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23B-030 (9) 11 HATFIELD ST-DIAL SELF BP-2019-1422 cls#: COMMONWEALTH OF MASSACHUSETTS MamBlock:23B-030 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv:SPRINKLER SYSTEM BUILDING PERMIT Permit# BP-2019-1422 Protect# JS-2018-002396 Est.Cost:$19560.(q Fee:$129.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: FIRE SERVICE GROUP LLC 145974 Lot size(so. It.): 5793.48 Owner: RINGWOODPHILLIP Zoning: URB000)/ Applicant. FIRE SERVICE GROUP LLC AT: 11 HATFIELD ST- DIAL SELF Applican(Address: Phone: Insurance: PO BOX 1244 WC BELCHERTOW NMA01007 ISSUED ON:7/8/1019 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL 13R FIRE SPRINKLER SYSTEM NOTE : NFPA 13R 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: FeeTyne: Date Paid: Amount: Building 7/8/20190:00:00 $129.50 212 Main Street, Phone(413)597-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner File N BP-2019-1422 APPLICANT/CONTACT PERSON FIRE SERVICE GROUP LLC IAeL� ADDRESS/PHONE PO BOX 1244 BELCHERTOWN PROPERTY LOCATION 1 I HATFIELD ST-DIAL SELF fy�.\� MAP23BPARCEL030001 ZONE URB(100)/ _/ IY J� THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSF,)� REQUIRED DATE ZONING FORM FILLED OUT �V Fee Paid Building Permit Filled out Fee Paid TvneofConstruction: INSTALL I3R FIRE SPRINKLER SYSTEM AIM = N FFA 1 yMfirt New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 145974 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: _Approved_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 Commission Permit DPW Slorm Water Management Demolition Delay Signature&f Building Date Note: Issuance of 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. I Verstonl.7 Commercial Building Permit Slav 15,2000 Department use only City of Northampton Status o Per G E I V E D Building Department Curb Cu Driv - 212 Main Street Sewer/S ptic vailability Room 100 Water uAv ilabi Northampton, MA 01060 Two Set of St uctural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plan Others cifyDEPT OF BUILDING INSPECTIONS —NBn8iA41PTON,MA0I060 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHERTHAN AONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Properly Address This section to be com feted by office: - I I Hatfield Street Map J� 3� Let Q Unit Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: F-_..___. Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized Anent: See signed contract Keiter Builders Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official 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 qq 4. Mechanical(HVAC) """ 9 1Z(1 SO 5. Fire Protection $I$560.00 6. Total=(1 +2+3+4+5) Check Number 1 4157 This Section For Official Use Only Building Permit Number Date Issued Signature: Building CommiddionerMspector of Buildings Date �w OF .:WldL_ x,11 al C:aN 01 bn�,'� -,r JAO� 1 ��m Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition Repairs Additions ❑ Accessory Building❑ Exterlor Alteration ❑ Existing Ground Sign New Signs❑ Roofing❑ Changeof Use❑ Other[] nstall a 13R Fire sprinkler system throughout the newly constructed building. Brief Description Fi Of Proposed Work: SECTION 6-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly1:1A-1 ❑ A-2 11A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H Hiah Hazard ❑ 3A ❑ 1 Institutional ❑ 1.1 ❑ 1-2 ❑ IJ ❑ 3B M Mercantile ❑ 4 ❑ R Residential ❑+ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 58 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: :N/A Proposed Use Group: Existing Hazard Index 780 CMR 34) Proposed Hazard Index 780 CMR 34): __v) SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) _ n 2. LL�... 2�e ... 4'h Total Area(sf) Total Proposed New Construction(sft _ Total Height(ft) — Total Height it _...__. 