24C-190 Mark 3- 5 -10
Cresent St. Northampton 10:36am
1 of 1
kayBeam® t 505a
ktllFteamEngine 4.507h
Materials Database 1109
Member Data
Description: Member Type: Beam Application: Floor
Top Lateral Bracing: Continuous
Bottom Lateral Bracing: None
Standard Load: Moisture Condition: Dry Building Code: IBC / IRC
Dead Load: 10 PLF Deflection Criteria: 0360 live, L/240 total 1.500" max. LL
Live Load: 40 PLF Deck Connection: Nailed Member Weight: 2.7 PLF
Filename: KYB1
Other Loads
Type Trib. Dead Other
(Description) Begin End Width Start End Start End Category
Replacement Uniform (PSF) 0' 0.00" 6' 6.00" 10' 6.00" 10 0 Live
Additional Uniform (PLF) 0' 0.00" 6' 6.00" 0 171 Live
........................................................................................................................................................................................................................ ...............................
........................................................................................................................................................................................................................ ...............................
660
O �
6 6 0
Bearings and Reactions
Location Type Input Length Min Required Gravity Reaction Gravity Uplift
1 0' 0.000" Wall N/A 1.500" 926# --
2 6' 7.750" Wall N/A 1.500" 926# --
Maximum Load Case Reactions
Used for applying point loads (or line loads) to carrying members
Dead Live
1 358# 568#
2 358# 568#
Design spans
6' 7.750"
Product: 1 3/4x5 1/2 Versa -Lam 2.0 -3100 SP 1 ply
Component Member Design has Passed Design Checks.**
Minimum 1.50" bearing required at bearing # 1
Minimum 1.50" bearing required at bearing # 2
Design assumes continuous lateral bracing along the top chord.
Design assumes no lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 1539.'# 2486.'# 61% 3.32' Total load D +L
Shear 798.# 1829.# 43% 0.01' Total load D +L
TL Deflection 0.2521" 0.3323" L/316 3.32' Total load D +L
LL Deflection 0.1547" 0.2215" U515 3.32' Total load L
Control: TL Deflection
DOLs: Live = 100% Snow = 115% Roof = 125% Wind = 160%
All product names are trademarks of their respective owners
> t7: "'' I 3CE 8r "A'tih %irCopyright (C)1989 -2005 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED.
Passing is defined as when the member, floor joist, beam or girder, shown on this drawing meets applicable design criteria for Loads, Loading Conditions. and Spans listed on this
sheet. The design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product installation according to the manufacturer's
I speaiications.
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends 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
home owner."
The building department for the City of Northampton wants person(s) who seek to use
the home owner exemption, to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state building codes and
' ∎ 11 't • - - - i - s that the building department be called to
inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour). a rough building inspection (before work is
concealed), insulation inspection (f required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
—pe nits- in-conj.unction -to_ the _building.permit_issued,_ that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Address of work
location
•
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investig,ations •
• 1=-.
600 Washington Street
a, =Iv= xl Boston, MA 02111
,
www.mass.gov/dia
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address: 1 j--,3( •
City/State/Zip: k p kAke Phone .#: 20 - /
Are you an employer? Check the appropriate box: Type of project (required): /
1.0 I am a employer with 4. 9 I am a general contractor and I
6. 0 New construction
employees (full and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. 0 Remodeling
2. I am a sole proprietor or .partner-
These sub-contractors have
ship and have no e.r-*oyees 8. 0 DemolWon
employees and have workers'
working for me in any capacity. 9. 0 Building addition
[No workers' comp. insurance comp. insurance.t
required.] 5. 9 We are a corporation and its 10.0 Electrical repairs or additions
3. I am a homeowner doing-all-work _ofacerslairthercisci:Ltheir_ — 1 - 1lutabing 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' 13.0 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 affidaiit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating such.
IContractors 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.
l am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: •
Policy # or Self-ins. Lic. #:
Expiration Date: -
Job Site Address: City/State/Zip:
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 impositiort of criminal penalties of a
fine up to S1,500.00 and/or one:year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 a day against the violator. te advised that a copy of this statement may be forwarded to the Office of
Investieations of the DIA for ins e coveraee verification.
. _
.1 dohereby certifi7 un this , • enalties ofpeijiay that the information provided:above_is_tr and_correc.t___ _
Si ture: APP ' • a
Phone #:
Official use only. Do not write in this area, to be completed hy city or townliciaL
City or Town: Permit/License #
Issuing Authority (circle one):
Board of Health 2. Buikling Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector _
6. Other
Contact Person: Phone #:
'
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable
Name of License Holder : / JI 1 IAA r6' S ( ( c...,...._ , j / I
License Number
3 1 1 �JC_1/l `. S 1 fa Z G / Address Expiration o
Signature - Telephone
.9 Rea isrt Homes tsrovement i y � ..N ` t .< „. i;:z ,, Not Applicable ❑
i L i 0 7 a a
Company Name - Registration Number
i 1 IA* � �F se_
-1 it__ ) I i 0 r( C
Address Expire i bat
3 f � cti t 5 Telephone z G" / g 3
_ SECTION 10- ,WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) J
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 f the building permit.
Signed Affidavit Attached Yes No ❑
� -, owl
The..current_ exemption for "homeowners" was extended to include Owner 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 1083.5.1.
