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11A-092 .,-----0-0 , / , . , \ .„ , \ , \ 44\, ‘ .._ 4 z , ,47 ' ... , . . . , , The Commonwealth of Massachusetts �$ '4 �` City of Northampton ki - 171 " � � i Temporary Certif of Occupancy In accordance with 780 CMR, Section 5120.3 (The Seventh Edition of the Massachusetts State Building Code, Single and Two Family Dwellings) this Temporary Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified. Identify Name of Building of Space Within Certificate No. Issued to Ryan Shepard BP- 2011 -0320 Identify property address including street number, name, city or town and county Certificate Located at Expiration 25 Leonard Street Northampton, Hampshire, Massachusetts November 09 , 2011 Use Group 5B - R3 - Single Family Residential This Temporary Certificate of Occupancy 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 allow for the temporary use as herein described and in conformance with any and all conditions as identified below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate, failure to comply with conditions or, tampering with the contents of the certificate is strictly prohibited. Conditions of Temporary (60 Day) Certificate of Occupancy - See memo with final requiremnets Temporary Use Single Family Residence - Safety and structural systems must be maintained. Name of Municipal Ch. les Miller Date of Map /Plot: Building Official Inspection 09/09/11 Signature of Municipal ,/ Date of 11A -092 Building Official Issuance 09/09/11 OC:1 /I September 9, 2011 «// Ryan Shepard 82 NW Main Street Douglas, MA 01516 Subject Property: r / -0 ?- 25 Leonard Street Leeds, MA 01053 Mr. Shepard, The temporary certificate of occupancy for the Single Family Residence requires the following before the final certificate of occupancy can be issued. You have until November 09` 2011 to complete this work; 1. Fire department signoffs. 2. South bedroom attic Tight installed. 3. Attic hatches insulated and weather stripped. 4. Final grading completed per 780 CMR R401.3 5. Front and rear decks and rails completed, access doors must be blocked to prevent exterior access until final CO. 6. Install an insulated door at the bottom of the basement bulkhead entry. Cha es Miller Assistant Commissioner of Buildings . • ® Boise Triple , 1 -3/4" x 24" VERSA -LAM® 2.0 3100 SP Floor Beam\FB01 BC CALC® 3.0 Design Report - US 1 span I No cantilevers 1 0/12 slope Tuesday, November 23, 2010 Build 440 File Name: SHEPERD Job Name: RATCLIFFE Description: FB01 Address: 25 LEONARD ST Specifier: City, State, Zip: NORTHAMPTON, MA Designer: Customer: Company: Code reports: ESR -1040 Misc: 2 4 3 Y' Y '4Y `%° vP' Y Y Y `. A 4 Y b Y Y A M T `C Y Y 2 A Y '� Y T Y Y Y Y Y Y ► Y A 9 W T 23 -00-00 1. BO B1 LL 4,830 Ibs LL 4,830 Ibs DL 5,181 Ibs DL 5,181 Ibs SL 7,475 Ibs SL 7,475 Ibs Total of Horizontal Design Spans = 23 -00 -00 Live Dead Snow Wind Roof Live Trib. (in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 Standard Load Unf. Area (psf) L 00 -00 -00 23 -00 -00 40 10 07 -00-00 2 Unf. Lin. (plf) L 00 -00-00 23 -00-00 0 80 n/a 3 Unf. Area (psf) L 00 -00 -00 23 -00-00 20 10 07 -00-00 4 Unf. Area (psf) L 00 -00 -00 23 -00 -00 15 50 13 -00-00 Controls Summary Value % Allowable Duration Case Span Disclosure Pos. Moment 100,541 ft-Ibs 72.5% 115% 13 1 - Internal Completeness and accuracy of input must End Shear 14,334 Ibs 52.1 % 115% 2 1 - Left be verified by anyone who would rely on Total Load Defl. L/349 (0.791") 68.8% 2 1 output as evidence of suitability for Live Load Defl. U496 (0.557 ") 72.6% 2 1 particular application. Output here based Max Defl. 0.791" 79.1 °k 2 1 on building code - accepted design Span / Depth 11.5 n/a 1 properties tlation of BOISE engineered wood products must be in accordance with Notes current Installation Guide and applicable building codes. To obtain Installation Guide Design meets Code minimum (U240) Total load deflection criteria. or ask questions, please call Design meets Code minimum (1../360) Live load deflection criteria. (800)232 -0788 before installation. Design meets arbitrary (1 ") Maximum load deflection criteria. Minimum bearing length for BO is 4 -1/2 ". BC CALM, BC FRAMER ®, AJJST" Minimum bearing length for 61 is 4 -1/2 ". ALWOIST®, BC BOARD BCI®, OISE Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + SYY SYSTEMS , V RSA- LLAM®, VERSA-RIM 1/2 intermediate bearing PLUS® , VERSA -RIM®, VERSA - STRAND®, VERSA -STUD® are Connection Diagram trademarks of Boise Cascade, L.L.C. ribs r-d-►{ III t_. . . lii e ° 4 — a minimum = 2" c = 9 -1/2" b minimum = 3" d = 12" e minimum = 3" Nailing schedule applies to both sides of the member. Member has no side Loads. Connectors are: 16d Sinker Nails Page 1 of 1 A w 4 D03 2568 1 2 2568 1. IN 29 3/16 " 80 " 731 3118"X82 -Or HINGED DOOR PO4 2X12X34 1/8" (2) 1 318" D04 4368 1 2 4388 51 3116" 80" 53 3/181(82 1/2" 4 DR. BIFOLD 2X12X58 1/4" (2) 13/8" DOS 2668 1 1 28681. IN 30" .,, 8D " 32X82 1/2" HINGED DOOR PO4 2X12X35" (2) 1 3/8" 1306 1068 1 1 1068 R IN 12 3/8 " 80" 14 3/8"X82 1/2" HINGED DOOR PO4 2X12X17 3/8" (2) 1 3/8" 007 2668 2 2 2688 L 30 " 80" 32"X82 1/2" 20R. BIFOLD 2X12X35" (2) 13/8" . . b08 2668 1 2 2668 R - 30" 80" 321182 1/2" 2 DR. BIFOLD 2X5X35" (2) 1 3/8" 009 2888 3 2 2888 L IN 30 " 80 " 321(82 1/2" HINGED DOOR PO4 2X5X35" (2) 1 3/8" . 