7.Water Supply(M.G.L.c.40,§64) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑i Private 11 Zone „] Outside Flood Zone[] Municipal On site disposal system[] Versionl.7 Commercial Building Permit May 15,2000 S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column w be filled in by Building Department Lot Sin Frontage Setbacks Front Side L:_.. R: L: - R: Rear Building Height Bldg.Square Footage % Open Space Footage % (Int area minus Ndg&pave mkin N of Puking Spaces Fill: wlume&IaOtion -- A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW 0 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 Pagel and/or Document A L B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW (F) 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 O 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. Will the construction activity disturb(Gearing,grading,excavation,or filling)over t acre or is it part of a common plan that will disturb over 1 am? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 760 CMR 116(CONTAINING MORE THAN 36,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Atltlress Registration Number Signature Tolophome Expiration Date 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 Responsibility Atltlress Registration Number Signature Telephone Expiration Date 9.3 General Contractor Keller Builders Not Applicable ❑ Company Name'. Alex Lunt Responsible In Charge of Construction 35 Main Street Florence MA Address (413)320-6506 Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10.STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O Na SECTION II -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMR See signed contract as Owner of the subject property `I hereby authorize Fire Service Group act on my behalf, in all matters relative to work authorized by this building permit application. Signature of tamer Date Keiter Builders see signed contract ,as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the beat of my knowledge and belief. Signed under the pains and penalties of perlury. Print Name Signature of Owner/Agent Dale SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder Daniel P Belanger 11 SC-145974 License Number 1010 Thorndike St Palmer MA 07/04/2020 Address Expiration Date (413) 668-9100 Signature Telephone SECTION 12-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e.162,§26C(S)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yea Q No 0 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal /facility, as defined by MGL c 1111, S�,1150A. Address of the work: %/ l>wa>�40tat S+arc1 / Q ArXi 4,4 The debris will be transported by: tiu SPr idcQ 60w� The debris will be received by: ;'in/ S eru e 6jgj Building permit number: / Name of Permit Applicantlr�P�t^� �v /3 Date Signature of Pero, er pplicant i �\ The Commonwealth ofMassachuseNs Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-1017 www.massgov/dia WWorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Basinces/OrgniratioNlndividual):Fire Service Group Address:1010 Thorndike Street City/State/Zip:Palmer MA Phone#:413-888-9100 Are roan employert Clara Be supwpAte nos: Type of project(required): I. J❑l am semployer with 38 employ«s(fullanNmpan-time)' 7. ❑New construction 3❑lemasae proprmhom peneship and heves.employees working fm me in 8. Remodeling my resaway.[No woken comp.inwmnce saquina.l 1. ❑Building rown 3T11 am a homer doing all wok myself,IN.woken'mmp.insurance required.]' 4.❑1 am a h ssumvi Brand will be hiring convectors to mndue all work on my property. 1 will 10❑Building addition ensure then all contractors either have workers compensation insurance mere vole I1.❑Electrical repairs or additions students wish an employees. 12.E]plumbing repairs or additions s❑lamagenemlcont...ne and l have hired the sub-contramos listed an the attached start. 13.�Roofrepairs; These sub-contractors have employees and have workeri comur p.irvancea 6.❑We art awtpomion and its officers hrveexertised their right.feon per MGL c. 14.❑,r Other Fire Protection 153.SI(4),and we Nve no ernployea.Mo woken'comp.inwrance tt rem quired.] 'Any applicant that checks box dl must else fill out the section below showing their workers'compensation polity infor ation. s Homeowners who submit this affidavit indicating Noy arc doing all work and then hire outside contractors must submit a new andevit indicating,ti it :Contractors that check this box must attached an additional sheet showing the rams of the sub-convomors and state whether or not those entities have emplocecs If Ne sub<onlncmrS M1ave employes.Nov must pmoide their worken'comp.polity number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name:Bell&Hudson Ins Agency Policy#or Self-ins.Lic.#:FIWC916481 Expiration Date:9-1-2019 Job Site Address.11 Hatfield Street City/State/Zip:Northampton MA Attach a copy of the workers'compensation polity declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up In 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office oflnvestigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that fire information provided above is true and correct. Signature, Date Ph...4:413-668-9100 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of deceased employer,or the receivm or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)murals),address(es)and phone number(s)along with their cenifrcate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernit/liceme number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Departments address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-7274900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia IWOUlq► 1 Contract ManBs g'Inc- 18-032-011 Fbraop Afaasu'l,ue Protect:18.032-DIAL I SELF Phone.(413)5 elt+ap62 11 HeMeld Street fa'.'(413 pa 8600 Northampton,Messachuseoe 01060 00(24 Fire Service Group Dial Self DATE CREATED: 05/1412019 CONTRACT COMPANY: Fire Service Group CREATED BY: Alex Lunt(Keifer Builders,Inc.) 1010 Thorndike Street 35 Main Street Palmer,Massachusetts 01069 Florence,Massachusetts 01062 Phone:(413)668-9100 Fox:(413)213-6561' CONTRACT STATUS: Approved EXECUTED: No START DATE: 05!232019 ESTIMATED COMPLETION DATE: SIGNED CONTRACT RECEIVED DATE: ACTUAL COMPLETION DATE: DEFAULT RETAINAGE: 0.0% DESCRIPTION: Subcontractor shall provide ail labor and materials to complete the work in accordance with. 1. Subcontractor's Proposal dated 4.12.19(affected) 2. Drawings:Diel See Rev 2(attached) 3. Specifications launched) If epplicWle,Subcontractor shall provide submittals required for performance of the work including shop drawings,product data,andlor samples Start date and completion dale to ba,coordinated with Keller Builders,Inc.Project Manager Subcontractor shall cleanup work area of tools,equipment.debris,and materials on a daily basis Subcontractor shell sblde by all Smits College standerCs Please Wife this is a Iex-axampt project,sales tax shall be excluded Subcontractor shall submit invoicing by the 25th day of each month for work completed or expected to be completed through the end of the month;failure by the Subcontractor to meet this requirement will relieve Keifer Builders,Inc of any financial obllgatidns for payment union the next payment period;provided that an Invoice is received by the Subcontractor by the 25th day of oro month,Kilter Stations,Inc.shall make payment to the Subcontractor within tory(40)days M recelpt of the invoke Final payment shell be made to me Subconlfector within thirty(30)days of when the following have occurred'. 1. Subcontractor has completed the Wed including,bud not limited to,all punch list tem; 2. A final Invoice end/or CertMcate of Payment hes been issued by the Subcontractor 3. Subcontractor has provided as-buil drawings,operations and maintenance manuals,and a warranty 4. Keller Builders,Ina has minewd final payment from the Omer Militarist Terms and Conditions noted below INCLUSIONS: -FSG 04.12.19 proposal -Bill 00.07.19 -Drawings 04.07.19 -Rough work scheduled to start in the month of May -Contractor is responsible for submitting on all products -Contractor responsible for dally during of all genereted waist and trash -Contractor responsible far Installation of all required fire blocking and or caulking rotated to there Installed product -Contractor reepomlble for the protection of ail torn,fixtures,equipment,and finish until projacl completion.OC is not responsible for items left on site that aro damaged or missing. -Contractor Is responsible for creating a 08M document for the owner Page 1 of 2 Printed On.0511512019 02:42 PM w commonvienrtn of MaisaChuaetta Ury H�on'ri Vrpb9 grOnnI LKNISWe ,klnr,;pnlfdClOr SC14594E;p fres. 0710412020 DANIEL P BELANGER II 1010T PALMER MA KEMA INE STREET Commissioner L�'� Firla saruice Group Fire Protection Testing&Maintenance Provider 1010 Thorndike St Palmer, MA 01069 MA License a SC 145974 PO Box 1244 Belchertown, MA 01007 CT License#FRP 0041132-Ft February 22, 2019 1 Daniel P Belanger II have authorized Fire Service Group employee Eric Hockenberry to use my license numbers CT# FRP 0041132-F1 and MA#SC 145974 for permit applications and conducting business on behalf Fire Service Group. Thank You, Daniel P Belanger II General Manager Fire Service Group 413-668-9100 1-888-279-8590•Tel: 413-668-9100•Fax: 413-213-6567 www.FrlrsQ3QrsulCQ6r%cuP.com COMI NP s A !?ROM CERTIFICATE OF LIABILITY INSURANCE oArenMmGmrrl osne2wa TMS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYAMENO,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEt W EEN THE ISSUING INSURER(s),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the eeN1pate holder is en ADDITIONAL INSURED,the POIgY(I s)must hew ADDITIONAL INSURED pmvIelons or N endorsed. If SUBROGATION IS WAIVED,subject to the terms and condblons of the poky,ceNsln policies my nculn an eAdm.m.nL Asbtement on this ceMRUM does net center rights to the ceMfkalo holder In Ilan of such endonomenl(s). rlrcwm ChMEQ VAllln.CISR Este BBII&Huug,lAAw Qe A9enry Irmu, (113)OP M ION.MMn SVeu ACgg an01n®OHNndnudmn omn IMURERBAFFORmNeCOKMOE N.M. Belchartaxn MA 01007 INMAOA: Evenft Moamar,lQumnw Co. .N.M ..N.M s: SONty lMelnllry SSUE I.SeMw Gawp.LLC I'Muntc: MWUAPD Iwursma W. 1D10 TINO"A.SbaH Ixeueq p: NMAe: Fannie, 1st 010!9 IxNRN r, COVERAGES CERTIFICATE NUMBER: MASTERI&19 REVISION NUMBER: THIS Al TO CERTIFY TSATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MMEDASOVE FORTHE POLICY PERIOD WDICAMID. NDTWIf VWDINGANYREDUREMEWTERMORCMDMCNOFANYCONTMCTOROTMDOCIMRMWNRESPECTTOWMCHTNIS CMnF MMAYBEISSUEDORMAYPERTAIN.TXEINSURANCEMFMMBYIMEPCUCIESDESCRIBEDHEREINISSUBJECTMAUT ETERMS. E%CLUSgXSINDCONDm0115OFSDCX POLM,R:S.UM SHDWNFMYWWMENRE000ETBYPAIDCWM5. 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Key Qme aMs.RMry amen xork. Mam r.Davie Bebngm,is eaduded rmm tlm wmMew.Ortme0a0aa co.Mege. REDUI SNI,11 Ha18Nd Street NGMumplon.MA 01060 CERTIFICATE HOLDER CANCELLATION 3MUMANY OF MEABWE DESCRIBED MUCIES BE CANCELLED BEFORE THE!DAMNATION DATE TIMEM.NOTICE WILLSE DELIVERED IN Keher Bu0hen,Inc ACCORDANCE WITH THE POLICY MOWOnNS. 35 Mau,Ernst AUMOR=RAMYXr�Arot/JAi 41,( F. M4 0106E / 14,?9. O 1980-2016 ACORD CORPORATION. All rights memo& ACORD 28(2016103) The ACORD name and logo are"Istared no rb of ACORO Hydraulic calculations using HydraCALC _ OF 4% 3 F 3 VIOLA � FIRE SERVICE GROUP LLC RIf PI'MT10N o 1010 THORNOIKE STREET go_.15815 PALMER, MA. 01069 ors* 413-668-9100 y. S C 10/9 Job Name NORTHAMPTON TEEN HOUSING AREA#2 Drawing FP 2 OF 2 Location 11 HATFIELD STREET, NORTHAMPTON, MA. Remote Area AREA#2 Contract 19-0187 Data File NORTHAMPTON TEEN HOUSING AREA#2.WXF computer Programs by Hyoratec Inc. Revision: 50.53.5 FIRE SERVICE GROUP LLC Page 1 NORTHAMPTON TEEN HOUSING AREA#2 Date 6/5119 HYDRAULIC CALCULATIONS for Projectname: NORTHAMPTON TEEN HOUSING AREA#2 Location: 11 HATFIELD STREET, NORTHAMPTON, MA. Drawing no: FP 2 OF 2 Date: 615/19 Design Remote area number. AREA#2 Remote area location: FIRST FLOOR SLOPED CEILING AREA Occupancy clasatacatlon: RESIDENTIAL APARTMENTS Density: .05-GpmlSgFt Arse of application: 4 RES SPKRS-SgFt Coverage per sprinkler, 260-SgFt Type of sprinklers calculated.- RESIDENTIAL PENDENTS No. of sprinklers calculated. 4 In-rack demand: N/A-GPM Hose streams: 100-GPM Total water required(Including hose streams): 154.847-GPM (o) 38.197-Psi Typeofsystem: WET PIPE SPRINKLER SYSTEM Volume of dry orpreaction system: NIA-Gal Water supply Information Data: 6/5/19 Location: LOCUSTSTREET Source: FIRE SERVICE GROUP LLC Name of contractor: FIRE SERVICE GROUP LLC Address: 1010 THORNDIKE STREET/ /PALMER, MA- 01069 Phone number: 413-668-9100 Name of designer: M.TURCOTTE Authority havingJurisdlction: NORTHAMPTON FIRE MARSHAL'S OFFICE Notes:(Include peaking Information orgridded systems hero.) Computer Programs by Hydratec Inc. Revision: 50.53.5 Water Supply Curve C FIRE SERVICE GROUP LLC Page 2 NORTHAMPTON TEEN HOUSING AREA 0 2 Dale 615/19 City Weler SupoM etre Demand: C1-Sklrc 79 D1-E1.1jen 5.630 C2-Residual Pressure: 76 D2-System Flory :54.8`17 C2-ReeiNal Flow 760 D2-System Pressure 38197 How(Demand) :100 D3-System Demand :154947 Salary Margin : 40.615 150 140 130 p 120 R 110 E 100 S 90 C1 S 00 U 70 R 60 E� d2 46 30 20 10 100 200 300 400 500 600 T00 800 900 FLOW(N-1.85) Computer Propama0y HydraNC Inc. Revision: 5050.5 Fittings Used Summary FIRE SERV GROUP LLC Pose 3 NORTNAMPTONTEEN NWSINOANFAa2 DIM, 85/18 FWQ LWW AWIN_Mm _.-. % 1__M 1% 2 SIt a 3% a 6 0 0 10- g___1�__�__Is M _b BY BMMIWBB50100 IUM 2 21 2M 10 E WPA13MYSbMINEIEaw 1 2 2 3 a 5 e 7 B 10 12 11 10 M V H 40 a so 51 0N1FPA13Cee VeM 0 0 0 0 0 1 1 1 1 2 2 3 a 5 5 7 B 10 11 13 N. CPYL WO1 HervelSgm 7 T a I 11 12 13 0 0 0 0 0 0 0 0 0 0 0 0 0. CNC Tn-B,mch 3 3 5 6 a 10 12 15 0 0 a 0 0 0 0 0 a 0 0 0 R- CNCCOwling Tae Nun 1 1 1 1 1 1 2 2 0 0 0 0 a 0 0 0 0 0 0 a 3 NEPA 13 Sinn,shah 0 0 5 7 2 1t 14 1a 12 M 27 32 N 55 W T NFPA 13 W Floc Nm TN 3 a 5 5 a 10 12 15 17 M B M M M W 71 51 91 101 121 Units Summery Demeter Urns Inches Length Units Feet Flow Unite US Gallen.par Minute P...Una. Pounds per Square Inch little:Filling LosmM provides equivalent pye lengths for MIMgs"a of venous diameters. Equivalent ang0ls shown are standard for actual aiamalers of Schad e0 pipe and Cle dom .1120 except as note0 vath-. Th.Mhgs marked with.-s how equivalent length.values suWllW by menuleclurOn Oaaed on sp.drE pipe diameters and CFaclera and they require no adjustment all values for g0ln,,not maIXed with a-will he aqueled In the calculation for CF.ot.of other than 120 end dbmeters other than Schell 40 per NFPA. Lampner Programa ny Hydrate[Inc. RavNion'. 50.53.5 Flow Summary - NFPA FIRE SERVICE GROUP LLC Page 4 NORTHAMPTON TEEN HOUSING AREA#2 Date 6/5119 SUPPLYANALYSIS Nodeat Static Residual Avellable Source Pressure Pressure Flow Pressum Total Demand Required Pressure UO2 79.0 76 760.0 78.842 154.85 38.197 NODE ANALYSIS Pressure Discharge Node Tag Elevation Node Type at Node at Node Notes S0l 13.0 4.9 7.04 13.0 S02 13.0 4.9 7.62 13.53 B01 13.0 13.69 B02 9.0 15.47 RT1 9.0 21.46 RB1 3.0 26.93 RB2 3.0 28.93 RB3 3.0 34.15 R84 0.0 37.22 100.0 U01 0.0 38.04 UO2 0.0 38.2 S03 13.0 4.9 8.03 13.88 SO4 13.0 4.9 8.68 14.44 Computer Programs by Hydratec Inc. Revision: 50.53.5 Final Calculations : Hazen-Williams FIRE SERVICE GROUP LLC Page 5 NORTHAMPTON TEEN HOUSING AREA a 2 Date 6/5/19 Nodal Elevl K Oa Nom Fitting Pipe CFact Pt to or Ftngs Pe •'•'••• Notes •"'•' Node2 Elav2 Fad Ot Act Eqiv Len Total Pf/Ft Pf 801 13 4.90 13.00 1 N 7.0 11.000 150 7.039 to R 1.0 8.000 0.0 S02 13 13.0 1.101 0.0 19.000 0.0306 0.682 Vel= 4.3_8_ S02 13 4.90 13.53 1 4N 28.0 19.000 150 7.621 to O 5.0 33.000 0.0 801 13 26.53 1.1010.0 52.000 0.1148 _5.987 Val• 8.94 801 13 0.0 1.25 R 1.0 3.000 150 13.588 to 0.0 1.000 1.732 B02 9 26.53 ._.1384 , 0_0_4.000 0.03850,148_. Val- 5.58 802 9 28.32 1.25 R 1.0 20.000 150 15.468 to O 6.0 23.000 0.0 RTI 9 54.85 1.394 2N 16.0 43.000 0.1394 _ 6.994 Vel- 11.53 RTI 9 0.0 1.25 S 7.0 6.000 120 21.480 to 0.0 7.000 2.599 RS1 3 54.85 1.38 0.0 13.000 0.2212_ 2.875 Val= 11.77 R81 3 0.0 1.25 Sall 2.0 4.000 120 28.934 to E 3.0 5.000 0.0 RB2 3 SIAS 1.38 _ 0.0 _ 9.000 0.2213 _1.1182 Vel= 11.77 R82 3 0.0 1.25 0.0 1.000 120 28.928 to 0.0 0.0 5.000 ••FL1ad Loan=5 Ras 3 64.85 1,38 0.0 1.000 0.2210 0.221 Val= 11.77 RB3 3 --- - 0.0 1.25 Sal 2.0 3.000 120 34.147 - - -- to E 3.0 5.000 1.299 R04 0 64.85 1.36 _ __ 0.0 8.000 0.2212 1.770 Vel= 11.77 R84 0 H100 100.00 4 E 14.534 100.000 140 37.216 to O 2.907 46.508 0.0 Lot 0 __ 154.85 4._1_ _T_ 29.067 146.508 0.005.70.828 Val- 3.76 U01 0 0.0 8 0 4.304 150.000 140 38.044 to T 43.037 47.341 0.0 UO2 0 154.85 6.16 0.0 197.341 0.0008 0.153 Val- 1.67 0.0 UO2 _ _ _ 154.55_ 36.187 K Factor= 25.06 803 13 4.90 13.88 1 N 7.0 11.000 150 8.025 to R 1.0 8.000 0.0 804 13 13.88 1.101 0.0 19.000 0.0346_ 0.658_. Vel= 4.68 SO4 13 4.90 14,44 1 3N 21.0 13.000 150 8.683 to 0 5.0 26.000 1.732 B02 9 28.32 1.101 0.0 39.000_ 0.1205 _ 6.051 Vol- 9.64 0.0 802 20.32 ._...__. -_-_ 15.466 KFactor= 7.20 Computer Programs by Hydratec Inc. Revision: 5053.5 Hydraulic calculations using HydraCALC �\ F. ` FIRE SERVICE GROUP LLC VIOLIN k FIRE PROTECTION 1010 PALMER, MA. IKE010 STREET Na.46515 ER, MA. 01069 q �¢ 413.668-9100 S ' S Job Name : NORTHAMPTON TEEN HOUSING AREA# 1 Drawing FP 2 OF 2 Location 11 HATFIELD STREET, NORTHAMPTON,MA. Remote Area AREA#1 Contract 19.0187 Data Fite NORTHAMPTON TEEN HOUSING AREA#1.WXF Computer Programs by Hydratec Inc. Revision: 50.53.5 FIRE SERVICE GROUP LLC Page 1 NORTHAMPTON TEEN HOUSING AREA#1 Date 615119 HYDRAULIC CALCULATIONS for Projectname: NORTHAMPTON TEEN HOUSING AREA#1 Location: 11 HATFIELD STREET, NORTHAMPTON, MA. Drawing no: FP 2 OF 2 Date: 6/5/19 Design Remote area number AREA#1 Remote area location: SECOND FLOOR APARTMENTS Occupancy classification: RESIDENTIAL APARTMENTS Density: .05-Gpm/SgFt Area of application: 4 RES SPKRS-SgFt Coverage per sprinkler.- 260-SgFt Type of sprinklers calculated: RESIDENTIAL PENDENTS No. of sprinklers calculated: 3 In-mckdemand. NIA-GPM Hose streams: 100-GPM Total water required(Including hose streams): 139.47-GPM 37.31 -Psi Type ofsystem: WET PIPE RESIDENTIAL SPRINKLER SYSTEM Volume of dry orpreaction system: WA-Gal Water supply Information Date: 616/19 Location: LOCUST STREET Source: FIRE SERVICE GROUP LLC Name of contractor: FIRE SERVICE GROUP LLC Address: 1010 THORNDIKE STREET I /PALMER, MA.01069 Phone number. 413.668-9100 Name of designen M,TURCOTTE Authority having)urisdlction: NORTHAMPTON FIRE MARSHAL'S OFFICE Notes:(include peaking information or grldded systems here.) Computer Programa by Hycratec Inc. Revision: 50.53.5 Water Supply Curve C FIRE SERVICE GROUP LLC Peps 2 NORTHAMPTON TEEN HOUSING MEF/1 Dees GISH9 City Water SuPVZ♦ Dem ft C1-Slellc Preuum - T9 Dt-EI.Mim 10.82] C1-ReaMuelPmesum: 76 M-System Flx :MATS C2-ResHW1 Flux 780 M-System Pres . : 37.318 HOee(DemeM) 100 D3-SW.Dement :1 ATS Safety Megin : 11.552 150 140 130 R 120 R 110 E 100 S 90 C1 3 w U 70 p 80 E 80 40 30 M 10 100 200 300 400 S00 800 700 800 900 FILM W^1.85) CompNx Proyme by Hytr Lw. Rs W: 50.53.5 Fittings Used Summary FIRE SERVICE GROUP LLC Page 3 NORTHAMPTON TEEN HOUSING AREA 9 I Dew 6IS119 FMp lesions Abbw. NSM % M. A. l%_ 2 TA_ _33%4_ 5 6 _5 _ 10 12 14_ as IS ,20 2. Bey Bee Mw BBSC100 2.25 2 2.5 325 10 E NFPA 13 so Shrewd EMw 1 2 2 3 4 6 5 7 5 10 12 14 15 22 27 SS 40 45 an et G NFPA 13 Con Nhe 0 0 0 0 0 1 1 1 1 2 2 3 4 5 B 7 B 10 11 13 1 w0M-VC EW 410 0 0 2 3 4 35 0 5 5 7 05 10 13 17 20 23 25 33 35 40 H' Ol C9JF2 He"lSwas 2 2 e B 11 12 13 0 0 0 0 0 0 0 0 0 0 0 0 O' CP Tea-Branch 3 3 5 5 5 10 12 15 0 0 0 0 0 0 0 0 0 0 0 0 R. Ol lCausing Tee-Run 1 1 1 1 1 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 S IFPA 13 Swih CMIX 0 0 5 2 9 11 14 16 19 V 27 32 N 55 55 T WPA 13 W FM tlry Two 3 4 5 6 6 10 12 13 17 LI 25 30 w w 50 71 51 91 101 121 Units Summary Diameter Units Indies Length Unss Fest Flow Unite US Gallons per Minute Pmsaurs Units Powide per Sq.Inch Now:Falling Legend lrwides equivalent pipe lengths forfbirlg5 types d wrtoua rearrests. Ewi.i.t length.an.aro.wndad torsional channel.of Sched 40 pipe and CFadors of 120 exalt es noted with'. The fittings marked wMh a-show equhnlent lengths wlues supplied by manufacturers based on specific pipe oamelers and CFeoors and They require M adjushanl Allselueslmfi0ingarlWmaMedwiwe'wlllbeadjustedlnlM Iwlelion for CFeoore ofope Nen 120 and diameters other than Schad 40 per NFPA CompulerPmgreme by Hydrelec Inc, RayLion: 00.53.5 Flow Summary- NFPA FIRE SERVICE GROUP LLC Page 4 NORTHAMPTON TEEN HOUSING AREA#1 Date 615119 SUPPLY ANALYSIS Node at Static Residual Available Source Pressure Pressure Flow Pressure Total Demand Required Pressure UO2 79.0 76 760.0 78.67 139.48 37.318 NODE ANALYSIS Pressure Discharge Node Tag Elevation Node Type at Node at Node Notes S0l 25.0 4.9 7.04 13.0 A01 25.0 7.53 A02 25.0 7.62 A03 25.0 11.33 A04 9.0 19.78 RTI 9.0 23.88 RB1 3.0 28.04 RB2 3.0 29.13 R83 3.0 34.25 R84 0.0 36.51 100.0 U01 0.0 37.19 UO2 0.0 37.32 S02 25.0 4.9 7.27 13.21 S03 25.0 4.9 7.33 13.27 Computer Programa by Hydratec Inc. Revision: 50.53.5 Final Calculations : Hazen-Williams FIRE SERVICE GROUP LLC Page 5 NORTHAMPTON TEEN HOUSING AREA#1 Date 615/19 Nodal Elev1 K Os Nom Fitting Pipe CFact Pt to or Fings Pe ""'"• Notes Nodal Elav2 Fad of Act Egty Lan Total PI/Ft Pr 501 25 4.90 13.00 1 N 7.0 4.000 150 7.039 to O 5.0 12.000 0.0 A01 25 13.0 1.101 0.0 16.000 0.0306 0.490_ Val- 4.38 A01 25 0.0 1.25 R 1.0 8.000 150 7.629 to 0.0 1.000 0.0 A02 25 130 1.394 0.0 9.000 0.0098 0.068 _ Val= 2.73 A02 25 26.48 1.25 2R 2.0 31.000 150 7.817 to 2N 16.0 18.000 0.0 A03 25 39.48 1.394 0.0 49.000 0.0759 3.717 Vel= 8.30 A03 26 0.0 1.25 N 8.0 12.000 160 11.334 to 0.0 8.000 6.930 A04 9 39.48 _ 1_394_ 0.0 20.000 _ 0.0758 1.517 Vel= 8.30 A04 9 0.0 1.26 4N 320 16.000 150 19.781 to O 6.0 38.000 0.0 RT1 9 39.48 1.394 __ 0.0 54.000 0.0759 _ 4.097 Vel= 8.30 RTI 9 0.0 1.26 S 7.0 6.000 120 23.678 to 0.0 7000 2.599 RB1 3 39.48 _1.38 0.0 13.000 0.1204 1.585 Vol= 8.47 _ RBI 3 0.0 1.25 Ban 2.0 4.000 120 28.042 to E 3.0 6.000 0.0 RB2 3 39.48 1.38 0.0 9.000 0.1204 _ 1.084 Vel• 8.47 RB2 3 0.0 1.26 0.0 1.000^ 120 29.126 to 0.0 0.0 5.000 ••Fixed Lou=6 R133 3 39.48 1.38 0.0 1.000 0.1200 _0.120 Vol- 8.47 R83 3 0.0 1.25 Bell 2.0 3.000 120 34.246 to 1 3.0 5.000 1.299 R84 0 39.48 1.38 0.0 8.000 _ 0.1205 0.964 Vel= 8.47 R84 0 H100 100.00 4 E 14.634 100.000 140 36.509 t0 G 2.907 46.508 0.0 U01 0 139.48 4.1 T 29.067 146.50B 0.0047 0.682 Val= 3.39 U01 0 0.0 8 G 4.304 150.000 140 37.191 to T 43.037 47.341 0.0 UO2 0 139.48 6.16 0.0 197.341 0.0006 0.127 Vel= 1.50 0.0 UO2 139.48 37.318 KFactor- 22.83 802 25 4.90 13.21 1 O S.0 6.000 160 7.269 to 0.0 5.000 0.0 A02 25 13.21 1.101 0.0 11.000 0.0316 _ 0.346 Val- 4.45 0.0 A02 13.21 _ _ 7.617 KFactm- 4.79 _ S03 25 4.90 13.27 1 0 5.0 4.000 150 7.330 to 0.0 5.000 0.0 A02 25 __ 13.27 1.101 0.0 9.000 0.0319 0.287 Val- 4.47 _ 0.0 A02 13.27 7.617 KFadw= 4.81 Computer Programs by Hyoratec Inc. Revision: 50.53.5 NKEITER contract B U I L D E R Sf 18-032-011 EXCLUSIONS: -Dumpaler ATTACHMENTS: FSG 0402.19.and Specs 04 Q7.1 S,pdf Ornwings 04,Q7,10,paf COSTCODE DESCRIPTION TYPE AMO 1 21.1000.Sprinkler Systems FSG Sprinkler System Other 81UNT 0,960.00 Grand Total: E 18,560.00 TERMS AND CONDITIONS Any changes to the scope of work require a Change Order signed by both Keller Builders,Inc.and the Subcontractor before the work Is executed The scope of work described in this Subcontract shall most all standards of Ole Subcontractor Agreement between Keker Builders,Inc.and the Subcontractor Subcontractor.holl transport allwork related debris too npstone Subcontractor shall abide by all OSHA standards Subcontractor shall submit MSDS documentation prior to work Subcontractor shall produce a submitted for all special order materials for approval Payment Tema:Progress Payment Net 30,unless otheedi s noted Final Payment:Subcontractor's final invoice,including any Change Orders,shell be submitted no later than thirty(30)days from Substantial Completion An Invoicing should be emailed to:AccountlOgQKelterBuilder s.cem Kalter Bulldare,Inc. Fire Service Group 35 Main Street 1010 Thomdike Street Florence,Massachusetts 01062 Palmar,Massachusetts 01088 SIGNATURE DATE SIGNATURE ATE "II We Sutconlrsctor doe.W protide.response to this SubCanbetlwMM five(5)buaineet items.It SIM be undentoaN that seat SubwnbM Terms and Conditions are deemed acceptable try bort partes" ®KEITER Contract BUILDERS( 18-032-011 Keder Builders.Inc. Project: 18-032.DIAL I SELF 35 Main Street 11 Hsi Street Florence,Massachusetts 01062 Northampton,Massachusetts 01050 Phone:(413)SM8600 Fax:(413)28M124 Fire Service Group Dial Self DATE CREATED: 05114/2019 CONTRACT COMPANY: Fire Samico Group CREATED BY: Alex Lunt(Keller Builders,Inc.) 1010 Thorndike Street 35 Mein Street Palmer, Massachusetts 01069 Florence,Messech useds 01062 Phone:(413)668.9 00 Fox.(413)213-8567 CONTRACT STATUS: Approved EXECUTED: No START DATE: 05/2312019 ESTIMATED COMPLETION DATE: SIGNED CONTRACT RECEIVED DATE: ACTUAL COMPLETION DATE: DEFAULT RETAINAGE: 0.0% DESCRIPTION: Subcontractor shell provide all labor and materials to complete the work In accordance with: 1. SubmnV dot's Proposal dalad 4.12.19(attached) 2. Drai Diel Sell Rev 2(attached) 3. Specifications(attached) If applicable,Subcontractor shall provide submittals Squired for performance of the work Including shop drawings,product data end/or samples Start data and completlon date to be coordinated With Minor Builders,Inc.Project Manager Subcontractor shall cleanup Work area of tools,equipment,debris,and materiels on a dairy basis Subcontractor shelf abide by all Smith College standards Please note this is a ter-exempt project-sets tax shall be excluded Subcontractor shall submft invoicing by the 25th day of each month for work completed or expected to be completed through the end of the month:failure by the Subcontractor to meet this requirement will relieve Keller Builders,Inc of any financial oblgatlons for payment unBl the next payment period;provided Mat an Invoice Is received by the Subcontractor by the 25th day of the month.Keller Builders,Inc.shell make payment to the Subcontractor within forty(40)days of recelpt of the Invoice Final payment shall be made to the Subcontractor within thirty(30)days of when the following have occurred: 1. Subconirector has completed the Mr,Including,but not limited to,all punch list hems 2. A final Invoice andlor Certificate of Payment hes been Issued by the Subcontrador 3. Subcontractor has provided es-built drawings.operation,and maintenance manuals,and a warranty 4. Kellar Builders,Inc has received final payment from the Owner Additional Terms and Conditions noted below INCLUSIONS: -FSG 04.12.19 propoaal -Specs 04 07A9 -Drawings 04.07.19 -Rough work scheduled to start N the month of May -Contractor is responsible for submitting on all products -Contractor responsible for daily cleaning of all generated waist and trash -Contractor responsible for Installation of all required fire blocking and or caulking related to there Installed product -Contractor responsible for the protection of ell too,fixture,,equipment,and flnleh unfit project completion.GC IS not responsible for Items left on site that ere damaged or missing. -Contractor is responsible for creating a O&M document for the owner Page t of 2 Printed On:05115/2019 02:42 PM ` ti/