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 Ur mane s, a e'• n"• • . " • 1 .1 • - -- , • - sGeneral Laws- Annotated.
Homeowner Signature
%
1
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition [] Replacement Windows Alterations) Roofing ❑
Or Doors E
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [C] Siding [o] Other [❑]
Brief DescriptioQn of Proposed I I I t
M
Work: L tat r i r +ra■ „1..tA 1 L' tAA 4 " Q Se
Alteration of existing be Yes No Adding new bedroom Yes
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
sa i tfe;W' t1ottsefifi ilitdi to tea 'ct n �o slna Q np fi #fia # tr`o ng:
a. Use of building : One Family Two Family Other
; b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
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
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
l �( k JT� it. i t f,� -
% , as Owner of the subject
property /
hereby authorize
to act on my beh�ff n all matters rk authorized by this building permit a lication.
Signature of Owner Date
IAA S ( , 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
9 hereby
and belief.
Signed under the pains and p-nalties of perjury.
Print Name
Signature of ner /Age t •ate
w' .
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 ,
t a .....,.. € w.,
Frontage 1 — .. J L____,_ .,_..._._._ .,
•
Setbacks Front r i
Side L i. _ _ _ . . . . . . 1 R L_ ._.. L::'_ .JI R: mm _ _J
Rear ; 1 -- ---`
Building Height - i
Bldg. Square Footage € 1 % `- / 6 1 r E
Open Space Footage %
(Lot area minus bldg & paved
parking)
# of Parking Spaces _ ----,
Fill:
(volume & Location) • —... --- .. I ! ___
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO Q 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 0
IF YES: enter Book) F Page= 1 and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO' DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued: ;,
C. Do any signs exist on the property? YES 0 NO b
___„______ „„______.„.,
IF YES, describe size, type and location:
IY ` Ore Ehere any proposed changes o or a rtlons o signs inter ed of the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, gra excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
. ..i. ,
.
City of Northampton kle*OkiSit ‘.:.--*,ir..d.-,'-::*.'-',,t'f7.1.1":',`,,-,:',1-$,
Building Department 011010):17A::?:‘:01,1:i
212 Main Street gliP4%itfifitAtiltf!...,,,,,
;,-, ,,,..,,
Room 100 if,,I.A3°.ipli 4
irili
E0;44' ..,.-,-,.,'‘
7
Northampton, MA 01060 bli,i'i.-„ 4 .1: k # ,-571T a iri ' ,4,„ w , „tPl i wt.ft - *„4,,, , t - 7, 17 . 4 7 greifv , , ,0 1 , ,
9 20
li
_ *,:,; "'",,,-&:% A ' 'f;',-, 4i4C••).?','.611-7-`',k4
4..,,41,-.%,•47,4.....Titlirgz„,,,,,,,„,,,re,,,;,1,,,,, 4... tot.x •,,,,. 4 ,,,, , -;,
phone 413-587-1240 Fax 413-587-1272
APPLICATION CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
2-...,3 Cf-e s c 4
i - 4 -- r
Ma
o District
Map Lot Unit
At„ it, ,7,-'-- ili 4- (3 0.i 6 6
Zone
EMI St District CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name (Print) , Current Mailing Address: 6 .., 6 . 6 -
_,/ Telephone
Signature
2.2 Authorized Agent: — 1--
Name (P ( ' I
, c
, )_,..-,Li A
,
rint) _
/ Current Mailing Address:
-- k 1
77
Sigliatu
Telephone
-----
SECTION .3 - STINIATED CONSTRUCTIO N costi
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit
.
1. Building / t---
CO (e) Building Permit Fee
•
2. Electrical ' ted Total Cost of
(b) Estimated . on from (6 )
Construction
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
t; c
6. Total = (1 + 2 + 3 + 4 + 5)
C7 ---- Check Number 09351
- - - -- ----- -- - This Us'a OW -
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings
Date
File # BP- 2010 -0841
APPLICANT /CONTACT PERSON KIM RESCIA
ADDRESS/PHONE 311 Locust St FLORENCE (413) 584 -5816
PROPERTY LOCATION 223 CRESCENT ST
MAP 24C PARCEL 190 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out t ry
Fee Paid J1S °‘
Typeof Construction: ENLARGE DOOR FROM KITCH/LIVING RM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 022464
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
.3 3a t
Signa e of Building Official 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.
223 CRESCENT ST BP- 2010 -0841
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24C - 190 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0841
Project # JS- 2010- 001251
Est. Cost: $250.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KIM RESCIA 022464
Lot Size(sq. ft.): 5575.68 Owner: STAMBOUSKY MARK
Zoning: URA(100)/ Applicant: KIM RESCIA
AT: 223 CRESCENT ST
Applicant Address: Phone: Insurance:
311 Locust St (413) 584 -5816
FLORENCEMA01062 ISSUED ON :3/30/2010 0:00:00
TO PERFORM THE FOLLOWING WORK: ENLARGE DOOR FROM KITCH /LIVING RM
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: ke D ! 1 6 d Le'—
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Lcl i?
Final: Smoke: Final: O .
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature--b�
FeeType: Date Paid: Amount:
Building 3/30/2010 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo