31A-035 (28) BP- 022-0839
5 FRANKLIN ST COMMONWEALTH" OF MASSACHUSETTS
Map:Block:Lot:
3 I A-035-00I CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0839 PERMISSIONIS HEREBY GRANTED TO:
Project# 2022 ASSISTED LIVING RENO Contractor: License:
Est. Cost: 43037 FIRE SERVICE GROUP LLC SC145974
Const.Class: Exp.Date:07/04/2024
Use Group: Owner: INC COMMUNITY ENTERPRISES
Lot Size (sq.ft.)
Zoning: URB Applicant: FIRE SERVICE GROUP LLC
Applicant Address Phone: Insurance:
1010THORNDIKE STREET 14136689100 FIWC290917
PALMER, MA 01069
ISSUED ON:07/28/2022
TO PERFORM THE FOLLOWING WORK:
FIRE SPRINKLER 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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: (0114
Fees Paid: $304.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
JUL 1 3 The Commonwealth of Massachusetts
2022r Office of Public Safety and Inspections
Massachusetts State Building Code(780 CMR) •
°T OF GC$ Ap lication for any Building other than a One-or Two-Family Dwelling
n,ru,v,I",.�u.r.,H,
�u,no (This Section For Official Use Only) •
Building Permit Number 2.i '3i Date Applied;' Building Official:
SECTION 1:LOCATION
5 Franklin Street, Northampton, MA 0106
No.and Street City/Town . • Zip Code Name of Building(if applicable)
Assessors Map# Block#and/or Lot #
SECTION 2:.PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building El Repair 0 Alteration Lf Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No 0
Brief Description of Proposed Work Retrofit fire sprinkler system within existing
building being renovated
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
-
Existing Use Group(s): - Proposed Use Group(s):
SECTION 4;'BUtU Nq HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5❑
I: Institutional I-1 0 1-2❑ I-3 0 I-4 0 M: Mercantile O. IL-Residential R-10 R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 13 IB ❑ HA CI IIB ❑ ' IIIA ❑ I1TB ❑ IV 0 VA 0 VB
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal:
Public CI Check if outside Flood Zone in Indicate municipal ISA trench will not be Licensed Disposal Site
required 13 or trench or specify: FSG
Private 0 or indentify Zone: or on site system❑ permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: . MA Historic Commission Review Process:
Not Applicable 13 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 : Ye 'pr.Nq.1P.•: I • • • Yes❑ No 0
SECTION 8:CONTEN7`bF'CEIt'T'IF1CATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?:' '_' ' $p Cial Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
•
Name and Address of Property Owner
Independent Housing Solutions 5 Franklin Street, Northampton,, MA 01060
Name(Print) No.and Street %• ' 'City/Town Zip
Property Owner Contact Information: , .•
,�
Durai Rajasekar 413-57-3776 _ raj@rivervalleyresthome . com
Title Telephone No.(business)( ';: Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Fire Service Group 1010 Thorndike Street, Palmer MA 01069
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑.
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control (the professional coordinating document submittals)
Name(Registrant) Telephone No. a-nail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Fire Service Group, LLC
Company Name
t 1
Daniel P Belanger , SC-145974
Name of Person.Responsible for Construction ., ,.License.NO. and Type if Applicable
Fire Service Group 1010 Thorndike Street, Palmer MA 01069
Street Address - City/Town' State Zip
4136689100 brenna@fireservicegroup . com
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE.AFFIDAVIT(M.G.L c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes 0 No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)=$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ 4 3, 0 3 / . 0 U Enclose check payable to
6.Total Cost S (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurate tot be t of my knowledge and understanding.
Brenna K Hanechak o„ *i t/ _- Assistant Proj . Mgr . 413..6689100 7/1/22
Please print and sign name Title Telephone No. Date
1010 Thorndike Steet, Palmer, MA 01069 brenna@fireservicegroup . com
Street Address City/Town State Zip Email Address
41-1
Municipal Inspector to fill out this section upon application approval: �f�l l itl: 111I�ti 'PI G� e
/
J Name Da
City of Northampton
,. Massachusetts .k� .. 1{.
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building 3f- ,.,';
Northampton, MA 01060 fs'plit ,,,10
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: Fire Service Group Dumpster 1010 Thorndike St Palmer, MA
The debris will be transported by:
Name of Hauler:
•
Signature of Applicant: Date: 10/5/21
r
Fire Sprinkler portion of
Narrative,Report
Tier & Tier 2
5 Franklin Street
Northampton, MA
By
JFV Engineering,LLC. f
10 Chestnut Hill Rd.
South Hadley,MA. 01075
413-575-3596
License 46515
Expires 6/30/2024
Installing Contractor
Fire Service Group, Inc.
MA. Sprinkler Contractors License SC 145974
Expires 7/4/2022
413-668-9100 Phone
413-213-6567 Fax
May 24 2022
40Or AIgss�c
z JOHN F. ti�
c FIRE PROT TION
'' No. 46515 `'
.',. .igirr, ap
60
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FIRE PROTECTION, SYSTEMS.NARATIVE REPORT
BASIS (METHODOLOGY) OF DESIGN
TIER ONE/TIER TWO CONSTRUCTION DOCUMENT
A: Basic of design, Sequence of operations and Testing Criteria
(i.) Residential Apartment Building; Type IIB Construction—Use Group—R3
Type(s) of occupancies—Residential Occupancy Boarding House Non-
Transient with 16 or fewer occupants-'see 780 CMR 310.5
The highest point 28' to roof line above grade.
Two (2) stories above grade and one (1) story below grade.
Approximate usable total square,footage is approximately 7,047 square
feet.
Basement—2,347
First Floor—2,390
Second Floor—2,390
Applicable Laws, Regulations and Standards.
The following codes and'standards apply pply to the design and installation of
sprinkler system and fire alai4n system installations in the subject building:
a. 780 CMR, IBC (201,5) as`adopted and modified by the Massachusetts
State Building Coe (9th edition),3Chapter 9, Fire Protection Systems
b. 527 CMR,NFPA 1 (2015) as.adopted 9d modified by Massachusetts
Comprehensive Fire Safety Code
c. NFPA 13, Standard for the Installation of Sprinkler Systems (2013)
d. NFPA 70,National Electrical code (2020)
e. NFPA 72,National Fire Alarm and Signaling Code (2013)
i I ,
Design Responsibility for the Fire Protection Systems
JFV Engineering, LLC. develops a full system layout, design criteria and calculations and
certifies the system installation for code compliance at completion.
I.ii) Sequence of Operation .i
Fire Alarm System Gei! ar
7 : i:'
a. FACP and Alarm Sequence;,When the FACP receives a signal from a
fire alarm initiating device, and Audible:.and visible alarm signal will
broadcast throughout the building. An alarm signal is transmitted to
the Northampton Fire Department via transmitter and central station
service. Additionally, all supervisory and trouble signals are
=j° I
transmitted to the off-site monitoring service and transmitted to the
owner's contact representative.
b. General Area Smoke Detectors (If Applicable): When smoke detectors
sense smoke, a signal is sent to the FACP, which starts the alarm
sequence
c. Duct Smoke Detectors'`(If Applicable): When duct smoke detectors!
sense smoke, a signal is transmitted to the FACP associated AHU's
shutdown, and the condition is transmitted to the offsite monitoring
station for dissemination' "' '
d. Manual Fire Alarm Pull Box :'When a pull station is manually
activated, a signal is'sent to the FACP, which starts the alarm
sequence.
e. Valve Supervisory Switches: If a sprinkler control valve is improperly
closed, a signal is sent to the FACP. The FACP broadcasts and audible
and visible trouble signal locally at the panel and the condition is
transmitted to the offsite monitoring station for dissemination.
f. Water Flow Switches: Actuatiori of any sprinkler in the building s all
activate the water flow switch hssociated with the activated zone.
signal is sent to the'FACP, whirl 1 starts the alarm sequence.
Wet sprinkler system specific:
System operates automatically upon the fusing of a single fire sprinkler.
Operational Sequence:
Wet System—Alarm Initiation—Water through a single sprinkler head
operates a contact on the wet systenI flow;switch. Closed contact on the
flow switch will provide alarm signal to the FACP and activate the to*al
audible visual alarms. System alarm will be transmitted to Central St.tion
and to the Northampton Fire Department.
Wet System —Supervisory Initiation -Upon closing of control valy ,
tamper switch will initiate supervisory signal to the FACP and activate
supervisory audible signal.' Systeni supervisory signal is transmitted t•
Central Station and to the authorized owner's contact representative.
(.iii) Testing Criteria
{
All tests to be witnessed by Northampton Building Department and Fire Depart ent
which includes hydrostatic pressure testing of the wet 200 psi for 2 hours in accord. ce
with NFPA 13R, 2013.
An existing 6" Underground sprinkler water service will be installed into the existing
basement from Franklin Street.
1. Full forward flow test of the backflow preventer at Highest Sprinkler
demand rate in GPM.
3. 2" main drain test shall be conducted and record static and residual
pressures on the test certificates.
4. System operational and alarm,test on the system from the
inspector's test connection in accordance with NFPA 13, 2013.
5. NFPA 72 "Records(of Cb*ipletion by Fire Alarm Contractor.
6. Central station verification that the alarm and supervisory signals are
appropriately received and transmitted to the Northampton Fire
Department.
Testing Equipment and Tools
Fire Sprinkler Specific:
a. Manufacturer's instructions
b. Approved narrative report, sequence of operations section
c. Flow measuring devices- pitot tube for backflow preventer full forward
flow test
d. Gauges-main riser for 2" drain and hydrostatic testing
e. Fire hose if required to direct backflow flushing
iY }It( ,l ti l�
Fire Alarm Specific:
a. Fire alarm system technician authorized by the manufacturer to
program and test the fire alarm system ,,
b. Fire Alarm system and sprinkler system testing notification
announcements to the occupants of the building if applicable
c. Construction documents and shop drawings
d. Approved sequence of operations. ,
e. Voltage meters
f. Simulated smoke
g. Applicable panel and pull station keys
w I) .4., I
i
1 1
Approval Requirements •
a. Certification from JFV Engineering, LLC stating that the fire
protection sprinkler system,has been installed in accordance with the
approved fire protection construction documents and that he has reviewed
the as-built drawings for conformance to 780 CMR 901.7.4 and has
identified deviations if any, from the approved fire protection construction
documents.
b. Confirmation by the building owner/developer or authorized
representative that they have received the as-built sprinkler system sh
drawings from the installing contractor
c. Material Test, Performance and Completion Certificates, properly
executed by the installing contractor in accordance with the applicable
NFPA Standards'.
d. Satisfactory functional test of all fire protection systems witnessed by e
Building official and the head of the fire department or their designees
e. Fire Service Group is in charge of setting up and conducting the testin: of
the work under their scope. Fire Service Group will provide test
certificates to atithorities'havin `jurisdiction for FSG's scope of work.
ti '
B: Building Site Access
Building site access is from Elm and Franklin Streets.
C: Fire Hydrants Locations &Water supply Info
1.1 There are existing Hydrants on Elm and Franklin Streets accessible for hose
stream allowances and Fire Department operational requirements.
1.2 A Water flow test was conducted on Elm Street on July 21, 2021, which
yielded the following: 90 PSI Static, 80 PSI Residual with 950 GPM flowing. The
existing 6" supply is more than sufficient to adequately support the sprinkler
systems needed for the building.
D: Type/description and design layout of the automatic sprinkler system
1.1 The sprinkler systems shall be a 13R wet system throughout the basemen , 1st,
and 2nd floor levels at .05 GPM over the most remote 4 residential sprinkl rs.
1.2 The NFPA 13R 2013 is allowed by table 903.2 Note a.! - 780 CMR.
Building is under 12,000 square feet.,
1.3 Water supply is an existing 6" service connected to the existing water m 'n in
Franklin Street.
1.4 4" Storz fire department connection provided on new system riser in
accordance with the Northampton Fire Department.
1.5 System demand per hydraulic calculations: 77.77 GPM at 71.06 psi.
t �
E: Automatic sprinkler system control equipment location,
The sprinkler control equipment will be located in one of the existing tenant space within
existing basement. Sprinkler control valves and equipment shall accessible and clearly
marked for the fire department. Access location shall be verified with the Northampton
Fire Department.
F: Type/Description and design layout of the automatic standpipe system
Not Required
G: Standpipe Hose valves
Not Required
H: Fire department connection type and 16catiori
a. A new fire department connection will be located on front of the building facing
Franklin Street. Location shall be approved by the Northampton Fire
Department.
b. The fire department connection will be 4"storz connection per Northampton
Fire Department.
I: Type/Description and design layout of fire protection signaling system
Fire alarm systems and components- audio and vistal'appliances installed throughout in
accordance with NFPA 72 by a MA licensed fire alaiiii contractor.
1.1 The system shall be installed and programmed so upon actuation of an alarm, trouble
or supervisory signal at the fire alarm control unit, a corresponding signal shall be
reported to the supervising station.
1.2 The protected premises will be monitored by a listed central station service in
compliance with NFPA 72.
1.3 The system shall be installed so that it'is complaint with the 2013 edition of the
NFPA 72,National Fire Alarm arid ignali, g code,NFPA 1, ADA, 521 CMR, and
the Mass.Amendments to 2015 iiiternational Building Code.
J: Fireprotection signaling control equipment and remote annunciator location
The Fire Alarm control Panel shall be located in accordance with NFPA 72 and the
Northampton Fire Department. Depending on,the location of the FACP, a remote
annunciator may be required at a location acceptable the Northampton Fire
Department.
K: Type/Description and design layout of the smoke control or exhaust systems
Not Required
;.
L: Smoke control or exhaust systems control equipment location
Not Required
iµ
M: Building Life safety features (auxiliary functions) required to be integrated into fire
protective signaling system.
Not Applicable
N: Type/Description and design'layout of the fire extinguishing systems.
Fire extinguishers are to be provided per NFPA 10 and acceptable the Northam ton
Fire Department.
0: Fire extinguishing systems control location.
Not Applicable
P: Fire Protection System equipment room location
1.1 The fire protection equipment room will be located in Sprinkler riser roonh in
the basement of the building as described above.
1.2 The Fire Alarm control Panel located in accordance with NFPA 72 and the
Northampton Fire Department.
Q: Fire protection systems equipment identification and operation signs
To be provided per NFPA 13 and NFPA 72
R: Fire protection systems alarm/supervisory signal transmission method and location
The fire alarm control panel will transmit all fire alarm system signals to a listed
central station monitoring service in accordance•with NFPA 72, which reports all,
alarm signals to the Northampton lire department. Supervisory signals from tamper
switches will be forwarded to the building owner representative by the central station
monitoring service.
S: Fire Command center location
Not Required
T: Type/description and the location of emergenc'y?alarm systems
Not Required
U: Type/description and the location of any alternative fire suppression system or
protection
Not Required
V: Type/description and the location of any carbon monoxide protection
Not Required
W: Emergency responder radio coverage type/location.
Not Applicable
r;
c i
The Commonwealth.of Massachusetts
-P I Department of Industrial Accidents
1 Congress Street, Suite 100
1/4 x' Boston;'MA 02114-2017
�,. r WWW.mass.goV/dia
Workers'Compensation Insurance Affidavit; Bitilders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Fire Service Group
Address: 1010 Thorndike Street
City/State/Zip: Palmer MA 01069 Phone#: 413-6 6 8-910 0
Are you an employer?Check the appropriate box: • Type of project(required):
1.0 I am a employer with 4 2 employees(full and/or part-time):* 7. 0 New construction
2.0 lam a sole proprietor or partnership and have no employees working for nie in 8. 0 Remodeling
any capacity.[No workers'comp.insurance required.] •
3.0 I am a homeowner doing all work myself.[No workers'comp,insurance required.]
9. 0 Demolition
10 []Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance of are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.0 Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on Ilie attached sheet. 13.❑ROOF repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.0 We are a corporation and its officers have exercised their right ofezemrption per MGL c.
14.2 Other Pi re 4 rink1 Pr
152,*1(4),and we have no employees.[No workers'comp insurtfi(ce required`..] ` '
*Any applicant that checks box#1 must also fill out the section below showing their workers'.compensation policy information.
f Homeowners who submit this affidavit indicating they are doing all work and then hire iiotside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name'of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employee& Below is the policy and job site
information.
Insurance Company Name: AmGaurd
Policy#or Self-ins.Lie.#: F I WC 2 90 917 Expiration Date: 9/1/2 0 2 2
Job Site Address: 5 Franklin St City/State/Zip: Northampton, MA
Attach a copy of the workers'compensation policy 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 to$1,500.00
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 Ito the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si nature: _ Date: 6/30/2022
Phone#: 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#: