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23B-046 (179) M.JMORAN, INC MECHANICAL CONTRACTORS QW-484 SUGGESTED FORMAT FOR MANUFACTURER'S RECORD OF WELDER OR WELDING OPERATOR QUALIFICATION TESTS (WPQ) (See QW-301, Section IX, ASME Boiler and Pressure Vessel Code) Welder's name Randy Messeek Clock number Stamp no. RM Welding process(es) used SMAW Type MANUAL Identification of WPS followed by welder during welding of test coupon SMAW 01 Base material(s)welded SA 106 GR. B i Thickness .218 Manual or Semiautomatic Variables for Each Process(QW-350) Actual Values Range Qualified Backing(metal,weld metal,welded from both sides,flux,etc.)(OW-402) — Vee Groove Vee Groove ASME P-No. to ASME P-No.(QW-403) ( )Plate( ) Pipe(enter diameter,if pipe) 211 NOM. 11, UP Filler metal specification(SFA): Classification(QW404) Filler metal F-No. 4 4 Consumable insert for GTAW or PAW N/A N/A Weld deposit thickness for each welding process 3/32-1/8"- 3/3 2-1/8" Welding position(t G.5G,etc.)(QW-405) 613 613 Progression(uphill/downhill) UPHILL UPHILL Backing gas for GTAW,PAW,or GMAW;fuel gas for OFW(QW-408) N/A N/A GMAW transfer mode(QW409) N/A N/A GTAW welding current type/polarity N/A N/A Machine Welding Variables for the Ptoeess Used(QW-360) Actual Values Range Qualified Direct/remote visual control N/A N/A Automatic voltage control(GTAW) N/A N/A Automatic joint tracking N/A N/A Welding position(1G,5G,etc.) N/A N/A Consumable insert N/A N/A Backing(metal,weld metal,welded from both sides,flux,etc.) N/A N/A Guided Bend Test Results Guided Bend Tests Type ( ) QW-462.2(Side)Results ( )OW-462.3(a)(Trans.R& F)Type ( )OW-462.3(b)(Long,R&F)Results Radiographic test results(QW-304 and QW-305 (For alternative qualification of groove welds by radiography) Fillet Weld—Fracture test Length and percent of defects" in. Macro test fusion Fillet leg size in, x in. Concavity/convexity in. Welding test conducted by Mechanical tests conducted by Laboratory test no. t We certify that the statements in this record are correct and that the test coupons were prepared,welded,and tested in accordance with'the requirements of Section IX of the ASME Code. Organization M.J. Moran, Inc. Date By (12/88) This form(E00008)may be obtained from the Order Dept..ASME,22 Law Drive,Box 2300,Fairfield.NJ 07007.2300 4 South Main Street Telephone: Master Plumbers Lic. #7872 Haydenville, MA 01039 (413)268-7251 Master Pipefitters Lic. #11581 M,J.MORAN, INC. MECHANICAL CONTRACTORS QW-484 SUGGESTED FORMAT FOR MANUFACTURER'S RECORD OF WELDER OR WELDING OPERATOR QUALIFICATION TESTS (WPQ) (See QW-301, Section IX, ASME Boiler and Pressure Vessel Code) Welders name Corby Wright Clock number Stamp no. CW Welding process(es) used SMAW Type Manual Identification of WPS followed by welder during welding of test coupon SMAW 01 Base material(s)welded SA 106 GR. B Thickness . 218 Manual or Semiautomatic Variables for Each Process(QW-350) Actual Values Range Qualified Backing(metal,weld metal,welded from both sides,flux,etc.)(QW-402) —VEE GROOVE VEE GROOVE ASME P-No. to ASME P-No.