010 2868 1 2 2688 L IN 30 ' 00 • 32)0821/2" HINGED DOOR PO4 2X10X35" (2) 1 3/8" 011 3068 2 1 3068 R EX 36" 80" 381(83" EXT. HINGED DOOR 621 2X12X41" (2) 1 3/4" D12 2868 2 2 2888 R IN 30 " 80" 32"X82 1/2" HINGED DOOR PO4 2X12X35" (2) 1 3/8" 013 3088 1 1 3088 R EX 36" 80" 38"X83" EXT. HINGED DOOR 621 2X10X41* (2) 13/4" D14 3068 1 1 3068 R EX 36' 80 " 38"X83" EXT. HINGED DOOR 625 2X12X41" (2) 1 3/4" D15 5088 1 1 5068 60" 80" 62"X82 1/2' 4 DR. 131FOLD 2X12X85" (2) 1 3/8" 016 2868 3 2 2888 L IN 30 " 80" 32"X821/2" HINGED DOOR PO4 2X12X35" (2) 13/8" 017 8070 2 1 8070 R 98" 84 " 98"X87" GARAGE-PANEL 2X10X101" (2) 1 3/4' D18 2688 1 1 2868 R IN 30" 80" 32"X82 1/2" HINGED DOOR PO4 2X12X35" (2) 1 3/8" 019 5088 ' 2 1 $088 R EX 80" 80" 82"X83" EXT. SLIOER-GLASS 2X10X85" (Z 13/4" . . . D20 2888 1 2 2668 R IN 30 " 80' 32"X821/2" HINGED DOOR pa 2X5X35" /2) 13/8" ,, ■ WINDOW SCHEDULE NUMBER LABEL QTY FLOOR SIZE WIDTH HEIGHT R/Q EGRESS DESORIPTION HEADER CODE MANUFACTURER COMMENTS W31 1434014 2 2 1434014 16" 40" 1(42" DOUBLE HUNG 2X10X21" (2) W82 1440DH 2 2 1440DH 16" 48" incur DOUBLE HUNG 2X10X21" (2) W03 2240014 2 1 2240DH 26" 48" 281(50" DOUBLE HUNG 2X10X31" (2) W04 30210DC 1 1 30210DC 36" 34" 38"X36" 0131, CASEMENT-LHLAHR 2X10X41" (2) WO5 1846DH 2 1 1846DH 20" 54" 221(56' DOUBLE HUNG 2X10X25" (2) 8368 30400H 5 2 3040DH 36" 48" 38"X513" 00081.6 HUNG 2X7X41" (2) W07 3040DH 11 2 3040DH 26" 48 ' 38"X50" ' DOUBLE HUNG 2X10X41 • (2) W38 3048014 1 2 30460H 38" 54" 38"X56" DOUBLE HUNG 2X1X41" (2) W09 3054DH 1 '1 3054DH 36 • 64" 3731(68" DOUBLE HUNG 2X4X41" (2) W10 304013H 9 1 _ 3040DH 36" 48 " 38'X50" 00081.6 HUNG 2X10X41" (2) ' , WI 1 3051DH 1 2 3051DH 36 " 61 " , 38")(63" DOUBLE HUNG 2X1X41" (2) W13 01064DH 2 1 01064DH 10" 76" 12X78" ,DOUBLE HUNG 2X10X1 5' (2) Ei t 1,--. a F€ H 9 R J s BEDROOM — I — ' 13'01,10,1r 4 LOSE 0 ) 9 I Carpet Carpet 0) BATH MASTER BATH TArx T-T ,..._— _■-,-. o p- ranic tile I 1 1 Ole shower , 9 [ Q 1 BEDROOM e Iv 21/2 oak floor I e e — Ceramic the 2 1/2 oak floor e BATH .. F , NE 1_,Y _. @ I C. E9 BEDROOM I - - 9 BEDROOM 2 112 oak 12 Ix 17 2V III STAIRWEL- g-3"x 7 e .....1L Ceranic tile ( H Door LIVING MASTER BORN 18-5"x 1 Carpet z13 3-...3 11.■...-3 IL...0 ktvii C (u 3t LIVING AREA 1735 sq ft /0 M '7 _ ,4116 9 . y tEDUIRED )(2 v( ItkL L f0en /&tW GARAGE 2 d£' z 26'1' I J • =OGnNc REQUIRED . ;ger curing) LIVING AREA 1140 sqf L - - -- 3-12" LVL basement beam • . . • 1. . zr /-(6„7/13-(i IF { . e , (t ,, 4 /74 , A , ,,,/...,.„ ,.,./.\:. I ,. 3 :,,,,,,; ‘■ k A. ~ \t. ■.'. DECK 17 x 11 il . 1 " L P 0 0 0 0 k. ----- 1 E ■.,.., 4 .7 . Irl / •%,°:/ ie ZY" vi-- ..,1 Comic tile KITCHEN FAMILY 0 . 12 x 17-0" 27-0" x 13,7" ! 7'--, 2 12 oak floor -.-- , r 31r^ L ca GARAGE , 11 1 r 2 x 29 1 7-8ft x 3 r 22 x 0 cermIc tile -11 , . , _ ENTRY ' E 2 1/2 oak floor c 2 1/2 oak floor rr-irrx r 0 0 DINING STUDY \ 17-7 x 17-T ENTRY 12 x 17-T / L 9-0 ur em.„,............„,=, 0 0 0 I 2 1/2 oak floor 11,---u 0 0 --- EL-1 1pr —" r "------1-7—H e 0 LIVING AREA 1185 sq ft , is f Vreeland Design Associates An integrative approach to residential design, engineering and site planning Date: November 23, 2010 To: Louis Hasbrouck Inspector of Buildings /Zoning Enforcement Northampton, MA 01060 From: David Vreeland, P.E. Vreeland Design Associates Re: Ryan Shepherd, 25 Leonard St., Leeds, MA: Steel beam for proposed 22'x 30' Garage. CcaTieecTd A Dear Louis, I have consulted with Ryan Shepherd and have performed the necessary structural calculations for a steel 30' carrying beam supporting the second floor of the proposed 22'x 30' garage. The following is a summary of my review and engineering: 1. The exterior walls of the garage will be framed with 2x6 studs. 2. The roof slope is 12/12 with all roof loads being transferred to the exterior walls. 3. The 2 floor joists will lap over and will be nailed to a 2x8 that is screwed or bolted to the top of the steel beam. The joists will act to tie the walls and roof together. 4. The steel beam, W14x38, has been sized based on 40 psf live load and 12 psf dead load. 5. The steel beam will be supported at each end by 4 -2x6 post with an additional 2x6 on each side of the post, extending up to, and screwed to, the top of the 2x8 plate on top of the beam, to "box" the beam and prevent the beam from rolling. 6. The standard 8" frost wall and footing is adequate to support the post loads. My review and certification Ls for the proposed beam only. The proposed W14x38 steel beam is in compliance with the current Edition of the Mass State Building Code. Please contact me if you have any questions or need additional information. Sincerely, oyiof it DAVID A. cam_ VREELAND ' CIVIL David Vreeland, PE b' 463 Vreeland Design Associates A).„- Q/s -rol- ``z 6's1ONAL EN 116 River Road, Leyden, MA 01337 Phone: (413) 624 -0126 Email: dvreeland @verizon.net Fax: (413) 624 -3282 f ' • • 6 Boise Cascade Triple 1 =3/4" x 11 -7/8" VERSA -LAM® 2.0 3100 SP Floor Beam \MAIN BM BC CALM 3.0 Design Report - US 4 spans I No cantilevers 1 0/12 slope Tuesday, October 05, 2010 Build 440 File Name: BC CALC Project Job Name: RATCLIFFE Description: MAIN BM Address: 25 LEONARD ST Specifier: City, State, Zip: NORTHAMPTON, MA Designer: Customer: Company: Code reports: ESR -1040 Misc: Connection Diagram Disclosure . b r∎- -- d Completeness and accuracy of input must t_ be verified by anyone who would rely on a output as evidence of suitability for — • o • • ; 0 '' , particular application. Output here based c on building code- accepted design 1 properties and analysis methods. ! t - - -- -- -- • • Installation of BOISE engineered wood e ° ° products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide a minimum = 2" c = 6-7/8" or ask questions, please call (800)232 -0788 before installation. b minimum = 3" d = 12" e minimum = 3" BC CALM, BC FRAMER ®, AJSTM, ALLJOIST ®, BC RIM BOARD"", BCI® , Nailing schedule applies to both sides of the member. BOISE GLULAMTM, SIMPLE FRAMING Member has no side Toads. SYSTEM® , VERSA -LAM®, VERSA -RIM Connectors are: 16d Sinker Nails PLUS®, VERSA -RIM®, VERSA - STRAND®, VERSA -STUD® are trademarks of Boise Cascade, L.L.C. (11�] Boise Cascade Triple 1'-3/4" x 11 -7/8" VERSA -LAM® 2.0 3100 SP Floor Beam \MAIN BM BBC 3.0 Design Report - US 4 spans I No cantilevers 1 0/12 slope Tuesday, October 05, 2010 Build 440 File Name: BC CALC Project Job Name: RATCLIFFE Description: MAIN BM Address: 25 LEONARD ST Specifier. City, State, Zip: NORTHAMPTON, MA Designer: Customer: Company: Code reports: ESR -1040 Misc: 4 2 Y 'Y Y Y Y V Y Y Y @' ♦ Y '4 'd' Y ' Y Y ffi Y Y 4 9V b' Y '4 'tl Y r w tl B Y Y Y' Y T b ¢^ Y 4' 5 3 — — — 09 -00-00 — A - - — 09-00-00 r -- — 09-00-00 09 -00-00 BO B1 B2 B3 B4 LL 6,027 Ibs LL 16,152 Ibs LL 15,429 Ibs LL 16,152 Ibs LL 6,027 Ibs DL 2,219 Ibs DL 6,455 Ibs DL 5,245 Ibs DL 6,455 Ibs DL 2,219 Ibs Total of Horizontal Design Spans = 36-00 -00 Live Dead Snow Wind Roof Live Trib. (in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 Standard Load Unf. Area (psf) L 00 -00-00 36 -00-00 40 10 15 -00-00 2 Unf. Lin. (plf) L 00 -00 -00 36 -00 -00 0 80 n/a 3 Unf. Area (psf) L 00 -00 -00 36 -00 -00 40 10 15 -00 -00 4 Unf. Lin. (plf) L 00 -00-00 36 -00 -00 0 80 n/a 5 Unf. Area (psf) L 00 -00-00 36 -00 -00 20 10 15 -00-00 Controls Summary Value % Allowable Duration Case Span Disclosure Pos. Moment 15,979 ft-Ibs 50.1 % 100% 14 1 - Internal Completeness and accuracy of input must Neg. Moment - 19,549 ft -Ibs 61.3% 100% 18 2 - Left be verified by anyone who would rely on End Shear 5,985 Ibs 50.5% 100% 14 1 - Left output as evidence of suitability for Cont. Shear 9,330 Ibs 78.8% 100% 22 4 - Left particular application. Output here based L/751 0.144" 31.9% 16 4 on building code - accepted design Total Load Defl. ( ) properties and analysis methods. Live Load Defl. 0961 (0.117) 37.5% 16 4 Installation of BOISE engineered wood Total Neg. Defl. U -1,925 (- 0.056 ") 12.5% 14 2 products must be in accordance with Max Defl. 0.144" 14.4% 16 4 current Installation Guide and applicable Span / Depth 9.1 n/a 1 building codes. To obtain Installation Guide or ask questions, please call (800)232 -0788 before installation. Notes Design meets Code minimum (11240) Total load deflection criteria. BC CALM, BC FRAMER ®, AJSTM Design meets Code minimum (U360) Live Toad deflection criteria. BOISE L GUL RIM L FR M Design , n meets arbitrary (1") Maximum Toad deflection criteria. BOISE MVM SIMPLE VERSA-LAM®, -LA ®, FRAMING 9 ry " ( ) SYSTEM®, VERSMLAM®, VERSA -RIM Minimum bearing length for BO is 2 -1/8 ". PLUS®, VERSA -RIM®, Minimum bearing length for B1 is 5 -3/4 ". VERSA-STRAND®, VERSA -STUD® are Minimum bearing length for B2 is 5 -1/4 ". trademarks of Boise Cascade, L.L.C. Minimum bearing length for B3 is 5 -3/4 ". Minimum bearing length for B4 is 2 -1/8 ". Entered /Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Page 1 of 2 Boise Cascade Triple 1=3/4" x 18" VERSA -LAM® 2.0 3100 SP Floor Beam1GARAGE BM BC CALC® 3.0 Design Report - US 1 span I No cantilevers 0/12 slope Tuesday, October 05, 2010 Build 440 Fite Name: BC CALC Project Job Name: RATCLIFFE Description: GARAGE BM Address: 25 LEONARD ST Specifier: City, State, Zip: NORTHAMPTON, MA Designer: Customer: Company: Code reports: ESR -1040 Misc: BO B1 LL 5,400 Ibs LL 5,400 Ibs DL 1,5891bs DL 1,589 Ibs Total of Horizontal Design Spans = 18-00 -00 Live Dead Snow Wind Roof Live Trib. (in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 Standard Load Unf. Area (psf) L 00 -00-00 18 -00-00 40 10 15 -00-00 Controls Summary Value % Allowable Duration Case Span Disclosure Pos. Moment 31,453 ft-Ibs 44.9% 100% 1 1 - Internal Completeness and accuracy of input must End Shear 5,768 Ibs 32.1% 100% 1 1 - Left be verified by anyone who would rely on Total Load Defl. L/601 (0.359 ") 39.9% 1 1 output as evidence of suitability for Live Load Defl. L/778 (0.278 ") 46.3% 1 1 particular application. Output here based 9% 1 1 on building code- accepted design Max Defl. 0.359" 35. Span / Depth 12.0 9% 1 properties and analysis methods. Pa p Installation of BOISE engineered wood products must be in accordance with Notes current Installation Guide and applicable building codes. To obtain Installation Guide Design meets Code minimum (L/240) Total load deflection criteria. or ask questions, please call Design meets Code minimum (L/360) Live load deflection criteria. (800)232 -0788 before installation. Design meets arbitrary (1 ") Maximum load deflection criteria. Minimum bearing length for BO is 1 -3/4 ". BC CALM, BC FRAMER® , AJSim, Minimum bearing length for 61 is 1-3/4". ALUOIST®, BC RIM BOARDrm BCI® , BOISE Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + YYSTEM®, VERSA -LAM®, VERSA-RIM 1/2 intermediate bearing PLUS® , VERSA -RIM®, VERSA - STRAND®, VERSA -STUD® are Connection Diagram trademarks of Boise Cascade, L.L.C. b d O � i. Rim c L. a minimum = 2" c = 13" b minimum = 3" d = 12" e minimum = 3" Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 BolseCascadTriple 1 -314" x 11 -718" VERSA -LAM® 2.0 3100 SP Floor Beam \...GARAGE DR HDR BC CALC 3.0 Design Report - US 1 span I No cantilevers ( 0/12 slope Tuesday, October 05, 2010 Build 440 File Name: BC CALC Project Job Name: RATCLIFFE Description: GARAGE DR HDR Address: 25 LEONARD ST Specifier. City, State, Zip: NORTHAMPTON, MA Designer: Customer: Company: Code reports: ESR -1040 Misc: 2 3 1 — - -- -- ---- -- - - -- BO B1 LL 180 Ibs LL 180 Ibs DL 1,226 Ibs DL 1,226 lbs SL 2,475 Ibs SL 2,475 lbs Total of Horizontal Design Spans = 09-00 -00 Live Dead Snow Wind Roof Live Trib. (in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 Standard Load Unf. Area (psf) L 00 -00-00 09 -00 -00 40 10 01 -00-00 2 Unf. Lin. (plf) L 00 -00-00 09 -00-00 0 80 n/a 3 Unf. Area (psf) L 00 -00 -00 09 -00 -00 15 50 11 -00 -00 Controls Summary Value % Allowable Duration Case Span Disclosure Pos. Moment 8,733 ft -Ibs 23.8% 115% 2 1 - Internal Completeness and accuracy of input must End Shear 2,965 Ibs 21.8% 115% 2 1 - Left be verified by anyone who would rely on Total Load Defl. U1,243 (0.087 ") 19.3% 2 1 output as evidence of suitability for Live Load Defl. U1,817 (0.059 ") 19.8% 2 1 particular application. Output here based Max Defl. 0.087" 8.7% 2 1 on building code- accepted design Span Depth 9.1 Na 1 properties and analysis methods. Pa / pth Installation of BOISE engineered wood products must be in accordance with Notes current Installation Guide and applicable building codes. To obtain Installation Guide Design meets Code minimum (L/240) Total load deflection criteria. or ask questions, please call Design meets Code minimum (U360) Live load deflection criteria. (800)232 -0788 before installation. Design meets arbitrary (1 ") Maximum load deflection criteria. Minimum bearing length for BO is 1 -1/2 ". BC CALM, BC FRAMER ®, AJSTM', Minimum bearing length for B1 is 1 -1/2 ". ALLJOIST®, BC RIM BOARD BCI® , BOISE Entered/Displayed Horizontal Span Lengths) = Clear Span + 1/2 min. end bearing + YYS EM®V RSA- LLAM®, VERSA-RIM 1/2 intermediate bearing PLUS®, VERSA -RIM®, VERSA - STRAND®, VERSA -STUD® are Connection Diagram trademarks of Boise Cascade, L.L.C. t— b - - - - - -d - -►� a I I , I .t • e a minimum = 2" c = 6-7/8" b minimum = 3" d = 12" e minimum = 3" Nailing schedule applies to both sides of the member. Member has no side Toads. Connectors are: 16d Sinker Nails Page 1 of 1 • r • 2009 IECC Energy Efficiency Certificate Insulation Rating R -Value Ceiling I Roof 38.00 Wall 19.00 Floor I Foundation 30.00 Ductwork (unconditioned spaces): Glass & Door Rating U- Factor SHGC Window 0.30 Door 0.30 NA Heating & Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments: p Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R- values; window U- factors; type and efficiency of space - conditioning and water heating equipment. The certificate does not cover or obstruct the visibility of the circuit directory label, service disconnect label or other required labels. NOTES TO FIELD: (Building Department Use Only) Project Title: RATCLIFFE Report date: 10/05/10 Data filename: C: \Documents and Settings \Owner\My Documents \REScheck \SHEPERD.rck Page 5 of 5 , • Supply ducts in attics are insulated to a minimum of R-8. All other ducts in unconditioned spaces or outside the buikling envelope are insulated to at least R-6. Duct Construction and Testing: • Building framing cavities are not used as supply ducts. o All joints and seams of air ducts, air handlers, filter boxes, and buildiing cavities used as retum ducts are substantially airtight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction. Metal duct connections with equipment and /or fittings are mechanically fastened. Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet -metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists, mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). • Duct tightness test has been performed and meets one of the following test criteria: (1) Postconstruction leakage to outdoors test: Less than or equal to 257.6 cfm (8 cfm per 100 ft2 of conditioned floor area). (2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 386.4 cfm (12 cfm per 100 ft2 of conditioned floor area) pressure differential of 0.1 inches w.g. (3) Rough -in total leakage test with air handler installed: Less than or equal to 193.2 cfm (6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. ( Rough -in total leakage test without air handler installed: Less than or equal to 128.8 cfm (4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: • Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. o For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating (Sections 503 and 504). Circulating Service Hot Water Systems: 0 Circulating service hot water pipes are insulated to R -2. o Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: ▪ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R - 3. Swimming Pools: • Heated swimming pools have an on/off heater switch. • Pool heaters operating on natural gas or LPG have an electronic pilot light. • Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar- and /or waste - heat - recovery systems. • Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a minimum insulation value of R -12. Exceptions: Covers are not required when 60% of the heating energy is from site - recovered energy or solar energy source. Lighting Requirements: • A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a) Compact fluorescent (b) T-8 or smaller diameter linear fluorescent (c) 40 lumens per watt for lamp wattage <= 15 (d) 50 lumens per watt for lamp wattage > 15 and <= 40 (e) 60 lumens per watt for lamp wattage > 40 Other Requirements: • Snow- and ice - melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement 'c'). Project Title: RATCLIFFE Report date: 10/05/10 Data filename: C: \Documents and Settings \Owner\My Documents\REScheck\SHEPERD,rck Page 4 of 5 #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 7: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? 'Yes No Comments: Doors: ❑ Door 1: Solid, U- factor: 0.250 Comments: ❑ Door 2: Glass, U- factor: 0.300 Comments: ❑ Door 3: Solid, U- factor: 0.260 Comments: Floors: ❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R -30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs/showers, and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather - stripped and insulated (without insulation compression or damage) to at least the level of insulation on the surrounding surfaces. Where loose fill insulation exists, a baffle or retainer is installed to maintain insulation application. ❑ Wood - buming fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1) a post rough -in blower door test result of less than 7 ACH at 33.5 psf OR 2) the following items have been satisfied: (a) Air barriers and thermal barrier: Installed on outside of air - permeable insulation and breaks or joints in the air barrier are filled or repaired. (b) Ceiling/attic: Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c) Above -grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d) Floors: Air barrier is installed at any exposed edge of insulation. (e) Plumbing and wiring: Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or sprayed/blown insulation extends behind piping and wiring. (f) Comers, headers, narrow framing cavities, and rim joists are insulated. (9) Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U- factor of 0.50 and the maximum skylight U- factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R- value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R- values and glazing U- factors are clearly marked on the building plans or specifications. Duct Insulation: Project Title: RATCLIFFE Report date: 10/05/10 Data filename: C:\Documents and Settings \Owner\My Documents\REScheck \SHEPERD.rck Page 3 of 5 �. REScheck Software Version 4.4.0 Inspection Checklist Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 cavity insulation Comments: Above - Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: ❑ Wall 2: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: ❑ Wall 3: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: ❑ Wall 4: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: ❑ Wall 5: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: ❑ Wall 6: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: ❑ Wall 7: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: Windows: ❑ Window 1: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? __ Yes No Comments: ❑ Window 2: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? __ Yes No Comments: ❑ Window 3: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? .__— Yes No Comments: ❑ Window 4: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? _._ Yes No Comments: ❑ Window 5: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? __ Yes No Comments: ❑ Window 6: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: Project Title: RATCLIFFE Report date: 10/05/10 Data filename: C: \Documents and Settings \Owner\My Documents\RE.Scheck \SHEPERD.rck Page 2 of 5 • CI REScheck Software Version 4.4.0 Comp Cert Project Title: RATCLIFFE Energy Code: 2009 IECC Location: Northampton, Massachusetts Construction Type: Single Family Glazing Area Percentage: 16% Heating Degree Days: 6404 Climate Zone: 5 Construction Site: Owner /Agent: Designer /Contractor: 25 LEONARD ST NORTHAMPTON, MA Compliance: Passes usin • UA trade -off Compliance: 5.5% Better Than Code Maximum UA: 384 Your UA: 363 The % Better or Worse Than Code index reflects how dose to compliance the house is based on code trade -off rules. It DOES NOT provide an estimate of energy use or cost relative to a minlmumcode home. Gross Cavity Cont. Glazing UA Assembly Area or R -Value R -Value or Door Perimeter U- Factor Ceiling 1: Flat Ceiling or Scissor Truss 1640 38.0 0.0 49 Wall 1: Wood Frame, 16" o.c. 360 19.0 0.0 15 Window 1: Vinyl Frame:Double Pane with Low -E 70 0.300 21 Door 1: Solid 33 0.250 8 Wall 2: Wood Frame, 16" o.c. 360 19.0 0.0 14 Window 2: Vinyl Frame:Double Pane with Low-E 31 0.300 9 Door 2: Glass 78 0.300 23 Door 3: Solid 19 0.260 5 Wall 3: Wood Frame, 16" o.c. 240 19.0 0.0 13 Window 3: Vinyl Frame:Double Pane with Low -E 21 0.300 6 Wall 4: Wood Frame, 16" o.c. 544 19.0 0.0 27 Window 4: Vinyl Frame :Double Pane with Low -E 92 0.300 28 Wall 5: Wood Frame, 16" o.c. 544 19.0 0.0 28 Window 5: Vinyl Frame:Double Pane with Low -E 84 0.300 25 Wall 6: Wood Frame, 16" o.c. 320 19.0 0.0 18 Window 6: Vinyl Frame:Double Pane with Low -E 24 0.300 7 Wall 7: Wood Frame, 16" o.c. 304 19.0 0.0 16 Window 7: Vinyl Frame:Double Pane with Low -E 36 0.300 11 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 1208 30.0 0.0 40 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.0 and to comply with the mandatory require ' ted in the REScheck Inspection Checklist. •�t e 4 , Sl4 ,�.,�,,.... -- 6 Name - Tit I1 Title eltur Date OE D Project Title: RATCLIFFE Report date: 10/05/10 Data filename: C: \Documents and Settings \Owner\My Documents\REScheck \SHEPERD.rck Page 1 of 5 ■ ■ e s liAMp 0,7ifi, uf Xartilantptan ; - S _ .0assar1asrtfa " t 'f �~ ¢ ii ' ' DEPARTMENT OF BUILDING 7NSPBCTIONS ` ~ `l fNSPf =CTOR 212 Main Street 0 -Municipal Building ' >a �M `a' .• Northampton, MA 01060 • LOCATION G- C ice,,,,„,,,,/ -/I- Lre r /r/�f SQUARE FOOTAGE AMOUNT BASEMENT @ : 20 / /lig D' ✓ 6 1 ST FLOOR @ .50 // If 59°4 5 2ND FLR @ 0 • /6 8 ( g 3 6 , ao '/_ FLOORS, FINISH A'1 - 11C, GARAGE @ .20 660 / 3g_ - DECK/PORCHES @ :20 2OQ 4(0 TOTAL. # /- j 3" 2' 3 0 1 MUNICIPAL SEWER/ AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: • 25 Leonard Street, Leeds, MA 01053 Inquiry Made By: Melissa Ratcliffe 584 -2510 Date of Inquiry: 8/19/10 Reason for New building and would like to hook into City services Request: Municipal Sewer Main in Front of Location: Yes y No Municipal Storm Drain Available: 5 1 /2 deep Yes X No Size of Sewer Main: / r Material: /'t) . c Age: / g8 7 Depth of Sewer Main: 9 �� Size of Service Connection: Type of Service Connection: Tie-in to Sanitary Main Tie-in to Sanitary Stub Comments: Note: If this availibility is for new construction, this form must be hand delivered to Building Inspector. A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. John hall Sewer Department cc: Ned Huntley, Director DPW Anthony Patillo, Building Inspector c ‘vc k " \'' �2 opt, M 0 1 Qvrf r , cro • MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 25 Leonard Street, Leeds, MA 01053 Inquiry Made By: Melissa Ratcliffe 508- 397 -4186 husbands cell # Date of Inquiry: 8/19/10 Number of Type of Single Family X Type of Private X Units: X Unit(s): Accessory Apart, Ownership: Condo Multi- family Rental (Annlicant to fill out the above) Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes: No X Size of Water Main: 8" Material: Ductile Iron Age: 1987 Approximate Static Street Flow Test Conducted: Yes: No: Pressure: 50 psi If done attach results Size of Service Connection Suggested Meter Size: 5/8" Comments: -- - The Water Department cannot guarantee adequate water - pressure during peak demand times at elevations above 320 feet. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • Arran • ements of such installation shall be made with the Northampton Water Department with a minimum of 5 wo ing days notifica e . • All •rk sh.11 confo o Northampton Water Department specifications. David W. Sparks, Superintendent of Water Water Entry $200.00 Meter $100.00 Radio $100.00 cc: Ned Huntley, Director cc: Tony Patillo, Building Inspector Note: If this availability is for a new construction, it must be hand delivered to the Building Inspector. L/01) r • •Client#:22819 ` RYASHI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10105/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sullivan Insurance Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10 Chestnut Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 1010 Worcester, MA 01608 -2804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A T — Ryan Shepherd dba INSURER B: Liberty Mutual Insurance Compan R S Custom Builder & Home Improvement — INSURER C: _ 82 Nothwest Main Street INSURER D: Douglas, MA 01516 — INSURER E: COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR ADD'L TYPE OF INSURANCE POLICY NUMBER (MMI POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRC DATE DOIYYI DATE (MNWDM(1 A GENERAL UABIUTY 16804546B92ACOF10 08/27/10 08/27/11 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PR (Ea occurrrence) $300,000 CLAIMS MADE © OCCUR MED EXP (Any one person) $5, X PD Ded:500 PERSONAL & ADV INJURY $1, 000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 — I PODCY I i jECOT- n LOC J AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS — BODILY INJURY $ SCHEDULED AUTOS (Per perms) •— HIRED AUTOS — BODILY INJURY $ NON -OWNED AUTOS (Per accident) — PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR n CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC131S375108019 10/27/09 10/27/10 X I WCSTAITS TU- I IMI- EMPLOYERS' LIABILITY TORY I IM FR ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1 00,000 If _ SPECIAL PROVISIONS below _ E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Evidence of Insurance for the Named Insured. CERTIFICATE HOLDER CANCELLATION 10 Days for Non - Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Northampton DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 212 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Northampton, MA 01060 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ ACORD 25 (2001/00)1 of 2 #S133861 CJB e ACORD CORPORATION 1988 °. The Commonwealth of Massachusetts -. *.- Department of Industrial Accidents z Office of Investigations =a 600 Washington Street • Boston, MA 02111 r.= www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business /Organizatioondividual): y�`t �tn � 1. vt . / Address: i Z ti, cdv 4fet„ ,, 5 `( City /State /Zip: >I 1 " leJ /17/ " ri Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. (] I am a general contractor and I E mployees (full and/or part- time).* have hired the sub - contractors 6. New construction 2. am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub - contractors have 8. El Demolition working for me in capacity. employees and have workers' g any tY 9. 0 Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors 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 employees. Below is the policy and job site information. / �1 Insurance Company Name: Z, 1%' - r' / �l i„ / 4 Policy # or Self -ins. Lic. #: / 3 / 53 Expiration Date: r/7 �/o Job Site Address: 1 t r U t 1 6., .S k City /State /Zip: lr r S Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r the pains nd nalties of perjury that the information provided above is true and correct. Signature: � Date: A7`' f 42c/c) Phone #: 5F ' 7 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 #: • - L SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ 5 61— Name of License Holder : ► l Ll 4-1., / (t4 "/ V7 License Number 1 1V, . ,o,r, J4- p 2 � ot /w, - .6)/)i4 ���00/� Address Expirat n Date Signat t ��e- z 7 4-- /1e,) Signat Telephone 9. Realstered Home Improvement Contractor: Not Applicable ❑ /1� 10-1 fileidAL/4 /y 7© sg Company Nam Registration Number rz ,41 1' , t c, , v� ..f > pu / ,r0/ '- O /S" /6 6/x /4 2 - Address Expiration Date /. Telephonej —? 77 - / 1 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) 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 Yes di No ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature i • y r • . SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable] New House Addition [] Replacement Windows Alteration(s) ❑ Roofing El Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [C] Siding [O] Other [0] Brief Description of Proposed Work: / t 5" �� III P w eat eat j (f"7 `vv� �' ` .. Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition existing housing, complete the following: a. Use of building : One Family _ Two Family Other b. Number of rooms in each family unit: /V7 r- Number of Bathrooms 3Y� G c. Is there a garage attached? if) d. Proposed Square footage of new construction. Z,b 0Q _ Dimensions 76 .f' bg" e. Number of stories? 7/ f. Method of heating? 4,74 S Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. f J Masscheck Energy Compliance form attached? +/ f / h. Type of construction ltd /L H C.t, i. Is construction within 100 ft. of wetlands? Yes [-No. Is construction within 100 yr. floodplain Yes (/" No j. Depth of basement or cellar floor below finished grade ef-/- k. Will building conform to the Building and Zoning Zoning regulations? --114--114"-- [ Yes No. I. Septic Tank City Sewer i/ Private well City water Supply i/ SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, t tee. I i sS (:',4-c 1; Ke- , as Owner of the subject property 1, / hereby authorize /7 I 7 14,eie /' to act on m behalf, in all matters relative to wotk authorized by this building permit application. (....?4. Signature of Owner Date IIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIB I, , fib /t , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 0.► f /,,- Print Nam .■-S—,./ aci-- 6 , ilie./ Z.-- Signature o • • r /Agent go , Date • 4 A Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 2 1 / ZO 7 3 Frontage ! ! / '7 2,1/ . Setbacks Front ;y3 11 Side L:� /!' R: Ly 3I ° LIAV' R:L'Y gal Z�� y ZV Rear Building Height 32- 3 Z Bldg. Square Footage Ziee ?., % Z d (94 Open Space Footage / gT ty (Lot area minus bldg & paved I O3 No? o parking) /� # of Parking Spaces -2 ✓' Fill: (volume & Location) A. Has a SI : ial Permit /Variance /Finding ever been issued for /on the site? NO U DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW O YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained ® , Date Issued: C. Do any signs exist on the property? YES © NO qr IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO e IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, a vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. r 0 ` y , 1 Department use only > City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability 6 `L% ; Room 100 Water/Well Availability 4C-\ tortharhpton, MA 01060 Two Sets of Structural Plans phone 413 Fax 413 - 587 - 1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION oy)-- ), V ( L "ti I 1 r This section to be completed by office 1.1 Property Address: 01 U 2.5 Zec)14 ref Si Map Lot 69 �/ Unit v Zeedi 7n/0' Zone Overlay District EIm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: file I, s5a Ra S 3 Ott `��. ! r� F. G ender 5+ . Le ec� s, M A O t 0 Name (Print) _ C Trent Mailing Address: r.,�Z / 3� > > z 7 Telephone Signature 2.2 Au orized Agent: 1 � i 7 i 44, •S71 j( 4' e2- 144 /ft 4/ f f- 71:7(1/..ot ,ryl� 0/J76 Name (Print Current Mailing Address: Signature ; ,r Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building Z ! ff/ crev (a) Building Permit Fee 2. Electrical /L 000 (b) Estimated Total Cost of ` Construction from (6) 3. Plumbing /5; p CO Building Permit Fee 4. Mechanical (HVAC) 2 o e 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 2f et e - Check Number / 166 ' / 3 3 Y . e 0 li 1 1 . A This Section For Official Use Only Fe O t1 t►'f' - Date ilding rmi / um - r: Issued: Signature: Building Commissioner /Inspector of Buildings Date i .. f File # BP- 2011 -0320 I t p 0 1(:" APPLICANT /CONTACT PERSON RYAN SHEPHERD - b f ADDRESS/PHONE 82 NW MAIN ST Douglas (508) 277-1905 c �O PROPERTY LOCATION 25 LEONARD ST f� W" ' ■ N MAP 11A PARCEL 092 001 ZONE URA i b k (4 0 FL- THIS SECTION FOR OFFICIAL USE ONLY: f.0° . PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Paid 156 `w / 33g. 3 o Tvpeof Construction: CONSTRUCT 2 STORY SFH W /ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 94973 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Commission Permit DPW Storm Water Management Dem n9elay 'ign ure . u g Of ciaT" Date 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. x q ..,l } 3 S +' 4 Permit No. py CITY OF NORTHAMPTON, MA �,. DRIVEWAY PERMIT Date: Check #: FEE: $250.00 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: Permission to install a driveway at: Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All Drainage shall be directed off the driveway surface to adjacent land and not on the existing Roadway. Driveway surface to be paved as soon as possible if the grade of the proposed Driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. Code of Ordinances §350 -8 8 providing standards for private, individual driveways as amended by the City Council on October 15, 2009, must be followed. By: Telephone: Signature: #-.44 Proposed Location Inspection By: i t Zit Gravel Base Grade Inspected By: • 3 , f, Final Approval: P /J THE BOARD OF PUBLIC WORKS voted that petition be granted. WM . . 'rect. • f ' iblic • rks Cc: Building Inspector (SUBJECT TO ATTACHED CONDITIONS 1 & 2) 25 LEONARD ST BP -2011 -0320 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11A - 092 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: New Single Family House BUILDING PERMIT Permit # BP- 2011 -0320 Project # JS- 2011- 000523 Est. Cost: $295000.00 Fee: $1338.30 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 RYAN SHEPHERD 94973 Lot Size(sq. ft,): Owner: RATCLIFFE MELISSA Zoning: URA Applicant: RYAN SHEPHERD AT: 25 LEONARD ST Applicant Address: Phone: Insurance: 82 NW MAIN ST (508) 277 -1905 WC DouglasMA01516 ISSUED ON :12/9/2010 0 :00 :00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH W /ATT GARAGE /DECK 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: FeeType: Date Paid: Amount: Building 12/9/2010 0:00:00 $1338.30 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner