32A-140 (8) 109 MAIN ST-2ND FLOOR BP-2017-0691
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 140 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit BP-2017-0691
Project 4 JS-2017-001133
Est.Cost: $262000.00
Fee:S1834.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(su.ft.): 11325.60 Owner: NIS BUILDING LLC C;O HPMG
Zoning: CB(I00)/ Applicant: KEITER BUILDERS
AT: 109 MAIN ST - 2ND FLOOR
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 O - WC
FLORENCEMA01062 ISSUED ON:12/22/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT EXISTING SPACE INTO OFFICES
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Insp ctor .�
Underground: Service: Meter:
C'e:I,N �e��F'0ar °A7-7)
Footing.:
Rough: /5/7 Rough:WVHouse# Foundation:
//07/� 7
j -; Driveway Final:
`�
Final: 242417 Final:111 b ��rn�
3:g-
-g_ )—r Rough Frame: �_12
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
f`i et a
Final: Smoke: 5 117 Final: 474.d- /
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU T ON . /
Certificate of Occupancy e- �signature: � 1 f t�Loj
FeeTyne: Date Paid: Amount:
Building 12;22/2016 0:00:00 S1834.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck--Building Commissioner
It- 1 s 3 . . ay./ -oati&cr Lictdz
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
= � CITY / cili-4 pro+-, .._ wI, MA. . DATE ///,j0J/ .----I PERMIT'# V1'`(1 '.942)
JOBSITE ADDRESS `O J "0/.. ir . OWNER'S NAMEa=nti_. 1.,4,4 ________ ___I
p • OLVNERADDRESS ______.__ FAX
TYPE OR ' OCCUPANCY TYPE: COMMERCIAL 1 EDUCATIONAL ❑ ' RESIDENTIAL❑
PRINT . . '
CLEARLY NEW;❑ RENOVATION:{gt REPLACEMENT:❑ PLANS SUBMI1 ID: YES❑ NOS]
BATHTUB
7. FLOORS-� asrnt 1 2 I 3 � 4 5 ( 6 7 8 ,3� �p �f� ` @•n13� i4.�
CROSS CONN DEVICE .( •,t j t U
DEDICATED SPECIAL WASTE SYS (• I'1` ' -
DEDICATED GASIOIUSAND SYS • I t►-' as - 5A116 'i
DEDICATED GREASE SYSTEM I •
DEDICATED GRAY WATER SYS (
•DEDICATED WA I tRREUSE SYS - ric, Numbing&Gas Insaecjions
,_DISHWASHER Nr
ampaart-mAttee re
DRINKING FOUNTAIN • I _ • '
FOOD WASTE GRINDERUNIT .
FLOOR I AREA DRAIN . ' - . • : _ .
1NTERCENIORINTERIOR • . .
KITCHEN SINK I ' ! •
' a ' 1
•
LAVATORY I Y _ '. _
ROOF DRAIN .
SHOWER STALL I . •
SERVICE/MOP SINK1 T- . . ,
TOILET ( - . 1 •
URINAL - •J :
WASHING MAGHINE CONNECTIdN 7 L
WA I ER HEATER ALLTYPES T• 1 .
WA I ER PIPING ( i _ •
• I ' •
•
• 1
INSURANCE COVERAGE .:
I have a current liability insurance policy or ifs substantial'equivalent which meets the requirements of MOL Ch.142 YES ® NO ❑.
If you have checked YES,please indicate the type of Coverage by checking the appropriate box below.
• LIABILITYINSURANCE POLICY N• OTHER TYPE INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement. •
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT • •
I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate th the best of my. '
Knowledge and that all plumbing wcrk and installations performed under the permit issued fortis application will be in compliance with all Pertinent
provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER NAME: r . thke' 1. moiziln, Se.. . I LICENSE# (vt - S f•c, l• IGIJATURE
COMPANY NAME• Lfr1..s. 1o&Z&n.,..T()c, , ADDRESS; LI Sou-W\ rlafi, S 'fe �; ;
crIY: . d figto1,aQ,_ . _..__---__.—' STATE = ZIP: ;• 01O3 _____ FAX !4l3 ' 3;s1
TEL AA;a1S3'355 _ CELL _.__..__•_..___._I EMAIL b $\ tri vnt3+2 r'jj+flq.. ._Q_O - -------.
MASTERP31 JOURNEYMAN❑ • CORPORATION Ig# LD'C 1 PARTNERSHIP 0# • _ LLC❑#
1
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0.F/7 „yg
3rCi( . 4
1
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109 MAIN ST - 2ND FLOOR EP-2017-0742
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 32A
Lot: 140 ELECTRICAL PERMIT
Permit: Electrical
Category: INSTALLATION OF 1 ACCESS CONTROL UNIT AT ENTRANCE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001133
Est.Cost: Contractor: License:
Fee: $50.00 SIGNET ELECTRONIC SYSTEMS Low Voltage 20309
Owner: NIS BUILDING LLC Ct0 HPMG
Applicant: SIGNET ELECTRONIC SYSTEMS
AT: 109 MAIN ST - 2ND FLOOR
Applicant Address Phone Insurance
106 longwater drive C- Liability, DTC04G208514
NORWELL MA02061 ISSUED ON:2/28/20170:00:00
TO PERFORM THE FOLLOWING WORK:
INSTALLATION OF 1 ACCESS CONTROL UNIT AT ENTRANCE
Call In Date: Date Requested Inspection pate/SignOff: Reinspect?:
Trench/UG:
Special Instructions
ti
Rough
Special Instrhetions:
Final: 2- fi '
SRE Called In:
Signature:
Fee Type; Amount: DalePaid
Electrical $50.00 2/28/201.7 0:00:00 069646
212 Main Street,Phone(413)587-1244,Fax(413)587-1272- Inspector of Wires -Roger Malo
r 109 MAIN ST - 2ND FLOOR EP-2017-0740
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 32A
Lot: 140 ELECTRICAL PERMIT
Permit: Electrical
Category: INSTALLATION OF ACCESS CONTROL.ON 4 DOORS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001133
Est.Cost: Contractor: License:
Fee: $50.00 SIGNET ELECTRONIC SYSTEMS Low Voltage 20309
Owner: NIS BUILDING LLC C/O HPMG
Applicant: SIGNET ELECTRONIC SYSTEMS
AT: 109 MAIN ST- 2ND FLOOR
Applicant Address Phone Insurance
106 iongwater drive C- Liability, DTC04G208514
NORWELL MA02061 ISSUED ON:2/28/20170:00:00
TO PERFORM THE FOLLOWING WORK:
INSTALLATION OF ACCESS CONTROL ON 4 DOORS
Call In Date: Date Requested Inspection Dote/SienOR: Reinspect?:
Trench/UG:
Special Instructions
x
Rough
I
Special Instructions:
Final: -I^ S - /7 0.6x"
SITE Called In:
Signature:
Fee Type:: Amount: DatePaid
Electrical $50.00 2/28/2017 0:00:00 69647
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
•
109 MAIN ST- 2ND FLOOR EP-2017-0553
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 32A
Lot: 140 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE OFFICE RENOVATION,INSTALL DATA CABLING
Permit a Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001133
Est.Cost: Contractor: License:
Fee: $650.00 CROCKER COMMUNICATIONS INC MASTER ELECTRICIAN 14899 a
Owner: MS BUILDING LLC C/O HPMG
Applicant CROCKER COMMUNICATIONS INC
AT: 109 MAIN ST - 2ND FLOOR 4st Ilasn,1`
Applicant Address Phone Insurance
P O BOX 710 (413) 772.1800 C- Liability, b4023044910
GREENFIELD MA01302 ISSUED ON:12/22/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE OFFICE RENOVATION, INSTALL DATA CABLING
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
Trench/tIG:
Special Instructions
I ////�
Rough ht/nt /4//7 MAP'
Special Instructions:
Final: ) - cZ-77 C,.� �����tQ1� 3 - GY ' 77 g9"
SRF Called In: ZneJ{
d PIMA 4) 9 t YM4 2-/.( -
Signature:
Fee Type:: Amount: DatePaid
Electrical $650.00 12/22/2016 0:00:00 13843
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
Division ajCabu/a Electronics,Corp.
66 Main Street
Chicopee,Ma 01020
(413)594-966
Fax(413)594-9866
www.eebula.eom
•
/
FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION
To be completed by the system installation contractor at the time of system acceptance and approval.
Insert WA in all unused lines
Attach additionaf streets,data,orcalcutatlons as necessary to provide a complete record
1. PROPERTY INFORMATION //
Name of property: I ills
edJ £cA/ d e,/ Q pAddress: 109 M,+fo s* A/O-11-/t/,a Alt?", /47/x- 0 /d " CS'
Description of Property L k . - _ -
Occupancy type: _
Name of property representative:
Address: _
Phone: Fax: " E-mail: ..
Authority having jurisdiction over the property: /v�d2-_7"Ler�72--E—'9# {
Phone:Fr 9- /OS a Fax: E-mail:
2. INSTALLATION,SERVICE,AND TESTING CONTRACTOR INFORMATION
Installation contractor for this equipment: ♦ •vv77m ,t? _ T3
uJl.<yrp'l.i.i.. e w
License or certification number.># 1.41%j„9 ._
Phone:g13' 773` /67.5- Fax: E-mail:
Service organization for this equipment:Fire Detection Systems
Address:66 Main Street-Chicopee, MA 01020
License or certification number 11940
Phone:413-5947710 Fax:413-594-9866 E-mail:fds@cebula.com
A contract for test and inspection in accordance with NFPA standards is in effect is of:
Contracted testing company:
Address:
Phone: Fax:...... E-mail:.
Contract expires: Contract number: Frequency of routine inspections:
3. DESCRIPTION OF SYSTEM OR SERVICE
afire alarm system(nonvoice)
0 Fire alarm with in-building fire emergency voice alarm communication system(EVACS)
0 Mass notification system(MNS)
CI Combination system,with the following components:
0 Fire Mann U EVACS ❑MNS ❑Two-way,in-building,emergency communication system
❑Other(specify):
• NFPA 72 p.1 of 12
Life Safety, Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS S6438
AM Lie 1194C•CT Tic 106016•SSCO 000525
3. DESCRIPTION OF SYSTEM OR SERVICE(continued)
NFPA 72 edition: 02_6 / 0 Additional description of system(s):
3.1 Control Unit it _
Manufacturer: r�. :-r,J Model number: S 7 —�.
3.2 Mass Notification System 4L7fis system does not incorporate an MNS.
3.2.1 System Type:
❑In-building MNS-combination
❑In-building MNS-stand-alone U Wide-area MNS ❑Distributed recipient MNS
❑ Other(specify):
3.2.2 System Features:
❑Combination fire alarm/MNS ❑MNS autonomous control unit ❑Wide-area MNS to regional national alerting interface
0 Local operating console(LOC) ❑Distributed recipient MNS(DRMNS) ❑Wide-area MNS to DRMNS interface
❑Wide-area MNS to high-power speaker array(HPSA)interface ❑In-building MNS to wide-area MNS interface
0 Other(specify):
3.3 System Documentation
4% owner's manual,a copy of the manufacturer's instructions,a written sequence of operation,and a copy of the numbered
record drawings are stored on site. Location: 0 A)
3.4 System Software 17 This system does not have alterable site-specific software.
Operating system(executive)software revisionlev 3 '
Site-specific software revision date: 3/27 Revision completed by: ICJ„ S✓YJ.rt
❑A copy of the site-specific software is stored on site. Location:
3.5 Off-Premises Signal Transmission 0 This system does not have off-premises transmission.
Name of organization receiving alarm signals with phone numbers.
Alann: 615/} de—c 7c ._ y5-3a- Phone:/^p—S 3.511 77/T+
Supervisory: Phone:
„
Trouble: I^- `'s Phone:
Entity to which alarms are retransmitted: Phone:
Method of retransmission: JY L,Z '•
If Chapter 26,specify the means of transmission from the protected premised to the supervising station:
If Chapter 27,specify the type of auxiliary alarm system: ❑Local energy ❑Shunt LI Wired ❑Wireless
I�
NFPA 72 p.2 of 12
«.. Life Safety, Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS S6438
MA Lic 1194C • CT Lic 106016 •SSCO 000525
4. CIRCUITS AND PATHWAYS
4.1 Signaling Line Pathways
4.1.1 Pathways Class Designations and Survivability )
Pathway Class: is) St%/J. r/ Survivability level: Q _ Quantity:
(See NEPA 72,Sections 12.3 and 124) "_
4.1.2 Pathways Utilizing Two or More Media
Quantity: Jti/,4 Description:
4.13 Device Power Pathways
U No separate power pathways from the signaling line pathway
U Power pathways are separate but the same pathway classification as the signaling line pathway
U Power pathways are separate and different classification from the signaling line pathway
4.1.4 Isolation Modules
Quantity: "dj-p eJ C-
4.2
4.2 Mann Initiating Device Pathways
4.2.1 Pathways Class Desi salons and Survivability
Pathways Class: /J Survivability level: Quantity:,,,,,
(See NFPA 72,Sections 12.3 and 12.4)
4.2.2 Pathways Utilizing Two or More Media
Quantity: ,r✓/(9 Description:
4.23 Device Power Pathways
U No separate power pathways from the signaling tine pathway
0 Power pathways are separate but the same pathway classification as the signaling line pathway
O Power pathways are separate and different classification from the signaling line pathway
4.3 Non-Voice Audible System Pathways
4.3.1 Pathways Class Designationsig/Qand Survivability
Pathway Class: W
. _ .) Survivability level: C .,_ Quantity:
(See NFPA 72 Sections 12.3 and 12.4)
4.3.2 Pathways Utilizing Two or More Media
Quantity-:.,__L1'``ry- Description:.,,,
4.3.3 Appliance Power Pathways
U No separate power pathways from the signaling line pathway
0 Power pathways are separate but the same pathway classification as the signaling line pathway
0 Power pathways are separate and different classification from the signaling line pathway
NFPA 72P.3 of 12
Life Safety. Security and Communication Systems 1111
1SO 9001:2000 A7365 and UL UU•TS S6438
MA Lic 1194C• CT LIc 106016.SSCO 000525
5. ALARM INITIATING DEVICES
5.1 Manual Initiating Devices
5.1.1 Manual Fire Alarm Boxes ❑This system does not have manual fire alarm boxes.
Type and number of devices: Addressable: LI Conventional: Coded: Transmitter:
Other(specify):
5.1.2 Other Alarm Boxes 0 This system does not have other alarm boxes.
Description:
Type and number of devices, Addressable: Conventional: Coded: Transmitter:
Other(specify):
5.2 Automatic)Initiating Devices
5.2.1 Smoke Detectors 0 This system does not have smoke detectors.
Type and number of devices. Addressable: ib Conventional:
Other(specify):
Type of coverage: Complete area 0 Partial area 0 Nonrequired partial area
Other(specify): � �
Type of smoke detector sensing technology: ❑Ionization la44toelectric ❑Multicriteria 0 Aspirating ❑Beam
Other(specify):
5.2.2 Duct Smoke Detectors ❑This system does not have alarm-causing duct smoke detectors.
Type and number of devices. Addressable: Conventional:
Other(specify):
Type of coverage:
Type of smoke detector sensing technology: ❑Ionization ❑Photoelectric 0 Aspirating O Beam
5.2.3 Radiant Energy(Flame)Detectors is system does not have radiant energy detectors.
Type and number of devices. Addressable: Conventional:
Other(specify):
Type of coverage:
5.2.4 Gas Detectors WIC System does not have gas detectors.
Type of detector(s):
Type and number of devices. Addressable: Conventional:
Type of coverage:
5.2.1 Heat Detectors ❑This system does not have heat detectors.
Type and number of devices. Addressable: Conventional:
Type of coverage: ❑Complete area U Partial area ❑Nonrequired partial area ❑Linear ❑Spot
Type of smoke detector sensing technology: 0 Fixed temperature ❑Rate-of-rise ❑Rate compensated
NFPA72p.4 of 12
Life Safety, Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS 56438
M4 Lic II94C •CT Lic 106016•SSCO 000525
5. ALARM INMATING DEVICES(continued)
5.2.6 Addressable Monitoring Modules ❑This system does not have monitoring modules.
Number of devices:
5.2.7 Weterflow Alarm Devices is system does not have waterflow alarm devices.
Type and number of Addressable: Conventional: Coded: Transmitter:
5.2.8 Alarm Verification is system does not incorporate alarm verification.
Number of devices subject to alarm verification: Alarm verification set for_ seconds
5.2.9 Presignal 0ficrs system does not incorporate pre-signal.
Number of devices subject to presignal:,,
Describe presignal functions: , tms�
5.2.10 Positive Alarm Sequence(PAS) 'CI' system does not incorporate PAS.
Describe PAS:._...
5.2J1 Other Initiating Devices O This system does not have other initiating devices.
Describe;
6. SUPERVISORY SIGNAL-INITIATING DEVICES
6.1 Sprinkler System Supervisory Devicesis system does not have sprinkler supervisory devices.
Type and number of devices: Addressable: Conventional: Coded: Transmitter:
Other(specify)_.
6.2 Fire Pump Description and Supervisory Devices m%F s system does not have a fire pump.
Type fire pump: LI Electric U Engine F
Type and number of devices: Addressable: Conventional: Coded: Transmitter:_,
Other(specify):
6.2.1 Fire Pump Functions Supervised
❑Power ❑Running O Phase reversal O Selector switch not in auto ❑Engine or control panel trouble ;1 Low fuel
Other(specify)
6.3 Duct Smoke Detectors(DSDs) is system does not have DSOs causing supervisory signals.
Type and number of devices. Addressable: Conventional:_
Other(specify): _. F
Type of coverage: ._
Type of smoke detector sensing technology: U Ionization O Photoelectric U Aspirating ❑Ream
6.4 Other Supervisory Devices ❑This system does not have other supervisory devices.
Describe:
NFPA72p.5 of 12
Life Safety, Security and Communication Systems
ISO 9001:2000A7365 and UL UUJS 56438
MA Lic 1194C• CT Lie 106016•SSCO 000525
7. MONITORED SYSTEMS
7.1 Engine-Driven Generator if iii system does not have a generator. II
7.1.1 Generator Functions Supervised
❑Engine or control panel trouble ❑Generator running ❑Selector switch not in auto ❑Low fuel
❑Other(specify):
7.2 Special Hazard Suppression Systems is system does not monitor special hazard systems.
Description of special hazard system(s):
7.3 Other Monitoring Systems ❑This system does not monitor other systems.
Description of other system(s): ����
8. ANNUNCIATORS aTdissystem does not have annunciators.
8.1 Location and Description of Annunciators
Location I:
Location 2:
Location 3:
9. ALARM NOTIFICATION APPLIANCES
9.1 In-Building Fire Emergency Voice Alarm Communication System system does not have an EVACS.
Number of single voice alarm channels: Number of multiple voice alarm channels:
Number of Speakers: Number of speaker circuits:
Location of amplification and sound-processing equipment:
Location of paging microphone stations:
Location I
Location 2:
Location 3:
9.2 Nonvoice Notification Appliances ❑This system does not have nonvoice notification appliances.
Horns: 9 With visible: -7 Bells: With visible:
Chimes: With visible:
Visible only: 3 Other(describe):
9.3 Notification Appliance Power Extender Panels ❑This system does not have power extender panels.
Quantity:
Location: / ° �L 4 .LNJ 1t 2rer
NFPA72p.6 of 12
Life Safety, Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS S6438
MA Lic I194C• CT Lic 106016•SSCO 000525
•
10. MASS NOTIFICATION CONTROLS,APPLIANCES,AND CIRCUITS ELEflicsystem does not have a MNS. •
10.1 MNS Local Operating Consoles
Location I:
Location 2:
Location 3: —...
102 High-Power Speaker Arrays
Number of HPSA speaker initiation zones:
Location I:
Location 2: �.... �.
Location 3:
10.3 Mass Notification Devices
Combination fire alarin/MNS visible appliances: MNS-only visible appliances:_,,,_.,,_,
Textual signs: Other(describe):
Supervision class:
t03.1 ciai Hazard Notification
l7 This system does not have special suppression predischarge notification.
❑MNS systems DO NOT override notification appliances required to provide special suppression predischarge notification.
11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS /''
11.1 Telephone System ®3f"is system does not have a two-way telephone system.
Number of telephone jacks installed: Number of warden stations installed:___
Number of telephone handsets stored on site:
Type of telephone system installed: O Electrically powered O Sound powered
11,11TT y Radio Communications Enhancement Systems
his is system does not have a two-way radio communications enhancement system.
Percentage of area covered by two-way radio service: Critical areas: % General building areas: _% F
Amplification component locations: _....
Inbound signal strength: dBm Outbound signal strength dBm
Donor antenna isolation is dB above the signal booster gain
Radio Frequencies covered:
Radio system monitor panel locations:
NFPA72p7of12
Life Safety, Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS S6438
MA Lie 1194C•CT Lic 106016•SSCO 000525
•
11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued)
11.3,ylea of Refuge(Area of Rescue Assistance)Emergency Communications Systems
C9'T/his system does not have an area of refuge(area of rescue assistance)emergency communications systems.
Number of stations: Location of central control point:
Days and hours when central control point is attended:
Location of alternate control point:
Days and hours when altmate control point is attended:
11.4 EI for Emergency Communications Systems
is system does not have an elevator emergency communications systems.
Number of elevators with stations: Location of central control point:
Days and hours when central control point is attended:
Location of alternate control point:
Days and hours when altmate control point is attended:
11.5 Other Two-Way Communication Systems
Describe:
12. CONTROL FUNCTIONS
This system activates the following control functions:
❑Hold-open door releasing devices ❑Smoke management 0 HVAC shutdown ❑F/S dampers
❑Door unlocking 0 Elevator recall ❑Fuel source shutdown ❑Extinguishing agent release
❑Elevator shunt trip Cl Mass notification system override of the fire alarm notification appliances
Other(specify):
12.1 Addressable Control Modules ❑This system does not have control modules.
Number of devices:
Other(specify):
13. SYSTEM POWER
13.1 Control Unit
13.1.1 Primary Power
Input voltage of control panel: `!Z 6 c1 r4 G- Control panel amps: Z.
Overcurrent protection: Type: >7.i e bese Amps:
Location(of primary supply panel board): 2.
Disconneting means location:
13.1.2 Engine-Driven Generator LY'fltrs system does not have a generator.
Location of generator:
Location of fuel storage: Type of Fuel:
NFPA 72 p.8 of 12
Life Safety, Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS S6438
MA Lic 1194C• CT Lic 106016•SSCO 000525
13. SYSTEM POWER(continued)
13.1.3 Uninterroptable Primary Power aireTh<system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:-......._..
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode(hours): in alarm mode(minutes):
13.1.4 Batteries �/ (+�^ // /�
Location:R f // yL OTr rO Type: ' G°frC/t 4ominal voltage:J2- Amp/hour rating: / 7r 2-
Calculated capacity of batteries to drive the system:
In�� standbyan� mode(hours): ,2-r In alarm mode(minutes): s
Gel arteries are marked with date of manufacture O Battery calculations are attached
13.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System
his system does nothave an EVACS or MNS system.
13.2.1 Primary Power
Input voltage of EVACS or MNS panel: EVACS or MNS panel amps:
Overcunent protection: Type:,,,,_ Amps:
Location(of primary supply panel board):
Disconneting means location: .,.`,.�.�
13.2.2 Engine-Driven Generator yyea system does not have a generator.
Location of generator:
Location of fuel storage: Type of Fuel:
1323 Uninterruptabk Primary Power R,Thrialsctem does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode(hours): In alarm mode(minutes):
13.2.3 Batteries
Location: Type: Nominal voltage: Amp/hour rating:
Calculated capacity of batteries to drive the system:
In standby mode(hours): In alarm mode(minutes):
CI Batteries are marked with date of manufacture ❑Battery calculations are attached
NFPA 72 p.9 of 12
Life Safety Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS S6438
M4 Lic 1194C• CT Lic 106016•SSCO 000525
13. SYSTEM POWER(continued)
II13.3 Notification Appliance Power Extender Panels 0 This system does not have power extender panels.
13.2.1 Primary Power
Input voltage of power extender panel(s): q1020 ✓'4 t— Power extender panel amps: E
Overcurrent protection: Type: CCN I- /J p 0_1e e, Amps:
Locationrimof
( primary supply panel board): R.
Disconneting means location:
13.2.2 Engine-Driven Generator is system does not have a generator.
Location of generator:
Location of fuel storage: Type of Fuel: ,, 1�hSs� �
13.2.3 Uninterruptable Primary Power 3ystem does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode(hours): In alarm mode(minutes):
13.2.4 Batteries j
Location: hi /n� Typekla .q� .e•.i Nominal voltage: j Z- Amp/hour rating: 7
Calculated capacity of batteries to drive the system: �c.�
In standby� mode(hours): 41 In alarm mode(minutes): J
IIYBatteries are marked with date of manufacture 0 Battery calculations are attached
14. RECORD OF SYSTEM INSTALLATION
Fill out after all installation is completed and wiring has been checked for opens,shorts,ground faults,and improper branching,
but before conducting operational
accceepfarice tests.
This is a: ❑New System IYModification to an existing system Permit number:
The system has been installed in accordance with the following requirements:(Note any or ail that apply)
�allf�I 72,Edition: ✓t0 /0
3.
LI-if�A 70,National Electric Code,Article 760,Edition: O /
bYlGlanufacturer's published instructions
Other(specify):
System deviations from the referenced NFPA standards: .411/475–-+W_
Signed: Grein Print name: `L�f4`rM-•yy yovn, Date: 31b4 I-y�-.
I Organization: (rock CnmM Title: (Cle(f-C(txf ( Phone: 4i3-/ / 3 457
L NEPA 72 p. 10 of 12
Life Safety, Security and Communication Systems
ISO 9001:2000 A7365 and UL UUJS 56438
MA Lic 1194C • CT Lic 106016 •SSCO 000525
f c
15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST
0 New System
All operational features and,functions of this system were tested by or in the presence of the signer shown F
below on the date shown below,and were found to be operating properly in accordance with the requirements
forg
orthe following.
�Madification to an existing system
Alt newly modified operational features and functions of this system were tested by.or in the presence of the signer
shown below,on the date shown below,and were found to be operating properly in accordance with the requirements
� foru�the following:
C 3NPPA 72,Edition:
7L���.1A'�-70,National Electric Code,Article 760,Edition:
IWCu ut'actnrer's published instructions
Other(specify):
U Individual dev ce testing dnci.-oration(Inspection and Testing Form is attached),
Signed: �^ / Print name: d hate: irf9 7
Organization: {'r•?a? 0 s , Title: T.GG- -t Phone:S741 77/13
16. CERTIFICATIONS AND APPROVALS
16.1 System Install on Contractor:
This system peel herein,has n installed and tested ace • g to all NEPA standards cited herein,
Sign*, Primnam=.�I'.= rneh��i.. Date: t7l?
Organization:
danizznon: Title: P Ti^Y' Q Phone: 7,3-/S/
16.2 System Service Contractor.
The undersigned 1 • a send, t f ii is system in effect as of the date shp,pown below. {/�
Signe.. R ")A r Print name:Visit^+/r`i de-76/>1i Date: 3`/,'
Organization-Ph-1.e 4b Title: Tt C(((��� Phone: S'' +/"rn.e
16.3 Supervising Station:
This system,as specified herein,will be monitored according to all NEPA standards cited herein.
Signed: Print name: Dale:
Organization: Title: Phone:
NPPA72p.11 of 12
Life Safety, Security and Communication Systems
ISO 9001:200047365 and UL UUJS S6438
MA Lic 1194C• CT Lic 106016•SSCO 000525
16. CERTIFICATIONS AND APPROVALS(continued)
16.4 Property or Owner Representative:
I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein.
Signed: Print name: Date:
Organization: Title: Phone:
16.5 Authority Having Jurisdiction:
I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance
with its approved plans and specifications,with its approved sequence of operations,and with all NFPA standards cited heerrein/
Signed: %c-e." Pn�e: /�5'�-e Ll•-atvv, /4 f Date: 2 73in7
Organization: 4/,�:/7 Title: C-/4‘,,'TR» Phone:
•
NFPA 72p.12 of 12
Life Safety, Security and Communication Systems
-ISO 9001:2000 A7365 and UL UUJS 56438
MA Lic 1194C •CT Lic 106016 •SSCO 000525
nor .
109 MAIN POINTS
2-SDU Objects by Logical Address
Page 1
Project: 109MAIN Version: 01.04.00 MCM: MCMI MCM Module:
MCM-SDC_1_01 3/1/2007 2:31:03 PM
Logical
Addressabel Device Type Message
0101 FA_1 SMOKE SMOKE BASEMENT
HALL BY DINING ROOM
0102 FA_2 SMOKE SMOKE BASEMENT
HALL BY SMALL MULTIPURP
0103 FA SMOKE SMOKE BASEMENT
RECEPTION
0104 FA_4 SMOKE SMOKE BASEMENT
HALL BY NURSES STATION
0105 FA_S SMOKE SMOKE BASEMENT
HALL MAIN RAMP
0106 FA_6 SMOKE SMOKE BASEMENT
ENTRY BY MECH ROOM
0107 FA_7 SMOKE SMOKE BASEMENT
BY FACP
0108 FA_8 SMOKE SMOKE BASEMENT IN
FRONT OF BATHROOMS
0109 FA_9 SMOKE SMOKE BASEMENT
STAIRS BY BATHROOMS
0110 FA 10 SMOKE SMOKE BASEMENT
ELEVATOR LOBBY
0111 FA_11 SMOKE SMOKE BASEMENT
HALL BY RAMP TO EXIT
0112 FA_12 SMOKE SMOKE BASEMENT
RAMP TO EXIT
0113 FA_13 SMOKE SMOKE BASEMENT
HALL BY LARGE MULTIPURPOS
0114 FA 14 SMOKE SMOKE BASEMENT
LARGE MULTIPURPOSE
0115 FA 15 SMOKE SMOKE BASE BOTTOM
OF CENTER STAIRS
0116 FA16 SMOKE SMOKE BASEMENT
ELECTRIC ROOM
0117 FA_17 SMOKE SMOKE IST FLR
SALES AREA @ FRONT DOOR
0118 FA 18 SMOKE SMOKE 1ST FLR
SALES AREA CENTER
0119 FA 19 SMOKE SMOKE 1ST FLR
SALES AREA REAR
0120 FA 20 SMOKE SMOKE 1ST FLR
SALES AREA @ FITTING ROOM
0121 FA_21 SMOKE SMOKE 1ST FLR
SALES AREA REAR CENTER
Page 1
w
109 MAIN POINTS
0122 FA_22 SMOKE SMOKE 1ST FIR
SALES AREA REAR RIGHT
0123 FA 23 SMOKE SMOKE IST FLOOR
STOCKROOM
0124 FA_24 SMOKE SMOKE 1ST FLOOR
REAR OFFICE
0125 FA_25 SMOKE SMOKE 1ST FLOOR
ELEVATOR LOBBY
0126 FA_26 SMOKE DUCT SMOKE SST
FLR RTU-1
0127 FA_27 SMOKE DUCT SMOKE IST FLR
RTU-2
0128 FA_28 SMOKE DUCT SMOKE 1ST FLR
RTU-3
0130 FA_30 SMOKE SMOKE 2ND FLR
TOP OF STAIR #3
0132 FA_32 SMOKE SMOKE 2ND FLR HALL
BY WOMENS' BATHROOM
0133 FA 33 SMOKE SMOKE 2ND FLOOR
ELECTRIC ROOM
0134 FA_34 SMOKE SMOKE 2ND FLOOR
HALL BY OFFICE #12
0135 FA_35 SMOKE SMOKE 2ND FL 109
MEETING ROOM
0136 FA_36 SMOKE SMOKE 2ND FLOOR
TOP OF STAIR #2
0137 FA_47 SMOKE SMOKE BASEMENT
SIDE ENTRY
2-SDU Objects by Logical Address
Page 2
Project: 109MAIN Version: 01.04.00 MCM: MCM1 MCM Module:
MCM-SDC 1_01 3/1/2007 2:31:03 PM
Logical
Addressabel Device Type Message
0138 FA_48 SMOKE SMOKE BASEMENT
HALL
0139 FA 49 SMOKE SMOKE BASEMENT
METER ROOM DET. #1
0140 FA_50 SMOKE SMOKE BASEMENT
METER ROOM DET. #2
0141 FA_51 SMOKE SMOKE BASEMENT
FRONT HALL
0142 FA_42 SMOKE SMOKE 2ND FLOOR
ELEVATOR LOBBY
0143 FA 43 SMOKE SMOKE 2ND FLOOR
CUBICLE AREA
0144 FA_44 SMOKE SMOKE 2ND FLOOR
HALL BY OFFICE #4
Page 2
109 MAIN POINTS
0122 FA_22 SMOKE
SALES AREA REAR RIGHT SMOKE 1ST FLR
0123 FA 23 SMOKE
STOCKROOM SMOKE IST FLOOR
0124 FA 24 SMOKE
REAR OFFICE SMOKE 1ST FLOOR
0125 FA 25 SMOKE SMOKE 1ST FLOOR
ELEVATOR LOBBY
0126 FA_26 SMOKE
FLR RTU-1 DUCT SMOKE IST
0127 FA 27 SMOKE DUCT SMOKE IST FLR
RTU-2
0128 FA_28 SMOKE DUCT SMOKE 1ST FLR
RTU-3
0130 FA_30 SMOKE SMOKE 2ND FLR
TOP OF STAIR #3
0132 FA 32 SMOKE SMOKE 2ND FLR HALL
BY NOM-ENS' BATHROOM
0133 FA 33 SMOKE SMOKE 2ND FLOOR
ELECTRIC ROOM
0134 FA 34 SMOKE SMOKE 2ND FLOOR
HALL BY OFFICE #12
0135 FA 35 SMOKE SMOKE 2ND FL 109
MEETING ROOM
0136 FA_36 SMOKE SMOKE 2ND FLOOR
TOP OF STAIR #2
0137 FA 47 SMOKE SMOKE BASEMENT
SIDE ENTRY
2-SDU Objects by Logical Address
Page 2
Project: 109MAIN Version: 01.04.00 MCM: MCM1 MCM Module:
MCM-SDC_1_01 3/1/2007 2:31:03 PM
Logical
Addressabel Device Type Message
0138 FA 48 SMOKE g
HALL SMOKE BASEMENT
0139 FA 49 SMOKE SMOKE BASEMENT
METER ROOM DET. #1
0140 FA 50 SMOKE SMOKE BASEMENT
METER ROOM DET. #2
0141 FA 51 SMOKE SMOKE BASEMENT
FRONT HALL
0142 FA_42 SMOKE SMOKE 2ND FLOOR
ELEVATOR LOBBY
0143 FA 43 SMOKE SMOKE 2ND FLOOR
CUBICLE AREA
0144 FA 44 SMOKE SMOKE 2ND FLOOR
HALL BY OFFICE #4
Page 2
r
109 MAIN POINTS
0145 FA_45 SMOKE SMOKE 2ND FLOOR
TOP OF STAIR #1
0146 FA_46 SMOKE SMOKE 2ND FLOOR
MDF CLOSET
0201 H/S1 AUDIBLE HORN/STROBE
CIRCUIT 1
0202 H/S_2 AUDIBLE EXTERIOR BEACON
CIRCUIT 2
0203 FA_37 PULL PULL BASEMENT BY
FACP
0204 FA 38 PULL PULL BASEMENT RAMP
TO EXIT
0205 FA 39 PULL PULL 1ST FLOOR
MAIN ENTRY
0206 FA_40 PULL PULL 1ST FLOOR
REAR STAIR EXIT
0207 H/S_3 AUDIBLE BPS HORN SUPPLY
15T FLR FITTING
0208 WATER_1 SUPERVISORY BOILER ROOM
WATER SUMP PUMP
0209 TEMP_1 SUPERVISORY BOILER ROOM LOW
TEMP
0210 H/S_4 AUDIBLE HORN BOOSTER PANEL
MAIN ST 2ND FLOOR
0211 FA_52 PULL PULL 2ND FLOOR
EXIT BY STAIR #3 REAR
0213 FA_54 HEAT BASMENT STORAGE
HEAT DETECTORS
0214 FA_55 PULL PULL 2ND FLOOR
EXIT BY STAIR #2 S.E.
0215 FA_56 PULL PULL 2ND FLOOR
EXIT BY STAIR #2 N.W.
0216 WATER 2 SUPERVISORY BOILER ROOM
WATER BUG WET
0217 FA_57 PULL PULL 2ND FLOOR
EXIT BY STAIR #1 FRONT
Page 3
AA iThe Commonwealth of Massachusetts
11/41/4
City of Northampton -::, .i
Certificate of Occupancy J
In accordance with 780 CMR, fThe 8th Edition of the Massachusetts State Building Code)
this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified
Identify Name of Building of Space Within Certificate No.
Issued to
Keiter Builders Permit"
BP-2017-0691
Identify property address including street nmber, name, city or town and county
Located at 109 Main Street,2^d Floor
Northampton, MA 01060
I
Use Group
Classification(s) Business - Office use B
This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for
general fire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified below. It 444
shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or,
tampering with the contents of the certificate is strictly prohibited.
Conditions of Use Business Use
Name of Municipal Date of Final Map/Piot
Building Official Kyle J. Scott Inspection Date 32A-140
09/24/2017
Signature f Municipal ('-7; /�' Issuance
Map
Building Official rJ n -Cl:JV7I,I 04/24/ce Date
'�t/ U}( c °9 2'n°1' Lot