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23B-046 (113) FLOW CURVE- P (PSI)vs Q^1.85(GPM) 100 LEGEND A-Supply St atic Pressure B-Supply R sidual Pressure and Flow 90 C-Static Syc tem Pressure loss i.e. Elev and BFP) D-System E emand Without Ho Streams E-Total Der iand(System plus ose) 80 70 E 60 P 50 40 30 20 10 C 0 400 800 1000 1200 1400 1600 1800 2000 Q^1.85(GPM) Water Supply Graph Information City Data: Project Data: Static: 85 psi / Design for M.J. Moran Residual: 75 psi a / Design Density 0.30gpm/sq ft Flow: 1040 gpm +rr/// Area of Application: 300 sq ft System Demand Data: / Total Demand of 777.4 gpm available at 79.2 System Flow: 277.41 gpm / 1,335.2 gpm available at system pressure of 69.1 psi System Pressure: 69.13 psi Approx. discharge density when operating area is Hose Streams: 500 gpm balanced to city supply: 0.34 gpm. /sq. ft. Curve By Rybak Engineering, Inc. - MRL FLAMMABLE LIQUID STORAGE 5 of 6 --- ROUTE NO. 3 DESCRIPTION --- Q-ADD DIA T PIPE PT PV REFERENCE LOSS/FT E FITTS PE PE Q-TOTAL C-FACT LT TOTAL PF PO NOTES --------------------------------------------------------------------------- OUTLET 6 19.68 1.049 0 9.2 12.34 K=5.6 0.13 0 0 0.00 0.00 PIPE 6 19.68 120 0 9.2 1.16 12.34 --------------------------------------------------------------------------- OUTLET 7 20.58 1.380 0 9.2 13.50 K=5.6 0.12 0 0 0.00 0.00 PIPE 7 40.25 120 0 9.2 1.14 13.50 ------------------------ --------------------------------------------------- OUTLET 8 21.43 1.610 0 9.2 14.65 K=5.6 0.13 0 0 0.00 0.00 PIPE 8 61.68 120 0 9.2 1.19 14.65 --------------------------------------------------------------------------- OUTLET 9 22.29 1.610 1 8.0 15.84 K=5.6 0.23 0 8 0.00 0.00 PIPE 9 83.97 120 0 16.0 3.68 15.84 --------------------------------------------------------------------------- REF 902 24.60 2.067 1 10.3 19.52 0.109 1 15 0.47 PIPE 12 108.57 120 0 25.3 2.77 --------------------------------------------------------------------------- REF 903 22.76 --- ROUTE NO. 4 DESCRIPTION --- Q-ADD DIA T PIPE PT PV REFERENCE LOSS/FT E FITTS PE PE Q-TOTAL C-FACT LT TOTAL PF PO NOTES --------------------------------------------------------------------------- OUTLET 10 24.60 1.049 0 1.1 19.30 K=5.6 0.19 0 0 0.00 0.00 PIPE 10 24.60 120 0 1.1 0.21 19.30 --------------------------------------------------------------------------- REF 902 19.52 FLAMMABLE LIQUID STORAGE 4 of 6 Q-ADD DIA T PIPE PT PV REFERENCE LOSS/FT E FITTS PE PE Q-TOTAL C-FACT LT TOTAL PF PO NOTES --------------------------------------------------------------------------- REF 908 0.00 5.047 4 125.0 51.83 0.008 12 244 2.82 PIPE 19 277.41 120 0 369.0 2.96 --------------------------------------------------------------------------- REF 909 0.00 6.065 0 10.0 57.61 0.003 0 9 1.09 PIPE 20 277.41 120 1 19.0 5.06 INC 5 PSI FOR BFP --------------------------------------------------------------------------- REF 910 500.00 6.150 3 175.0 63.76 0.016 0 157 0.00 PIPE 21 777.41 140 2 332.0 5.15 --------------------------------------------------------------------------- REF 911 0.00 8.260 0 60.0 68.91 0.004 0 0 0.00 PIPE 22 777.41 140 0 60.0 0.22 --------------------------------------------------------------------------- 69.13 PSI at Supply 777.41 GPM available at 79.16 PSI --- ROUTE NO. 2 DESCRIPTION --- Q-ADD DIA T PIPE PT PV REFERENCE LOSS/FT E FITTS PE PE Q-TOTAL C-FACT LT TOTAL PF PO NOTES --------------------------------------------------------------------------- OUTLET 5 23 .94 1.049 1 1.1 18.27 K=5.6 0.18 0 5 0.00 0.00 PIPE 5 23.94 120 0 6.1 