31B-310 (9) r
Northampton Fire Department
26 Carlon Drive, Northampton, Massachusetts 01060-2373
Telephone: (413) 587-1032 Fax: (413) 587-1034
Assistant Chief: Duane A. Nichols
Deputy Chiefs: Stephen Vanasse, David Gagne,
Jon Davine and Timothy McQueston
Deputy Chief in charge of EMS: Christopher W. Norris
Brian P. Duggan Website: Http/l: www.Northamptonfire.org
Fire Chief
June 17, 2015
Appleton Corp
71 State Street
Northampton, MA 01060
ATTN: Kristina Shoen
On June 17, 2015 1 conducted an inspection at 71 State Street. This inspection
revealed the following issues that need to be addressed.
-none
If you have any questions please call me at (413) 587-1241.
Respectfully sy itted,
Captain Larry Therrien
Northampton Fire Department
NEW ENGLAND SECURITY& TECHNOLOGY
P.O. BOX 515
GRANBY, MA 01033
(413) 467-3784
(413) 532-3210
FIRE ALARM INSPECTION &TESTING REPORT
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NAME ACCOUNT# MONITOR TEL.# QUARTERLY SEMIANNUAL CALL DATE
ADD AE8S I FIRE DEPT TEL.# CITY Box# CITY BOX RESET
kA AM PM
CITY STATE ZIP C&TR0&PANEL TYPE LOCATION TIME
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No.of No. ✓okay No.of No. ✓okay
Devices Tested X See I elow Devices Tested X See below
Control Panel Trouble Devices
Pull Station City Connection
Signal Devices Batteries
Heat Detectors Charger
Smoke Detectors Door Holders
Annunciatprs Fan Shutdown
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REMARKS
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Work Order # 2179
Fire Protection LLC B"'T°:
507 Southampton Road Tel.413.642.3287
Westfield, MA 01085 Fax.413.642.3792 Address:
City: State: Zip:
Installation" Maintenance & Service
MA License:SC105360
CT License:F11499 24-Hour Emergency Service
Customer Name: 4/4`1`/'{/'%'4 °� �t f 1' Customer P.O. #:
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Address: t :: '� P°" E` I,r*- 7/ L74-re- ,77— Customer Job#:
City: State:;!/1 Zip: Type of Service: Day Work/Inspection I
Phone: Date: ',- /J_r 1 (Check One) Field Change
Material Emergency Service Call
Qty Description Price Total Extra
" t ur1 f-w sYls Miscellaneous Price
Total Misc. $
Description of Work
Authorized Customer Si nature
Total Material Total Materials
Are all control valves in normal open position? "`Yes` No Total Labor
Are all systems left in service? Yes j No Total Misc.
Has Fire Dept. been notified? , Yeses No Tax
Static Pressure: psi Residual Pressure: psi Total
Labor Hours "THE AUTHORIZED CUSTOMER OR CUSTOMER'S REPRESENTATIVE
HAS READ AND AGREED.TO THE TERMS OF THIS AGREEMENT
Name Reg E.R. O.T. Rate Total AND THE GENERAL TERM &CONDIT NS AS OUTLINED ON THE
REVERSE SIDE OF THIS-- CUiA.PNT
By: ,
Title:'
Date:``
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Work authorization not signed because
Unable to contact representative
Authorized by phone
Form issued for record purposes only
Total Labor Authorization in dispute
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MASSACNOSCM ME TIM001IDCISS9 INC.
49 Heywood Avenue P.O. Box 8
WEST SPRINGFIELD, MA 01090
p (413)731-8000 FAX(413)746-9570
www.massfire.com
PURCHASE ORDER NO. PONE D ATE "s
NAME
ADDRESS -J/
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QTY. DESCRIPTION PRICE AMOUNT
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RECEIVED BY
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TOTAL
All claims and returne4 goods ST be accompanied by this bill.
150286 , Th717h You
REORDER-SAFEGUARD 800-992-7277
4136423287 Hampshife Fire 02:36:20 p.m. 11-03-2015 4/4
SHEET 3 OF 3 Arwl
CONTRACT
02871MA p/a a PP e
oC C&lofW LLC
CONTROL VALVES
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O N
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(OK,X,S,NA)
BACKFLOW SUPPLY OS&Y s ISupervii 06198 OKI OKI OKI OK OKI NAI OKI NA NA
BACKFLOW DISCHARGE OS&Y s upervise 06199 OK OK OK OK OK NA OK OK 36
STANDPIPE WEST OS&Y s upervise 06200 OK OK OK OK OK NA OK NA NA
1ST FLOOR WEST OS&Y 2.5 upervis 06201 OK OK OK OK OK NA OK OK 36
2ND FLOOR WEST OS&Y 2.5 upervis 06202 OK OK OKI OK OK NA OKI OK 36
3RD FLOOR WEST OS&Y 2.5 upervis 06203 OK OK OK OK OK NA OK OK 36
DRY CONTROL OS&Y 3 upemse 06204 OK OK OK OK OK NA OK OK 36
STANDPIPE EAST OS&Y 6 upervise 06205 OK OK OK OK OK NA OK NA NA
1 ST FLOOR EAST OS&Y 2.5 upemise 06206 OK OK OK OK OK NA OK OK 36
2ND FLOOR EAST OS&Y 2.5 upervise 06207 OK OK OK OK OK NA OK OK 36
3RD FLOOR EAST OS&Y 2.5 upervise 06208 OKI OK OK OK OK NA OK OK 38
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Gauges In good cond&normal press?
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DPV&trim free from damage? :3
{ DPV trim valves in proper position? 0
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X c No leakage from intermediate chamb?
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DPV interally inspected&passed? W
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Priming water level correct? rD
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3 i Auto air mlant device pass test? Z a
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4136423287 Hampshife Fire 02.35:55 p.m. 11-03-2015 2/4
t..
SHEET 2 OF 3 ALM�������
owrler►y Fire Protection LLC
INSPECTION 507 Southampton Rd
CONTRACT Westfield, MA 01085
029?IMA Tele:413-642-3287 Fax.413-642-3792
MA Lic#SC1053601 CT Lic#F11499
10, NO.OF WET SYSTEMS 1 Model: 6"Star
11. NO.OF DRY SYSTEMS 1 Model: 4"Star Model G
12. SPECIAL SYSTEMS Typei"Model:
13. CONTROL VALVES NO. TYPE es Yes No Yes No Yes I No CONDITION
City Connection Control aloes X
Tank Control Valves
Pump ontr Valves
Sectional Control Valves 6 &
stem Control Valves 1
ere all OS&Y Valves Open&GI-o-se-d-3—. nua /
Were all OSBY Valves Lubricated? Annually'5-13.3.4.1 YES NO N/A X
Were all Low Air Switches Checked? Quarterly 25-13.4.4.2.6 YES x NO N/A
14. WATER FLOW TEST City,Stale: Holyoke,MA If no flow test-why?
Static Water Pressure 105 Fire Pump PSI
Flow Test Pressure 95 Tank PSI
Main Drain Tests) Size Test Pressure Flow Pressure Inspector(s)Test IT Orifice Water Flowed Did Alann(s) Time To
Pipe Betore Test After Connection Size From IT Conn? Operate? Alarm(sec)
Wet System 2" 105 1 95 600 Wet System 1/2" YES YES 36
Dry System 2" 126 1 80 95__j Dry System 1/2" N/A YES 1
15.EXPLANATION OF ANY"NO"ANSWERS(please attach separate sheet if more room is required)
16. WAS A COMPLETE WALK THROUGH PERFORMED-INCLUDING ALL TENANT SPACES,IF ANY? X No YES
IF NOT-WHY? WHEN WAS LAST COMPLETE WALK-THROUGH PERFORMED? 3112/2015
17. DEFICIENCIES:
18. NOTES AND/OR RECOMMENDATIONS:
1C: Building is not fully protected with sprinklers. There is a partial system only in trash rooms on ground floor and standpipes in stairwell
SIGNATURES ATTESTING TO INSPECTION REPORTING:
Roger Blood Scott Moquin (Signature on File)
Inspector SignaturelPnnfed Name Owner or Owners Representative Signature&Pnnteef ame
Hampshire Fire Protection LLC
Explain"No"answers on Page 1 in item#15.
