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18D-039-001 D'ANGELO COI 10/17/2023 /a�MAMAT � The Commonwealth of Massachusetts - ^°- \5.-_SI 1 �. $� City of Northampton h 4i` f L ‘ ♦ 6 - — New and Renewal Certificate of Inspection "w In accordance to 780 CMR Chapter 1 (The Ninth Edition of the Building Code) and Chapter 110 and the Acts of 2004,to further enhance fire and life safety,this certificate of inspection is issued to the premise or structure or part there as herein identified. Issued to Identify Name of Establishment: Certificate No. D'ANGELO 0038 Located at Identify property address including street number, name city or town and county Certificate Expiration 388 KING ST, Northampton 10/31/2024 18D-039-001 Use Group Classifications Allowable Occupant Load A-2 50 This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features.This certificate shall be framed behind clear glass and/or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Name of Municipal Fire Chief CHIEF ANDY PELIS Building Inspector JONATHAN S. FLAGG Date of Inspection 10/17/2023 c )Signature of Signature of Municipal Municipal Fire Chief Building Inspector Date of Issuance 10/17/2023 90 City of Northampton E6`50 Massachusetts DEPARTMENT OF BUILDING INSPECTIONS I' ! = � 212 Main Street • Municipal Building yeti s • D` Northampton, MA 01060 s. v 30% 1 1 PERIODIC INSPECTIONS DFar 49 3 NORT�Ary nDM/C, hISP PREMISE ADDRESS: OWNER(S) OF RECORD: rk6(1 E J -/I A�ywi� F�.E �� TON p4Ap,o6p/O S OWNERS: ADDRESS: ST: 3 S'g k►A) & TELEPHONE NO: L( / 3 -5 gq 17 Lo NAME ON CERTIFICATE: /JELO EjJ6/A/J3 t ! ;)C C ([S /•Le TYPE OF BUSINESS R 4TA UkAvr USE GROUP: INSPECTION FEE $ /DD 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: fr ) Applicant Title: /. /cieA 5 A /Pi Yrk4Tbr6)J Telephone (J �l (� - 16C1 7 CEN3E -1 OG Ctr Preferred inspection time/date /4/y(, o„ Jimi.fe At tee__ � C-�, \b Comments: Basic Periodic Inspection Checklist Structural Items All structural and associated components(foundation,roof,walls,support members,stairs,sidewalks,etc.)are maintained in a safe and sound condition. Buildings are maintained in compliance with the Massachusetts Board of Fire Prevention Regulations and the Massachusetts State Building Code. Required occupancy separations are provided and maintained. Examples are dwelling unit/corridor,unit/unit, commercial/commercial or residential/commercial separations. Guardrails and handrails are maintained in safe and sound condition.Handrail required for stairs with three or more risers or as required by the Massachusetts State Building Code.Guardrail required for walkway areas with adjacent drop off exceeding 30". Maintenance Items SYSTEM RECORD OF INSPECTION AND TESTING Inspection/Test Start Date/Time:10/1/23 9:36 am Inspection/Test Completion Date/Time: 10/1/23 10:10 am Supplemental Form(s)Attached:❑Yes ❑No 1. PROPERTY INFORMATION Name of property:D'Ancelo Grilled Sandwiches Address:388 North King St..Northampton.MA 01060 Description of property:Restaurant Name of property representative:Jim Proffer Address: Phone:781-983-1572 Fax: E-mail: 2. TESTING AND MONITORING INFORMATION Testing organization:Target Alarm Systems.Inc. Address:795 Homestead Ave..Holyoke.MA 01040 Phone:413-533-0050 Fax:413-532-0752 E-mail:lar9et arm gmeii.com Monitoring organization:Criticom Monitoring Services Address: PO 521769 Longwood.FL 32750 Phone:800-631-2299 Fax: E-mail: Account number: Fl DM14062 Phone line 1:N/A Phone line 2:_N/A___ Means of transmission:Sole Path LTE Cellular Radio Entity to which alarms are retransmitted:NI-IFD Phone:413-587-1100 3. DOCUMENTATION Onsite location of the required record documents and site-specific software: Office 4. DESCRIPTION OF SYSTEM OR SERVICE 4.1 Control Unit Manufacturer:DMP Model number:XR200 4.2 Software Firmware Firmware revision number:112 4.3 System Power 4.3.1 Primary(Main)Power Utility Room Nominal voltage:120 Amps:20 Location: Overcurrent protection type:Breaker Amps:20 Disconnecting means location: Utility Room NFPA 72(p.1 of 4) 0 ©2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact licensing@nfpa.org. SYSTEM RECORD OF INSPECTION AND TESTING (continued) 4. DESCRIPTION OF SYSTEM OR SERVICE (continued) 4.3.2 Secondary Power Utility Room in FACP Type:Battery Location: Battery type(if applicable):Sealed Lead Acid Calculated capacity of batteries to drive the system: In standby mode(hours):24 In alarm mode(minutes):60 5. NOTIFICATIONS MADE PRIOR TO TESTING Monitoring organization Contact:Via Aup Time:9:36 Building management Contact:On Site Time:9:30 Building occupants Contact:None Time: Authority having jurisdiction Contact:NHFD Time:9:30 Other,if required Contact: Time: 6. TESTING RESULTS 6.1 Control Unit and Related Equipment Visual Functional Description Inspection Test Comments Control unit O 0 Lamps/LEDs/LCDs 0 0 Fuses ❑ O Trouble signals El 0 Disconnect switches 0 CI Ground-fault monitoring El El Supervision El Il Local annunciator El I=1 Remote annunciators ❑ ❑ None Remote power panels 0 0 ❑ 0 6.2 Secondary Power Visual Functional Description Inspection Test Comments Battery condition 0 ❑ None Load voltage 0 0 Discharge test 0 0 Charger test 0 0 Remote panel batteries 0 0 NFPA 72(p.2 of 4) ID 0 2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact licensing@nfpa.org. SYSTEM RECORD OF INSPECTION AND TESTING (continued) 6. TESTING RESULTS (continued) 6.3 Alarm and Supervisory Alarm Initiating Device Attach supplementary device test sheets for all initiating devices. 6.4 Notification Appliances Attach supplementary appliance test sheets for all notification appliances. 6.5 Interface Equipment Attach supplementary interface component test sheets for all interface components. Circuit Interface l Signaling Line Circuit Interface /Fire Alarm Control Interface 6.6 Supervising Station Monitoring Description Yes No Time Comments Alarm signal El 0 10:10 Activity Report attached Alarm restoration El 0 Trouble signal Trouble restoration CI 0 Supervisory signal 0 0 Supervisory restoration 0 0 6.7 Public Emergency Alarm Reporting System Description Yes No Time Comments Alarm signal 0 ❑ None Alarm restoration 0 0 Trouble signal ❑ ❑ Trouble restoration 0 0 Supervisory signal 0 0 Supervisory restoration 0 0 NFPA 72(p.3 of 4) El0 2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact licensing@nfpa.org. • SYSTEM RECORD OF INSPECTION AND TESTING (continued) 7. NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring organization Contact:Via App Time:10:10 Building management Contact:On site Time:10:10 Building occupants Contact:None Time: Authority having jurisdiction Contact:11i1E1 Time:10:15 Other,if required Contact: Time: 8. SYSTEM RESTORED TO NORMAL OPERATION Date: 10/01/2023 Time:10:10 9. CERTIFICATION This system as specified herein has beenee inspected and tested according to NFPA 72,2013 edition,Chapter 14. Signed: f-�� •lV • (�` Z�--Printed name:Brian W.O'Connor Date:1010112023_ Organization:Target Alarm Systems,Inc. Title: President Phone:413-530-1792 Qualifications(refer to 10.5.3): MA License C1352 10. DEFECTS OR MALFUNCTIONS NOT CORRECTED AT CONCLUSION OF SYSTEM INSPECTION, TESTING,OR MAINTENANCE None 10.1 Acceptance by Owner or Owner's Representative: The undersigned accepted the test report for the system as specified herein: Signed: Printed name: Date:_ Organization: Title: Phone: NFPA 72(p.4 of 4) ©2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale L'r2 or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use.contact licensing@nfpa.org. NOTIFICATION APPLIANCE SUPPLEMENTARY RECORD OF INSPECTION AND TESTING Inspection/Test Start Date/Time:10/1/23 9:36 Inspection/Test Completion Date/Time:10/1/23 10:10 Number of Supplemental Pages Attached: 1. PROPERTY INFORMATION Name of property:ZAngelo Grilled Sandwiches Address:388 N King St.Northampton.MA 2. NOTIFICATION APPLIANCE TEST RESULTS Appliance Type Location/Identifier Test Results Red Beacon East Exterior Passed Strobe Men's Room Passed Strobe Ladies Room Passed Horn Strobe Kitchen Passed Horn Strobe North Dining Room Passed Horn Strobe South Dining Room Passed NFPA 72(p.1 of 2) 1 ®2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale I:...1 or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact licensing@nfpa.org. INITIATING DEVICE SUPPLEMENTARY RECORD OF INSPECTION AND TESTING Inspection/Test Start Date/Time:10/1/23 9:36 Inspection/Test Completion Date/Time:10/1/23 10:10 Number of Supplemental Pages Attached: 1. PROPERTY INFORMATION Name of property:D'Angelo Grilled Sandwiches Address:388 North King St..Northampton.MA 01060 2. INITIATING DEVICE TEST RESULTS Device Type Address Location Test Results Pull Station 1 North Exit Passed Pull Station 2 East Exit Passed Pull Station 3 Rear Kitchen Exit Passed Heat Detector 4 Kitchen Passed Smoke Detector 500 Utility Room Passed Smoke Detector 501 North Dining Room Passed Smoke Detector 502 East Dining Room Passed NFPA 72(p.1 of 2) El ®2016 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.No other reproduction or transmission in any form permitted without written permission of NFPA.For inquiries or to report unauthorized use,contact licensing@nfpa.org. �= � �r o g... ./ / ` , ,,: - .e rs ; / \ / \ 7 : . 6, CMS :h- Alarm System Monitoring Certificate :/. .. - --. ` �, , i , Issue Date: October 6,2023 `-_- . .., F=1% Certificate Number: 20231006-900387975 _ :{;fTo ` ..::- In Service Date: 6/18/2021 10:53:00 AM _ - .► " ' Alarm Owner Information Installation Company Information 'S • =1.'u% DANGELO GRILLED SANDWICHES TARGET ALARM SYSTEMS :. } ar_v 388 KING ST 795 HOMESTEAD AVENUE __ •''' x�j. GIVE ADDRESS/CITY %:a,• :;/ • w:'=' NORTHAMPTON, MA 01060 HOLYOKE, MA 01040 I �'ti' •` ,� ••• (413)584-9776 (413)533-0050 : *= ; ,.�,.-- ; .,... r : To Whom it May Concern: ti �'�.`. W As of the "In Service Date" listed above the Central Station is monitoring the following AO ``" ' conditions at the premises described under "Alarm Owner Information" on this certificate: -~" itt ..;-- Burglary X Panic/Hold Up Temperature Carbon Monoxide 1----zillvi :5e `;�ti,` - �.• X Fire Medical/Emergency Water Detection Other: `... f" ice' _— r - J•'` �� The alarm monitoringservice provided mayentitle you to a discount on your home owner's _ 1 ' insurance. Send this certificate to your insurance company for the appropriate premium �`- - �;rV;'r ;:; discount. ~ - ;f;'�"'�_ Security Monitoring Services, Inc. d/b/a Criticom Monitoring Services has been inspected and listed with = ".''' `• _•al Underwriters Laboratories, Inc.as a UL listed Central Station. Our Underwriter's Laboratories identification --` �,�} --,;, numbers are: — � ?r .. �_•:•_- _�,r b~_-'c .... � '.ti' +''% Cypress,CA S3072-2 UUFX Longwood, FL S2630-1 UUFX Manasquan, NJ S3072-3 UUFX :`.; .-,�''�- Security Monitoring Services, Inc. d/b/a Criticom Monitoring Services License Numbers: =' ` . rY. u • '• • -,` . AL 604, 1074,837;AR E 02-044;CA ACO 6098; FL EF0000694; IL 127-001359; MD 107-907;OK 1651; _ }• f� V. _ -�;�, TN 558, 1419, 1420, 1421;TX ACR-2860, B-09792;VA 11-2554;WA 602-812-155. ; - � r 1- t V'.x '''; ; !l r l!�,'e� 'Y;'ll 11,'tit t,i 1$1 t.- 111i�f! roldlit i�' ilk 11 ., (t'...�1l'(1'.... ( i r i..11,8ij 1p1 t it lt!t f�� `�t4l 4 ''t i.:'u - ';tom= -__:h , r;r�l ;a 3 . ..;1 ,. t ( 1v:1i1 ; 1 , 1 1 ( �': { 41'. 11 1 ` t, < t 1 _:- k. i ,f 7 1 I ` , ? 1 / S ++ * , 4 k' 1 /1 1 „et.11. s 11 ` s 4 i-tia• j.�•1}:: , '.•t,„ , . '1 r 1 ,t� 1 . ; 1f.• NN '.� A. .1. 1.nkv 1 . 1 . f �j � �1 y" � �1 � tr/ • il► Sti � •us �� 4.�. �'. � i... �i i..1 �i �.� � ♦/ Jai ♦y>A ., +► ♦4y��.. ...,«4 V1 ,ti,A „' `h�4 `� IOW 1ti►1.4'1,��.��►��..r ti�•Q �4,AAtiit3:4•0 1;.4 4:1144.44:_• ♦ 4t , ♦-I�fps ♦ S Location Name: DANGELO GRILLED SANDWICHES Location Address: 388 KING ST Event CS# Zone Event Zone Comment User# User Name Incident# Area Match Raw Operator Date/Time Descripti Signal on 10/01/2023 FLDM14062 CLTEST - Cat: WEB Target 10:10:39 Clear *Test 90676 AM Test 10/01/2023 FLDM14062 R RES499 - *Test zone: 2, 1,DMP- 10:01:35 Restore Zn_Type: S3,r, (2) , AM (LOG) Fire Task:3340 Zn_Desc: FIRE Cellular modem segno: 126 10/01/2023 FLDM14062 S07 20 - *Test Sent via PATH1 1,DMP,S07 10:00:07 Timer CELL , (@L) ,Tas AM Test Path: 01 k:3340 (Primary) 10/01/2023 FLDM14062 02 FIR664 - *Test zone: 2, 1,DMP- 09:59:55 Fire (C) MAIN E/E Zn_Desc: S3,aFI, (2 AM FD-PR-CL PULL STA FIRE ) ,Task:33 Cellular 40 modem segno: 113 10/01/2023 FLDM14062 R RES499 - *Test zone: 9, 1,DMP- 09:58:07 Restore Zn_Type: S3,r, (9) , AM (LOG) Superviso Task:3340 ry Zn_Desc: PROTECTIO N LOOP Cellular modem segno: 112 10/01/2023 FLDM14062 R502 RES499 - *Test zone: 1*,DMP- 09:57:32 Restore 502, S3,r, (502 AM (LOG) Zn_Type: ) ,Task:33 Fire 40 Zn_Desc: FIRE Cellular modem segno: 111 Location Name: DANGELO GRILLED SANDWICHES Location Address: 388 KING ST 10/01/2023 FLDM14062 R501 RES499 - *Test zone: 1*,DMP- 09:57:30 Restore 501, S3,r, (501 AM (LOG) Zn_Type: ) ,Task:33 Fire 40 Zn_Desc: FIRE Cellular modem segno: 110 10/01/2023 FLDM14062 R500 RES499 - *Test zone: 1*,DMP- 09:57:23 Restore 500, S3,r, (500 AM (LOG) Zn_Type: ) ,Task:33 Fire 40 Zn_Desc: FIRE Cellular modem segno: 109 10/01/2023 FLDM14062 R RES499 - *Test zone: 3, 1,DMP- 09:57:23 Restore Zn_Type: S3,r, (3) , AM (LOG) Fire Task:3340 Zn_Desc: FIRE Cellular modem segno: 108 10/01/2023 FLDM14062 R RES499 - *Test zone: 1, 1,DMP- 09:57:19 Restore Zn_Type: S3,r, (1) , AM (LOG) Fire Task:3340 Zn_Desc: FIRE Cellular modem segno: 107 10/01/2023 FLDM14062 09 SUP013 - *Test zone: 9, 1,DMP- 09:56:44 Supry STROBE Zn_Desc: S3,aSV, (9 AM (PR-CL) TROUBLE 0 PROTECTIO ) ,Task:33 Sec N LOOP 40 Cellular modem segno: 106 Location Name: DANGELO GRILLED SANDWICHES Location Address: 388 KING ST 10/01/2023 FLDM14062 03 FIR664 - *Test zone: 3, 1,DMP- 09:55:41 Fire (C) REAR KIT Zn_Desc: S3,aFI, (3 AM FD-PR-CL DR PULL FIRE ) ,Task:33 STA Cellular 40 modem seqno: 105 10/01/2023 FLDM14062 01 FIR664 - *Test N. zone: 1, 1,DMP- 09:54:30 Fire (C) DOOR PULL Zn_Desc: S3,aFI, (1 AM FD-PR-CL STATION FIRE ) ,Task:33 Cellular 40 modem seqno: 104 10/01/2023 FLDM14062 502 FIR664 - *Test E Zn_Desc: 1,DMP- 09:54:27 Fire (C) DINING FIRE S3,aFI,Ta AM FD-PR-CL SMOKE DET Cellular sk:3340 modem seqno: 103 10/01/2023 FLDM14062 501 FIR664 - *Test N Zn_Desc: l,DMP- 09:53:53 Fire (C) DINING FIRE S3,aFI,Ta AM FD-PR-CL SMOKE DET Cellular sk:3340 modem seqno: 102 10/01/2023 FLDM14062 R RES499 - *Test zone: 9, 1,DMP- 09:53:51 Restore Zn_Type: S3,r, (9) , AM (LOG) Superviso Task:3340 ry Zn_Desc: PROTECTIO N LOOP Cellular modem segno: 101 10/01/2023 FLDM14062 500 FIR664 - *Test Zn_Desc: 1,DMP- 09:53:16 Fire (C) UTILITY FIRE S3,aFI,Ta AM FD-PR-CL RM SMK Cellular sk:3340 DET modem seqno: 100 Location Name: DANGELO GRILLED SANDWICHES Location Address: 388 KING ST 10/01/2023 FLDM14062 09 SUP013 - *Test zone: 9, 1,DMP- 09:53:12 Supry STROBE Zn_Desc: S3,aSV, (9 AM (PR-CL) TROUBLE 0 PROTECTIO ) ,Task:33 Sec N LOOP 40 Cellular modem segno: 099 10/01/2023 FLDM14062 R RES499 - *Test zone: 9, 1,DMP- 09:50:57 Restore Zn_Type: S3,r, (9) , AM (LOG) Superviso Task:3340 ry Zn_Desc: FIRE SUPERVISO RY Cellular modem segno: 098 10/01/2023 FLDM14062 SO1 RES499 - *Test 1,DMP,S01 09:50:03 Restore STANDBY ,Task:334 AM (LOG) BATTERY 0 10/01/2023 FLDM14062 09 SUP013 - *Test zone: 9, 1,DMP- 09:49:18 Supry STROBE Zn_Desc: S3,aSV, (9 AM (PR-CL) TROUBLE 0 FIRE ) ,Task:33 Sec SUPERVISO 40 RY Cellular modem segno: 096 10/01/2023 FLDM14062 S09 SUP013 - *Test LOW 1,DMP,S09 09:47:01 Supry BATTERY 0 ,Task:334 AM (PR-CL) Sec 0 10/01/2023 FLDM14062 ONTEST - *Test Cat: WEB Target 09:36:14 Placed On Expires: 90676 AM Test 10/01/202 3 10:36:00 All Zones 10/01/2023 FLDM14062 S07 20 - 1,DMP,S07 06:42:58 Timer ,Task:334 AM Test 0