1.11 18.27 --------------------------------------------------------------------------- REF 901 19.39 FLAMMABLE LIQUID STORAGE 3 of 6 --- ROUTE NO. 1 DESCRIPTION --- Q-ADD DIA T PIPE PT PV REFERENCE LOSS/FT E FITTS PE PE Q-TOTAL C-FACT LT TOTAL PF PO NOTES --------------------------------------------------------------------------- OUTLET 1 31.74 2.067 0 8.8 15.74 K=8 0.01 0 0 0.00 0.00 PIPE 1 31.74 120 0 8.8 0.10 15.74 --------------------------------------------------------------------------- OUTLET 2 31.84 2.067 0 8.8 15.64 K=8 0.04 0 0 0.00 0.00 PIPE 2 63.58 120 0 8.8 0.36 15.84 --------------------------------------------------------------------------- OUTLET 3 32.20 2.067 0 9.8 16.20 K=8 0.09 0 0 0.00 0.00 PIPE 3 95.78 120 0 9.8 0.85 16.20 --------------------------------------------------------------------------- OUTLET 4 23.12 2.067 1 8.0 17.05 K=5.6 0.13 0 10 0.00 0.00 PIPE 4 118.90 120 0 18.0 2 .34 17.05 --------------------------------------------------------------------------- REF 901 23.94 2.067 1 2.7 19.38 0.182 1 15 0.16 PIPE 13 142.84 120 0 17.7 3.21 --------------------------------------------------------------------------- REF 903 108.57 3.260 0 6.6 22.75 0.056 0 0 0.00 PIPE 14 251.41 120 0 6.6 0.37 --------------------------------------------------------------------------- OUTLET 11 26.00 3.260 0 12.0 23.13 K=5.433 0.07 0 0 0.00 -0.22 PIPE 11 277.41 120 0 12.0 0.81 22.91 --------------------------------------------------------------------------- REF 904 0.00 3.068 2 65.0 23.93 0.091 7 79 0.00 PIPE 15 277.41 120 0 144.0 13 .06 -------------------------------------------=------------------------------- REF 905 0.00 3.548 1 22.0 36.99 0.045 2 33 0.00 PIPE 16 277.41 120 0 55.0 2.46 --------------------------------------------------------------------------- REF 906 0.00 3.548 1 50.0 39.45 0.045 6 65 0.00 PIPE 17 277.41 120 0 115.0 5.14 --------------------------------------------------------------------------- REF 907 0.00 4.026 4 100.0 44.58 0.024 12 200 0.00 PIPE 18 277.41 120 0 300.0 7.24 --------------------------------------------------------------------------- t FLAMMABLE LIQUID STORAGE 2 of 6 --- OUTLET TABLE --- --------------------------------------------------------------------------- K= 5.60 Diameter= 1.049 Tee=1 Pipe= 1.50 PT=28.70 OUTLET 11 Q=30.00 Loss/ft.= 0.276 Ell=O Fitts= 5 PF= 1.79 C=120 Total= 6.50 PT=30.49 *** K=5.433 *** --------------------------------------------------------------------------- OUTLET # K-FACTOR PRESSURE FLOW ELEV. (FEET) MIN. FLOW 1 8.000 15.741 31.74 9.38 29.75 2 8.000 15.840 31.84 9.38 29.75 3 8.000 16.197 32.20 9.38 29.75 4 5.600 17.047 23.12 9.38 21.53 5 5.600 18.274 23.94 9.38 21.53 6 5.600 12.345 19.68 10.08 18.26 7 5.600 13.502 20.58 10.08 18.26 8 5.600 14.646 21.43 10.08 18.26 9 5.600 15.836 22.29 10.08 20.70 10 5.600 19.301 24.60 10.08 20.70 11 5.433 22.908 26.00 9.50 26.00 --- PIPE TABLE --- FRICTION FRICTION VELOCITY PIPE NO. DIAMETER LENGTH FLOW GPM C LOSS/FOOT LOSS/TOTAL FEET/SECOND 1 2.067 8.79 31.74 120 0.0112 0.099 3.0 2 2.067 8.79 63.58 120 0.0407 0.357 6.1 3 2.067 9.79 95.78 120 0.0868 0.849 9.2 4 2.067 18.04 118.90 120 0.1294 2.335 11.4 5 1.049 6.12 23.94 120 0.1815 1.112 8.9 6 1.049 9.17 19.68 120 0.1263 1.157 7.3 7 1.380 9.17 40.25 120 0.1248 1.144 8.6 8 1.610 9.17 61.68 120 0.1298 1.190 9.7 9 1.610 16.04 83.97 120 0.2296 3.684 13.2 10 1.049 1.12 24.60 120 0.1909 0.215 9.1 11 3.260 12 .00 277.41 120 0.0675 0.810 10.7 12 2.067 25.29 108.57 120 0.1094 2.767 10.4 13 2.067 17.67 142.84 120 ' 0.1817 3.210 