This is Page 2 of 3 Inspection Report Forms. Your inspection is not complete unless all Pages are filled out.
4136423287 Hampshife Fire 02:35:29 p.m. 11-03-2015 1 /4
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SHEET 1 OF 3 N Valve Tags 06196-06206
I �s/1lpsi�/r�
Quartsrysor4 Ic/r! sWret@Cte%n LLC
INSPECTION 507 Southampton Rd
CONTRACT Westfield,MA 01085
03111MA Tele:413-642-3287 Fax:413-642-3792
MA Lic#SC1053601 CT Lic#F11499 STICKER 0
Site Cvdad: Soolt-4134187-1186
E-WEaTO: mflinM tyconnells.com "MW AUTHOIEEDones-
BILL TO Applaton Corporation LOCATION Michaels House-71 State Street,Northampton-MA
STREET 57 Suffolk Street INSPECTOR Roger Blood
CITY 6 STATE Holyoke,MA 01040 DATE 8262015
1-GENERAL IN _A Standard—2177CInspitair 4 YES NIA NO
A. Is the building occupied? X
B. Are all systems in service? X
C. Is building completely sprinkled? X
0. Have there been any changes to the fire sprinkler system since the last inspection? x
E.Are any new additions or building changes properly protected? X
F. If a fire has occurred since the last inspection,have all damaged sprinkler components been replaced? X
G.Are the areas protected by the wet system heated—including its blind attics and perimeter areas? X
H. Are all exterior openings protected against the entrance of cold air? x
I. Is as stock or storage properly below sprinkler piping? X
J. Are all airtwater pressure gauges dated within the past 5 years? Date: 31122015 X
K. Has Standpipe been tested in the last 5 years? Date. X
2.CONTROL VALVES(Sea Section 16) 1 NFPA Standard— 26-13.5
A. Are all sprinkler system main control valves and all other valves in the appropriate open or dosed position? X
B.Are all control valves in good condition and sealed or supwvised in the open position? X
3.WATER SUPPUES(Sae Section 17) NFPA Standard—26-6.3.3
A. Was a water flew test made and results satisfactory? X
B. Water supply sources? MX City Gravity Tank Other
4.TANKS,PUMPS,FIRE DEPT.CONNECTIONS NFPA Standard—26-9.1,6113.7
A Are fire dept.connections in satisfactory condition,couplings free,caps in place and check valves fight? X
B. Are fire pumps,gravity tanks,reservoirs and pressure tanks in good condition and properly maintained? x
C. Have all fire pumps been tested to full capacity using hose streams or flow meters within the last 12 months? x
D. Has the storage tank been intemally inspected in the last 3 years(unlined)or 5 years fined)? X
G.WET SYSTEMS(See Section 10) NFPA 6dndard—26.6.1.7.2
A. Are cold weather valves in the appropriate open or closed position? X
B. Have anti-freeze systems been tested and Left In satisfactory condition? X
Record type 6 temperature foreach AF loop below:
TYPE
TEMP
C. Are alarm valves,water flow indicators,and retards in saltisfackity,condition? X
6.DRY SYSTEMS(Sae Section 11) NFPA Etarndad—25-Chapter 6
A. Is dry valve in service,in good condition and protected from freezing? X
B. Is air pressure and priming water level normal? X
C. Does the air compressor appear to be in good condition and return system to pressure in required time? X
D. Were all known low points drained during inspection? x
No.of Drains 0 Low Point Drain Sheet signed? I X
E. Are Quick Opening Devices in service? X
F. Has piping been checked for stoppage within past 5 years? Date: X
G. Have the cheddalarm valves been internally inspected in the last 5 years? Dale: x
H. Have dry valves been fully trip tested(wide open)in the lost 3 years as required? Dale: 9/192014 X
1. Are all known dry sprinkler treads less than 10 years old? x
7.SPECIAL SYSTEMS(See Section 12) jNFPA Sdrrdad—25-6.1.1.2
A. Were valves tested as required? x
B. Were supervisory features tested and results satisfacto . x
6.ALARMS I NFPA Standard—26-6.1.11.2
A.Water motor and gong test satisfactory? x
B.Electric alarm test satisfactory? X
C.Supervisory alarm service test satisfactory? Local Alarm LX City Alarm
9.SPRINKLERS-PIPING NFPA Standard— 26-6.1.12
A. Do all the sprinklers appear to be in good condition,not obstructed,and free of corrosion or loading? X
B. Are all known Quick Response fire sprinkler heads less than 20 years old? X
C. Are all known Regular Response fire sprinkler heads less than 50 years old? X
0. If there are any known 325F/163C fire sprinkler heads,are they all under 5 years old? X
E. Is there a sufficient number of extra fire sprinklers on hand? If so-how many? x
TYPE. 165 SR SSP NO 6 TYPE: SR SSU NO 2
TYPE: 165 SR SSU NO 3 TYPE: 165 SR HWS NO 1
F. Is there a spare head box and sprinkler head wrench on site? X
G. Do all accessible fire sprinkler heads appear to be of proper temperature rating? X
H. Does the condition of piping,drain valves,check valves,hangars,pressure gauges,and open sprinkler strainers
appear to be in good condition? X
I. Does there pear to be proper clearance between the 15E of all storage and the sprinkler deflector? X
Explain'No"Answers on page 2 of 3. This is Page 1 of 3 Inspection Report Forms.The Inspection is not complete unless all pages are filled out.
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City of Northampton
Massachusetts �w�,S `• Sic14�
DSWV}kRTMENT OF BU.TLDING INSPECTIONS
{ AUG 6 0'` 2'� Main Street • Municipal Building `3b�•.� bib.
»+ J i Northampton, MA 01060 SNj af7�^
_ 1 PERIODIC INSPECTIONS
Application Sent on July 15, 2015
PREMISE NAME: APPLETON CORP FOR MICHAEL'S HOUSE
PREMISE b' §: 71 STATE ST
OWNERS) OF RECORD:
OWNERS: ADDRESS:
NORTHAMPTON , MA 01060
TELEPHONE NO: 40-
NAME ON CERTIFICATE: APPLETON CORP FOR MICHAEL'S HOUSE
TYPE OF BUSINESS
USE GROUP: �r
INSPECTION FEE: 545 �U
Please complete and return this application to the Department of Building Inspections, 212 Main Street,
Northampton, MA 01060. We will contact you to arrange a time to inspect your property. If this information is
not correct, or if you no longer own this property, please note any changes at the bottom or on the back of this
form and return it to the building department. Feel free to contact us if you have any questions. We can be
reached at(413) 587-1240. Thank you.
Applicant name:
Applicant Title:
Telephone
�1 - ,g . L9
Preferred inspec'on time/date`�,(,
Comments:
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Commonwealth OfMassachusetts
City ofNorthampton Map: Block: Lot:
31B 310 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to Appleton Corporation for Michael's House
I Certify that I have Inspected the known as Michael's House
located at 71 STATE ST, in the City of Northampton
The Means OfEgress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
R-2 Multi-family 79 Units on 4 Floors
CI-2016-0036 11/10/2015 11/10/2020 10ffic Certificate Number Date Certificate Issued Date Certificate Expires Buildi Ky le J. Scott
**A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES **
212 Main Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272