24B-085 24B-046 76 Carlon (18)81
Rms
kA.AOM
I
c.
_ NOTE: IN ORDERTHAT THIS APPLICATION MAYBE ACCEPTED, THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT
( �2 W$C d Day � FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDITIONS ARE AND
t t5DTITONS WILL BE.
Plans, in to ate, must be filed with this application before a permit will be granted, one of which, upon issuance
theTcsh ept at the site during the progress of the work.
New ............... ❑
DEPT OF 8D1HG INSPECTIONS Addition ........❑
NORTHT-MA•{li�i&0 ne.................... Type.................... Map ..................... Parcel..................... Alterations .... El
Repair ............ ❑
_ tie CITY OF NORTHAMPTON Demolition .... ❑
� a
MASSACHUSETTS
Application for other than a Dwelling Permit
(To be filled out in ink OR on a typewriter)
To the Building Inspector: Date....... Jung,.3........................... 19.99.
Application for a permit is hereby made according to the following:-
1. Location, Street and No.... Carlon Drive
...........................................................................................................................
2. Nearest cross street ......King Street
Lot No ....................
3. Owner's name.........Carlon .....Medical....,....L...L...P... Address 1.2.5A Pleasant St. Northampton, MA
................................
4.
5.
6.
7.
8.
9.
10.
11.
Architect's name .... Zric..M..... ernaxdin,..T...B................. Address .4 ... Induatra al..Dr......South...Hadley, MA
Builder's name ......Associated Builders, Inc. Address 4 Industrial Dr. South Hadley, MA
...................................................................................................
Use of building, Present...QQ.Ae......................... Proposed ... Bus.7,n..&5.... (Mgd7 gal ... P. f.7.�e)...........
Building fronts on how many Streets? .... 1) one
.................................................................................................
Isbuilding in fire district?...y.&..............................................................................................................................
60
g, ........................... Height in ft......... . .....
Size of building, Width in ft. Length in ft. 150 141-311
Distance of building from Street Line .... 1.9 ......, left lot line ...57.... , ri lot line ... M..., , rear lot line -At.
Type of construction (check one): 1-A .......... 1-B .......... 1---C ..... ... IIC...xx. II .......... IV .......... V ..........
Stones
B
1
2
3
4
5
6
7
Roof
Story heights in ft.
Electric........
141-311
Other.............................................
Total $ ......600,.47.1
......................
—
Thickn's of walls in ins.
711
_
Material of walls
metal
-
Material of floor / roof
c one r .
metal
Design live load
loops
Design dead load
Occupancy or Use
B
No. of persons / families
91
No. of stairs
0
—
12. Soil under footing is .....sandy loam
.................................................................................................................................
13. Depth of footing below grade..... ..................... ft. Will piles be used? ....... no...,,,,................
14. Area of entire building (Present plus new) ....9.,.000 .......................... sq. ft.
.......................................................
15. Type of roof -flat ....................... pitched .... ?SX .......... Material of roof covering ... etal,,.,,......_.......................
0central forced air Fuel gas
16. No. of elevators .............. Method of heating .............. System ......................... ...................
17. Are live loads noted on drawings? , yeS...... Are all other structural conditions noted on drawings? ... ?.'.es
18. Building (will be) (is) equipped with sprinklers? ...n2 ......................... With sprinkler alarm? .....n /a
19. Is building to be used as a factory, workshop or mercantile or other establishment employing 10 or more persons?
yes
...................................................................................................................................................................................
20. Is building to be used as an office building, dormitory, hotel, family hotel, apartment or boarding house, lodging
house or tenement house having 8 or more rooms above the second story? ............no
21. How many exits (per floor) to street? ....6 (2 per tenan.t.)
.................................................................................
22. Is building a "Place of assembly" as defined by the General Laws? .... n9..............................................................
23. Will building conform to the General Laws? ..MS ................ Building and Zoning Ordinances? ......y..es
24. If a garage, distance from nearest building? ...none
...............................................................................................
25. If an addition, alteration or demolition, when was building erected? ......n/a
.........................................................
26. Estimated costs:
General $ ..
4 3 2 0 7 0 ......................
Plumbing ....
42.:.665 ......................
Gas Piping
2, 875
Sprinklers ..................
....................
Heating ........
69,547-
....................................
Electric........
53.....,.......314 ........................
Other.............................................
Total $ ......600,.47.1
......................
The undersigned certifies that the above statements are true to the best
of his/her knowledge and belief.
L LA
Signature of owner, architect or engineer f/f..
WRITTEN DISCRIPTION OF WORK TO BE DONE
(Use blank half of reverse side, if necessary)
CPA struct...9a.4Q9.....muJ.t.j- .............
office building. Includes site work, building
...............................................................................................................
constructi6n, utilities, drainage, avin ,
........................................................................... ......... $ ........
and landscaping.
P=NOP
780 CMR 116.0 CONSTRUCTION CONTROL
FIELD INSPECTION REPORT
ASSOCIATED BUILDERS, INC Project Carlon Medical Building
4 INDUSTRIAL DRIVE Job Location Northampton, MA
SOUTH HADLEY, MA 01075 Date 26 AUG., 1999
(413) 536-0021 Time 7:45 a.m.
Building Permit No. BP -1999-1054
WEATHER: Overcast, 70 deg. F
EST. % OF COMPLETION 70%
CONSTRUCTION SUPERVISOR George Desgres
PRESENT AT SITE
Associated Builders (General Contractor)
Karl's Site Work (Site Sub)
Berkshire Air Conditioning (HVAC Sub)
WORK IN PROGRESS
Top soil being spread and small washout area at rear of building being repaired. Duct work in tenant (2) being
layed out. Finish grading for parking lot in progress and installation of metal wall sheets on front of building.
WORK COMPLETED SINCE PREVIOUS INSPECTION
Light pole base in parking lot installed , interior partition wiring 80% completed. Interior wall partition framing and
metal nailers as well as wood nailers for doors installed. Store front doors and windows installed as is the
overhead plumbing and vents.Main line of duct work in tenant (1) installed. Sheetrock around owners closet as
well as plywood for interior walls of closet installed. Frost free hose bibs on exterior of building in place.
OBSERVATIONS
There is one crack in sidewalk at the entrances for tenants (1) & (2) from masonry pilaster to exterior of foundation
wall.
INFORMATION OR ACTION REQUIRED
ATTACHMENTS
NONE
INSPECTION BY:
Gregg A. Carrier ?
DATE: 8/26/99
OF
BERNAROIN
CMI..
NGINEER: Ntv -)
Eric M. Bernardin, P.E.
DATE: 48z9&99
0
780 CMR 116.0 CONSTRUC
FIELD INSPECTION
ASSOCIATED BUILDERS, INC
4 INDUSTRIAL DRIVE
SOUTH HADLEY, MA 01075
(413) 536-0021
WEATHER: Sunny, 75 deg. F
EST. % OF COMPLETION 55%
C
NTROL
Pr0j00 ' Carp edical Building
Job Location Northampton, M,
Date 08 AUG., 1999
Time 7:45 a.m.
Building permit No. BP -1999-1054
CONSTRUCTION SUPERVISOR George Desgres
PRESENT AT SITE
Associated Builders (General Contractor)
Karl's Site Work (Site Sub)
Qaulity Concrete (Concrete Slab Sub)
AUG 119gg
WORK IN PROGRESS
Excavation of light pole base in parking area , concrete being pumped into building for installation of floor slab.
WORK COMPLETED SINCE PREVIOUS INSPECTION
Installation of exterior plywood to 8' complete , Ceco roof panels as well as insulation installed , nailers for window
framing complete. Masonry kick wall and sill in place as well as masonry pilaster's for canopy's. Concrete
sidewalk's in front and rear of building completed, rough plumbing in place. Ceco exterior wall panels installed on
east wall, Ceco window and door trim completed at openings on south wall.
OBSERVATIONS
No deviations from the plans noted.
INFORMATION OR ACTION REQUIRED
Concrete slump and compressive strength tests to be performed by an independent lab.
ATTACHMENTS
NONE
INSPECTION BY:
Greg . Carrier
DATE: 8/06/99
NW
GINEER:
SERRNARDIN .3 DATE:
CIVIL. vi
Na 37960
f -
Eric K Ukt diA P.E.
ave -4("0
780 CMR 116.0 CONSTRUCTION CONTROL
FIELD INSPECTION REPORT
ASSOCIATED BUILDERS, INC Project ,Carlota M�dicai:8uilding
4 INDUSTRIAL DRIVE �(�% Job Location Northampton, MA
SOUTH HADLEY, MA 01075 Date 30 JULY, 1999
(413) 536-0021 �/ Time 7:45 a.m.
Building Permit No. BP -1999-1054
WEATHER: Sunny, 80 deg. F
EST. % OF COMPLETION 45%
CONSTRUCTION SUPERVISOR George Desgres
PRESENT AT SITE
Associated Builders (General Contractor)
PDK (Rough Carpentry)
Moran (Plumbing Sub)
� lel J Ire
?! `I
A(l�` � 11999
WORK IN PROGRESS
Roof panels and insulation being installed , some rough plumbing being relocated , 2x6 sills for windows in
masonry being replaced with 2x8's.
WORK COMPLETED SINCE PREVIOUS INSPECTION
Flange bracing secured, exterior wall stud work completed , cee channels installed, rough gas line for building in
place, service to street yet to be undertaken. Rough plumbing installed, Exterior wall plywood to 8' 50°x6
completed.
OBSERVATIONS
Zee girts at panel wall at wrong elevation, additional wall and door framing required..
INFORMATION OR ACTION REQUIRED
CECO to supply framing for windows and doors in panel wall.
ATTACHMENTS
NONEl
INSPECTION BY: `��; r e� Crm v�, ENGINEER:
gg A. Carrier 9No.379 o 'Eric M. r rdin, P.E.
DATE: 7/30/99 �p�•'/gt.P�� DATE: 1/I _30/99
July 27, 1999
City of Northampton
Building Inspector
219 Main Street
Northampton, MA 01060
ASSOCIATED BUILDERS, INC.
4 INDUSTRIAL DRIVE • SOUTH HADLEY, MA 01075 • (413) 536-0021 FAX (413) 536-0908
RE: Carlon Medical, LLP, 6 Carlon Drive, Northampton, Massachusetts
To Whom It May Concern:
Enclosed please find Field Inspection Report from Associated Builders, Inc. for our
Carlon Medical, LLP project. Please review and archive in the appropriate file.
Sincerely,
Jane E. Weisner
Executive Assistant
Enclosure: 1
iiE
w
780 CMR 116.0 CONSTRUCTION CONTROL
FIELD INSPECTION REPORT
ASSOCIATED BUILDERS, INC Project Carlon Medical Building
s^
4 INDUSTRIAL DRIVE Job Location Northampton, MA
SOUTH HADLEY, MA 01075 Date 2 July', 1999'
(413) 536-0021 Time 7:45 a.m.
Building Permit No. BP -1999-1054
WEATHER: Overcast, 69 deg. F
EST. % OF COMPLETION 5-10%
z� l
ej M
CONSTRUCTION SUPERVISOR George Desgres 2 8
PRESENT AT SITE
Associated Builders (General Contractor)
Quality Concrete (Foundation Sub)
Karl's Excavating (Site Work)
WORK IN PROGRESS
Stripping of forms from foundation walls
Installation of foundation insulation as per code. Backfilling (with compaction) of foundations.
WORK COMPLETED SINCE PREVIOUS INSPECTION
Foundation walls and piers poured; structural anchor bolts cast in piers; piers and pads for masonry pilasters at
canopies poured.
OBSERVATIONS
Some standing water in excavations, 1 " —1.5" deep, being pumped out prior to placement of backfill.
INFORMATION OR ACTION REQUIRED
Work in progress is in general compliance with the plans and specifications.
Compressive strength testing of foundation concrete to be performed.
ATTACHMENTS
NONE
_ �
INSPECTION BY: Y/ Y3
Darrin B. Stairs
DATE: 07/02/99
EER
,ATE
Ll- - rN "00 P-9 0 * Ai
Massachusetts Department of Environmental Protection
Bureau of Resource Protection — Wetlands
WPA Form 8B - Certificate of Compliance
Massachusetts Wetlands Protection Act M.G. L. 131, X40
Authorization
On this 14th
Issued by:
Northampton Conservation Commission day of August
Crugustm F," 2000
Date of Issuance
This Certification must be signed by a majority of the
conservation commission and a copy sent to the applicant
and appropriate DEP Regional Office (see Appendix A).
Mon"' 2000
Year
before me personally appeared
Michael Reed
o me known to be the person described in and who executed
he foregoing instrument and acknowledged that he/she
executed the same as his/her free act and deed.
Notary Public
My commission evites
Pay_
Rev. 10/-98---- Page 2 of 2
X.
Recording Confirmation
The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land Court
for the district in which the land is located.
Detach on dotted line and submit to the Conservation Commission.
------------------------ ------------
To: Northampton Conservation Commission
If recorded land, the instrument number which identifies this
transaction is
Conseryation Commission
Please be advised that the Certificate of Compliance for the
project at
Instrument Number
76 Carlon Drive (Lot #6)
If registered land, the document number which identifies this
transaction is
Project locanon
246-439
File Number
Document Number
has been recorded at the Registry of Deeds of
Hampshire
Signature of Appflcani
County
and has been noted in the chain of title of the affected property
on
Date
Pay_
Rev. 10/-98---- Page 2 of 2
I
DEP
Massachusetts Department of Environmental Protection
Bureau of Resource Protection — Wetlands
WPA Form 8B - Certificate of Comph'an-0,
Massachusetts Wetlands Protection Act M.G.L. 131, §40 �<
Project Information
1. This Certificate of Compliance is issued by:
Northampton Conservation Commission
Conservation Commission
To:
LLP/Matthew_Pitoniak
Name
125A Pleasant Street
Mailing Address
Northampton, MA 01060
City/Town
MA 01060
state Zip Code
2. This Certificate of Compliance is issued for work regulated
by a final Order of Conditions issued to:
Pelops Realty Trust/Matthew Pitoniak
WArch 5, 1999
DN6-439
DEP file Number
Certification
(Check all that apply):
Complete Certification: It is hereby certified that the
work regulated by the above -referenced Order of Condi-
tions has been satisfactorily completed.
Partial Certification: It is hereby certified that only the
following portions of the work regulated by the above -
referenced Order of Conditions have been satisfactorily
completed. The project areas or work subject to this partial
certification which have been completed and are released
from this Order include:
! i 3r�" Y ►pRi€ 1
3. The project site is loco ed at: J,16 x yi4' i
Northampton
C.,ty,Town
76 Carlon Drive (Lot #6)
Street Address
Map 24B Parcel 46
Assessors Map/Plat J Par-FULol i
and the final Order of Conditions was recorded on
June 7, 1999
Date
at the Registry of Deeds for
Hampshire 5705 0027
County Book Page
Certificate (if registered lana)
4. A site inspection was made in the presence of the applicant,
or the applicant's agent, on:
August , 2000
Date
Invalid Order of Conditions: It is hereby certified that
the work regulated by the above -referenced Order of
Conditions never commenced. The Order of Conditions has
lapsed and is therefore no longer valid. No future work
subject to regulation under the Wetlands Protection Act may
commence without filing a new Notice of Intent and
receiving a new Order of Conditions.
X: Ongoing Conditions: The following conditions of the
Order shall continue: (Include any conditions contained in
the Final Order, such as maintenance or monitoring, that
should continue for a longer period.)
Condition Numbers:
X128, 129 (No snow storage is allowed in
the infiltration pond or drainage swale;
maintenance plan related to storm
drain system.)
Rev. 10/98 Pana 1 of 9
R
1
Furl,,'Ift
NORTHAMPTON WATER DEPARTMENT
237 PROSPECT STREET
NORTHAMPTON, MA 01060
587-1098
Subject: Municipal Water Availability
Location • 76 Carlon Drive Lot 16
Inquiry Made By:
Date of Inquiry:
Associated Builders
June 14, 1999
536-0021
Municipal Water Main in Front of Location: YES g NO
Size/Material/Age of Water Main:
8" DI 1998
Approximate Street Pressure: 100 PSI
Size of Service Connection: 6" - Fire and Domestic
Comments_
The Water Department cannot quarantee adequate water pressure
during peak demand times at elevations above 320 feet.
e
A corresponding "water entrance fee" shall be paid prior to making any connection to the municipal
water system. Arrangements of such installation shall be made with the Northampton Water
Department with a minimum of 5 working days notification. All work shall conform to
Northampton Water Department specifications.
les Bor wski
Superintendent of Water
Enclosure: Letter to Frank Sienkiewicz from Sam Brindis, dated June 14, 1991.
cc: Samuel B. Brindis, Director, DPW
Guilford Mooring, Assistant Director, DPW
George Andrilddis, Assistant City Eng eer
Anthony Patillo, Building Inspector
7n
NORTHAMPTON SEWER DEPARTME
125 LOCUST STREET
NORTHAMPTON, MA. 01060 DE[
587-1092 _ P
Subject: Municipal Sewer Availability
Location: 76 Carlon Drive Lot #6
Inquiry Made By: Associated Builders 536-0021
Date of Inquiry: June 14, 1999
Municipal Sewer Main in Front of Location: YES X NO
Size/Material/Age of Sewer Main: 1999 8" PVC
Depth of Sewer Main:
Size of Service Connection:
Comments:
M1
A corresponding "sewer entrance feel, shall be paid prior to making
any connection to the municipal sewer system.' Arrangements of such
installation shall be made with the Northampton Sewer Department
with a minimum of 5 working days notification. All work shall
confo to Northampton Sewer Department specifications.
eorge B ehm
Superintendent of Wastewater
Treatment & Collection
cc: Samuel B. Brindis, Director, DPW
Gilford Mooring, Assistant Director DPW
George Andrikidis, Assistant City Engineer
Anthony Patillo, Building Inspector
C:\WP51\LETTER\SEWERFOR
M . '310 CMR DEPARTMENT OF ENVIRONMENTAL PROTECTION
)9: continued
z -Ll -r G/ C--140'jP&.Jc
Order must be signed by a majority of the Conservation Commission.
8th February 99
his day of 19 before me personally
ared _ Mason Maronn , to me known to be the person described in, and who executed,
oregoing instrument, and acknowledged that he/she executed the same as his/her free act and deed.
JOHN T. BENTTETT, III
Notw-v Public
ry Publi My Commission Expires My Commission Expires
JW 29.2005
applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land upon which the
osed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified
teir right to request the Department of Environmental Protection to issue a Superseding_Order, providing the
:est is made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee
mnithd Form as provided in 310 CMR 10.030 within ten days from the date of issuance of this determination.
,py of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission
the applicant.
Detach on dotted line and submit to the Northampton Conservation Commission prior to commencement of work-
------------------------------------------------------------------------------------------------------------------------...--------------......--------------------------------------...... _... _.
arthamnton (! nservation C ommission _ Issuing Authonf'—
e be advised that the Order of Conditions for the project at
lumber
_ has been recorded at the Registry of
and
een noted in the chain of title of the affected property in accordance with General Condition 8 on 19
orded land, the instrument number which identifies this transaction is
istered land, the document number which identifies this transaction is
tore
Applicant
)4 310 CN4R - 42' 42 3
An adequate stockpile of erosion control materials shall be on site at all times for
emergency or routine replacement. The stockpiles equipment shall include
materials to repair silt fences, haybales, or any other devices planned for the
control of erosion at the site.
26. The drainage swale and infiltration pond shall be constructed and stabilized prior to the
construction of the building.
27. The Conservation Commission is aware of the no -build condition and does not consider
the drainage swale to be in violation of it.
28. No snow storage is allowed in the infiltration pond or drainage swale. This condition will
be ongoing and will not expire with the termination of the Order of Conditions.
29. The maintenance plan as submitted in the Notice of Intent is an ongoing condition and
will not expire with the termination of the Order of Conditions.
POST CONSTRUCTION SUBMITTALS & WORK IN BUFFER ZONE:
30. Upon completion of the project, the Applicant shall submit a certification that all work
has been done in conformance with the provisions of the Order of Conditions and request
a Certificate of Compliance.
If checked: [ X] YES
Certification shall be by a Professional Engineer.
Infiltration Basin Design Standards and Modifications:
31. The goal for the design of infiltration enhancement structures on-site, as presented on
plans submitted to and approved by the Commission, shall be to replicate, to the
maximum extent feasible, the existing level (pre -development) of infiltration of annual
precipitation, based on soils.
32. The applicant shall meet the Stormwater Management Policy, issued by the DEP on
November 18, 1996, to the maximum extent practicable. Revised information is to be
submitted to the Commission and approved by the Commission prior to implementation.
written inquiry as to whether or not the change is substantial enough to require the filing
of a new Notice of Intent.
After making a positive determination, the Commission shall conduct a public hearing to
amend the Order or to issue a new Order, if a new Notice of Intent is required.
21 In accordance with General Condition 8 of this Order, this Order shall be recorded at the
Hampshire County Registry of Deeds by the Northampton Conservation Commission
prior to commencement of work on the site.
22. All revised plans, referenced within this Order of Conditions, shall be approved by the
Conservation Commission and incorporated into this Order by reference and shall be
followed during the course of construction.
23. Ongoing conditions that shall not expire with the issuance of a Certificate of Compliance
are as follows:
(#28, #29).
PRE -CONSTRUCTION REQUIREMENTS:
24. Prior to the start of any site work, excavation or construction, a preconstruction
conference shall be held on the site, between the contractor conducting the work, the
site/project engineer, the applicant, and a member or agent of the Conservation
Commission, in order to ensure that the requirements of this Order are understood by all
parties. Prior to the pre -construction meeting, all erosion control devices must be
installed, also.
REQUIREMENTS DURING ACTIVE CONSTRUCTION:
EROSION AND SEDIMENTATION CONTROL:
25. Areas of construction shall remain in a stable condition at the close of each
work/construction day:
Erosion controls shall be inspected at this time, and after each rainstorm.
2. Any entrapped silt shall be removed to an area outside of the buffer zone and
wetland resource areas.
Any breaches in the siltation barriers shall be repaired prior to leaving the site for
the day.
4. All erosion controls must be maintained or reinforced to meet specifications in the
plans and this order and shall be replaced as necessary.
5
any time to monitor for compliance with the conditions of this Order, the Act, and
Wetlands Protection Regulations: 310 CMR 10.00 and Chapter 24 of the City's
Ordinances: "The Wetlands Protection Ordinance". They shall have the right to request
and receive any data or documentation that is deemed necessary for evaluation of
compliance.
14. This Order of Conditions shall apply to any successor in interest or successor in control;
15. The owner of the property described in this Order, must advise any potential buyer of the
property that any construction or alteration to said property, including brush cutting or
clearance, may require approval by the Northampton Conservation Commission.
Any instrument conveying any or all of the owners' interest in said property or any
portion thereof, shall contain language similar to the following:
"This property is subject to the Northampton Wetlands Protection
Ordinance and/or Wetlands Protection Act. Any construction or
maintenance work performed on this property requires an Order of
Conditions, and/or a Determination of Applicability from the Northampton
Conservation Commission";
16. The contractor is as responsible as the applicant and property owner for any violations of
the Orders of Condition and penalties under the law, while all activities regulated by this
Order are being performed.
17. A copy of this Order and associated plans shall remain on site during all construction
and/or building activities. The project manager and all equipment operators shall be
familiar with the approved plans, and shall be informed of their location on the site.
This location shall be accessible to all contractors whenever work is occurring on
site.
18. All required permits must be obtained from the Army Corp of Engineers (Section 404
or
Water Quality Certification), Planning Board, Zoning Board, Department of Public
Works, or Building Inspector prior to the start of projects involving fill within any
wetland resource area;
19. No disposal of soils or other materials shall be allowed within: a 100 -year floodplain; 40
feet of the 100 -year floodplain elevation; any wetland; or any area within 100 -feet of a
wetland, unless such areas are specifically approved by the Commission, in accordance
with 310 CMR 10.00. and City of Northampton Ordinances - Chapter 24;
20. Any change or deviation from the Notice of Intent, plans and/or Order of Conditions
approved by the Commission, prior to or during construction, shall require the applicant
to file a request for an amendment with the Conservation Commission. It shall include a
0
title of the affected property. In the case of recorded land, the Final Order shall also be
noted in the Registry's Grantor Index under the name of the owner of the land upon which
the proposed work is to be done. In the case of registered land, the Final Order shall also
be noted on the Land Court Certificate of Title of the owner of the land upon which the
proposed work is to be done. The recording information shall be proposed work is to be
done. The recording information shall be submitted to the Commission on the form at the
end of this Order prior to commencement of the work. The Commission usually will
record the Order in the Registry of Deeds. It is the applicant's responsibility to
insure the Order is properly recorded.
9. A sign shall be displayed at the site not less than two square feet or more than three
square feet in size bearing the works, "Massachusetts Department of Environmental
Protection, File Number 246- 439."
10. Where the Department of Environmental Protection is requested to make a determination
and to issue a Superseding Order, the Conservation Commission shall be a party to all
agency proceedings and hearings before the Department.
11. Upon completion of the work described herein, the applicant shall forthwith request in
writing that a Certificate of Compliance be issued stating that the work has been
satisfactorily completed.
12. The work shall conform to the following plans and special conditions:
PLANS /TITLE DATED SIGNED & STAMPED BY:
"Site Plan Prepared for Carlon Medical, LLP 12/08/98
Located at Lot 6 Carlon Drive, Northampton
MA," by Almer Huntley, Jr. & Associates,
Inc. Sheets 1 through 6 - Cover Sheet. Locus
& Index/Boundaa & Topographic Survey/
Rev. 01/11/99
Site Plan/Gradin Planting & Lighting Plan/
Erosion Control Notes & Details/General Construction Details.
