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35-098 (8) v IJ i'n �� REMARKS NORTHAMPTON FIRE DEPT . For Incident : 970407 Exposure: 00 DATE: 03/18/97 TIME: 18:19 *--------------------------------------------------------------* CALL FROM THE OCCUPANT (PAUL ROBERTS) FOR A FIRE IN THE ; BEDROOM. UPON ARRIVAL ENGINE 5 REPORTED HEAVY FIRE COMING FROM THE FRONT OF THE SINGLE STORY STRUCTURE. ENGINE 5 ATTACKED THE FIRE THROUGH THE FRONT DOOR WITH AN 1 3/4 HANDLINE. A SECOND HANDLINE WAS STRETCHED BY ENGINE 5 PUMP OPERATOR FOR THE NEXT DUE COMPANY. EXTENSIVE FIRE DAMAGE TO THE ROOM OF ORIGIN AND EXTENSIVE SMOKE DAMAGE TO THE ENTIRE STRUCTURE. EXTENSIVE OVERHAULING ALSO ADDED TO THE INSIDE DAMAGE. ; MASSACHUSETTS ELECTRIC SHUT OFF THE ELECTRICAL POWER AND I SHUT OFF THE NATURAL GAS SUPPLY TO ,THE HOUSE AT THE OUTSIDE METER. BAY STATE GAS WAS NOTIFIED. THE BUILDING INSPECTOR WAS NOTIFIED AND RESPONDED. THE OWNERS SON 21 YEAR OLD PAUL ROBERTS ADMITTED TO HAVING LIT CANDLES ON A PAPER PLATE PLACED ON TOP OF A STEREO SPEAKER. PAUL FURTHER ADMITTED THAT AFTER HE LIT THE CANDLES HE LEFT THE ROOM TO PUT LAUNDRY IN THE DRYER. UPON RETURNING TO HIS BEDROOM HE FOUND THE CURTAINS ON FIRE. HE ; ATTEMPTED TO EXTINGUISH THE FIRE BUT THE SMOKE BECAME TOO MUCH AND HE THEN CALLED THE FIRE DEPARTMENT. , *--------------------------------------------------------------* Page 1 USER DEFINED CODES NORTHAMPTON FIRE DEPT . ---------------------------------------------------------------------------- ;FDID ;INCIDENT NO. ;EXP.NO. ;MO ;DAY ;YEAR ;TIRE ;15214 ; 970407 ;00 ;03 ;18 ;97 ;18 : 19 ---------------------------------------------------------------------------- -------------------------------.._---t ;1. FIRE/EXPLSION ;2. OVERPRES/RUPT j ;BLDG+CONTENTS/ BLDG ONLY 10 ; ;3. RESCUE/EMS ;4. HAZARD. CONDT 1 ----' --------•--------------------------------------- 5. SERVICE CALL ;6. GOOD INTENT -------- ;7. FALSE ALM/CAL :8. NAT DIS/MISC '--------------------------------------------------------+---------------------------------------------------- - --- - ;9. HAZMAT LEVEL :10. WATER USED ---------------------------------------------------+ MASSACHUSETTS FIRE INCIDENT REPORT Department of Public Safety Office of the State Fire Marshal 1010 Commonwealth Avenue Boston, Massachusetts 02215 10 FDID# DEPARTMENT Revised 1 Delete FORM A 15214 NORTHAMPTON FIRE DEPT . Report 2 Change FP - 32 Incident# If Exposure Date Day of Alarm Time Arrival Time Back in Serv. 970407 Fire Only: 0 0 03/18/97 Week: Tuesday 3 18 : 19 18 : 2 3 21 : 0 0 Type of Situation Found Type of,Action Taken Mutual Aid B Structure fire 11 Extinguishment 1 1 Rec'd 2 Given Fixed Property Use (Occupancy) Ignition Factor N1A C 1•fam dwell year rnd 4 11 Too close to heat 46 Correct Address Zip Code Census Tract D 83 DREWSON DR 01060 822200 11 Occupant Name (Last,First,Mi) Telephone Room or Apt. E ROBERTS , LAWRENCE ( 413 ) 584 - 9292 12 Owner Name (Last,First,Mi) Address Telephone F SAME ) — 13 Method of Alarm from Public Co. Inspection Shift No. Alarms G 911 7 District E5 B 2 No. Fire Service Personnel No. Engines No. Aerial Apparatus No. Tankers No. Other Vehicles H Responded 10 Responded 3 Responded Resp. Responded 2 Hazardous Material Yes Substance Special Equipment Used? Present? X No 20 FIRE Number of Number of Number of Number of I SERVICE Injuries 0 Fatalities 0 OTHER Injuries 0 Fatalities 0 Rescues 0 Mobile Property Type Vehicle 1 Yes Estimated Total J Mobile property type n/a 8 Stolen? 2 X No Dollar Loss 75000 . 00 Insurance Co. Total Insurance Claim Paid QUINCY MUTUAL 30 Year Make Model Color License No. VIN#(Serial No.) 40 If Equipment Involved Year Make Model Serial No. In Ignition Complex Area Of Origin Equipment Involved in Ignition K Dwelling complex 1-2 fmly 4 1 Sleeping rm for ( 5 pers. 2 1 No equipment involved 98 Form of Heat Ignition Form of Material Ignited Type of Material Ignited L Candle, taper 44 Curtain, bline 36 Man-made fabric 7 1 Method of Extinguishment Level of Fire Origin Number of Stories Construction Ty e M Hose:precon. to hydr 6 Grade to 9' above gr 1 1 story. 1 Unprotected wood frame 8 N 0 Extent of Flame Damage Extent of Smoke Damage Detector Performance Sprinkler Performance P Floor of origin 5 Floor of origin 5 At origin, operated 1 No equipment present 8 IF SMOKE SPREAD BEYOND Form of Material Generating Most Smoke Type of Material Generating Most Smoke Q ROOM OF ORIGIN Multiple forms 97 Multiple types 97 WEATHER 40 DEGREES CLEAR NO WIND Avenue of Smoke Travel R CONDITIONS Corridor 2 Entries contained in this report are intended for the sole use of the State Fire Marshal. Estimations and evaluations made herein represent "most likely" and MEMBER MAKING REPORT DATE "most probable" cause and effect. Any representation as to the validity or accuracy of reported conditions out- STEPHEN CORBETT, CAPTAIN 03/18/97 side the State Fire Marshal's office, is neither intended nor implied. FIRE MARSHAL F.M. I Yes 2 No