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06-055 (17)
349 FIAYDBNVILLB RD- BP-2005-1051 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:06-055 CITY OF NORTHAMPTON rot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-1051 Proiect# 1S-20054438 Est.Cost:$1850.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use G oup _ SIMPLEX GRINNELL LP Lot Size(sa, tta: 617245.20 Owner: LINDA MAMA LLC Zoning:SR Applicant: SIMPLEX GRINNELL LP 4T: 349 HAYDENVJLLE RD Applicant Address: Phone: Insurance: 80 CLARK DR UNIT 5 - D (860) 438-3200 O WC EAST BERLINCT06023 ISSUED ON:512/05 0:00:00 TO PERFORM THE FOLLOWING WORKGREPLACE FIRE SUPPRESSION SYSTEM 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; House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney; Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeTvpe: Date Paid: Amount: Building 5/2/05 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patitlo File#BP-2005-1051 APPLICANT/CONTACT PERSON SIMPLEX GRINNELL LP ADDRESS/PHONE 80 CLARK DR UNIT 5 -D EAST BERLIN (860)438-3200 Q PROPERTY LOCATION 349 HAYDENVILLE RD MAP 06 PARCEL 055 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ..3*27 �Q, — Fee Paid 'lr �✓ Tvoeof Construction: REPLACE FIRE SUPPRESSION SYSTEM New Construction Non Structural interior renovations Addition to Existing Accessory Stmcture Building Plans Included: Owned Statement or License 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from_Elm Street Co on 4 00 Signature of Building Official D. e Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Version I.7 Commercial Building Permit May IT,2.000 , r Deparbnent use only City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit - 212 Main Street Swear/Septic Availability Room 100 WatarWVell Availability .. l2lili tdorthampton, MA 01060 Two Sets of sinuwral Plans phone 413-5 7-1140 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT— RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 ProPettYAdtlres{: This section to be completed byofice 34/9) 1-/a,ydenvi//e, Road Map Lot Unit heeds! MA Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZEO AGENT 2.1 Owner of Record: ....-__ _. L_ Name(Print) Current Mailing Address: APR 2 7 2775 Signature Telephone i 2.2 Authorized Agent - - ---" l�Ctt\tct { n SO Clark Tar. f.h -r 6erlln Name(Pant) Current Mailing Address: g(cb. 438 32b0 rr. Rota Telephone SECTION 3-ESTIMATED ONSlau 12NGTION COST Item Estimated Cost(Dollars)b be Oficial Use Only completed by permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) /��O �p 5.Fire Protection :1#446/ ��<< _.)j �L 6. Totais(t +2+3+4+5) SCO. 00 Check Number TO I ES° e This Section For Official Use Only Building Permit Number Date Issued Signature: Building Co nmksunertinapector of Buildings Date Version].?Commercial Building Penne May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Aiteratons 0 Existing Wall Signs ❑ Demolition❑ Repairs 0 Additions 0 Accessory Building 0 Exterior Altera0on 0 Existing Ground Sign❑ New Signs❑ Roofing 0 Change of Use 0 Other 0 Brief Description Enter a brief description here. lRaenaVL kidde dry S L(sfem aid ✓ey0(Qet✓ Of Proposed Work: with /-yroehern Fe' L .S 30-tion Gt L- SCO re SuyRressio.n SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ AA A-2 0 A-3 0 to 0 A-4 0 A-5 0 18 ❑ B Business ❑ 2A ❑ E Educational 0 28 ❑ F Factory ❑ F-1 0 F-2 0 2C ❑ H High Hazard 0 3A 0 1 Institutional ❑ 1-1 0 1-2 0 1-3 0 3B ❑ M Mercantile ❑ 4 ❑ R Residential 0 R-i ❑ R-2 0 R-3 0 5A ❑ S Storage ❑ s-1 0 S-2 0 58 0 U Utility ❑ Specify: M Mired Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS.ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTIONS BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(s) 2nd 2nd 3rd Sm 4°1 4e Total Area (sf) Total Proposed New Construction(sf) Total Haigh(ft) Total Height ft 7.Water Supply tM.G.L.a 40,$54) 7.1 Food Zone oformadon: 7.3 Sewage Disposal System: Public 0 Private 0 Zone Outside Flood Zone Municipal 0 On site disposal system Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON TONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg_Square Footage Open Space Footage (Lot area minus bldg paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW Q YES O IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document ft B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES ® NO O IF YES, describe size, type and Location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: E. WII the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or ie it part of a common plan that will disturb over 1 acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 04126!2005 20:40 413-586-8136 LINDA MMR ECF PAGE 92 e4/28/2OOE 15:58 FAX 14002/002 1-11. la 7 a- Vmsionl.7 Ctmnmorctal T1uflding Forint!.May IS,2400 SECTION 10-STRUCTURAL PEER RENEW(T00 GMR 110.111 Independent Shucteat Engineering Stuctkal Peer Rs.sw e�aWJr[ Yes © _ No 0 SECTION II -OWNER AUTNORITATION-TO BE COMPIETIED WNEN OWNERS AGENT OR CONTRACTOR APPLIES POR BUILULNG PERMIT I _. _'{.,..11a O /� e... ..se 0wner ofthe sut ctpmperty ae hny sWO artar ,_ ante . . _ -ii.. ._G ..C'1mQ(�y. 6-4.17Ylnt',tf _. ... .to ere or my behalf,in an meter*relent*to work eutonzed by this building pernit application. Signature of O«ner LI a 'a7 aM[a I. . :Y.�1�E — " . -7 . ... . .as OwneMAa0wrked Agent hereby declare Mottle aetan enIT and infomaton a.the fetagning apglca0onene true all accurate,to tie best of my knowledge and belief. Signed under the peen and penalties of petiary. rPrint ph .� 6" Q tr ".ildMNro oft ,.,. a SECTION 12-CONSTR .N SERVICES 104 Lklawied Conflun*,jggaNLw' Not Applicable C Name*Goma SWgE:,�-..� -. . .... ..... . . .. _ .. _._ _ _ Lianas Names. Moen Prpiadat Oita • ..................... -u;. NomiaIe Takphme SECTION 10.W ORKERS•COMPENSATION INSURANCE AFFIDAVIT(M.o.L o.1$2,q ESC(S) Workers Ccmpensanon Imnenete mesa be eompMNd all atiornitted lM this application.Faille to pfewde tnk aladeett will result in tie denial of the issuance.oftro ding pem4L -Signed Affidavit Attached Yes No 0 Version l.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 8.1 Registered Architect: Not Applicable 0 Name(Registrant): Registration Number Address .............. Expiration Date Signature Telephone 9.2 Registered Professional Englneer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibitty Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone _ Expiration Date 9.3 General Contractor Not Applicable❑ Company Name: Responsible In Charge of Construction Address Signature Telephone CERTIFICATEOF INSURANCE CERTIFICATE NUMBER 196700 PRODUCER THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATWI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER TIAN THOSE PROVIDED IN THE POLICY.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Marsh,Inc. POLICIES DESCRIBED HEREIN. 1166 Avenue of the Americas New York,NY 10036 COMPANIES AFFORDING COVERAGE _ Telephone 4212)345-5000 COMPANY A: Al South Insurance Co. INSURED COMPANY B: American Home Assurance Co- SimplexGnnnell,LP ,COMPANY C: Illinois National Insurance Co. 80 CLARK DR,UNIT 50 EAST BERLIN,CT 6023 United States COMPANY D: Insurance Company of the Slate of PA COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRMENTS,TERM ORCONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFCATE MAY SE ISSUED OR WO PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THETERMS.ERMS.CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. CO I TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION lWIT5 LIP; GATE jravoveY) DATE 00001)YYl B GENERAL LIABILITY RMGL5473558 10/1/2004 ,10/1/2005 GENERAL GGRE"A� 215.000000.00 X COMMERCIAL GENERAL UA9RrrY PRODUCTS COMP/OPAGG 215,000,00000 CLAIMS MADE IX I OCCUR PERSONALSADVIN.IURY $7,500,000.00 • OWNER-SE CONTRACTORS MGR EACH OCCURRENCE $7,500,000.00 FIRE DAMAGE(Any One fire) $1,000,000.00 MED EXP(Any me((esan $10,000.00 B AUTOMOBILEUABIUTY RMCA1656703(TX) 10/1/2004 1D/1/2005 COMBINED SINGLE LIMIT $7,500,000.00 B X ANY AUTO RMCA1656702(AOS) 10/1/2004 1011/2005 S - RMCA1656704(MA) 1011/2004 10/1/2005 ALLOWED soo ((WRYy((WRY(Pas person) B RMCA1656705(VA) '10/1/2004 10/1/2005 SCHEDULED ADIOS ,. X HIREDAUTOS -BOUGH WERT(Pe,=Own) X NON-OWNED AUTOS PROPERTY DAMAGE I PROPERTY EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTNEIRTHAX UMBRELLA FORM B i WORKERS COMPENSATION AND SEE PAGE TWO SEE PAGE TWO SEE PAGE TWO `X cosiATIJTO --¢F E EMPLOYERS LIABILITY — EL EACH ACCIDENT 52_000000.00 reiE FPOPIxIETow -_�.. C PARTNERSIExECVTIVE INCL EL DISEASE-POLICY LIMIT $2000,0110.00 A OFFICERS ARE EXCL EL DISEASE-EACH EMPLOYEIJ $2.000,00000 'OTHER .��..._.... 111 I D ESCRIPTION OF OPERATIONSIWCATONSNEHICLESISPEC WL RENTS Please see page 2 for additional insureds and any additional language. CERTIFICATE HOLDER CANCELLATION Linda Manor Extended Care Facility INSURER AFFOOOIG DWCLR WILL NDEAVORRTOM AAiL 30 DAYS+mvies NOTiil TOINECSannfwTEHirOTLDER 349 Haydenvi[e Road wNCD tee.101 AALWU TO M&t SUCH NO SN.LL IMPOSE NOCdNTIONOR tPaaTYOr ANY Kn'DtwR Leeds,MA 01053 THE INSURER ArVORINNG cuvEPAOE.IrsACEHTS OB REPREsemATlvEs,Of THE Is5UFROFTHIS CFAIPIr re. MARSH USA INC.BY: �A Larry Giam[alvry Casualty Program ET4MM'Al•r++G.Q". 11M1(3/02) VALID AS OF:412W2005 • ADDITIONAL INFORMATION CERTF:LATE NUMBER 196]00 PRODUCER COMPANIES AFFORDING COVERAGE _-COMPANY E: National Union Fire Insurance Co. Marsh,he 1166 Avenue of the Americas New York,NY 10036 Telephone(212)345-5000 COMPANY F. Now York Marine&General Insurance Co.(Lead) MSUREO _ COMPANY G: Noetic Specialty insurance Company SimplexGrinnell,LP 81)CLARK DR,UNIT 50 .. EAST BERLIN,CT 6023 'COMPANY H: White Mountain Insurance Co. United States TEXT WORKERS COMPENSATION POLICIES Car zier Policy Number Eff. Date Exp. Date State (B) American Home Assurance Co. RMWC5E9S7B6 10/1/2004 10/1/2005 CA 1E1 National Union Fire Insurance Co. PMWC$898787 10/1/2004 10/1/2005 NV, OR ID) Insurance Company of the State of PA RMWC589B788 10/1/2004 10/1/2005 AR, FL, MA, TN, VA (C) Illinois National Insurance Co. R W(45898789 10/1/2004 10/1/2005 IL, MI (C) Illinois National Insurance Co. RMWC5898790 10/1/2004 10/1/2005 NY, WI (A) Al South Insurance Co. RMWC5896791 E0/1/2004 10/1/2005 GA (Ai American Home Assurance Co. RMWC5898792 10/1/2004 10/1/2005 All Other States LIABILITY PROGRAM Certificate holder isadded as an additional insured for General Liability, but only to the extent of the Named insured's negligence Additional Insureds: Linda Manor Extended Care Facility Project: Linda Manor Extended Care Facility It there is a question regarding this certificate please contact Nancy Fernance (Email: nfernance@tycoint.corn Phone: 860-43B-321.3) CERTIFICATE HOLDER Linda Manor Extended Care Facility 349 Heydenv0e Road Leeds.MA 01053 NAME; 1-indc., Yflo nor SIMPLEXGRINNELL ADDRESS: 3.49 fy ; Ila Rd, !.-seas mak. FILTER SIZE: X PHONE: V//3 - 514 - 7700 k-act DUCT SIZE: /L ' X /�' ��' CONTACT: Mc�f ta�lor ecoDs¢e: 13 xze, 2D I 1 1D y P 2 N H I0 NdWs �IR 111•1 lig ..__1IrI ■ EQUIP.TYPE 31/xty 11 .31-6(28 ' .ddL.. Qcn,C EQUIP. OD. L X W EQUIP.ID. L X W COMMENTS: ktN/C1cc f! !64.. k .�d� Ha2z5 cnsvN VE o '" +, WIG VL3ao ? t-LI...Ai }�CL `3oo Luta ELEC?RC Y/q t,c n C i$ R �. SYSTEM C 04/18/2005 03:42 413-586-8136 LINDA MANOR ECF PAGE 02 ,JGI.0 .,. 'es, •r. . 0 ticl ft / % - /" ' " gpterSlLP pre e F// .7" �/I 3- 52 7_ /o Easta.R°`,Met oroxs USA SicuH+H1' Ta leeaµae.aaao Rol(0340)430.3230 Sfrapkimeenil PROPOSAL AND CONTRACT Stnplex annell Gordnad Salea.rlan: Dale: Michael WIMns 4112/05 • imams To: Job Location Lida Manor Erna 340 Hsy milia Rd. LAS MA, Asn:Met Taylor COaCrrair PO a Srnp1©cOtmnery for and in mon of the prices herein named, proposes to furnish the warn at marital; hninalfer described, adject to the Damns odaned below; SCOPE OF WOOS: _ Me is our PVasi m rename mastic IOOde do Maim and recess an a Parodical PCL 3 melon U.Ls00 1.,k) .C' 'velem.System ail include 1-3 salon modem indultamcemoonetla to nem minuet hood.ai Jun enmen L an0 amalorces per our Ide[anetallon otNFPA OS&1tiottnellamminufectiamlan rolroMd. PLEASE SEE ATTACPIW ADDENDUM fur M monad Sap f/ INS OF nu Aal®6RAR SCT 100 ter ao Con CI 0 Time atl Mapxiel 0 Pate Natty Eager)i 0 Res Print CRS_ aBODIT:$NET30 ON aqp DUG 3100 as Aaei0 WM. Obtoror o C MDIT CARDS summon t» Ne.en Call Card: aSwiAMlMOTCE fO CUSTOMER A. Ter m.New S, L..a in Winn enr•en S imin tam w,i -..eteata.r Fd Romoss.mar, .guar Na,I,Sam Re O.nIllr alae*Inn. Run In 0. S—win.I nmr.e en•Tn OR b^n'In In a.awin elms Owl Saw all V.T.rr ninon OR T.End nun WS rd no rhw•alaa Pone Fay. e u4W1 u.wrr ti r aft ben.Ms Rolla, a Carr ON n abertrr rim left ars deo.a r.r OS Ar...l. e N.FIOrnrr. -...I. eMb Wa..rMan.r...aw.plea ma see aN..as in In nova slam alwimadvidMI 10 fi?la dap eltefr kin OS el VA now mime bb Pr•t•..mink Ma.�r,Wgd.l Ini ear-n S nein In seer e.la.r rd•f leas sear ono ern...ra M.nwL IMw IN pain.lmos mail NS nnis son or an in sal con-o. lona Aran, C. haul*en inrimaTiorBY alSOVarONrinaorka cur es Om.mTm makee.aruler aeaq.l r.r arlr.a.r.+lMr brdila long al ionlib.as O. OWICRIE R FORM TINT M.ta>ml an 4MmJM FOR PERIOD/ WIRY. DRAIN nr 'Far( Ow WEM1R Alan N OOIIIRICT.TORT.Tfl MGT Let OR°DEng Int CT RAC O TE ar1frlT Fly NT dR MOW SCNLVe!RTE PRIOR FOR NK OLOndNLaen ORFRIEFE TIE Tea Air ann.Maws RISCO/RCVS O.rO�NTRE a .a.,MNlR.TO Into teal- arflgSN OR, V'iTNT aln Dai0aN L 51 1 CT h WE FON NN Wen,eeNaaT,..IO.RK OR aol¢aserrar Wenn OR Na! EOOae VlY Inn,O'IIF X00 N0 TNT TIE OiTOp) Ina NOD iarleaaweal linI flT�A r ...a,. 1WO REIRTRO TOME tonna Min TO,MSIAN THE CYMR1r at TO WOO Re/N NelOTAA PALM TO bngM1�9R TB AGNEENOnt c Tlee eata.prr svlewre OF TM AORIMI R PAGE nip Teri TBR.N0 COIOfrOS ON Ta MEM 6 lir A ARMOCD OBER arid btop mlplrb seat Wow"le prim J.I . y.Y. . ng aef�r./_ la�Ilb.b r+il.units mi NWinos MI 6.neer.san mrsee dal baul aiNanse iaorni .M.nl main NS ar..al t ern•49kito �� / eI: No! M hn MEM Tea 41/1 Tee peopremae Alrear too/d00 XYd TL:OL W0eZ/z1/1O 04/18/2005 03:42 413-586-0136 LINDA MANOR ECF PAGE 01 f N. Linda Manor Extended Care Facility ;1 BERKSHIRE HEALTH SYSTEMS 349 Raydenville Road Lords, MA 01053 (413)588-7700 fax Cover Skeet c/ Date: /-/t-a5r From: fl/ERT TAYLatz Dept.: vnimI T• �i Fax #: (413) 586-8137 / � _ zid ................................................................. mmmmm ings, e To: Y tits wilklMs Company: S/hiPJte - GR1NNE/ I Fax # RW - tI3Ss-- 3 .2 5-9 Number of pages transmitted Including cover sheet a Message: - • to T� j CONFIDENTIALITY NOTICE The information on this facsimile contains confidential Information,belonging to the sender,that is legally phvBeged. This Information Is intended only for the use of the Individual or entity named above. The authorized recipient of this information is prohibitedfrom disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of this document Is strictly prohibited If you have received this facsimile in error, please notify the sender immediately to arrange for return of Oils document � Illb � r�. REQUEST FOR SERVICE f1 (pH Date 3/18/2005 Technician Dan Customer Name Linda Manor Extended Care Facility Service Location Address 349 Haydenvllle Road City Leeds, MA Phone # 413-588-7700 x 24 Contact Name Men Taylor PO N SR N ft Problem Details Survey fo Kitchen Hood Upgrade to UL 300 Taken By Jayne • Huebner, Jayne From: Maserati, Melanie Sent: Wednesday, March 16, 2005 12:07 PM To: Wilkins, Michael(Hartford) Cc: Ezold, Todd; Huebner, Jayne Subject: Needed Items Importance: High Hi Mike! Just following up on my voice messages to you! ` Berkshire Medical Center I needs a hood inspection for their 2 East Rehab Hood. For what r ver reason I was never told that this existed! I j I Cr need to get them a letter of intent for the inspection date by this afternoon, so if you could , have Jayne schedule and get me the date that would be � � awesome! 1 i A' - Also Linda Manor Extended Care Facility in Leeds,needs a quote for upgrading the Kitchen/ Hood to UL 300. They are required to get three numbers n so please sharpen your pencil on this if possible. This facility is located at 349 Haydenville � ' Road in Leeds aka small section of Northampton). You will need to to Meet Ta for at 413-586-7700 x 24 to schedule a visit. ey are looking to r6z, have the work .one in April so the is somet mg i -, / well. a o � °u Sorry for the rush on this stuff! I ® r a Has Kimball Hospital in Lenoxn gotten their quote? / Has Fairview Hospital been scheduled? Thanks for you help! C :KeIanie 71 3" Northampton Fire Department Memorandum To: Tony Patillo From: Duane Nichols0� MAY ^ 3 Date: April 29, 2005 CC: Brian Duggan °N Re: 349 Haydenville Rd, Linda Manor Secondary to a review of the plans and fire protection narrative submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • A puff test will need to be performed upon completion of the job. • The suppression system is tied into the fire alarm system and is on its own zone. •Page 1