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31A-067 (27) 16. CERTIFICATIONS AND APPROVALS (continued) 16.4 Property or Owner Representative: This system,as specified herein,will be monitored according to all NFPA standards cited herein. Signed: Printed 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 herein. Printed name: �� / /l�tsl- . Date: Organization: Title: _ _ Phone: U . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . NFPA 72, Fig. 10.18.2.1.1 (p. 12 of 12) Ccpyrighl©2009 National Fire Protection Association.This form may be copied for Individual use other than for resale.It may not be copied for commercial sale or distribution. 15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST ❑New system All operational features and functions of this system there 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 for the following: ® Modifications to an existing system All newly modified operational features and f nrctions of the system were tested by, or in the presence of the signer shown below,on the date shown below, and ivere found to be operating properly in accordance with the requirements of the following: I ❑NFPA 72,Edition: 2010 ❑NFPA 70,National Electrical Code, Article 760,Edition: 2011 ® Manufacturer's published instructions Other(specify): ❑Individual device testing documentation[Inspection and Testing Form(Figure 14.6.2.4)is attached] Sig Printed name: John Hebert Date: 12/22/2014 Organizatio SimplexGrinnell Title: Field Tech Phone: 413-733-3144 16. CERTIFICATIONS AND APPROVALS 16,1 System Installation Contractor: This system,as specified herein,has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Greg Mastroianni Date: Organization: Goodless Title: Electrician Phone: 16.2 System Service Contractor: The undersigned has a service contract for this system in effect as of the date shown below. Signe - il--�� Printed name: John Hebert Date: Organization: SimplexGrinnell Title: Field Tech Phone: 413-733 3144 16.3 Supervising Station: Tlvs system,as specified herein,will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - NFPA 72, Fig. 10.18.2.1.1 (p. 11 of 12) Copyright 0 2009 National Fire Protection Association.This form may be copied for Individual use other than for resale.It may not be copied for commercial sale or distribution. 13. SYSTEM POWER(continued) 13.3 Notification Appliance Power Extender Panels ®This system does not have power extender panels. 13.3.1 Primary Power Input voltage of power extender panel(s): N/A Power extender panel amps: Overcurrent protection: Type: Amps: Location(of primary supply panel board): Disconnecting means location: 13.3.2 Engine-Driven Generator ®This system does not have a generator. Location of generator. NIA Location of fuel storage: Type of fuel: 13.3.3 Uninterruptible Power System ®This system does not have a UPS. Equipment powered by a UPS system: NIA 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): 13.3.4 Batteries Location: NIA Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: In standby mode(hours): In alarm mode(minutes): ❑Batteries are marked with date of manufacture ❑Battery calculations are attached 14. RECORD OF SYSTEM INSTALLATION Fill out after all installalion is complete and wiring has been checked for opens,shorts,ground foults,and improper branching, but before confucting operational acceptance tests, This is a: ❑New system ®Modification to an existing system Permit number: The system has been installed in accordance with the following requirements:(Note any or all that apply.) ❑NFPA 72,Edition: 2010 ®NFPA 70,National Electrical Code,Article 760,Edition: 2011 ®Manufacturer's published instructions Other(specify): System deviations from referenced NFPA standards: Signed: Printed name: Greg Mastroianni Date: Organization: Goodless Title: Electrician Phone: NFPA 72, Fig. 10.18.2.1.1 (p. 10 of 12) Copyright 02009 National Fire Protection Association.This form may be copied for Individual use other than for resale.It may not be copied for commercial sale or distribution. 13. SYSTEM POWER(continued) 13.1.3 Uninterruptible Power System ®This system does not have a UPS. Equipment powered by a UPS system: NIA 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: FACU Type: LeadAcid Nominal voltage: 24 Amp/hour rating: 25 Calculated capacity of batteries to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 10 ®Batteries are marked with date of manufacture ❑Battery calculations are attached 13.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System i ®This system does not have an EVACS or MNS system. 13.2.1 Primary Power Input voltage of EVACS or MNS panel: N/A EVACS or IVINS panel amps: Overculrent protection: Type: Amps: Location(of primary supply panel board): Disconnecting means location: 13.2.2 Engine-Driven Generator ®This system does not have a generator. Location of generator: NIA Location of fuel storage: Type of fuel• 13.2.3 Uninterruptible Power System ®This system does not have a UPS. Equipment powered by a UPS system: NIA 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): i 13.2.4 Batteries Location: N/A Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: In standby mode(hours): In alarm mode(minutes): ❑Batteries are marked with date of manufacture ❑Battery calculations are attached NFFA 72, Fig. 10.18.2.1.1 (p.9 of 12) E Copyright 0 2CO9 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued) 11.3 Area of Refuge(Area of Rescue Assistance)Emergency Communications Systems ®This system does not have an area of refuge(area of rescue assistance)emergency communications system. Number of stations: NIA Location of central control point: Days and hours when central control point is attended: Location of alternate control point: Days and hours when alternate control point is attended: 11.4 Elevator Emergency Communications Systems ®This system does not have an elevator emergency communications system. Number of elevators with stations: NIA Location of central control point: Days and hours when central control point is attended: Location of alternate control point: Days and hours when alternate control point is attended: 11.5 Other Two-Way Communication Systems Describe: 12. CONTROL FUNCTIONS This system activates the following control firetions: ❑Hold-open door releasing devices ❑Smoke management ❑I-]VAC shutdown ❑F/S dampers ❑Door unlocking ❑Elevator recall ❑Fuel source shutdown ❑Extinguishing agent release ❑Elevator shunt trip ❑Mass notification system override of 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: 120 VAC Control panel amps: 15 Overcurrent protection: Type: Circuit Breaker Amps: 20 Location(of primary supply panel board): FACP . . . . . . . . . .Disconnecting means location: Basement- - 13.1.2 Engine-Driven Generator ®This system does not have a generator. Location of generator: Location of fuel storage: _ Type of fuel: IVFPA 72, Fig. 10.18.2.1.1 (p. 8 of 12) Copyright©2009 National Fire Protection Association.This farm maybe ca pied for Indivldual use other than for resale.It may not be copied for commercial sale or distributian. 10. MASS NOTIFICATION CONTROLS,APPLIANCES, AND CIRCUITS ®This system does not have an MNS. 10.1 MNS Local Operating Consoles Location 1: Location 2: Location 3: 10.2 High-Power Speaker Arrays Number of HPSA speaker initiation zones: N/A Location l: Location 2: Location 3: 10.3 Mass Notification Devices Combination fire alarm/MNS visible appliances: NIA MNS-only visible appliances: Textual signs: Other(describe): Supervision class: 10.3.1 Special Hazard Notification ED 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 ®This system does not have a two-way telephone system. Number of telephone jacks installed: N/A Number of warden stations installed: Number of telephone handsets stored on site: Type of telephone system installed: ❑Electrically powered ❑Sound powered 11.2 Two-Way Radio Communications Enhancement System ®This system does not have a hvo-way radio communications enhancement system. Percentage of area covered by two-way radio service: Critical areas: % General building areas: % Amplification component locations: N/A 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 location: . . . . . . . . . . . . . . . . . . . . . . . . _ - . . . - - NFPA 72, Fig. 10.18.2.1.1 (p. 7 of 12) copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or dislribuliorL 7. MONITORED SYSTEMS 7.1 Engine-Driven Generator. ®This system does not have a generator. 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 ®This 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 special hazard system(s): 8. ANNUNCIATORS ❑This system does not have annunciators. 8.1 Location and Description of Annunciators Location 1: Side Entrance Location 2: Location 3: 9. ALARM NOTIFICATION APPLIANCES 9.1 In-Building Fire Emergency Voice Alarm Communication System ®This 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 1: Location 2: Location 3: 9.2 Nonvoice Notification Appliances ❑This system does not have nonvo ice notification appliances. I-Iorns: 2 With visible: 2 Bells: With visible: Chimes: With visible: Visible only: 1 Other(describe): 9.3 Notification Appliance Power Extender Panels ®This system does not have power extender panels. Quantity: Locations: NFPA 72, Fig. 10.18.2.1.1 (p.6 of 12) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 5. ALARM INITIATING DEVICES (continued) 5.2.6 Addressable Monitoring Modules N This system does not have monitoring modules. Number of devices: 5.2.7 Waterflow Alarm Devices N'Phis system does not have waterflow alarm devices. Type and number of devices: Addressable: Conventional: Coded: Transmitter: 5.2.8 Alarm Verification ®This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for: seconds 5.2.9 Presignal N This system does not incorporate pre-signal. Number of devices subject to presignal: Describe presignal functions: 5.2.10 Positive Alarm Sequence(PAS) ®This system does not incorporate PAS. Describe PAS: NIA 5.2.11 Other Initiating Devices ®This system does not have other initiating devices. Describe: 6. SUPERVISORY SIGNAL-INITIATING DEVICES 6.1 Sprinkler System Supervisory Devices ®This 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 N This system does not have a fire pump. Type fire pump: ❑Electric pump ❑Engine Type and number of devices: Addressable: Conventional: Coded: Transmitter: Other(specify): 6.2.1 Fire Pump Functions Supervised ❑Power ❑Running ❑Phase reversal ❑Selector switch not in auto ❑Engine or control panel trouble ❑Low fuel Other(specify): 6.3 Duct Smoke Detectors(DSDs) N This system does not have DSDs causing supervisory signals. Type and number of devices: Addressable: Conventional: Other(specify): Type of coverage: Type of smoke detector sensing technology: ❑Ionization ❑Photoelectric ❑Aspirating ❑ Beam . . . _ . . . . . . . 6.4 Other.Supervisory Devices . N This system does not have other supervisory devices. Describe: NFPA 72,Fig. 10.18.2.1.1 (p. 5 of 12) Copyright©2999 National Fire Proteclion Association.This form maybe copied for individual use other than for resale.It may not be copied for commercial sale or distributior. 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: Conventional: 1 Coded: Transmitter: Other(specify): 5.1,2 Other Alarm Boxes ®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 ❑This system does not have smoke detectors. Type and number of devices: Addressable: Conventional: 2 Other(specify): Type of coverage: ❑Complete area ❑Partial area ❑Nonrequired pattial area Other(specify): Type of smoke detector sensing technology: ❑Ionization ®Photoelectric ❑Multicriteria ❑Aspirating ❑Beam Other(specify): 5.2.2 Duct Smoke Detectors N This system does not have alarm-causing duct smoke detectors. i Type and number of devices: Addressable: Conventional: Other(specify): Type of coverage: I Type of smoke detector sensing technology: ❑Ionization N Photoelectric ❑Aspirating ❑Beam 5.2.3 Radiant Energy(Flame)Detectors N This system does not have radiant energy detectors. Type and number of devices: Addressable: Conventional: Other(specify): Type of coverage: 5.2.4 Gas Detectors ®This system does not have gas detectors. Type of detector(s): Number of devices: Addressable: Conventional: Type of coverage: 5.2,5 Heat Detectors ❑This system does not have heat detectors. . . . . . . . . . . . .Type and number of devices: Addressable: . . . . . . . Conventional:. . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of coverage: ❑Complete area ❑Partial area ❑Nonrequired partial area ❑Linear N Spot Type of heat detector sensing technology: N Fixed temperature ❑Rate-of-rise ❑Rate compensated NFPA 72, Fig. 10.18.2.1.1 (p.4 of 12) Copyright 0 20()9 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 4. CIRCUITS AND PATHWAYS 4.1 Signaling Line Pathways 4.1.1 Pathways Class Designations and Survivability Pathways class: N/A Survivability level: Quantity: (See NFPA 72,Sections 12.3 and 12.4) 4.1.2 Pathways Utilizing Two or NIore Media Quantity: N/A Description: 4.1.3 Device Power Pathways ®No separate power pathways from the signaling line pathway ❑Power pathways are separate but of the same pathway classification as the signaling line pathway ❑Power pathways are separate and different classification from the signaling line pathway 4.1.4 Isolation Modules Quantity: N/A 4.2 Alarm initiating Device Pathways 4.2.1 Pathways Class Designations and Survivability Pathways class: B Survivability Ievel: 1 Quantity: 1 (See NFPA 72,Sections 12.3 and 12.9) 4.2.2 Pathways Utilizing Two or More Media Quantity: NIA _. __ Description: 4.2.3 Device Power Pathways ®No separate power pathways from the initiating device pathway ❑Power pathways are separate but of the same pathway classification as the initiating device pathway ❑Power pathways are separate and different classification fiom the initiating device pathway R 4.3 Non-Voice Audible System Pathways 4.3.1 Pathways Class Designations and Survivability Pathways class: B Survivability level: 1 Quantity: 1 (See NFPA 72,Sections 12.3 and 12.4) 4.3,2 Pathways Utilizing Two or More Media Quantity: N/A Description: _ 4.3.3 Device Power Pathways ®No separate power pathways from the notification appliance pathway ❑Power pathways are separate but of the same pathway classification as the notification appliance pathway ❑Power pathways ai-e-separate and different classification from the notif ration-appliance pathway 3l 14 -- a60� NFPA 72,Fig. 10,18.2.1.1 (p. 3 of 12) t Copyright O 2009 National Fire Protection Association.This form may be copied for Individual use other than for resale.It may not be copied for commercial sale or distribution. 3. DESCRIPTION OF SYSTEM OR SERVICE (continued) NFP,4 72 edition: 2010 Additional description of system(s): _N/A 3.1 Control Unit Manufacturer: Simplext3rinne11 Model number: 4010 3.2 Mass Notification System ®This system does not incorporate an ND S 3.2.1 System Type: ❑In-building NINS--combination ❑In-building MNS—stand-alone ❑Wide-area MNS ❑Distributed recipient MNS ❑ Other(specify): NIA 3.2.2 System Features: ❑Combination fire alarm/MNS ❑MNS autonomous control unit ❑Wide-area DINS to regional national alerting interface ❑Local operating console(LOC) ❑Direct recipient MNS(DRMNS) ❑Wide-area NMS to DRMNS interface ❑ Wide-area MNS to high-power speaker array(HPSA)interface ❑In-building MNS to wide-area MNS interface ❑Other(specify): N/A 3.3 System Documentation ❑An 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: 3.4 System Software ❑This system does not have alterable site-specific software. Operating system(executive)software revision level: 4.02.01 Site-specific software revision date: 12/22/14 Revision completed by: J.Hebert ®A copy of the site-specific software is stored on site. Location: at FACU 3.5 Off-Premises Signal Transmission ❑This system does not have off-premises transmission. Name of organization receiving alarm signals with phone numbers: Alarm: Mt.Holyoke College Phone; 413-586-2490 Supervisory: Mt.Holyoke College Phone: 413-585-2490 Trouble: Mt_Holyoke College Phone: 413-585-2490 Entity to which alarms are retransmitted. Northampton Fire Dept. Phone: 413-587-1032 Method of retransmission: Landline If Chapter 26,specify the means of transmission from the protected premises to the supervising station: Fiber Oetic/Data . . . . . . . . _ _ . . If Chapter 27,specify the type of auxiliary.alarm system: . ❑Local energy . .❑Shunt_ _ _ ❑ Wired. . . . ❑Wireless. . . . . . . . . . . .. NFPA 72, Fig. 10.18.2.1.1 (p.2 of 12) Copyright O 2C09 National Fire Protection Association.This form maybe copied for individual use other than for resale.It may not be copied for commercial sale or distribution. f old - l�l3 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. It shall be permitted to modify this form,as needed to provide a more complete and/or clear record. Insert X/4 in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. 1. .PROPERTY INFORMATION Name of properly: _Smith College/Emerson-Koser Kitchen Add Address: Paradise Road,Northampton, MA 01060 Description of property: Dormitory Occupancy type: R2 Name of properly representative: Charles Dougherty I; Address: 126 West Street Northampton,MA Phone: 413-374-1379 Fax: E-mail: Atrthority having jurisdiction over this property: Nortitamptun Fire Dept. ;. Phone; 413-587-1032 Fax: E-mail: it 2. INSTALLATION,SERVICE,AND TEc t ING COI+I-1RAc-'OR INFORMATION InstaHelion contractor for this equipment: Goodless electric Address: 100 Memorial Avenue,West Sprinc'ieid,tAA 010°:; Lice.=or certification number: I: Phone: 413-2415500 Fax: E-mail: Sep vice organization for this equipment: Sirnplr::Gri:r:e;i R 66 klyron Street,West Sprinn ield,pnA License or certification number: 17359A jt Phone: 413-733-3144 Fax: 4'3 34-7656 E-mail: dsimkewiczr`nsimplexgrinneli.com •? A contract for test and inspection in accordance with NFPA stands :is in effect as of; N/A Is Contracted testing company: SimplexGrinneil Address; NIA Phone: N/A Fax; NIA E-mail: N/A Contract expires: NIA Contract number: N/A Frequency of routine inspections: N/A �I 3. DESCRIPTION OF SYSTEM OR SERVICE ®Fire alarm system(nonvoice) ❑Fire alarm with in-building fire emergency voice alarm communication system(EVACS) ❑Mass notification system(MNS) ❑Combination system,with the following components:. ❑Fire alarm ❑EVACS ❑MNS ❑Two-way,in-building,emergency communication system ❑Other(specify): N/A NFPA 72, Fig. 10.18.2.1.1 (p. 1 of 12) Copyright®2009 National Fire Protection Association.This farm maybe copied for individual use other than for resale.it may not be copied for commercial sale or distribution. 314 , ,l `7 Final Construction Control Document ' ID u W To be submitted at completion of construction by a W m a Registered Design Professional for work per the 8th edition of the SYe Massachusetts State Building Code, 780 CMR, Section 107 L �t2a►� �' Project Title: !JN11�1�T CO(ili5(e.� � �ate: 1'b ZO PermitNo. 10 INIJ Property Address: bu ���u�W Project: Check one or both as applicable: 311�ew construction xisting Construction Project description: twu Kge,6w To OM WO Mt4�,- IX)rTff Klftl-e -M. I (ZK. f�!Ukkw _MA Registration Number: Expiration date �S , am a registered design professional, and I have prepared or directly supervised the preparation of all design Tans, computations and specifications concerning: Architectural [ ] Structural ( ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other: for the above named project. 1, or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis. To the best of my knowledge,information, and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility re,'Pr c -,, s f 78 CMR 107. Enter in the space to the right a"wet"or electronic signature and seal: Phone number: ( � 22 2 d Emai ve✓ �K •C,t7w1 Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 31 A 616'7 Final Construction Control Document w To be submitted at completion of construction by a d Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Kosher Kitchen at Jordan House Date: 1/14/2015 Permit No. Property Address: Jordan House in the Smith College Quadrangle on Paradise Road, Northampton MA Project: Check one or both as applicable: ew construction Existing Construction Project description: Modification of former Kitchen Space into a residential ktichen, dining and auxiliary spaces to serve the Hillel Community as their Kosher Kitchen and dining area. I Daniel C. Lewis MA Registration Number: 31737 Expiration date: 6/30/2016 am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Architectural [ ] Structural Mechanical [ ] Fire Protection [ ] Electrical [ ] Other: for the above named project. I, or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis. To the best of my knowledge, information, and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. t0 T Enter in the space to the right a"wet"or DAM S electronic signature and seal: Na 31737 Phone number: 603-352-4841 Email: general kohlerandlewis.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 3 /A a(, 7 Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional for work per the 8�h edition of the SY Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Kosher Kitchen at Jordan House Date: January 14,2015 Permit No. BP-2014-1413 Property Address: Jordan House in the Smith College Quadrangle on Paradise Road,Northampton Massachusetts Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Modification of former Kitchen Space into a residential ktichen,dining and auxiliary spaces to serve the Hillel Community as their Kosher Kitchen and dining area. I Robert J.Figuerido MA Registration Number:29029 Expiration date: June 30,2016 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Architectural Structural Mechanical Fire Protection X Electrical X Other: Fire Alarm for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge, information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. t0 ©F 4, Enter in the space to the right a"wet"or ROBE( electronic signature and seal: I $ FMERIDO •p No. 9,0 Phone number: 508.757.7793 Email:bobf @shepherdengineeringinc.com Building Official Use Only Building Official Name: Permit No.: Date: The Commonwealth of Massachusetts r E � City of Northampton f Cer " icato of Occupancy � � f In accordance with 780 CMR, (Tlte 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 Nafne of Building of Space Within Certificate No. Issued to Pe # Permit Smith College - Kosher Kitchen BP #13 Identify property address including street number, name, city or town and county Located at 1 Paradise Road-Jordan House Northampton,MA 01060 Use Group Classification(s) Accessory Accessory use to R2/ A3 R2, A3 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 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 Single Family Name of Municipal Date of Final Map/Plot: Building Official Kyle J. Sc 0 Inspection Date 31A/067 01/28/2015 Signature of Municipal Date of Building Official Issuance Date Map 01/28/2015 Lot J-V JORDAN HOUSE- 1 PARADISE RD BP-2014-1413 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 A-067 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-2014-1413 Project# JS-2014-002386 Est.Cost: $221058.00 Fee:$1326.00 PERMISSION IS HEREB Y GRANTED TO: Const. Class: Contractor: License: Use Group: FIVE STAR BUILDING CORP 085319 Lot Size(sq.ft.): Owner: Smith College Zoning EU(100)/URC(100)/ Applicant: FIVE STAR BUILDING CORP AT. JORDAN HOUSE - 1 PARADISE RD Applicant Address: r*itVi.C: fn5r1rdl y fre 123 UNION ST (413) 587-4060 O WC EASTHAMPTONMA01027 ISSUED ON.81412014 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATE TO RESIDENTIAL KITCHEN, LIVING & DINING AREA,ACCESSIBLE BATH ROOM,JANITOR/STORAGE CLOSET & NEW ENTRY DOOR/DECK-EXCLUDES DECK & RAMP PENDING APPROVED REVISIONS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: ,,/ Rough: f,* ,If House# Foundation: ' /!�-( ',3 t ,Driveway Final: L-( Final: ��j�d /� Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: �l �j f Final: Smoke: o Final: I—C)4� �J X04 /Aa�/is-- THIS PERMIT MAY BE REVOKED B THE CIT F NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND RFte ON Certificate of Occupancy ature. FeeType• : Amoun t: Building 8/4/2014 0:00:00 $1326.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner