17C-220 (7) EDYTHE M.AARCHITECT
February 20, 1996 FEB 2 (jC:
City of Northampton
t �d
Building Inspector's Office
Northampton, MA 01060
Attention: Mr. Anthony Patillo
Acting Building Commissioner New construction
Historic Renovation
Residential Design
Project: Florence Inn
17 North Maple Street
Renovations
Fjorence, MA
Dear Mr. Patillo:
I hereby certify that the Florence Inn is substantially complete, with minor
punch list items pending, and that to the best of my knowledge, the building has
been designed and built in accordance with applicable codes, laws, and
regulations. Po Box 1086
Northampton,MA 01061
Signed,
Edyth M. Ambroz, AIA
j,
413-586-1086
fax 413-586-1806
The Golden Section
'
SYSTEM ACCEVYANCE Page 2 of 2
OPERATION
O PNEUMATIC O ELECTRIC O HYDRAULIC
PIPING SUPERVISED O YES O NO DETECTING MEDIA SUPERVISED ❑ YES ❑ NO
DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS O YES O NO
DELUGE& IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO,EXPLAIN
PREACTION
VALVES O YES ❑ NO
ES ACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO
MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE_
YES NO YES NO MIN. SEC.
HYDROSTATIC:Hydrostatic tests shall be made at not less than 200 psi(13.6 bars)for two hours or 50 psi(3.4 bars)above static pressure in excess
of 150 psl(10.2 bars)for two hours.Differential dry-pipe valve clappers shall be left open during test to prevent damage.All aboveground piping leakage
TEST shall be stopped.
DESCRIPTION
PNEUMATIC:Establish 40 psi(2.7 bars)air pressure and measure drop which shall not exceed 1-1/2 psi(0.1 bars)in 24 hours.Test pressure
tanks at normal water level and air pressure and measure air pressure dropwhich shall not exceed 1-1/2 psi 0.1 bars in 24 hours. _
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS. IF NO,STATE REASON
DRY PIPING PNEUMATICALLY TESTED O YES ❑ NO
EQUIPMENT OPERATES PROPERLY R YES O NO
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS.SODIUM SILICATE OR
DERIVATIVES OF SODIUM SILICATE,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR
TESTS STOPPING LEAKS? ja YES O NO
DRAIN I READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST
TEST SUPPLY TEST CONNECTION: r�_PSI CONNECTION OPEN WIDE 'Lrj PSI
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING.
VERIFIED BY COPY OF THE U FORM NO.858 O YES O NO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDER-
GROUND SPRINKLER PIPING OYES O NO
BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED
GASKETS NONE _
WELDED PIPING O YES NO
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 O YES O NO
WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR-3 ❑ YES ❑ NO
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A
DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER
WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF
PIPING ARE NOT PENETRATED Cl YES ❑ NO
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL
(DISCS) CUTOUTS(DISCS)ARE RETRIEVED? O YES ❑ NO
HYDRAULIC NAME PLATE PROVIDED IF NO,EXPLAIN
DATA
NAMEPLATE CXYES O NO
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMARKS February 8 1996
NAME OF SPRINKLER CONTRACTOR
ALLIED FIRE PROTECTIO INC.
TESTS WITNESSED BY
SIGNATURES F I DATE' E 2/8/96
FOR P NKLE T SIGNED) TITLE DATE
t. Z .
Supt. 2896
ADDITIONAL EXPLANATION NOT S
ALLIED FIRE PROTECTION INC. Page 1 of 2
,11 Ea6t Fisk Ave • Springfield, MA. 01107 • (413) 788-9038
CONTRACTOR'S MATERIAL &TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROCEDURE
Upon completion at work Inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative.All defects shall be corrected and
system left in service before oontractors personnel finally leave the Job.
A certificate shall be filled out and signed by both representatives.Copies shall be prepared for approving authorities,owners,and contractor.It is understood the owners rep-
resentative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship,or failure to comply with approving authority's requirements or
local ordinances.
PROPERTY NAME DATE
SERVICE N` F�?N_ - FIORFNCF TNN 218/96
PROPERTY ADDRESS
17 MAPLE STREET FLORENCE MA 01060 _
ACCEPTED BY APPROVING AUTHORITIES(NAMES)
ADDRESS
PLANS
INSTALLATION CONFORMS TO ACCEPTED PLANS YES O NO
EQUIPMENT USED IS APPROVED X]YES O NO
IF NO,EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPME14T BEEN INSTRUCTED AS TO LOCATION X7 YES O NO
OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT?