13.7 14 3.260 6.58 251.41 120 0.0562 0.370 9.7 15 3.068 144.00 277.41 120 0.0907 13.056 12.0 16 3.548 55.00 277.41 120 0.0447 2.457 9.0 17 3.548 115.00 277.41 120 0.0447 5.137 9.0 18 4.026 300.00 277.41 120 0.0241 7.241 7.0 19 5.047 369.00 277.41 120 0.0080 2.963 4.4 20 6.065 19.00 277.41 120 0.0033 5.062 3.1 21 6.150 332 .00 777.41 140 0.0155 5.150 8.4 22 8.260 60.00 777.41 140 0.0037 0.221 4.7 r HYDRAULIC CALCULATIONS for Flammable Liquid Storage Cooley Dickinson Hospital Northhampton, MA 1/3/2003 Calculated Area: FLAMMABLE LIQUID STORAGE Design Data: Occupancy Classification: Extra Hazard Density: 0.30 GPM PER SQ FT Area of Application: 300 sq ft Coverage Per Sprinkler: 100 sq ft NO. of Sprinklers Calculated: 11 Hose Streams: 500 GPM Total Water Required 777.41 GPM including hose streams 777.41 GPM required at supply pressure of 69.13 PSI Flow at Base of Riser 277.41 GPM Required Pressure at Base of Riser 57.61 PSI Supply Data: Static (PSI) 85 Residual (PSI) 75 Flow (GPM) 1040 Calculations by: MRL of Rybak Engineering, Inc. 132 Forest Ave. F Warren, MA 01083-0709 �5 l Name Of Contractor + } M.J. Moran 4 South Main Street : Haydenville, MA 01039 " Authority Having Jurisdiction: Local Building Official Underwriter: Factory Mutual Notes: 0.30 DENSITY OVER FLAMMABLE STORAGE AREA 0.20 DENSITY OVER GENERAL STORAGE AREA M.J. MORAN, INC. LETTER OF TRANSMITTAL ' FIRE PROTECTION DIVISION 4 SOUTH MAIN STREET TELEPHONE: FAX: HAYDENVILLE, MA 01039 (413)268-7251 (413)268-9375 d I'( TO: Northampton Building Inspector DATE: 1-8-02 1 JOB NUMBER: 02-898 212 Main Street ATTENTION: Mr. Tony Patillo Room 100 Building Dept. RE: Fire Sprinklers at Cooley Dickinson Northampton, MA 01060 Hospital Flamable Liquid Storage WE ARE SENDING YOU ®ATTACHED ❑UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS: [—]SHOP DRAWINGS ❑PRINTS ❑PLANS ❑SAMPLES ❑SPECIFICATIONS ❑COPY OF LETTER []CHANGE ORDER ❑ COPIES DATE NUMBER DESCRIPTION 1 1-6-03 Copies FP-1 Flamable Liquid Storage 1 1-6-03 Copies Hydraulic Calculations JAM - 2043 THESE ARE TRANSMITTED AS CHECKED BELOW: ❑For approval []Approved as submitted ❑Resubmit copies for approval ®For your use ❑Approved as noted ❑Submit copies for distribution ❑As requested ❑Returned for corrections ❑Return corrected prints ❑For review and comment ❑ ❑FOR BIDS DUE: , 1998 ❑PRINTS RETURNED AFTER LOAN TO US REMARKS: Copies have been sent to: Cooley Dickinson Hospital Factory Mutual Insurance Mowry&Schmidt Contractors Northampton Fire Dept. Northampton Building Dept: Please call with any questions. COPY TO: Job File p SIGNED: Z'�� Date: OPERATION: (] PNEUMATIC ELECTRIC [}HYDRAULIC PIPING SUPERVISED YES NO ETECTING MEDIA SUPERVISED? 0 YES C] NO DOES THE VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROLl YES NO DELUGE&'.." IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? (]YES F NO PREACTION IF NO,EXPLAIN: VALVES Does each circuit operate Does each circuit Maximum time to MAKE MODEL supervision loss alarm7 operate valve release] operate release YES NO YES NO MIN. SEC. HYDROSTATIC:Hydrostatic tests shall be made at not less than 200,psl(13.6 bars)for two hours or 50 psi(3.4 bars)above static pressure in excess of 150 psi(10.3 bars)for two hours.Differential dry-pipe valve clappers shall be left open during test to prevent TEST, damage. All aboveground piping leakage shall be stopped. DESCRIPTION 'PNEUMATIC::Establish 40 psi 42.7 barslAr•pressure and measure drop which-shall not exceed 1-1/2 psi(O.1 barsl'in 24 hours.lest pressure tanks at normal water level and