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BP-61366COMMERCIAL Item Estimated Cost ($) to nearest dollar. To be completed by permit applicant 1. Building 2. Electrical 3. Plumbing 4. Mechanical (HVAC) 5. Total = (1 + 2 + 3 + 4) Estimated Total Cost Including Labor: $ / L , Y'Y(y) 03 (please print) I, , as to act on my behalf, in all matters relati Signature of Owner er of the work aul perty hereby authorize this ui ing permit application. Date I, K c-,r„4 E- CAgo I , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. V Signed under the pains an penalties of perjury. A;(l TJ 3 Signature of Owner/Agent Date 1. HOLD reason: 3. OWNER/CONTRACTOR NOTIFIED ON Date: Date: 2. HOLD subject to Zoning Board of Appeals action: 4. Comments: 5. Inspector's Signature: - fC - Date: Applicant info of bove te: !J ' ime: 77/ Clerk: JJ Comments: 1 WA i oA AA- `.. . P,I T NOTE Total Permit Fee:,fw W;?v;, .S- , ess Application Fee: $ 25.00 Remaining Balance: Gross Area - New Construction uy Gross Area - Alteration evo 054, Permit Issued To: COMMERCIAL $25.00 APPLICATION FEE IS NON-REFUNDABLE do NON -TRANSFERABLE DATE RECEIVED 7s DARTMOUTH BUILDING DEPARTMENT l E l 400 Slocum Road, P.O. Box 79399P,ta Dartmouth, MA 02747 508-910-1820 FAX 508-910-1838 tnT OCT -6 KI 2: 16 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A COMMERCIAL BUILDING (includes 3 or more familly dwellings) ipeals $ealth Fire .' ❑ Gas" fief Cut Off Zoning Review: Energy Report: Fire Chief: Board of Health: Conservation Commission: Other: Signature: Date: Signature: f late: Signature: Signature: Signature: 0 Date: ' Date: Date: Description of Work Being Performed we.MFm2 /yS;U), „.. d SECTION 1 SITE INFORMATIO)l 1.1 NUMBER OF PLANS SUBMITTED: 1.2 SITE PLAN SUBMITTED: ❑ yes 1.3 Property Address: /6 LmaP isjoo p B 1U1.4 Assessors Map & Lot Number: Nearest Cross Street: FAAW Ce Lo rpei RA. r Bus. Name: TCCrRA me,441, hone# 1.266 Map Lot _ Total Land Area Sq. Ft.: 1.5 Water Supply (MGL c 40 g 54): 1.6 Sewage Disposal System: X Municipal ❑ Private Well ❑ Municipal ❑ On Site Disposal System SECTION 2 - PROPERTY OWNERSHIP f AUTHORIZED 2.1 Owner of Record: 3 T GFA Mom;caL, 06WiKG LLC S Lep6c-o4- Name (print) Contact Address Telephone 2.2 Authorized Agent: Kam. \i 0 N G } o I I $ 1 6 � (3LV Name (print) Contact Address Telephone c:\bldg. forms\bldgapp.com Page 4 rev. September 2004 c:\bldg. forms\bldgapp.com Page 1 rev. S4-ptember 2004 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 (MGL 152 Section 25A)Signed Affidavit Attached: ❑yes ❑ no ❑ new construction ❑ addition ❑ ❑ repairs ❑ accessory bldg.Y(shed/garage) ❑ other (specify Sec. 6) ❑ demolition ❑ sign ❑ replacement window/door no. of windows doors The following descriptions are based on the Massachusetts State Building 6th Edition, Code Article 3, as noted See the Code ❑ Assembly - restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe: ❑ Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Section 303.00) ❑ Education - structure for training including child day care for those over 2 years 9 months (see Code Section 304.0) ❑ Factory / Industrial (see Code Section 305.0) ❑ High Hazard - (see Code Section 306.0) ❑-Institutional - hospital, nursing home, infant day care (see Code Section 307.0) ❑ Mercantile - retail stores (see Code Section 308.0) ❑ Rcsidential - three or more family, hotel (see Code Section 309.0) ❑ Storage - includes garage (see Code Section 309.0) ❑ Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) ❑ New Tenant - for any of the above, please indicate (see Code Section 119.0 and Zoning By -Law Section 35) ❑ Tent or Trailer - temporary purpose? ❑Other: Desc a the proposal briefly, INCLUDE number of dwelling units and bedrooms or occupant load as a licable, o dition (if e- a space is needed, attach an additional sheet): IJ 1f�P1Qf��/�f�kl✓�v� r New Construction and/or Addition (total gross cubic feet proposed) - indicate If the project is an addition to existing structure - total gross square feet of existing: ❑ Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration is required. Will this project be subject to CONSTRUCTION CONTROL (over 35,000 cu. ft.) ❑ yes ❑ no If yes, see Code Section 116.0. Designer to submit Code Synopsis in addition to original plans. Will this project require Peer Review (over 400,000 cu. ft.) ❑ yes ❑ no (see 110.1 Code & Appendix I) APPLICANT TO PROVIDE PEER REVIEW AT THEIR EXPENSE. SEE 780 CMR. ❑ Demolition* - describe structure: ❑ Moving* - (provide copy of DPW moving license) * Type of structure: from where (plat/lot or address): to where (platlot or address): number of bedrooms per dwelling unit: number of dwelling units: C(YMMERCIA --- L ❑ Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlarged) dimensions must be maintained. Enlarged or new windows in an existing dwelling will be considered as an alteration, otthherwiise will be included in new construction. (see Code Section 3603.21 for residential and Article 10 for commercial). ❑ Temporary structure - includes, when allowed, trailers, tents and the like and only for limited periods of time. Describe: ❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify):_ ❑ Boiler (heating) - fuel gas (natural or propane), fuel oil, electricity, other (specify): ❑ HVAC (combined unit) - primary fuel, natural gas, propane, electricity, other (specify): ❑ Air conditioning - (separate unit) ❑ None of the above to be provided ❑ Hot Water: Gas Electric Fuel Oil Other Required: plans provided 9-5 plans not provided, why? ❑ Not required, not to be installed, why? ❑ Parking plan submitted to: Building Dept. Planning Board Number of spaces - indoors date submitted Yes no Handicap spaces - required outside total provided Y if yes, how many as a part of the total required Is Route 6 (State Road) entrance permit required? esumber no Sub it copy of application and/or permit as soon as available.if yes, has it been issued? yes no 11.1 Architect/Engineer - for overall design y u_ Company Nam : �Ko r -}-i7�,� Address: Q S' / Q 2 7-15 Phone #: �O — 2 Certified by State of Massachusetts as: :7j re Certification Number: Note: Signatures and seals on all plans, affidavits. & other documents SHALL BE originals and not reproductions. 11.2 Architect/Engineer - project supervision and reports Company Name: Address: Phone # Certified by State of Massachusetts as: Certification Number: Note: Signatures and seals on all Plans, a idavits & other documents SHALL BE originals and not reproductions. 11.3 General Contractor Company Name: ZA �"�t'Y1 F e- Pr� et+( (3 Address: rQ R Phone #: r3 Construction Supervisors License Number t�— Note.• Signatures andseals on all plans affidavits &other documents SHALL BE originals and not reproductions. c:\bldg. forms\bldgapp.com Page 2 rev. September 2004 c:\bldg. forms\bldgapp.com Page 3 rev. September•22004 z �vw 5 P >~ Q + 4"CAP ------------------------------------ r 'j' -------- :5 i- ---- ----- -- ---ig� , j EXISTING 4"MAIN•12'-b"4 LIJ_ v , 11/4 KIOLM m!115RANC14LINE , � �' 6 , 60ZONERISERFORFUTURE --- - --- ----- -- , _--_—__—__—__—__-------------- �------------_—__-- 5 ---,--- , 41,r� &X4 RC b" MANIJFACT h1� ZONE RISE i - ----- 6 I R IDS O� :------------ �------------------ ----6 ---- 3 n 3" OFFICE ZC►rE RISER i " CO I ri ---- 4 -4 � ----------� ' .'- I RILL -IN XIIt MT ' " 5 1 j� b" GRY TEE + -- - , , I EXISTING 4X21/)01/2 FIRE DEK CON I 11/2 1 I 6' WILKiNS MODEL SO DOABLE I yz; OFFICE �€ 4 i 6X4 RC STO I SPRINKLER �,� " BACI�LOW ASSEMBLY + t 2 1 11� 4 IV2 lye ; � I ly2q TYPICAL BRASS WRIGHT 4 i 2' VF1f- 6 DILL FIRE SI=RYICLQE I 2' 0 r l'-b '-� '-b SPRINKLER 200'F. RATED ' - - -------------------------- TOPo�srr ~'_--------------- I i I 45' OF 6' OICL FIRE 0 �" MAIN TO 8" YARD MAIN 4 NODE I t ,�� ' ' 41. NODE M IS EFFECTIVE PO1 11/4'4' IDLINE 1 1�4" BRANCHLIKE OF i INT 2 I OF THE DESIGN [DATER TEST , -- ---- -- ----- L -IN AV --3' I y2 MT ; 41 I 31 TOOL ROOM I 1 I ELECTRICAL ' 18 11/4 DL_M_E ; III' BRANCHLNE I EXT. ' 411 I 1 M 4XI ' I 41 I I I 42 1 I I 11/4° GRIOLINE Ili" BRANCHLINE � I I ' 1 ' I ' ► 1�'2" - OR LL I I 1 ( I + - IN 4-----�-� 4Xi11/ I , ' 43 I i I 8 I ' + 11/4" GRIDLINE ; 114" BRANCHLINE + I i I I ly2 1 1112 I ItV2 lyi 20 , OFFICE I MANUFA TU iNG 4; I 9'_3" � I I ' P/4' GRIDLINE 1 I'/4" BRANCHLINE EXISTING 4" SPR MQ ER MAIN I I OFFICE 21 , Its 41 I ' ; I It'2" UP - DRILL � I31 IN 4X112' MT I I I 4' 11/4' GRIDLINE_; 114' BRANCHLIKE v'FIC F , 41 I 1'-3" IVV GRIDLI E j 1'44 BROMINE ' I OFFICE I NEI.- GY`P5UM _ aCEILING FACE SYSTEM LIP r .o i •. • I'• - '-r • • • • GOWN AREA .00 MINIMIZE AIR PASSAGE �'�iri►�>a� ��.�� „nl!_�iI �Il�lfil� r�11 CONSTRUCTIOP� CO�STROI Per 780 CMR Sec.116.0 Fire Protection Servi"ces PROFESSIONAL FIRE PROTECTION ENaINEERs ' FIRE PROTECTION ENCsINEERINrs • • HYDRAULICS SPEa&lm • • CODE CON&VANTB PA. BOX 605 FAIRNAVEµ MA&WCA g ne onis-mM TEL:aft) WI-2466 FAX -an) SM-6832 I Wo H H TRllSS I H RECESSED PENDENT SPRir LER j -- SECTION 6 CLEAN ROOM TRUSSES 2 4 3 I 31 — WALE: V4" ■ 1'-0' -5 � NOTE: S i REVISIONS: I 1'R NKLER PIPE TO BE SUPPORTED FROM NO. DATE: DESCRIPTION: L 1y2 L j 1�2 O i P EXISTING ROOF JOISTS. %" THREADED ROD TO m I 39 L �� lye L b EXTEND THROUGH UPPER PLENUM CEILING 105 CEILING TILE IN PLACE. SPACE AROUND ROD TO H 110 H H BE FILLED TO PREVENT AIR LEAKAGE. i CENTER ,ON WALL ez. , FEED WI IN . - 124:rF LEGEND 114 ' + _ H 119 j H ` �, TYPICAL BRASS UPRIGHT TYPICAL BRASS u+GHT -'�-- Pendent Sprinkler � 1� lid I� 9 i 1y2 11� 44 SP'RWLER 200'F. FATED Pendent Sprinkler -II, Drop � S E � SPRINKLER 200'F. RATED p p ----- TOP OF STEEL___--___-- --1-- Upright S Sprinkler ------ -�- p II TYPfC� BR,4S3 tJPRK:NT SPRINKLER- - -f'- '_4 ! lye" P �1° $PRIG S" 200'F. RATED ON 11 SPRIG Upright Sprinkler-1 Sprig �-0 , '-0 2'-2 '-3 l' UPPER PLENUM CEILING _ _ _ _ _ --�- Sidewa I I Sprir�Cler - - - - Pipe Rise - DRILL-N 4X2 MT --- ---- ---------- - EXISTING 4 MAN --� Pipe Drop ----- -�---- ----- ----- ---_—__-- --- 4 * Pipe Centerline Abv.F.F. 125 GYPSUM BOARD Pipe Centerline Below T.O,S. 120 WASHABLE CEILING 18 SYSTEM CEILING FACEJ Proposed Pipe . T Existing Pipe L I I - - - I — I . RECESSED PENDENT sPRINKLER II SAGE ; I IN4X1�MT Ili O 11� H 11/41 GRIDLNE j pq LINE 1 e I I I OFFICEI >3 , 41 FINAL ASSEMBLY ; - 1 + CLEAN , 11/4' GRIDLINE 111/4" BRAN INE I I 41 - - I t y. I OIC , 12 UP - DRILL , 5T , II I IN 4X1y2' ly4" GRIDLII�-j 11/4' BRANCHLIi� m li 1 I 14 2441 I 1 1 I CORRIDOR I REMOVE 4 PLW 11/44 "LINE I 1 1 11/4"CsRIDLII� 1 ' I ------------------ I CLEAN ETCH' --- I ---------------------- 48 1 II I12 oil i'l7JDENT sPRINKLR - " ; GOWN AREA ANTWM D PL AGES INI ss ) �1 4; CLASS: 100,000 OFFICE ' _CFICE OFFICE O>•fl ' I I '1 11/4' GRI NE -'I REMOVE 4 PLUGS 11/4E ';rEMiLY 'i i I il`I, I I 14. UP - DRILL I - Q AREA I j - � , IN 4Xi112' MT , ;I PASSAGE Ca CLASS: 1 I , �— I 10,000 I 411 CORRIDOI f'--_—r—ASSE1181Y-2 ' TttUSSASS�IBLY-3 I —-------- I------- -- -- '--------- ' '/_ I -5 j 128 = s = — ' �`--- --�� !—i�EMOVE 4 P1.W 11/4' 'RANCHLME i I I ' - - — - - I 43 5'_�✓ -� ; 3-1 '-4 1I1012 J Iy2 it, 1©' I L T(a5 L N11►i r • • -. REMOVE AND PLUG OU=E� SPRWLOF THREE PLACES IN THIS AREA), I I , I I 1 ; ' I NO UP - DRILL I i 1 I 1 STORAGE , IN 4X 2 MT , --- --- 2 TRAINING RECORDS 1 ISM b I 112 1y2 I �,y " 11/4"GRIDLME REMOVE PLIUG 11/4"�HN IcpRRIDOR -----� NETWK -------------------- -- --------------------�- ----- ; ---------�------- ---- ' EXISTING 4' SPR$KM MAN -j----------+------------ � ---- -- ----- -_fi I MAMDEROFZOt� TO � I SEE PLAN DETAIL I 41 I I I �YJ ; I I PROPOSED CLEAN ROOM ' � ' PASS CLEAN ROOM DETAIL PLANAREA AT RIGHT I ; rnuzp ASSaIBLY= = --I = I1S�118LY= = I 11/4" GRIDLII� J REMOVE 4 I°LW 11/4' 4RANCHLINE I I SCALE: 114' • r-O' ' I JAN, i I MOLDING AREA I CLASS: 100000 ( I MEN WOMEN I O RECESSED PENDENT QUiCK RESPONSE SPRINKLER, 5.6 K-FACTOR, MANUFACTURING 4; I I J MM __ i I BREAK ' ' 11/4" GRIDLINE I ' O TRAINING REMOVE 4 PLUG 11/4' BRANCHI.m I I I I I I 3(1 FILES 41 OFFICE , IIf I + I i i I I 11/4" GRIDLINF,i� I REMOVE 4 PLW Ii/4 BRANCWLINS ! I i - - — - - — - - — 1 I I 1 CORRIDOR I CORRIDOR I I 4 i CO ' 11/4, GRIDLINE ' 11/4" BPANCHLINS +---�--- z 1 31' WAITING RECEPTION J OFFICE OFFICE l 4 TO REMA CORRIDOR 1 I I , " MANUFACTURING ZONE SYSTEM�-------- J' tY I I . I AEMPLOYEE CPZ Jul IDOR }�A 3" OFFICE ZONE SYSTEM FEm FART i AL 5 I L D INCB PL �4N i N o TO REMAINDER OF SYSTEM SCALE: VON - I'-0" r 1i2" N.P.T., WHITE FINISH,1557. - ESCUTCHEON TO BE SEALED TO CEILING PANEL TO PREVENT AiR MOVEMENT THROUGH SPRINKLER PENETRATION. ESCUTCHEON TO BE SEALED IN CLEAN ROOMS ONLY O BRASS UPRIGHT QUICK RESPONSE SPRINKLER, 5.6 K-FACTOR, 1/2" N.P.T., 200°F. RATED, ON 1" SPRIG TO PLACE DEFLECTOR (o" BELOW DECK SURFACE ABOVE HYDRAULIC DESIGN SYSTEM NO. CLEAN ROOMS DENSITY: 020 AREA: ENTIRE FLOW: 6153 PRESSURE:455 EFFECTIVE PT.: NODE e HOSE: 250 AT: YARD HYDRANT .ADDITIONAL FLOW: DNA. ESCUTCHEON TO BE SEALED TO GYPSUM 130ARD MINIMIZE AIR PASSAGE WASHABLE CEILING SYSTEM TOP OF PLENUM RECESSED PENDENT SPRIWLER ■ 13'-0" Ir-b° MOLDING AREA CLASS: 100.000 SECTION CLEAN ROOM TRUSS 1 SCALE: 1/4' al-0111 NOTE: SPRINKLER PiPE TO BE SUPPORTED FROM EXISTING ROOF JOISTS. %11 THREADED ROD TO EXTEND THROUGH UPPER PLENUM CEILING WITH CEILING 'BILE IN PLACE. SPACE AROUND ROD TO BE FILLED ;To PREVENT AIR LEAKAGE. GENERAL NOTES: ' SCOPE: Project' involves the construction of two manufacturing clean rooms and a gown area within the existing building. Tota I clean room ale is 2,083 sgft. Total project area is less than 3000 sgft. Fire suppression renovations involve the removal of existing sprinkler branch lines within'the project area and the installation of new branchli;'es with new quick response Sprinklers below all new ceilings, within all new above ceiling plenums and above the upper plenum ceiling in certain areas to protect combustible clean room wall construction. Fire alarm system renovations involve the addition of horn/strobe units In the project area where shown and connection to the existing Edwards addressable fire alarm control panel. EXISTING CONDITIONS: The building is provided with sprinkler coveracs in all occupied areas. The area above non-combustible ceilings is not provided with sprinkler coverage as no combustible construction or occupancy is present. Sprinkler coverage is provided on 140" zone and 1-311 zone both fed by a 611 fire service connection to an 8" private water main. The design of the existing system is not known. The building is provided with fire alarm coverage via an Edwards FACE' located in the employee entrance at the east side of the building. A fire department key box is located at this entrance, The FRCP is connecte,) to the Dartmouth Fire Department District 3 via leased telephone lines. The building is provided with horn/strobe units and manual pull stations, Sprinkler zones are monitored for water flow and valve tamper, Existing HVAC units are provided with duct smoke detection. SPRINKLER SYSTEM DESIGN: The sprinkler system in the area of the proposed clean rooms is designed to meet the requirements of NFPA-0, 2001 edition, Section 2126 "Clean Rooms". Design is based on a density of 020 gpm/sqft over the entire clean room area plus 250 gpm hose allowance, Coverage is provided in the rooms, within the air supply plenum and above the top of the air supply plenum only where combustible construction will exist. CONSTRUCTION: Existing building construction including interior walls, suspended ceilings and wall coverings is non-combustible. Proposed clean room wall construction is FRP with other plastic based composite3. Ceiling construction is steel grid with gypsum board tiles w/washable fa,.e. Where wall construction extends into the space above sprinkler protection is provided. OCCUPANCY: Manufacturing of medical equipment - primarily specialty needles. APPROVALS: All.equipment and materials to be UL Listed. Installation to meet all requirements of the Massachusetts Building Code, Ith edition, NFPA-13, 2001 edition and NFPA-12, 200i edition. PIPE: All new branch line pipe to be black steel schedule 10 with rolled groove couplings (rigid type) and drill -in style mechanical outlet fittings. All sprinkler drops to be black steel schedule 40 with cast threaded fittings. All drops to be installed on return bends. UL/FM approved flexible drops may be substituted. FINAL TESTING: Due to nature of work a hydrostatic pressure test is not required. All pipe shall be visually examined under street pressure before being covered. WARRANTY: Contractor to warranty all installation equipment, materials ard labor for a minimum period of one year beginning on the day of final fire department acceptance. PERMITS: Contractors shall obtain all sprinkler and fire alarm permits required by the Dartmouth Fire and Building Departments and shall pay -II expenses associated with obtaining these permits. MIA FLOW TEST DATA: STATIC: 16 PSI RESIDUAL: 54 PSI FLOW: 1,141 GPM DATE OF TEST: 9/10/10 61 11:00 AM GAUGE ELEVATION: 3' ABOVE F.F. LOCATION: FLOW YARD HYDT. PRESSURES RECORDED AT INCOMING SiDE OF BACKFLOW SCALE: AS NOTED DATE: SEPTEMBER 15, 2010 CAD JOB NO.: 1811TM.DWG DRAWN BY: D.F. WOOD, P.E. E1-8.DWG TEMPLATE LOCATION: TEGRA MEDICAL S L EDGEWOOD 5LY0 DARTI" SOUTH, MA DRAWING TITLE: PROPOSED MANUFACTURiNG CLEAN ROOM INSTALLATION FIRE SUPPRESSION FIRE ALARM PLANS, DETAILS 4 NOTES DRAWING NO.: FP-1 3 C, C7� _