IF NO,EXPLAIN
INSTRUCTIONS
HAVE COPIES OF THE FOLLOWING BEEN LEI-'T ON THE PREMISES: X7 YES O NO
1. SYSTEM COMPONENTS INSTRUCTIONS )(l YES O NO
2. CARE AND MAINTENANCE INSTRUC',TIONS )(T YES ONO
3. NFPA 13A )C1 YES O NO
LOCATION SUPPLIES BUILDINGS
OF SYSTEM ENTIRE BUILDING
YEAR OF ORIFICE TEMPERATURE
MAKE MODEL MANUFACTURE SIZE QUANTITY RATING
CENTRAL __M2 1995
SPRINKLERS --G 3R 1995 I 7 155
Central SW 199 9 55
ENDENT 1995 ' 10 155
FIREMATIC A UPRIGHT 1995 '- 23 165
PIPE AND Type of Pipe SCHEDULE 10 & 40
FITTINGS Type of Fittings C.I. & MECHANICAL JOINT
MAXIMUM TIME TO OPERATE
ALARM ALARM DEVICE THROUGH TEST CONNECTION
VALVE TYPE MAKE MODEL MIN. SEC.
OR FLOW
INDICATOR 10
DRY VALVE O.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
TIME TO TRIP TIME WATER ALARM
THRU TEST WATER AIR TRIP POINT REACHED OPERATED
DRY PIPE CONNECTION' PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY
OPERATING MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
TEST --
Without
O.O.D.
With
O.O.D.
IF NO,EXPLAIN
o� o (rLiN of Northamptall
F■4f JI Clt list tt l
t z
QI)ffire of the )lnsvertnr of jAuilDiiitts
212 Main Street •Municipal Building
Northampton, Mass. 01060
#579
CERTIFICATE OF OCCUPANCY
February 20, 1996
Page No. 17C Plot 220
Building (Name) Mixed Use/Commercial/Residential Address 17 North Maple Street
Owner ServiceNet Address 129 King Street
Applicant Edythe Ambrose Address
Use: 1st Commercial/Rl Use Occupancy
2nd R1 Use Occupancy _
Rl Use
3rd Occupancy
4th Occupancy
Zone District GB
Required Inspections:
New Building Existing Building X
Elevator Electrical '
`j
Plumbing e2 Fire
Building GAS Other
Inspector of Buildin
rP
5 1,01
r ,'1161
0.THAHp
�o T oy GtY of Northampton REQUIRED INSPECTI01%4S
BUMDING DEPARTMENT 1Fgs and an,
2. Stnictur�jj Comp o'
p v
Ur LLilliS lit l,iiac'�,
No. 579 Office of the Building Inspector 3 Complete Building*
Zoning Form No. 4091
Page, 1170 Parcel 220 ,Zone GB Date 7/1_ 4/95 Fee$- ,000
---_ Check#1036
BMDP P Section 127 Yes
MO
4G --mL ERmff
THIS CERTIFIES THAT Thayer St. Assoc. Inc. Vern Harrington *Plumbing and Electrical Inspections required
has permission to Interior renovations & construct handicap bath before Building Inspections
situated on 17 North Ma le st. Inspection on Site—Foundations lR 0 �,
- ServiceNet Inc.
Provided that the Inspection of Plumbing--Rough '
Person accepting this permit shall in every respect
conform to the terms of the application on file in this office, and to the �specrion of Plumbing—Finish
Provisions of the Statutes and the Ordinances relating to the Construction,
Maintenance and Inspection of Buildings in the City of Northampton. Gas Inspection
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Rough -
of this Permit.Expires six months from date ot'issuance,if not starred, Wiring—Finish -- ��
A 9 �� Inspection of —
� `
Note:A certificate of occupancy will issued by this office upon return Building ns
of this card signers by the Plumbing, Wiring and Building ns g Pection—Rough
g pectors. Insulation Inspection
Building Inspection--Finish a 20 .�
Smoke Detectors(Fire Department)
THIS CARD MUST BE DISPLAYED Other
C SPICU
Certificate of occupancy T PLA,�CE ON THE PREMISES
% �
Building Inspector