air pressure and measure air pressure drop.which shag not exceed 1-1/2 psi(0.1 barst in 24 hours. fi1StIWe ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR�_Hrs. IF NO,STATE REASON SystEM� ` SEE aut4n. x1. DRY PIPING PNEUMATICALLY TESTED? Q YES NO EQUIPMENT OPERATES PROPERLY? ;LYES ONO DRAIN EADING-OF GAGE LOCATED NEAR WATER SUPPLY TEST PIPE: RESIDUAL PRESSURE WITH VALVE IN TEST PIPE TESTS TEST PSI OPEN WIDE PSI Underground mains and lead-in connections to system risen shall be flushed before connection made to sprinkler piping. VERIFIED BY COPY OF THE FORM NUMBER 8587 YES NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND 1,KIU IJA�b t n 4 R.bO N V SPRINKLER PIPING? ❑YES ❑NO BLANK NUMBER USED LOCAT40NS NUMBER REMOVED TESTING GASKETS WELDED PIPING? YES 20 NO IF YES....... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9. LEVEL AR-3? []YES [:]NO WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE,, WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR-37 YES NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED.,AND THAT INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? ]YES ONO HYDRAULIC NAMEPLATE PROVIDED? ®YES ONO DATA IF NO,EXPLAIN: NAMEPLATE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: �•�0 83 REMARKS NAME OF INSTALLING CONTRACTOR r fr TESTS WITNESSED BY TITLE TOR A . SIGNATURES E OR INS TA N CON CT igned) DATE y� e ADDITIONAL EXPLANATION AND NOTES: Al CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative.All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives.Copies shag be prepared for approving authorities,owners and contractor. It is understood the owner's representatives.signature in no way prejudices any claim against the contractor"for faulty material,poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME DATE t � � 1-�D•O PROPERTYADDMSS e� o ACCEPTED BY APPROVING AUTHORITY'IS)NAMES , L ' ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS © YES ❑NO EQUIPMENT USED IS APPROVED(IF NO,STATE DEVIATIONS BELOW) ® YES ❑NO HAS PERSON W CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION,OF CONTROL ® YES ❑ NO VALVES AND THE CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN: INSTRUCTIONS HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS BEEN ® YES ❑ NO LEFT ON PREMISES? IF NO,EXPLAIN: LOCATION OF SUPPLIES BUILDINGS SYSTEM X742,�947411e A,1010 YEAR OF TEMPERATURE MAKE MODEL ORIFICE SIZE. QUANTITY. A6 6 SPRINKLERS d, PIPE CONFORMS TO �//./�� /.� STANDARD OYES ❑NO PIPE AND FITTINGS CONFORM TO /fir STANDARD JZYES ❑NO FITTINGS IF NO,EXPLAIN: ALARM ALARM DEVICE MAXIMUM:TIME'TO OPERATE,THROUGH TEST PIPE VALVE OR TYPE MAKE MODEL MIN. SEC. FLOW INDICATOR t :­..1: :, , ,. ... ... DRY VALVE MAKE MODEL SERIAL NUMBER MAKE MODEL SERIAL NUMBER TIME,TO TRIP WATER AIR TRIP POINTAIR Alarm O tilted; THRU TEST PIPE PRESSURE.: PRESSURE PRESSURE P1gpIPYdlt atet Rsaabsd Teet DRY PIPE Outlet ; OPERATING MIN. SEC. PSI PSI PSI MIN. SEC. MIN. SEC. TEST WITHOUT Q.O.D. WITH Q.O.D. ` IF NO, EXPLAIN: AM.J. M O RA N, INC. LETTER OF TRANSMITTAL ' FIRE PROTECTION DIVISION �C — 4 SOUTH MAIN STREET TELEPHONE: FAX: HAYDENVILLE, MA 01039 (413)268-7251 (413)268-9375 TO: Northampton Building Inspector DATE: 1-20-03 1 JOB NUMBER: 02-898 212 Main Street ATTENTION: Mr. Tony Patillo Room 100 Building Dept. RE: Fire Sprinklers at Cooley Dickinson Northampton, MA 01060 Hospital Flamable Liquid Storage WE ARE SENDING YOU ® ATTACHED []UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS: ❑SHOP DRAWINGS ❑PRINTS ❑PLANS ❑SAMPLES ❑SPECIFICATIONS []COPY OF LETTER ❑CHANGE ORDER ❑ COPIES DATE NUMBER DESCRIPTION 1 1-20-03 Copy Contractors Material and Test Certificates for Above Ground Pi in For your records. THESE ARE TRANSMITTED AS CHECKED BELOW: []For approval ❑Approved as submitted ❑Resubmit copies for approval ❑For your use ❑Approved as noted ❑Submit copies for distribution � `' ❑As requested ❑Returned for con'ectio n�" 2'03❑Return corrected prints ❑For review and comment ❑ -]PRINTS RETURNED AFTER ❑FOR BIDS DUE: , 1998 LOAN Tb US REMARKS: Copies have been sent to: Cooley Dickinson Hospital Factory Mutual Mowry &Schmidt Contractors Northampton Fire Dept. Northampton Building Dept. COPY TO: Job File Date: SIGNED: FIRE PROTECTION SIGNALING SYSTEM A Fire Alarm System is required for this building (Business"1-2" Use Group) and a fire alarm system does exist. The existing system consists of the following elements: Smoke detectors Smoke and heat detectors exist in the corridors, stairways, elevator shafts, etc. Pull stations Pull stations are located at the exit doors in the corridors. Horn/strobe alarms Horn/strobe alarms are located throughout all of the corridors. Fire Alarm Panel A centralized multi-zone Fire Alarm Panel is located inside the Emergency Room entrance. The alarm panel is a "Notifier"system, with a direct Fire Department Connection. The system is maintained by Lee Audio. Knox box A Knox Box is located outside the Emergency Room entrance. Attention light An exterior revolving light fixture is located above the Knox box outside the Emergence Room entrance. If there is any further information that you require; or if you have any other questions, please call me at the numbers listed below or on my cell phone (413) 531-6475. Respectfully: Steve Drakulich, Architect Massachusetts Registration#6565 CC: Mowry and Schmidt, General Contractors George Nolan, Cooley Dickinson Hospital HEIGHT AND AREA LIMITATIONS Section Requirement CONSTRUCTION TYPE 1A Height and Area Limitations [Table 5031 Height (story) Not Limited Sprinkler increase N/a Total Not Limited Area per floor Not Limited Street frontage increase (2% N/a increase for every 1% above 25% as an approved Fire Lane) Sprinkler increase N/a Mulitstory reduction N/a Total Not Limited FIRE RESISTANT [Table 602] CONSTRUCTION 1 Exterior Wall [Table 705.21 3 hours 3 2 Fire walls 2 hours(n/a) 3 Exits (stairs) 2 hours (n/a) Shafts 2 hours (n/a) Mixed use separation [NFPA 2 hours 2 30 Table 4.4.2.11 4 Corridor[Table 1011.4] 0 (sprinklers) 0 Tenant separation N/a 5 Dwelling unit separation N/a 6 Smoke barriers N/a 7 Non-load bearing 0 0 8 Interior vertical bearing 3 hours (n/a) supporting roof 9 Structural members 2 hours 2 10 Floor Construction 2 hours 2 11 Roof Construction 1-1/2 hour[15' or less] 2 FIRE SUPRESSION Section Requirement Existing or installed Automatic fire suppression: Required in Group"1-2" Existing building: fire protection sprinklers sprinklers exist throughout. Fire Department Connection: siamese connection and Exist in the building. Siamese located standpipe system at E/R entrance. Fire hydrants Fire hydrants surround the building (see the Site Plan above) Supplementary system: Proposed for installation. Dry chemical Steven T. Drakulich, Architect 3 Harrison Avenue Greenfield, MA 01301 (413)773-1670 Fire Protection Narrative Project: New Flammable Liquid Storage facility for: Date: October 28, 2002 Cooley Dickinson Hospital 30 Locust Street Northampton, MA Project No: 0226cfl Tony Patillo, Building Commissioner Brian Duggan,Fire Chief Sirs: The proposed construction project consists of the construction expansion of a Flammable Liquid Storage facility for Cooley Dickinson Hospital. The project is located on the ground floor of the Laundry Wing of the Hospital complex. This evaluation is based upon the following codes: Massachusetts Building Code—6t Edition NFPA 30 Flammable and Combustible Liquid Code 2000 Edition. Use Group Classification [Table 304.2]: 111-2" Institutional Incapacitated (Hospital with Inside Flammable Liquid Storage Area) EMERGENCT ROOM ENTRANCE KNOX BOX l REVOLVIRG STF,O5F F.P. PARF-1 t N4TIr1r-R COOLEY DICKINSON ME HOSPITAL HYAR A NT -------- i IFROJECT ■ LOCATION f IRS HYDRANT H`r DRANT SITE LOCATION : GROUND MOWRY & SCHNWDT, INC. General Contractors P.O. Box 135 Power Court GREENFIELD, MA 01302-0135 MASS H.I.C. REG # 101002 DATE JOB NO. (413) 773-3176 (413) 773.7861 111y_d Fax ((413) 774-4386 ATTENTION TO 1 Gt V\' RE: WE ARE SENDING YOU sA Attached ❑ Undpr..sseparate cover via the following items: > ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order �G�M� ��p�� L C-\ COPIES DATE NO. DESCRIPTION G ��C l�r\ 3 ro� ` ' \x_ p n THESE ARE TRANSMITTED as checked below: >J For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: � V if enclosures are not as noted,kindly notify u at o 0�5ttA1Np�O Crit� Jaf wart 11aillp tall 9 B �lassachnsrtta' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT with a principal place of business/residence at: `CT.t ?0'30Y, 135. ECru�� (phone#) (street city/stalrJ�p) Mai Gji _�t=\ do hereby certify, under the pains and penalties of pergul-Y, that: ( I am an employer providing the follollving worker's compensation coverage for my employees working on this job: :�cvto A tvcr _c-11Ziy ?)3i L (Insurance Company) (Policy Number) (Expiration Date) ( I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: tj"Z }ti C ;c*`.1��D Q Z Z�3Zat 263E �® aI- �' (Name of Contractor) (Insurance Company/Policy Number) (Expiration ate) (Name of Contractor) (Insurance Company/Poky Number) (Expiration Date) WMIE 9 04 '1y,7- 01- Z00)_ � ti Q-u E NU l��U e '� 1 M Uq lk 4 u 01 J / h � � d / I (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Comparry/Policy Number) (E lion Date) (attach ad =d sheet ifneoessary to inchsde infocmeion pataining to all watr,d ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE'please be aware that whilo homeowners who ernploy persons to do ma skeane a coasuuctioa or repair work on a dwailiag of not ux"than three units in which the homeowner resides or on the grounds appurtenant thwdo arc not ecocrally ooaridacd to be employes under the worker`s o aiion Act(GL152,ss 1(5)�application by a homeowner for a liccase or permit may cvidcaoe the legal datua of an employer under the Workcca a Compensation Act I understAnd that a copy of this statemm!may be forwarded to rho DepartnscaQ of Industrial A midentr O$iw of Irssauiaca for the coverage verification and tha failure to secure coverage under socUoa 25A of MGL 152 can Icad to the mien of criminal pea Wcs oonusting of it fine of up to S1,500.00 aad/oe imprisonmeai of up to one year and civil penalties is the form of a S top Work Order and a firm of 3100.00 a day against me-- For dqurtmmtal trio only permit Number Map#__Lot# S} of Liccnsce/Pe Version 1.7 Commercial Building Permit May 15,2000 SECTION 10 7.STRUCTURA4 PEER I2EVIEW'(7I30°CMR 110:11) Independent Structural Engineering Structural Peer Review Required Yes......❑ No...... SECTION{11 ;OWNER AUTHORIZATION„ TO BE COMPLETED WHEN OWNERS- OR`CpNTRA'CTOR APPLIES I OR BUIL'D11" G PERMIT ,t I, as Owner of the subject property hereby authorize ti'V1U �,� SQN(\Vy-\\ <� -T✓� to act on my behalf, in all matters relativ o work authorized by this building permit application. " Signature of Owner Date n� � I, l"Ir W "� �L ►� t�� �� ���%` as Owner/Authorized Agent hereby declare that the statements and information on the egoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Pao E Pri me-, A k ��h � Signa re of ner/AgenL Date SECTION 2 ;CONSTRUCTIO'N SERVICBS 10.1 Licensed Construction Supervisor: Not Applicable ❑0 / C�Name of License Holder: ' 1 tJ ` ' C ) 0 , `-) , License Number Add Expiration Date t Signat re Telephone SECTION 13,WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G L c 152,§250(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...... ❑ ' Version 1.7 Commercial Building Permit May 15,2000 SECTION 9 PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURES SUBJECT TO C,ONSTRUCTIOIV C N TI20L.PURSUANT?0 780 ftl 116,(CONTAINhNG MARE THANl35;060 CS.0�'.ENCLOSk' PACE) 9.1 Registered Architect: D34 iG Not Applicable ❑ Name(Registrant): 4� (!b(i 5 r C, Ave,AA ir Registration Number Address ( '� -- t}� "►�1 L� Expiration Date Signature �7 l 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 c� o k%��. 3 ©7 �jC Not Applicable ❑ Company Name: 2 6-P,j AJ Responsible In Charge of Construction PQ j � � � � ��Nj li Ador Signat re Telephone Version 1.7 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 K Private ❑ Zone: Outside Flood Zone ❑ I Municipal X(On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by c' Building Department p Lot Size 7 1 C,C1 4 z Frontage �- Setbacks Front /C) Z. Z Side L: R: Z L: 27 R: Z Rear 9 1 Building Height Bldg. Square Footage y0 2 I , % Open Space Footage % r_ (Lot area minus bldg&paved parking) #of Parking Spaces Fill: ►� l� volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: ' l IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book y� D Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES SC c--(-Vv\ "S 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: &1V\,\ Si�.� v- D. Are there any proposed changes to or additions of signs intended for the property?YES_ No IF YES, describe size, type and location: ' Version 1.7 Commercial Building Permit May 15,2000 SECTION 4 CONSTRUCTION SERVICES FQR P0OJECTS-LESS THAN 35;000 CUBI4.FEET 0 ';N=NCLOSED;S�kft N Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ k ❑ ❑ Exterior Alterations Demolition❑ %ZC igns [ ] Change of Use [ ] Other [ ] ❑ (�� , .t 01 s ory Building[ ] Repairs [ ] �DE;C T-p-7 '':`` (/iwv�i(-�3 L C C. i qv 5 iZ 26 i to . SECTION,5 USE GROUP AND;CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 10 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 Hi Rh Hazard ❑ 3A 0 1 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: COMPLETETHISSECTION IP EXISTING BUILDING UNDERGOING,REN:OVATIONS,,ADD�TIONSANDIOR CE-�ANGE IN USE Existing Use Group: ' Z Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6=.BUILDING HEIGHT AND.AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 15t U Aj .ry a� 2nd 1St h� a t' 2nd 3 rd a' 3 rd 4th 4th e Ing T,�,ro Total Area(sf) 46 2, Total Proposed New Construction (sf) --------------- Total Height(ft) Total Height ft Version 1.7 Commercial Building Permit May 15,2000 i 1 City, �t pmpton _2 B u i 1 De rtment _.�.�treet �---•-�-____ .