(QW-403) ( ) Plate( ) Pipe(enter diameter,if pipe) 2"NOM. 11, + UP Filler metal specification(SFA): Classification(QW-404) Filler metal F-No. 4 4 Consumable insert for GTAW or PAW N/A N/A Weld deposit thickness for each welding process 3/3 2-1/8 n 3/32-1/8" Welding position(1 G,5G,etc.)(QW-405) 6G 613 Progression(uphill/downhill) UPHILL UPHILL Backing gas for GTAW,PAW,or GMAW;fuel gas for OFW(QW-408) N/A N/A GMAW transfer mode(QW-409) N/A N/A GTAW welding current type/polarity N/A N/A Machine Welding Variables for the Process Used(QW-360) Actual Values Range Qualified Direct/remote visual control N/A N/A Automatic voltage control(GTAW) NIA N/A Automatic joint tracking N/A N/A Welding position(1G,5G,etc.) N/A N/A Consumable insert N/A N/A Backing(metal,weld metal,welded from both sides,flux,etc.) N/A N/A Guided Bend Test Results Guided Bend Tests Type ( ) OW-462.2(Side)Results ( )QW-462.3(a)(Trans.R&F)Type ( ) OW-462.3(b)(Long,R&F)Results Radiographic test re`aults(OW-304 and QW-305) ��, (For alternative qualification of groove welds by radiography) Fillet Weld—Fracture test Length and percent of defects in. Macro test fusion Fillet leg size in. X in. Concavity/convexity in. Welding test conducted by Mechanical tests conducted by Laboratory test no. We certify that the statements in this record are correct and that the test coupons were prepared,welded,and tested in accordance with the requirements of Section IX of the ASME Code. Organization M.J. MORAN, INC. Date By (12/88) This form(E00008)may be obtained from the Order Dept.,ASME,22 Law Drive,Box 2300,Fairfield,NJ 07007.2300 4 South Main Street Telephone: Master Plumbers Lic.#7872 Haydenville, MA 01039 (413)268-7251 Master Pipefitters Lic.#11581 11AM./AORAN, INC MECHANICAL CONTRACTORS QW-484 SUGGESTED FORMAT FOR MANUFACTURER'S RECORD OF WELDER OR WELDING OPERATOR QUALIFICATION TESTS (WPQ) (See QW-301, Section IX, ASME Boiler and Pressure Vessel Code) Welder's name Chad M.Moran Clock number Stamp no. CM Welding process(es) used SMAW Type MANUAL Identification of WPS followed by welder during welding of test coupon SMAW 01 Base material(s)welded SA 106 GR. 8 Thickness . 218 Manual or Semiautomatic Variables for Each Process(QW-350) Actual Values Range Qualified Backing(metal,weld metal,welded from both sides,flux,etc.)(OW-402) Vee Groove Vee Groove ASME P-No. 1 to ASME P-No.(OW-403) ( )Plate( ); Pipe(enter diameter,if pipe() 2" NOM. ill + UP F01er metal specification(SFA): 5• i Classification(11W-404) Filler metal F-No. 4 4 Consumable insert for GTAW or PAW N/A N/A Weld deposit thickness for each welding process 3/32-1/8" 3/3 2-1/8 Welding position(1G,5G,etc.)(QW-405) 6G 6G Progression(uphill/downhill) UPHILL UPHILL Backing gas for GTAW,PAW,or GMAW;fuel gas for OFW(QW-408) N/A N/A GMAW transfer mode(OW-409) N/A N/A GTAW welding current type/polarity N/A N/A Machine Welding Variables for the Process Used(OW-360) Actual Values Range Qualified. Direct/remote visual control N/A N/A Aromatic voltage control(GTAW) N/A N/A Automatic joint tracking N/A N/A Welding position(1 G,5G,etc.) N/A N/A Consumable insert N/A N/A Backing(metal,weld metal,welded from both sides,flux,etc.) N/A N/A r! 4' Guided Bend Test Results Guided Bend Tests Type ( )OW-462.2(Side)Results ( ) OW-462.3(a)(Trans.R&F)Type ( ) QW-462.3(b)(Long,R&F)Results Face Bend T)pf Prts Root Bend No Defects Root Rend Def cts less than 1Y8 Radiographic test results(OW-304 and QW-305)__ i. (For alternative qualification of groove welds by radiography) Fillet Weld—Fracture test Length and percent of defects in. Macro test fusion Fillet leg size in. X in. Concavity/convexity in. Welding test conducted by Mechanical tests conducted by L.E Anderson Laboratory test no. 8167 2 We certify that the statements in this record are correct an at the test coupons were prepared,welded,and tested in accordance with the requirements of Section IX of the ASME Code. Organization M.J Moran Inc. Date 2-8-94 - By V , "•"^` (12/88) This form(E00008)may be obtained from the Order Dept.,ASME,22 Law Drive,Box 2300,Fairfield,NJ 07007.2300 4 South Main Street Telephone: Master Plumbers Lic. *7872 Haydenville, MA 01039 (413)268-7251 Master Pipefitters Lic. *11581 QW-483(Back) PQR No.SMAW—01 C Ternsile Test JOIN-150) Ultimate Ultimate Type of Specimen Total Load Unit Stress Fsilurs& No. Width Thickness Area lb psi Location T1 . 495. . 200 . 0990 6740 68080 BM T2 .505 85 . 0934 6380 6.8300 BM Guided-Bend Tests(QW-160) Type and Figure No. Result Face Bend QW462.3A No Defects - Face Bend QW462.3A No Defects - Root nd OW462. 3A Less -than " Toughness Tests(OW-170) Specimen Notch Notch Test Impact Lateral Ex D. Dro Wei ht No. Location Type Temp. Values % Shear Mils Break No Break Fillet-Weld Test (QW-180) Result—Satisfactory: Yes No Penetration into Parent Metal: Yes No Macro—Results Other Tests Type of Test Deposit Analysis Other ................................................................................................................................. Welder's Name Chad M. Moran Clock No. Stamp No. Tests conducted by: L.E Anderson Laboratory Test No. 81672 We certify that the statements in this record are correct and that the test welds were prepared,welded, and tested in accordance with the requirements of Section IX of the ASME Code. Manufacturer M J Moran Inc Date 2-8-94 By - )ku t _ - 7) (Detail of record of tests are illustrative only and may be modified to conform to the type and nu er of tests required by the Code.) /VI.JMORAN, INC 2�ECHANICAL CONTRACTORS QW - 483 SUGGESTED ;F "... :' E QUALIFICATION RECORD (PQR) See QW-200.2, Section !,T*, i 'a and Pressure Vessel Code) Record Actual`"ondition Used to Weld Test Coupon ----------------------------------------------------------------------------- Company Name: M.J.MORAN, INC. Procedure Qualification Record No. SMAW - 01C Date: 05-14-1993 WPS No. SMAW-01 Rev.0 Welding Process(es) SMAW Types (Manual, Automatic, Semi-Auto. ) : MANUAL JOINTS (QW-402) V 45 deg x 5 deg. 37-1/2 deg.max. T j I 1 7/2 max.—►{ �+— T/3 max,but not greater then 1 IS in. H Groove Design of Test Coupon (For combination qualification, the deposited weld metal thickness shall be recorded for each filler or process) BASE METALS (QW-403) POSTWELD HEAT TREATMENT (QW-407) Material Specs. SA-106 Temperature: NOT REQUIRED Type or Grade: GRADE "B" Time: NOT REQUIRED P-No. 1 to P-No. 1 Other: Thickness of Test Coupon: .218" Diameter of Test Coupon: 2" NOM DIA. Other: FILLER METAL (QW-404) GAS (QW-408) SFA Specification SFA-5.1 Percent Composition AWS Classification E6010/7018 Gas Mixture Flow Rate Filler Metal F-No F-4 Shielding NOT REQUIRED ' Weld Metal Analysis A-No A-1 Trailing Size of Filler Metal 3/32"-1/8" Backing Other: N/A Deposited Weld Metal 3/32"-1/8" POSITION (QW-405) ELECTRICAL CHARACTERISTICS (QW-409) Position of Groove: 6G (QW-405.2) Current: DC Weld Progression: VERTICAL-UPHILL Polarity: REVERSE POLARITY Other: (QW-405.3) SEE FOR DETAILS ON Amps: 40-150 PROGRESSION AND ROOT PASS PREPARATION Tungsten Electrode Size: N/A Other: PREHEAT (QW-406) TECHNIQUE (QW-410) Preheat Temp. : 60F Travel Speed: MANUAL 3.5"-4.2" Interpass Temp. 450F MAX String or Weave Bead: BOTH Other:PRE-HEAT WITH TORCH Oscillation: N/A Multi or Single Pass: MULTIPASS Single/Multiple Electrode:MULTIPLE Other: 4 South Main Street Telephone: Master Plumbers Lic. *7872 Haydenville,MA 01039 (413)268-7251 Master Pipefitters Lic. *11581 FROM M.J. MORAN, INC. [ l n MECHANICAL CONTRACT ', ICKMEMO 4 SOUTH MAIN STREET 91JG 3 U HAYDENVILLE, MA 01035 .° (413) 268-7251 FAX (413) 26 -9375 r^ Aug. 30, 19 9 4 s3h1S TE: g \D,f ,�""?Tar`s L--- TTENTION: Building Inspector TO CITY OF NORTHAMPTON SUBJECT Building Inspector Cooley Dickinson Hospital Northampton, MA 01060 I EA M Chad Moran E S S A G E SIGNED ARCHITECT'S OWNER ARCHITECT FIELD REPORT CONSULTANT AIA DOCUMENT G711 FIELD ,® PROJECT- '�`� N * FIELD REPORT NO: CONTRACT: ARCHITECT'S PROJECT NO: J DATE jr4 41A. TIME 'j0 WEATHER TEMP. RANGE .60 EST.% OF COMPLETION CONFORMANCE WIT CHEDULE WORK IN PROGRESS PRESENT AT SITE �or, r�-4a^f L �vs OBSERVATIONS ;s -+ L4 3 ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ATTACHMENTS. l REPORT BY: MA' AIA DOCUMENT G711 • ARCHITECT'S FIELD REPORT • OCTOBER 1972 EDIAbN AIA® • 0 1972 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE., NW,WASHINGTON,D.C.20006 page ` of I pages 9 11 TRANSMMAL oA LETTER juN 16 199% s A!A DOCUMENT 0810 1 PROJECT: New Mechanical Room Addition PT0N MA O1G6t; Fifth Floor Roof PROJECT NO: HAI-93-03 Cooley Dickinson Hospital Northampton, Massachusetts DATE: June 15, 1994 r � TO: Mr. Frank Sienkiewicz, Building Inspector If enclosures are not as noted, please Office of the Building Inspector inform us immediately. City Hall If checked below, please: 212 Main Street ATTN: L Northampton, Massachusetts 01060) ( ) Acknowledge receipt of enclosures: ( ) Return enclosures to us. WE TRANSMIT: ( X) herewith ( ) under separate cover via ( ) in accordance with your request FOR YOUR: ( ) approval ( ) distribution to parties ( ) information ( ) review & comment (X ) record ( ?J use ( ) THE FOLLOWING: f ) Drawings ( ) Shop Drawing Prints ( ? Samples ( ) Specifications ( ) Shop Drawing Reproducibles ( ? Product Literature ( ) Change Order ( A Field Report COPIES DATE REV.NO. DESCRIPTION ACTION CODE 1 6/15/94 Architect's Field Report No. 1 ACTION A. Action indicated on item transmuted D. For signature and forwarding as noted below under REMARKS CODE B. No action required E. See REMARKS below C. For signature and return to this office REMARKS COPIES TO: (with enclosures) Ernest Margeson, Director of Facilities❑ HEALTHCARE GOTHIC ARCHITECTS INC. Cooley Dickinson Hospital ❑ 64 GOTHIC STREET ❑ NORTHAMPTON, MASSACHUSETTS 01060 Richard Aquadro ❑ Aquadro & Cerruti, Inc. [ BY: Edward L. Jendry, A.I.A. AIA DOCI.%SENT G310 • 7RNN<-,' "+; LET'EP APR ; 1970 Q:TION • Ailke ' COPYRIGHT ZZ 1973 ONE PAGE C•F AECr ':C'5 172? - 65<C-OETT5 A\'E%",E N -% %%ASHINGTON. 0 C 13036 ARCHITECT'S OWNER ARCHITECT FIELD REPORT CONSULTANT AfA DOCU,IfENr C717 FIELD PROJECT: ��� �'"^�FIELD REPORT NO: CONTRACT: ARCHITECT'S PROJECT NO: GATE -+ 4. TIME o 7j0 WEATHER TEMP. RANGE S EST. % OF COMPLETION CONFORMANCE WITH SCiuULE WORK IN PROGRESS PRESENT AT SITE y svr �G�t�iV 6 OBSERVATIONS 11 ti CL Lac 1 . --- --- - Lqlis ' , o Y _Q___ ____� \.ie, ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ATTACHMENTS REPORT BY: AJA DOCUMENT G711 • ARCHITECT'S FIELD REPORT • OCTO R 1972 EDITION AIAO m 1972 THE ,MERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK A E., NW, WASHINGTON, D.C.20006 page of pages -� 11 118 N TRANSMi►T L LFrTER U� AIA DOCUMENT 6870 PROJECT: Mechanical Room Addition NORTHAMPTON MA O106o RCHITECT'S Fifth Floor Roof PROJECT NO: HAI-93-03 n G Cooley Dickinson Hospital DATE: July 7, 1994 r � TO: Mr. Frank Sienkiewicz, Building Inspector If enclosures are not as notetj, please Office of the Building Inspector inform us immediately. City Hall If checked below, please: ATTN: 212 Main Street ( ) Acknowledge receipt of enclosures: L Northampton, Massachusetts 010,601 ( ) Return enclosures to us. WE TRANSMIT: (X) herewith ( ) under separate cover via ( ) in accordance with your request FOR YOUR: ( ) approval ( ) distribution to parties ( ) information ( ) review & comment (X) record (X ) use ( ) THE FOLLOWING: ( ) Drawings ( ) Shop Drawing Prints ( ? Samples ( ) Specifications ( ) Shop Drawing Reproducibles ( ? Product Literature ( ) Change Order (X) Field Report COPIES DATE REV. NO. DESCRIPTION ACTION CODE 1 7/6/94 Architect's Field Report No. 2 ACTION A. Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS CODE S. No action required E. See REMARKS below C. For signature and return to this office REMARKS COPIES TO: (with enclosures) HEALTHCARE ARCHITECTS INC. Ernest Margeson 64 GOTHIC STREET Director of Facilities NORTHAMP'T'ON, MASSACHUSETTS 01060 Cooley Dickinson Hospital C C BY: Edward L. Jendry, A.I.A. AIA 0OC1.+AEN7 G810 'R��s�' "+: LfTTEF • aoR : 197G ED:TiON • AI4,0 • CGPYRIGHT : 1970 . ONE PAGE • �� tF ! \IT ':'E i.F AFCP—.-C75 1725 %-k$5<i-i0[TT5 A\'ENLF N%% %%A�HIVGTO%. D C. :yJ36 ARGHITECT'S OWNER R HI 'FIELD REPORT _ONSULTANT�irr AIA DOCUMENT G711 FIL`D C� PROJECT: FIELD REPORT NO: CONTRACT: �U ARCHITECT'S PROJECT NO: DATE �7-O 4. TIME $;e-v WEATHER 450 TEMP. RANGE 80r4 EST. % OF COMPLETION CONFORMANCE WITH SC ULE f+, -1 WORK IN PROGRESS PRESENT AT SITE OBSERVATIONS 4' -4- Gi41Io" -�✓fE�%7]I°� U`f 7NV Dom-► ✓4�--I ^�f V d"YV�•Q�_ �(n�e1 A ',,`�i,,�,,,�,DA�/1•c� L(J r yv�__� i IT.�i i b,rA InYGifnr�•Q �Y'� �'7N.L/ Il�i�� U o vk � l 3. }4v4 � aAA I ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ATTACHMENTS REPORT BY: N �f Q•;. AIA DOCUMENT G711 • ARCHITECT'S FIELD REPORT OCTOBER 14 2 DITION AIACN ® 1972 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE., N WASHINGTON,D.C.20006 page of pages TRANSMMAL t N D WAS /,9 7 LErTR �4c--W pj� AI OCUMfNT G810 ' JUL 2 5 i PROJECT: Mechanical Room Addition of ? CF BUILDIF;IP)Sf' 1SfE 'S kA(name, address) Fifth Floor Roof O: HAI-93-03 Cooley Dickinson Hospital DATE: July 22, 1994 TO: Mr. Frank Sienkiewicz, Building Inspector If enclosures are not as noted, Tease Office of the Building Inspector inform us immediately. City Hall If checked below, please: ATTN: 212 Main Street ( ) Acknowledge receipt of enclosures. L Northampton, Massachusetts 01060) ( ) Return enclosures to us. WE TRANSMIT: (X) herewith ( ) under separate cover via ( ) in accordance with your request FOR YOUR: ( ) approval ( ) distribution to parties ( ) information ( ) review & comment (X) record (X) use ( ) THE FOLLOWING: ( } Drawings ( .) Shop Drawing Prints ( ) Samples { } Specifications ( ) Shop Drawing Reproducibles ( j Product Literature ( ) Change Order (X) Field Report COPIES DATE )REV.NO. DESCRIPTION ACTION 11 CODE 1 1/20/94 Architect's Field Report No. 3 I ACTION A. Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS ---CODE S. No action required _ __ _ -_ -__ E. See REMARKS below C. For signature and return to this office REMARKS COPIES TO: (with enclosures) HEALTHCARE ARCHITECTS INC. Ernest Margeson 0 64 GOTHIC STREET Director of Facilities 0 NORTHAMP'T'ON, MASSACHUSETTS 01060 Cooley Dickinson Hospital C3 0 BY: Edward L. Jendry, A.I.A. AIA DOCUMENT G810 • TRANSMITTAL LETTER • APRIL 1970 EDITION . AIAe • COPYRIGHT C 1970 ONE PAGE THE AMERICAN INSTITUTE OF ARCHITECTS, 1785 MASSACHUSETTS AVENUE,N.W.,WASHINGTON,D.C.20036 OWNER 1 ARCHITECT'S AUG 1 8 ARCHITECT FIELD REPORT CONSULTANTyz A►A oOCu,,.►ENr G;r1 FIELD PROJECT: New wG�6 +� � FIELD REPORT NO d- CONTRACT: ARCHITECT'S PROJECT NO: Q � DATE O /9j4' TIME S:35 WEATHER GI1 TEMP. RANGE S EST °ea OF COMPLETION CONFORMANCE WITH HEDULE WORK IN PROGRESS PRESENT AT SITE OBSERVATIONS n "E'QN IM S ►�S �j_,.rs o lu U .� ! W I IAA 6.je 15 ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ATTACHMENTS •REPORT BY: J•A AIA DOCUMENT G711 • .ARCHITECT'S FIELD REPORT OCTOBER 1972 ED ION I`` IIA'( 17 1972 I Of pages Tur AkACQ—.+.. .,c–i Tr nr A(?(-..+,TFr'TG 1715 NEW YORK AVE.. NW `+�/ASHIN601, D.C. 20M6 page ARCHITECTS OWNER l� Dye FIELD REPORT CONSULTANT'S AIA DOCUMENT G771 FIELD • � DEPT �_... PROJECT: ' �% ^'� � FIELD REPORT NO: ;u 5 �, Cn,NTRACT:C ARCHITECT`S PROJECT NO: """ DATE °O l�•�a4- TIME 8 :':50 WEATHER G TEMP. RANGE '!FO� EST. °'o Of COMPLETION CONFORMANCE WITH HEDULE t —I O• K WORK IN PROGRESS PRESENT AT SITE A-y-kC, '5-j n 6()A:zb e�� "14 + C OBSERVATIONS I In a� �v. .� . ��n,i,� �e 2 %cam-n r sl,�to _ Imo., �•D Q.�,I,.Q,Q_ 1 i -' s v Mann 4 . ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ATTACHMENTS REPORT BY: � (� �d��AA�� Q•(• •AIA DOCUMENT 0711 • ARCHITECT'S FIELD REPORT • OCTOBER 1972 EDITION • AI"A(�J 1972 THE AMFRirAN NSTITUTF OF ARCHITECTS, 1735 NEW YORK AVE., NW WASHING�N O.C. 20005 Dage of pages D �+ TRANSMITTAL LETTER A/A DOCUMENT GSTO D�IV1lIC[P RBI 1l}t3 �;r X51 iry� PROJECT: I ARCHITECT'S PROTECT NO: HAI-93-03 DATE: August 17, 1994 r � TO: Mr. Frank Sienkiewicz, Building Inspector If enclosures are not as noted, please Office of. the Building Inspector inr'orm us immediately. City Hall 212 Main Street If checked below, please: ATTN: 212 Main St Massachusetts 01060 J (. ) Acknowledge receipt of enclosures. L' ( ) Return enclosures to us. WE TRANSMIT: (X) herewith ( ) under separate cover via ( ) in accordance with your request FOR YOUR: { ) approval { ) distribution to parties ( ) information ( ) review & comment ( X) record (X) use ( ) THE FOLLOWING. ( ) Drawings ( ) Shop Orawing Prints ( ? Samples ( ) Specifications ( ) Shop Orawing Reproducibles ( ? Product Literature ( ) Change Order ( X) Field Reports COPIES I OATE REV.%O. OESCRIPTION ACTION COOE 1 8/10/94 - I Architect's- Field Report No. 4 1 8/17/94 Architect's Field Report No. ACTION A. ACtlon indicated on stem transmitted O. For signature and forwarding as noted below under REMARKS COOE a. No action reautred E. See REMARKS below C. For signature and ret;:nl to tai i oKca REMARKS COPIES TO. (with enclosures) C HEALTHCARE ARCHITECTS INC. Ernest Margeson 0 64 GOTHIC STREET Director of Facilities Cl NORTHAMPTON, MASSACHUSETTS 01060 Cooley Dickinson Hospital 0 9Y: Edward L. Jendry, A.I.A. AIA OOCI %%W-T CS10 ;ETTEr • Aoc ; 1970 EJ:TIO% • AtAe • CGoYRIGMT t 197u 7-1 1�'6 E �'�. �cT -`. i•F AtiCr ';C:5 172 �•�SS-Cb-uSET75 A�'EN N�, %-.AcHI%GTO% r vna OBE PAGE ARCHITECT'S ARCHITECT FIELD REPORT CONSULTANT AIA DOCUMENT 0711 FIELD PROJECT: fMti►^'IN `� FIELD REPORT NO: ro CONTRACT: C ARCHITECT'S PROJECT NO. i DATE gj TIME Pj 7Xj WEATHER TEMP. RANGE �s EST. % OF COMPLETION CONFORMANCE WITH SWEDULE (+, WORK IN PROGRESS PRESENT AT SITE ^ 11�Ar\ r� V�P,w �"�,1,���jC� 6..Pn�/ynQ. t'�,.a���vs�c�d✓ •y A.C 16ylo T _ _ OBSERVATIONS t �5 s, ji fr2tu!B2 � ►vJ l!n�z —ri✓ (E YY C 1'i �1 �i LL/� 1 iS i 6 ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED ATTACHMENTS REPORT BY: � ' AIA DOCUMENT 0711 • ARCHITECT'S FIELD REPORT • OCTOBE 2 EDITION AIA® • 0 1972 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE., NW, WASHINGTON,D.C.20006 , page Ofj pag' TRANSMITTAL 2 9 v LETTER AIA DOCUMENT 0810 D PROJECT: Ngf, P4dition ARCHITECT'S oor Roof. PROJECT NO: HAI-93-03 Cooley Dickinson Hospital DATE: August 26, 1994 r TO: Mr. Frank Sienkiewicz, Building Inspector If enclosures are not as noted, please City of Northampton, Massachusetts inform us immediately. Office of the Building Inspector If checked below, please: City Hall ATTN: 212 Main Street (. ) Acknowledge receipt of enclosures: L Northampton, Massachusetts 01060 J ( ) Return enclosures to us. WE TRANSMIT: (X)l herewith ( ) under separate cover via ( ) in accordance with your request FOR YOUR: ( ) approval ( ) distribution to parties ( ) information ( ) review & comment (X) record (XA use ( ) THE FOLLOWING: ( ) Drawings ( ) Shop Drawing Prints ( ) Samples ( ) Specifications ( ) Shop Drawing Reproducibles ( ) Product Literature ! ) Change Order (X) Field Report COPIES DATE RED'. DESCRIPTION ACTION CODE 1 8/24/94 Architect's Field Report No. 6 ` ACTION A. Acton indicated on stem transmuted D. For signature and Forwarding as noted below under, REMARKS CODE S. No action required E. See REMARKS below C. For signature and return to this office Rf MARKS COPIES TO: (with enclosures) ❑ HEALTHCARE ARCHITECTS INC. 64 GOTHIC STREET Ernest Margeson ❑ NORTHAMPTON, MASSACHUSETTS 01060 Director of Facilities ❑ Cooley Dickinson Hospital ❑ ❑ BY: Edward L. Jendry, A.I.A. AIA DOCt.1+E'T GS18 --a; UTTEF • APR : 197Q Q:TION • A11ke • COPYRIGHT z 19•V O%E PAGE �• tc \fT 7.7E OF ARCr-7:C75 1725 %•ASSA;�USET75 AV[%"-E ASHINCTO%. 0 C..100361 ARCHITECT'S OWNER ARCHITECT FIELD REPORT CONSULTANT, AIA DOCUNIENT G717 FIELD l� PROJECT: Mew +, FIELD REPORT NO: CONTRACT: ARCHITECT'S PROJECT NO: DATE it)/ � Y C{4- TIME ;�j0 WEATHER TEMP. RANGE I,e, EST. % OF COMP ETION CONFORMANCE WITH 5 OULE WORK IN PROGRESS PRESENT AT SITE �1n Nr',(N 62 t PAOI - C�rs�54�yav dJ 1 h d� G y�— •` ' OBSERVATIONSifV�•} 'L-• 7T Ira.. ` Al win�� - , • P <« Q GrA•n„r�pi ,'.And aw i c(1/lJf' i h g I d11, ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED 40 4fNA- on 1�►�t r�4t vtiz ;+;a& ATTACHMENTS REPORT BY: L• AIA DOCUMENT G711 • ARCHITECT'S FIELD REPORT OCTOSE EDITION AIA© • 'D 1972 ", . -, c „c , -r, NFw W Q-i( Al, w W4SwNrTr)N 0 C 2OW6 A pages O f a �.3ev � TILANSMITTAL LETTER AJA DOCUMENT 6810 x PROJECT: Mechanical Room Addition ARCHITECT'S (name, address) Fifth Floor Roof J, PROJECT NO: HAI-93-03 Cooley Dickinson Hospital DATE: October 18, 1994 r � V TO: Mr. Frank Sienkiewicz, Building Commissioner If enclosures are not as noted, please City of Northampton inform us immediately. Office of the Building Inspector If checked below, please: City Hall Ate' L 212 Main Street J ( ) Acknowledge receipt of enclosures. Northampton, Massachusetts 01060 { ) Return enclosures to us. WE TRANSMIT: (X) herewith { ) under separate cover via ( ) in accordance with your request FOR YOUR: ( ) approval { ) distribution to parties ( ) information ( ) review & comment (X) record (X) use ( ) THE FOLLOWING: ( ) Drawings ( .) Shop Drawing Prints ( ) Samples ( ) Specifications ( ) Shop Drawing Reproducibles ( ) Product Literature ( ) Change Order (X). Field Report COPIES DATE REV.NO. DESCRIPTION ACTION CODE 1 10/12/94 Architect's Field Report No. ; ACTION A. Action indicated on item transmitted O. For signature and forwarding as noted below under REMARKS CODE L No action required E. See P.EMAW below C. For signature and return to this office REMARKS COPIES 70: (with enclosures) HEALTHCARE ARCHITECTS INC. Ernest lrgeson a 64 GOTHIC STREET Director of Facilities NORTHAMPTON, MASSACHUSEl'TS 01060 Cooley Dickinson Hospital - — BY: Edward L. Jendry, A.I.A. AEA DOCUMENT G810 TRANSMITTAL LETTER APRIL 1970 EDITION AIAe COPYRIGHT 0 1970 THE AMERICAN INSTITUTE Of ARCHITECTS.1785 MASSACHUSETTS AVENUE,N.W.,WASHINGTON,D.C.20036 V`ONE PAGE