All Plans and information on file )with Northampton Conservation Commission
SPECIAL CONDITIONS:
13. The Commission and its agents shall have the right to enter and inspect the property at
3
Therefore, the Northampton Conservation Commission hereby finds that the following
conditions are necessary, in accordance with the Performance Standards set forth in the
regulations, to protect those interests checked above. The Conservation Commission orders that
all work shall be performed in accordance with said conditions and with the Notice of Intent
referenced above. To the extent that the following conditions modify or differ from the plans,
specifications or other proposals submitted with the Notice of Intent, the conditions shall control.
General Conditions:
Failure to comply with all conditions stated herein, and with all related statutes and other
regulatory measures, shall be deemed cause to revoke or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges; it does not
authorize any injury to private property or invasion of private rights.
This Order does not relieve the permittee or any other person of the necessity of
complying with all other applicable federal, state or local statutes, ordinances, by-laws or
regulations.
4. The work authorized hereunder shall be completed within three years from the date of
this Order unless either of the following apply:
(a) the work is a maintenance dredging project as provided for in the Act; or
(b) the time for completion has been extended to a specified date more than three
years, but less than five years, from the date of issuance and both that date and the
special circumstances warranting the extended time period are set forth in this
Order.
5. This Order may be extended by the issuing authority for one or more periods of up to
three years each upon application to the issuing authority at least 30 days prior to the
expiration date of the Order.
6. Any fill used in conuection with this project shall be clean fill, containing no trash,
refuse, rubbish or debris, including but not limited to lumber, bricks, plaster, wire, lath,
paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts of any of the
foregoing. The applicant is prohibited from using demolition materials, asphalt,
large chunks of concrete, tree stumps and limbs, and general refuse;
7. No work shall be undertaken until all administrative appeal periods from this Order have
elapsed or, if such an appeal has been filed, until all proceedings, before the Department
have been completed.
8. No work shall be undertaken until the Final order has been recorded in the Registry of
Deeds or the Land Court for the district in which the land is located, within the chain of
2
310CMR 10.99
DEP File No. 246-439
1 1
(To be provided by DEP)
Form 5
City/Town Northampton
Applicant Matthew Pitoniak
Commonwealth
Map # 24B Parcel # 46
of Massachusetts
Order of Conditions
Massachusetts Wetlands Protection Act
G.L. c. 131, §40
and the Northampton Wetlands Protection Ordinance
From Northampton Conservation Conunission Issuing Authority To:
Pelops Realty Trust
Name of property owner
1385 Hancock Street, Quincy, MA 02169
Address
This Order is issued and delivered as follows:
P,/latthew Pitoniak
Name of Applicant
125A Pleasant Street, Northampton, MA 01060
Address
[ ] by hand delivery to applicant or representative on
[X ] by certified mail, return receipt requested on March 5, 1999.
This project is located in Northampton at Lot 6, Carlon Drive_
The property is recorded at the Registry of Hampshire County
Book 4277 Page 161
Certificate (if registered) N/A
The Notice of Intent for this project was filed on December 10, 1998.
The public hearing was closed on January 11, 1999.
Findings:
date)
The Northampton Conservation Connnission has reviewed the above -referenced Notice of Intent and plans and has
held a public hearing on the project. Based on the information available to the Conservation Commission at this
time, the Commission has determined that the area on which the proposed work is to be done is significant to the
following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area
Subject to Protection Under the Act (check as appropriate):
[ ] Public water supply [ ] Flood Control
[ ] Private water supply [X] Storm damage prevention
[ ] Ground water supply [X] Prevention of pollution
Total Filing Fee Submitted $560.00 State Share $250.00
('/z fee in excess of $25)
Total Refund Due $ City Portion $ State Portion $
(1/2 total)
1
[ ] Land containing shellfish
[ ] Fisheries
[ ] Protection of Wildlife Habitat
City Share $310.00
(1/2 total)
-Zit - Wart4a mptan
� 6 {, p .f ,�'iass�Kbtcs�tts
"u►=
71W ENT OF BUILDNG INSPECTIONS
ain Street ' Municipal Building
(NSPECTQR DF.NI'OFBU
NnRTumu..—_..._ ,:
INSPFPrlr,,o orthampton, Mass. 01060
�.
CMSTRUCTION CONTROL, DOCUMENT
Project Title: CARLON MEDICAL, LLP Date: -June 4, 1999
Project Location: 6 Carlon Drive
Scope of Project :
Map -. Parcel : Zone:HB
Propose to build 9,000 SF building
In accordance with SECTION 116.0-116.4.2 of the sixth edition of the Massachusetts State Building
Code: I. Eric M. B e rn a r d i n, P. E. _ Mass. Registration Number 3 7 9 5 0
being a registered professional Engineer/Architect hereby certify that I have prepared or directly
supervised the preparation of all design plans, computations and specifications concerning:
[ ] Entire Project [X] Architectural [X] Structural [ ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other (specify)
for the above named project and that to the best of my knowledge, such plans, computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable
engineering practices and all applicable laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services and be
present on the construction site on a regular and periodic basis to determine that the work is proceeding in
accordance with the documents approved by 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 contract documents as submitted for the building permit, and approval for the
conformance 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 quality of the work and to determine, in general, if the work is being performed in a
manner consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official , a progress report with the
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 e project for occupancy.
Signature of registered professional : `
Subscribed and sworn before me this 4th day of June 199 9
_ my commission expires on July 2 9, 2005
Notary Public
Barbara A. Palmer
Building Department
413 -587 -1240 ------fax 413-587-1272
GriN Iaf wart 4a tpfan
Axssxcilnsctto
ARTMENT OF BUILDrNG INSPECTIONS
2 Main Street ' Municipal Building
Northampton, Mass. 01060
WORICER'S COMPENSATTON INSURANCE A t r A.VIT
I, Michael J Ciolek, Jr Ft-�-5(�Ieaa fQltcl
(li censedpertni ti.ee)
With a principal place of business/resideace av
4 Industrial Drive, South Hadley, MA 0107_ houeft) (413) 536-0021
(strert/ci ty/state/zi p )
do hereby certify, under the pains and penalties of penury, that:
( I am an employer providing the following worker's compensation coverage for my
employees wonting on this job.
The Phoenix Insurance Co. DTVYBN-UB-221N370-9-98 11/01/99
(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:
(Name of Contractor)
(Insurance Coinpary/Policy Number)
(E--pirmtioa Date)
(Name of Contractor)
(Lnsulancc CoLnpauy/Policy Number)
(Expiraiion Date)
(Name of Contractor)
(Insufancu CompaaY/Polic/ Number)
(Expiraboa Date)
(Name of Contractor)
(Insurance Compa y/Polief Number)
(Expiration Date)
(anal additioml sheet ifnoocaary to inc} info tioa pcstainiag w all o�atra ro )
() 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 aw= that wbilo homcowocn who cmplay perscras to do . ni— � =m---r%c oo.ar rc*r work cn a dVMlling Of
not muco than throo units in wEnch the homoowocr r=dcs a m tbo grounds appurtenant tha do ace oot generally maridcrcd to be
employrra under tho workcr's oompc ns4ca Act (GLI 52-=1(5)), apptieabon by a homoo— Car a U-wc a Pamaii may cvidcaoe the
ltgxl ctahsc of an amp loyoc under rhe Workces Coav*=Ltion Act
1 unaaTtind that a oopy of thin —tcmct may bo £ocwnrded to tbo DcparancoG of Ih,,ial A,,6&� moo of tuxuinoo for the
oov=ge vaifiatioa and that failura to ccatsn oo-rmp under sccdoa 25 A of MOL 152 c= lud to tboimposrhon of aiminA penalties
oomistag pf a f= of vp to S 1,500.00 mndlor of up to one year end eivi1 pcnLWcs is the form of a Stop W mk order and a
find of S 100.00 r< dry agaiaA me.
For. icgartma u/O Oaly
!° permit Number
G _ Lot #
#�;' Signature Li c U V,/ _
9
I
Jw
11EP00F WILONG It4s
RTHAA# Tok MA OlGfcj'.S
7 -JUN -1999 11:41:18 Hampshire County Registry of Deeds Receipt No: 106989
Marianne L. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060-3298
Name: MATTHEW PITONIAK Addr: 125A PLEASANT ST
NORTHAMPTON MA
Receipt Type: OR
DOCUMENTS: 990016190 to 990016190
------------------------------------------------------------------------------------------------------------------------------------
Type Page Doc Mref Consider$ Record fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
---- ---- --- ------------------------------------- ------------------------------------------------------- ------
MIS3 007 0001 0001 0.00 13.00 0.00 0.00 7 -JUN -1999 11:40 990016190 OR /5705/0027 INIT
Page 0001 of 0001
Payment
Total Pages:
0007
Fees
Taxes
Fee:
$
13.00
Cash:
$ 13.00
$ 0.00
Tax:
$
0.00
Check:
$ 0.00
$ 0.00
Misc:
$
0.00
Charge:
$ 0.00
Charge Code:
Comment:
ORDER
OF CONDITIONS
Receipted By:
KATHY
Status: PAID
DOCUMENTS: 990016190 to 990016190
------------------------------------------------------------------------------------------------------------------------------------
Type Page Doc Mref Consider$ Record fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
---- ---- --- ------------------------------------- ------------------------------------------------------- ------
MIS3 007 0001 0001 0.00 13.00 0.00 0.00 7 -JUN -1999 11:40 990016190 OR /5705/0027 INIT
Page 0001 of 0001
Doc; 990016185 OR /5705/0011 06/07/159911,12
March 12, 1999
I, Christine Skorupski, City Clerk of the City of. Northampton, hereby certify
that the above Decision of the Nor+-.hampton Planning, Board was filed in the
Office of the City Clerk on February 19, 1999, that twenty days have elapsed
since such filing and that no appeal ha -s been red in this tter.
r
f _Northampton
e ,w
ATESTt WTSHIRE, fikie---k, LEGISTER
L
Doc; 990016185 OR /5105/0010 06/01/199911,12
Pursuant to Massachusetts General Laws (MGL), Chapter 40A, Section 11, no Special Permit,
or any extension, modification or renewal thereof, shall take effect until a copy of the decision
bearing the certification of the City Clerk that twenty days have elapsed after the decision has
been filed, or if such an appeal has been filed that it has been dismissed or denied, is recorded in
the Hampshire County registry of Deeds or Land Court, as applicable and indexed under the
name of the owner of record or is recorded and noted on the owner's certificate of title. The fee
for such recording or registering shall be paid by the owner or applicant. It is the owner or
applicant's responsibility to pick up the certified decision from the City Clerk and record it at the
Registry of Deeds.
The Northampton Planning Board hereby certifies that a Site Plan Special Permit has been
GRANTED and that copies of this decision and all plans referred to in it have been filed with the
Planning Board and the City Clerk.
Pursuant to Massachusetts General Laws, Chapter 40A, Section 15, notice is hereby given that
this decision is filed with the Northampton City Clerk on the date below.
If anyone wishes to appeal this action, an appeal must be filed pursuant to MGL Chapter 40A,
Section 17, with the Hampshire County Superior Court or the Northampton District Court and
notice of said appeal filed with the City Clerk within twenty days (20) of the date that this
decision was filed with the City Clerk.
Applicant: Matthew M. Pitoniak - Lot 6, Carlon Drive
January 28, 1999
DECISION DATE:
D R@ff 0b[
FEB 19 1999
;IERKS OFFICE
P10N, MA 01060
INt
Doc: 990016185 OR /5105/0009 06/01/199911:12
concluded that the traffic generated by the subdivision would not have a measurable
impact on the existing levels of operation of intersections in the study area.
C. The requested use will promote a harmonious relationship of structures and open spaces
to the natural landscape, existing buildings and other community assets in the area,
because plantings have been included to help the building blend with the natural
landscape.
D. The proposed use will not overload the City's resources, including water supply, sanitary
sewer, fire protection, streets and schools.
E. The requested use meets the special regulations set forth in the Zoning Ordinance under
Section 10.11 (6).
F. The requested use bears a positive relationship to the public convenience or welfare and
will not unduly impair the integrity of character of the district or adjoining zones. The
use will not be detrimental to the health, morals, or general welfare and shall be in
harmony with the general purpose and intent of the Ordinance.
G. The requested use will promote City planning obiectives to the extent possible and will
not adversely affect those objectives, as defined in City master or study plans adopted
under M.G.L. Chapter 41, Section hl -C; and D.
In addition, in conducting its Site Plan Review, the Planning Board found the project
complied with the following technical performance criteria:
1. Curb cuts onto streets were minimized because only one curb cut was requested..
2. Pedestrian, bicycle and vehicular traffic movement on site were separated to the
extent possible.
3. The project is designed so that there is no increase in peak flows from the one (1),
two (2) and. ten (10) year 'Natural Resources Conservation Service (NRCS) design
stoml from pre -development conditions and so that the runoff from; a 4/10 inch
rain storm (first flush) is detained on site for an average of six hours.
The following conditions were imposed upon the project:
1) The applicant must submit an easement and indemnification agreement acceptable to
the City Solicitor, if required by the City Solicitor, and also submit a plan showing said
acceptable easement.
2) The permit is granted to Carlon 'Ar.edical, LISP.
3) The sign shown on the plan is not approved.
4) Storm water calculations must be acceptable to the DPW.
Doc., 9q, 16165 OR /5705/U6
Office of Planning and Development
City of Northampton
City Hall • 210 Main Street
Northampton, MA 01060 • (413) 587-1266
FAX (413) 587-1264 • EMAIL planning@city.no thampton.nta.lis
•Conservation Commission -Historical Commission
•Planning Board • Housing Partnership
•Zoning Board of Appeals
06/0711999 1.12
DECISION OF
NORTHAMPTON PLANNING BOARD
APPLICANT: Carlon Medical, LLP
C/o Matthew Pitoniak
125A Pleasant Street
Northampton, MA 01060
OWNER: Pelops Realty Trust
ADDRESS: 2310 Washington Street
Newton Lower Falls, MA 02162
RE L AND[BUILDINGS AT: Lot 6, Carlon Drive
MAP AND PARCEL NUMBERS- MAP #64B PARCEL #46
At a meeting conducted on January 28, 1999, the Northampton. Planning Board unanimously
voted 6:0 to GRANT the request of Carlon Medical, LLP for a SITE PLAN SPECIAL
PERMIT under the provisions of Sections 1.0.1.0 and 10.11 in the Northampton Zoning
Ord:zrance to construct a new 9,000 square foot medical office building with associated
parking, utilities and drainage; appurtenances on Lot 6, Carlon Drive.
Planning Board Members present and voting were: Chair !-.redrew J. Crystal, Paul Diemand,
Kerrnetb Jodrie, Rick Marquis, Ante Ro,nano and Associaw Member Orlando Isaza.
In granting the Site Plan Special Pernik, the Planning hoard bund:
A. 'The proposed use (a n udical office building) protects adjoining premises against
seriously detrimental uses. The alaplicaunt has made ;provisions for surface water drainage
and sight buffers (street tree:: and 12_ndscaping m as depicted on plans .and information
submitted to the Office of Planning & Development.
B. The requested use mill prod ote the convenience and safety of ve uvular and pedestrian
rr►novement within the sire and on adjacent streets and minimize traffic impacts on the
streets and roads in the area. A det<aiied traffic: study was per9:onnied. by Vanasse Hangen
Erustlin, Inc. for the Carlon ?give subdivision, including estimated traffic generation
figures for all of the ]cis wit:ain the subdivis o,:.-)., 1r :;l.u.ciing f,oa 6. Tl -,.Ts traffic study
ORIG.NAI. Mi% i ED 0[4 RECYC;I_FD1 PAPE
r
Pursuant to Massachusetts General Laws (MGL), Chapter 40A, Section 11, no Special Permit,
or any extension, modification or renewal thereof, shall take effect until a copy of the decision
bearing the certification of the City Clerk that twenty days have elapsed after the decision has
been filed, or if such an appeal has been filed that it has been dismissed or denied, is recorded in
the Hampshire County registry of Deeds or Land Court, as applicable and indexed under the
name of the owner of record or is recorded and noted on the owner's certificate of title. The fee
for such recording or registering shall be paid by the owner or applicant. It is the owner or
applicant's responsibility to pick up the certified decision from the City Clerk and record it at the
Registry of Deeds.
The Northampton Planning Board hereby certifies that a Site Plan Special Permit has been
GRANTED and that copies of this decision and all plans referred to in it have been filed with the
Planning Board and the City Clerk.
Pursuant to Massachusetts General Laws, Chapter 40A, Section 15, notice is hereby given that
this decision is filed with the Northampton City Clerk on the date below.
If anyone wishes to appeal this action, an appeal must be filed pursuant to MGL Chapter 40A,
Section 17, with the Hampshire County Superior Court or the Northampton District Court and
notice of said appeal filed with the City Clerk within twenty days (20) of the date that this
decision was filed with the City Clerk.
Applicant: Matthew M. Pitoniak - Lot 5, Carlon Drive
DECISION DATE: January 28, 1999
R
concluded that the traffic generated by the subdivision would not have a measurable
impact on the existing levels of operation of intersections in the study area.
C. The requested use will promote a harmonious relationship of structures and open spaces
to the natural landscape, existing buildings and other community assets in the area,
because plantings have been included to help the building blend with the natural
landscape.
D. The proposed use will not overload the City's resources, including water supply, sanitary
sewer, fire protection, streets and schools.
E. The requested use meets the special regulations set forth in the Zoning Ordinance under
Section 10.11 (6).
F. The requested use bears a positive relationship to the public convenience or welfare and
will not unduly impair the integrity of character of the district or adjoining zones. The
use will not be detrimental to the health, morals, or general welfare and shall be in
harmony with the general purpose and intent of the Ordinance.
G. The requested use will promote City planning objectives to the extent possible and will
not adversely affect those objectives, as defined in City master or study plans adopted
under M.G.L. Chapter 41, Section 81-C and D.
In addition, in conducting its Site Plan Review, the Planning Board found the project
complied with the following technical performance criteria:
Curb cuts onto streets were minimized because only one curb cut was requested.
2. Pedestrian, bicycle and vehicular traffic movement on site were separated to the
extent possible.
3. The project is designed so that there is no increase in peak flows from the one (1),
two (2) and ten (10) year Natural Resources Conservation Service (NRCS) design
storm from pre -development conditions and so that the runoff from a 4/10 inch
rain storm (first flush) is detained on site for an average of six hours.
The following conditions were imposed upon the project:
1) The applicant must submit an easement and indemnification agreement acceptable to
the City Solicitor, if required by the City Solicitor, and also submit a plan showing said
acceptable easement.
2) The permit is granted to Carlon Medical, LLP.
3) The sign shown on the plan is not approved.
4) Storm water calculations must be acceptable to the DPW.
M
Office of Planning and Development
City of Northampton
City Hall • 210 Main Street
Northampton, MA 01060 • (413) 587-1266
FAX (413) 587-1264 • EMAIL planning@city.northampton.ma.us
-Conservation Commission -Historical Commission
*Planning Board • Housing Partnership
-Zoning Board of Appeals
DECISION OF
NORTHAMPTON PLANNING BOARD
APPLICANT: Carlon Medical, LLP
C/o Matthew Pitoniak
125A Pleasant Street
Northampton, MA 01060
OWNER: Pelops Realty Trust
ADDRESS: 2310 Washington Street
Newton Lower Falls, MA 02162
RE LAND/BUILDINGS AT: Lot 6, Carlon Drive
MAP AND PARCEL NUMBERS: MAP #24B PARCEL #46
At a meeting conducted on January 28, 1999, the Northampton Planning Board unanimously
voted 6:0 to GRANT the request of Carlon Medical, LLP for a SITE PLAN SPECIAL
PERMIT under the provisions of Sections 10.10 and 10.11 in the Northampton Zoning
Ordinance to construct a new 9,000 square foot medical office building with associated
parking, utilities and drainage appurtenances on Lot 6, Carlon Drive.
Planning Board Members present and voting were: Chair Andrew J. Crystal, Paul Diemand,
Kenneth Jodrie, Rick Marquis, Anne Romano and Associate Member Orlando Isaza.
In Granting the Site Plan Special Permit, the Planning Board found:
A. The proposed use (a medical office building) protects adjoining premises against
seriously detrimental uses. The applicant has made provisions for surface water drainage
and sight buffers (street trees and landscaping) as depicted on plans and information
submitted to the Office of Planning & Development.
B. The requested use will promote the convenience and safety of vehicular and pedestrian
movement within the site and on adjacent streets and minimize traffic impacts on the
streets and roads in the area. A detailed traffic study was performed by Vanasse Hangen
Brustlin, Inc. for the Carlon Drive subdivision, including estimated traffic generation
figures for all of the lots within the subdivision, including Lot 6. This traffic study
ORIGINAL PRINTED ON RECYCLED PAPER
10. Do any signs, exist on the property? YES 140.' �[1
IF YES. describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size, type and location:
11
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Oe artment
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 1 � � �d—' C� APPLICANT'S SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain
all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable
permit granting authorities.
FILE #
Existing
Proposed
9 P
Required
By Zoning
Lot size
204,617 SF
204,617 SF
20,000 SF
Frontage
940.43
940.43
120'
Setbacks ---=
1 min
10'
- side
L: N/A R: N/A
L:57' R:>50'
10'
- rear
N/A
Varies>20'
20'
Building height
N/A
1 Story
20'
Bldg. Square footage
N/A
± 9,000 SF
N/A
%Open Space:
(Lot area minus bldg.
& paved parking)
100%
89%
25%min
# of Parking Spaces
N/A
45
45
# of Loading Docks
N/A
N/A
N/A
Fill:
(volume & location)
N/A
Approx 300 CY
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 1 � � �d—' C� APPLICANT'S SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain
all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable
permit granting authorities.
FILE #
IH
DEC 3 C
DEPT OF SLS _
Fi`e No.
4_11# 170
�JUN 71999 .�
£ _ RI1dIIT APPLICATION
of A
NORTNR, ; .;,..PE OR PRINT ALL INFORMA
.21A1 4 1999
10 CITY CLERKS OFFICE
NORTHAMPTON, MA 01060
1. Name of Applicant: Mr. Matthew M. Pitoniak
Address: 125A Pleasant Street Northampton, MA 01060 Telephone: (413) 586 — 5364
2. Owner of Property: Pelops Realty Trust
Address: 3210 Washington Street Newton Lower Falls, MA 02162 Telephone: (617) 527 — 9800
3. Status of Applicant: Owner X Contract Purchaser Lessee
Other (explpin):
4. Job Locatioh:/ Lot #6 Carlon Drive
Parcel Id: Zoning Map # Parcel # District(s): /
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Undeveloped Commercial Lot
5. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Construction of 9,000 sf Medical Office Building with associated parking, utilities and drainage appurtenances.
7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW X YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X - YES
IF YES: enter Book Page and/or Document #
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES X
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained X Obtained date issued:
(FORM CONTINUES ON THE OTHER SIDE)
Date submitted
Address:
Preliminary Plan Review Checklist
City of Northampton
c o.-,/ .� 14"
Map z y $ Parcel 6 C� Zone ;fR
Lot size: 2-o y, 617 Edition of Building Code in force: rpt
Building Pen -nit # - j y9y - Zczsy
Applicant: -AA 4114'arvS
Owner or Authorized Agent -----------------:
1. Use Group ------------------------------------_i
2. Building Type of Construction------------:
3. Square footage of proposed construction: <7000 S /C
4. Height of proposed construction----------: /3� ' 3" ,/ z)R(
5. Site plan required -------------------: TS Surveyed:,_
6. Fire protection------------------- Signaling Required: mow
Suppression Required--------:
Alann Notification Required : 4,C)
Exterior Wall fire resistance rating : tk) T
7.Conservation (Wetlands)
Ir.:
s.Change in Use --------------------------------- IVO (-CM-s 7 —.
9.AAB Requirements------------------ : v 3 ,,-L,: Y
i o.Plumbing (fixture count change required):-..
i i .Controlled Construction (116)---------------
12. Local Zoning Ordinance restrictions ----- s7a4.�
13. Plans Stamped by r=-Zlc n,�,�1�td
Inspector: A
Date reviewed: Pass_ Fail
Hold for more information
Comments: ,�
File # BP -1999-1054
APPLICANT/CONTACT PERSON Associated Builders Inc
ADDRESS/PHONE 4 Industrial Drive (413) 536-0021
PROPERTY LOCATION 76 CARLON DRIVE
MAP 24B PARCEL 046 ZONE HB USS
jy4w- 2
THIS SECTION FOR OFMI SE.ONLY.
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T_ypeof Construction: CONSTRUCT 9,000 SO FT COMMERCIAL BUILDING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 029752
3 sets of Plans / Plot Plan
THE P6LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
pecial Permit and/or Site Plan Required under: §
PL ING BOARD ZONING BOARD
eceived & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: §
w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § _w/ZONING BOARD OF APPEALS
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 Commis
Signature of ding 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.
� f
76 CARLON DRIVE
GIS #:
MM:Block: 24B - 046
Lot: -001
Permit: Building
Category: NEW COMMERCIAL BUILDING
Permit# BP -1999-1054
Proiect# JS -1999-1774
Est. Cost: $600471.00
BP -1999-1054
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
BUILDING PERMIT
Fee: $3600.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 2 Contractor: License:
Use Group: 8 Associated Builders Inc 029752
Lot Size(sq. ft.): 365163.48 Owner: PELOPS REALTY TRUST
Zoning: HB Applicant: Associated Builders Inc
AT: 76GARCON DRIVE
Applicant Address: Phone: Insurance:
4 Industrial Drive (413) 536-0021 Workers Compensation
SOUTH HADLEY 01075 ISSUED ON.•6/1511999 0:00:00
TO PERFORM THE FOLLOWING WORK. -CONSTRUCT 9,000 SQ FT COMMERCIAL BUILDING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W.
Underground: Service: Meter:
Footings:
Rough: Rough: House #
Final: Final:
Gas Fire Department
Rough: Oil:
Final: Smoke:
Inspector of Buildings
Foundation:
Rough Frame:
Fireplace/Chimney:
Insulation:
Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Siiinature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/15/1999 0:00:00 $3600.00
212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272
Building Commissioner - Anthony Patillo