-- Ro m 1 do 6n, MA 01060 NOV — 4p00 I 7-1240- ..F x 413-587.1272 I Y fi s APPLWAMIDNrTQ.,CQt*[ , JCT, EPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING t�;;,aTUp,. y ;.4 p!' OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1, SITE INFORMATION Thrs sect�o to b ycompleted by offrc f 3 1.1 Property Address: rr � 3T MapU t � ¢� Unt , ,M L)iG Q g � ti r� C ElmSt�D rfc .,, .... ..., B SECTION 2- PROPERTY OWNERSHIP/AUTH;ORIZED AGENT 2.1 Owner of Record: 06DSc> Nam (P int) Current Mailing Address: 1-I 13 -C-- � Z - Z 313 Si na re Telephone 2.2 Authorized Agent: C,C.,C_ y 0 1 CIS kJ Spa N 3c) (—OC U S I i Name(Print) Current Mailing Address: Signature Telephone _ Srr 3 ESTIMATEbt STRUCTION COSTS' Item Estimated Cost(Dollars)to be Official Use"( n Y completed by ermit applicant 1. Building (a) Building Permif!Fee- oG0 2. Electrical 3 �� - (b)Btirnated Total Cost of Cr 6 n"struction m fro —3. Plumbing Building'P'ermit Fee Mechanical (HVAC) Fire Protection 00o 6. Total =(1 + 2 + 3 +4 + 5) L4-5 0cc1 C Cheic,k r Number ?" his Section For Official Use nl Building Permit lyi�mber D°ate Issued Signature Building Commis"sinner/inspector.of Buildings Date Northampton - Department Memorandum J c'� ➢ '� TO: Tony PaUllo From: Duane Nichols& Brian Duggan Date: November 18, 2002 Re: Flammable Liquid Storage facility, Cooley Dickinson Hospital Secondary to a review of the plans and fire protection narrative that you submitted to us on November 14, 2002, We concur with the issuance of a building permit for this property subject to the following conditions; • Graphic map of facility is mounted above Annunciator panel with this area- shaded yellow for a hazard, this needs to be completed before a sign off of the final certificate occupancy is granted. • All appropriate permits are obtained in accordance with CMR 527 • Must apply NFPA standards to the room inclusive of explosion venting and electrical hazards. • Fire extinguishers are needed out side of room per Fire Department. • Room is clearly marked with the NFPA 704 diamond and contents room is clearly labeled. •Page 1 File#BP-2003-0459 APPLICANT/CONTACT PERSON MOWRY&SCHMIDT INC ADDRESS/PHONE P O BOX 135 (413)773-3176 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 _ Typeof Construction: FLAMMABLE LIQUID STORAGE RM(REAR WEST OF LOADING DOCK) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 075360 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 C 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. CA 30 LOCUST ST BP-2003-0459 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B-046 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-0459 Project# JS-2003-0781 Est. Cost: $43000.00 Fee: $95.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MOWRY & SCHMIDT INC 075360 Lot Size(sq. ft.): 667077.84 Owner: COOLEY DICKINSON HOSPITAL INC Zoning: M Applicant: MOWRY & SCHMIDT INC 1137. 30 LOCUST S Applicant Address: Phone: Insurance: P O BOX 135 (413) 773-3176 Workers Compensation GREEN FIELDMA01302 ISSUED ON.11120102 0:00:00 TO PERFORM THE FOLLOWING WORK.-FLAMMABLE LIQUID STORAGE RM (REAR WEST OF LOADING DOCK) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector i Underground: Service: Meter: Footings: Rough: Rough:31 House# Foundation: Driveway Final: Final: Final:i;,,e 314143 14'Nj I" Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: �' '�(i�`�`_ Insulation: Final: Smoke: -- Final: Q�(- 3 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLA OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu an �-�-� ,� Si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 11/20/02 0:00:00 5455 $95.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo