❑ Version 1.7 Commercial Building Permit May 15,2000 SECTION 9 PROFESSIONAL_DESIG.N AND CONSTRUCTION.SERVICES -FOR BUILDINGS AND STRUCTURES'SUBJECT.TO C©NSTR.UCTION CONTROL PURSUANT T0,780,CMR 116 CONTAINING 'MORE THAN 351000 C F OF ENCLOSED,'SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 92 Registered Professional Engineer(s): Name Area of Responsibility 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 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor // n fi4 U1I70/ /S�O(JL C-' (. O h 5 �/� C 7�/Oh 1/7� Not Applicable ❑ Company—Name: 71iya S /-'P-&,1,1 fief' _ Responsible In harge of Construction 5/zwler 6 T- S vc//Ou//�,Q Address y/3-. 5'72500 Signature Telephone Versionl.7 Commercial Building Permit May 15, 2000 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 j8( Municipal 14 On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning 'Ibis column to be filled in by Building Department Lot Size 9G ' 1.278 96 9, V2 7.8 Frontage 2 6 5 8 2 6 5 0, Setbacks Front 102 ' / 02-, Side L: 88 R: Y2' L: 88 R: 5/2 Rear /g' 18 Building Height Bldg. Square Footage yD2 561. % IV021961. Open Space Footage % (Lot area minus bldg&paved azicin ) #of Parking Spaces 761 761 Fill: N/A IVIA (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES X IF YES, date issued: De C_ 13,, 200J IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book 6 50y Page 239 and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT 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 >✓ NO IF YES, describe size, type and location: VA r j a vs D. Are there any proposed changes to or additions of signs intended for the property ?YES _ No_%/� IF YES, describe size, type and location: Versionl.7 Commercial Building Permit May 15,2000 SECTION 4 O ONSITRIJCTION-SERV10ES,FWPR03ECTS LESS TF1AI+135,OQ0 CITBIC FEET OFi�NCL-0SED�P.�Cf � �' � �-'� �y Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ IV' ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other ❑ Accessory Building [ ] Repairs BRIEF DESCRIPTION: Al) vN9T� ExiSTi�S�'Ace To e�eGe7`° cc/dew eA�D�►�•Ic (�,t�7y LA�3 SECTION 5 _USE GROUP AND-,CONSTRUCTIONTYPF USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A -,ff A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ 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 Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLEX THIS SECTIOfV IFl T3NG BUILDING UNDERGOING RENOVATIONS,ADDi IONS ANDf OR CHANGE IN 1JSE Existing Use Group: 1-2 Proposed Use Group: Z-2 Existing Hazard Index 780 CMR 34): y Proposed Hazard Index 780 CMR 34): y SECTION:6 BUILDING HEIGHTAND7IREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION FFF �USEroNLY ;yf i Floor Area per Floor(so I � i'r�'s: g. 6. 2nd RZZER :m.,,"y Ht.tj^�'a: nd 3rd L ' 1 3 rd _8 4th 4th s ai Total Area (sf) 7 3�0 Total Proposed New onstruction (sf) h i� 4# L Total Height (ft) 6 Total Height ft—N��------- ti � r� Versionl.7 Commercial Building Permit May 15, 2000 City of Northampton m. onii Building Department 212 Main Street Room 100 e t Northampton, MA 01060 a - rx' phone 413-587-1240 Fax 413-587-1272 a APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLI SECRON=1* SITE3NFORMATION ' Vl- 1.1 Property Address: F= �r�Th� secfion�toeA completed boffce `, Y 'Yi �"`y h''y r,F. �^`a'TA 'S.# �V�'3-tv. j d:3 µ? .�°�' - �a c'sx Cool y Dl'(cf it son HOSDI f-CiL ' � � fl i t +rt } wx r : vet a �>+. y��sct�'" ' " h U S 5./{- .v.y.A'L+z'A� y" '' SECTION 2 PROPERTY OWNERSHIPJAUTHORIZED AGENT 2.1 Owner of Record: Coo/ey Dickihso),7 f/osp/7,ol _30 06141S l�O. l3ox Do/ Name(P' t) ' Current Mailing Address: 3113- 5B 2 -z 3/3 Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: yi3- 6 1/7- 2 50 ? RkQ Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION GbSTS Item Estimated Cost(Dollars) to be Official-Use Only Com feted by ermit applicant 1. Building D e.0 ng-Permit.Fee _ (LOUD 2. Electrical {b)1=stimated Total Cost of `Construction froii . 6 �gYU�0(} 3. Plumbing �. Building Perm�tfee 4 4. Mechanical (HVAC) .f/S,O o4•�' = - 2-00 ,o6 5. Fire Protection Z O,000. rO 6. Total = (1 + 2 + 3 +4 + 5) 8 Q 000 Check:-.Nuriber This Section For Official Use.Onl Building Permit Number Date Issued: IOU 6 iK Signature: Building mmissioner%Inspectornf Buildings Date Flu PAW`TIU - 0 Z/o 1 /o ff File#BP-2006-0770 APPLICANT/CONTACT PERSON Raymond R.Houle Construction Inc ADDRESS/PHONE 187 East St SOUTH HADLEY (413)532-9243 PROPERTY LOCATION 30 LOCUST STc-I? -- -7 MAP 23B PARCEL 046 001 ZONE M THIS SECTION FOR OFFICIAL USE ONLY: PER_MIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid Typeof Construction: RENO P2000 BASEMENT TO CARDIAC CATH LAB 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 OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 ssion 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-2006-0770 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23B-046 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0770 Protect# JS-2006-1180 Est. Cost: $840000.00 Fee: $4200.00 PERMISSION IS HEREBY GRANTED TO: Const. Class:4 Contractor: License: Use Group: I2 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 0 Workers Compensation LUDLOWMA01056 ISSUED ON:21812006 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENO P2000 BASEMENT TO CARDIAC CATH LAB 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 2/8/2006 0:00:00 $4200.0011881 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo