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49-048 (2) j it rOV WO hi tow Pi- A0 'i = /,0,1 37 K * n > L______; - o , • IP V b Al- V. , nNLf(oP &A-T3 t3oo Psi. Lot 4c ti Lo.J�irTr b r /oo , 11 4 1E \....) 35«� PS )7 Ali 6 t-t9 v,Jeljec W' rc_ .�i .r ALL V U zoo 5��0�o AM _/\ )\° 7�i/9%4L.W r.�./Illirdilli a /v, rii /ff/ k---4 * c 1 . 6. )1: l' `1‘ e >t IT )1: „. 1 0 )k- 4 4 : —41 I. z FRONT \-J LI_ FRAMING PLO/ y = 1 37 % ENVLNVziie.0 TRu4.5ES ) D.L. 1-1 tot RZCc„ TxC- 2-y" o. c-- l i ;- -). a.�� oP PL►3TE3 a o a,- 9. a" LoylTrNo4s r-- hEAOE,Z M a WALL 57uD5 OW E N TIf " ---- -- - l6' ©, . FRONT hI.L ---------------\\k 4'-'---------' _------T i i ;w►l'Soh f- '7600] (1 5 51,61) u.hw1 1 7 -* L - .. - - - - - - - - - r - - — — - -- 77 - - - - - - - - - - - - - -1 * CV -t 1 1 37 ' i f 1 CONTRACTOR QUOTE PRINTED ON 09/07/12 PAGE 1 QUOTE # Q1209066 _ ,e2.:2:. DATE QUOTED:09 /07/12 — cxsivt R ? 181 GOODWIN ST VALID UNTIL. 10105112 Q C ORP N O EERN O N PO BOX 51027 UN INDIAN ORCHARD, MA 01151 Job: BERGERON ` MANUFACTURERS OF ROOF & FLOOR TRUSSES 4. Phone (413) 543 -1298 Fax (413) 543 -1847 Toil Free (800) 455.0187 NORTHAMPTON, MA [ I Quote To:Leader - Amherst 150 College St Requested By: DON SCOTT r , Amherst, MA 01002 Quoted By: Brian Tetreault Attn: DON SCOTT ____ Phone: (413) 253 -3411 ROOF TRUSSES LOADING TCLL- TCOL- SCLL -BCOL ; STRESS INCR. INFORMATION SD.o,1o.0,0- 0,10.0 r 1.15 ROOF TRUSS SPACING: 24.0 IN. O.C. (TYP.) LAYOUT 1 1 PROFILE ' QTY PITCH 1 TYPE BASE I 0/A 'LUMBER OVRHG 1 CANT l SHIPPING I UNIT PLY TOP BOT TRUSS ID SPAN SPAN ToP I BOT LEFT I RIGHT HEIGHT WEIGHT ? 22 1 10.00 0.00' Al 28- 00-00 I 28-00 -0012 X sl 2 x s X01 00 0o i o1 Oo 00 130103 195 L 41f-16, I ATTIC r Truss Engineering Corporation (TEC) strictly adheres to the 'Standard Responsibilities in the Design of Metal Plate Connected Wood Trusses' as defined by TPI Chapter 2 (available upon request) regardless of any job specific ! SUB -TOTAL ■ specifications unless clearly defined otherwise in writing by TEC. This product list is Truss Engineering Corporation's INTERPRETATION of plans and drawings as supplied to us. No • _ _ _ _- _. _ _ _ responsibility is taken or implied by TEC for the structural integrity of the structure below the trusses or the affects of _. _ — — -- TEC's product on the structure as a whole. The building oemer /owner's agent Is solely responsible for verifying ail , LOAD I dimensions, geometry, loads and load requirements for accuracy and full compliance to construction documents and shall be responsible for notifying TEC immediately of any discrepancies. Truss Engineering Corporation is NOT responsible for ESCORT FEE 7 field verification of dimensions or special conditions. - 1 The building owner /owner's agent Is responsible for coordinating all construction details between trades. The truss installer shall follow all SCSI recommendations, construction document specifications as well as any site specific GRA ND TOTAL r requirements to ensure safe and proper installation. No loading shall be applied to trusses until properly and fully installed, including all sheathing, hangers, wall anchors, lateral web bracing (as shown on individual shop drawings), and 1 permanent bracing (as required by the construction documents). installation contractor shall refer to the individual truss - - _ shop drawings for all structural requirements of trusses, including but not limited to bearing locations and requirements, ply to ply nailing, lateral web bracing, and truss spacing. No trusses supplied by Truss Engineering Corporation may be cut, drilled, or altered in any way without first contacting TEC and receiving engineering documents allowing such. * ** THESE DRAWINGS HAVE BEEN REVIEWED AND ARE APPROVED AS AN ORDER *** Approved By: Approval Date: PO #: Requested Delivery Date: ■ \ A A F i \ oy1/4 5T +9 /y" o • Agu,- r r c r w m L . . A 6 PH LT 5 iipubtE5 ' 9� � boo({ 9 a H E 37 L,FFT ALL hii= • " ran Plan for: Stephen Duval 727 Park Hill Road Florence MA )1t7NT lb : i'0 Project: ' Garage 27 X 3 P Contractor: Tyler Bergeron 730 Gulf Road Belchertown MA 01007 413-427 -8034 T 4 i \ \ \\ s 1 F - 1 V ig9 I, a7' Lov {O jo.iP A -- ----Y� . s o E �7.b�N b Ut Pro dS Cott. 14009E, 43-9 b9 - Op t ? t ‘ ilcArik 5‘. 2c )7/ ;k ul \A. voot_ F� 8 °' \oot , V 51 o�M i . • S F�-u044) ,� i,, urrEc.TUrtv1L 51-iv 2LE5 3o y? #15 FELT poPF to �s - 5/8''C . f. Sngivat v zt EN&INEERrD 'ooF TRUSS a_tf ©.c• - 5ri /1T&UEO 5fL r Huron NE )- C. C • ).: Y. 9' Via u, 5TUOS IC O. C. 1 )2 1 ' SilE11Tti1Nb VINYL S1DYN ti✓ rINEK 13613E11VH `,. FT 5 ?ODE w15;11- 5fA f ? a � • CcwclkErF FROST J LL rbv•n0/ID° 1 14 3000 P5I. F oaTTN 0 I 30° p5 K--- ,0),7 • Job Truss Truss Type- -- _- Oty Ply NORTHAMPTON, MA Q1209066 A'1 ` - ATTIC 22 1 Sep 07 0 7 250 s Nov 19 2010 MiTek Industries, In c Fri 9 - .55 •19 2012 - Page 1 Job Refegence1'ptional) Y9 0 9 9 Y9 3 w Truss Engineering Corp., Indian Orchard, MA 01151 ID:npE5EvKn H4Z. FRO1sTza 3zF -oF _ xMDBIo.YMPWSrU 6L rw3BfvfPOB _ WkLFbi 5 -1 -0,0 4 -1-5 7 -10-4 14 -0-0 _ 20 -1 -12 23- 10 -11 28 -0-0 2 -0r0 • 1 -0-) 4 -1-5 3-8 -15 ' 6 -1 -12 6 -1 -12 1 3-8 -15 4 -1-5 1-0-0 6x6 = Scale = 1:73.1 I. 6 3 x 6 = ` 19 3x6= • 18 S 7 20 • 10.Q�6� 5x6 I I 17 " - 1 ` �. 5x6 I m 4 / 1.5x4 II 8 r7 21 `1 a 2 x4 �� 16 � '"I � 4' I 2x4 - eel 15 ek 22 12 -0-0 1 ,, - - 10 2 ti s1 1 82 - � s Al o i O 5x6 = 13 40 PSF LIVE LOAD IN ROOM 12 5x6 = • 2230#/0# 73( 4fl'SF LIVE LOAD IN ROOM 7x8 23 -10 -11 2230#10# 4-1-5 r 7 -10-4 8--0 _ 20-0-0 20 - -12 28-0-0 4-1 3 -8-15 i 12-0-0 0 -1 12 4-1-5 Plate Offsets (X Y):_ [4 5- 11,Edge) [8 0- 5 -1 Edge) _[12;0 2 12 Edge], [130- 2- 12,Edge] 0-1-12 3-8 15 TCLL ( p 38.5 Pates 2 1 0 15 TC 0.67 V -0.391Y >840 240 M S G 97 / P44 LOADING sf) (Ground Snow =50.0) Lumber Increase 1.15 BC 0.74 Vert(TL) -0.75 12 -13 >439 180 TCDL 10.0 Rep Stress Ina YES WB 0.81 Horz(TL) 0.06 10 n/a n/a BCLL 0.0 ' BCDL 10.0 Code IRC2009/TPI2007 (Matrix) Attic -0,27 12 -13 526 360 Weight: 195 Ib FT = 10% - - - - -- -- -- - - - - -- - -- LUMBER TOP CHORD 2 X 6 SYP 2400F 2.0E BOT CHORD 2 X 6 SPF 1650F 1,5E *Except* BOT CHORD (2 Ceiling dead load ( s). - on member(s). 4-5, 7-8, 5 -14, 7-14; Wall dead load B2: 2 X 8 SYP DSS 2 -13= 0/2251, 12- 13= 0/1894, 10- 12= 0/2251 9) Bottom chord live bad (40.0 psf) and additional bottom chord dead load (3.0 psf) BRACING 5-14=-2126/0, 7-14=-2126/0, 4-13=0/1285, 8-12=0/1285, applied only to room. 12 -13 1D) All bearings are assumed to be SPF No.2 . TOP CHORD 3 -13= 608/129, 9- 12=608/132 with Structural wood sheathing direct applied or 4 8 -11 oc udins. sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1. 11) This truss is designed in accordance with the 2009 International Residential Code BOT CHORD g y pD p NOTES (14) BOT ceiling directly 12) "Semi -rigid pitchbreaks with fixed heels" Member end fixity model was used in the g g ctly applied or 10 -0 -0 oc bracing. 1) Wind: ASCE 7 -05; 100mph; TCDL= 4.2psf; BCDL =5.0psf; h =25ft; Cat. II; Exp 8; analysis and design of this truss. JOINTS enclosed; MWFRS (tow -rise) gable end zone and C -C Exterior(2) -1 -0-0 to 2 -0-0, 13) Attic room checked for L/360 deflection. 1 Brace at Jt(s): 14 Interior(1) 2 -0-0 to 11 -0-0, Exterior(2) 11-0-0 to 14-0-0, Interior(1) 17 -0-0 to 26-0-0 zone; 14) Afl Plates 20 Gauge Unless Noted cantilever left and right exposed ;C -C for members and forces & MWFRS for reactions REACTIONS (lb/size) shown; Lumber DOL =1.33 plate grip DOL =1.33 LOAD CASE(S) 2 = 2230/0 -5-8 (min. 0-3-8) 2) TCLL: ASCE 7 -05; Pg= 50.0 psf (ground snow); Pf=38.5 psf (flat roof snow); Standard 10 = 2230/0 -5-8 (min. 0 -3-8) Category II; Exp B; Partially Exp.; Ct=1,1 Max Horz 3) Unbalanced snow loads have been considered for this design. 2 = - 341(LC 7) 4) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 38.5 psf on overhangs non - concurrent with other live loads. FORCES (lb) - Max. Comp. /Max. Ten. - All forces 250 (lb) or less except when shown. 5) This truss has been designed for basic load combinations, which include cases with TOP CHORD reductions for multiple concurrent live loads. 2-15=-3091/0, 3-15 =- 2916/0, 3-16= 2809/0, 4-16 =2633/0, 6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with 4-17= 1800/0, 5 -17 =- 1685/0, 7 -20 =1685/0, 8-20- 1800/0, any other live loads, 8-21=-2633/0, 9 -21 =- 2809/0, 9-22= 2916/0, 10 -22= 3091/0 7) * This truss has been designed for a live load of 20,Opsf on the bottom chord in all BOT CHORD areas where a rectangle 3 -6-0 tall by 1 -0-0 wide will fit between the bottom chord and 2 -13= 0/2251, 12- 13= 0/1894, 10- 12= 0/2251 any other members. CONTRACTOR QUOTE PRINTED ON: 09/07/12 PAGE 1 QUOTE # Q1209066 DATE QUOTED:09 /07/12 E NG�IN ERIIN 181 GOODWIN ST VALID UNTIL: 10/05/12 CORP ION PO BOX 51027 Job: BERGERON INDIAN ORCHARD, MA 01151 MANUFACTURERS OF ROOF & FLOOR TRUSSES Phone (413) 543 -1298 Fax (413) 543 -1847 Toll Free (800) 456-0187 NORTHAMPTON, MA y r Quote To :Leader - Amherst Requested By: DON SCOTT 150 College St Amherst, MA 01002 Quoted By: Brian Tetreault Attn: DON SCOTT Phone: (413) 253 -3411 LOADING TCLL- TCOL- BCLL -BCDL I STRESS INCR. ROOF TRUSSES INFORMATION 50.0,10.0,0.0,10.0 � 1.15 ROOF TRUSS SPACING: 24.0 IN. O.C. (TYP.) LAYOUT / / PROFILE I QTY PITCH TYPE BASE I O/A I LUMBER OVRHG 1 CANT I SHIPPING I UNIT PLY TOP ! BOT TRUSS ID SPAN SPAN TOP BOT LEFT 1 RIGHT HEIGHT WEIGHT ATTIC 01-00-00 ■ 01-00-00 I 22 10.00 0.001 Al 28-00-00 28-00-00 2 x 612 x s 13 01 -03 195 1 I Truss Engineering Corporation (TEC) strictly adheres to the 'Standard Responsibilities in the Design of Metal Plate Connected Wood Trusses' as defined by TPI Chapter 2 (available upon request) regardless of any job specific specifications unless clearly defined otherwise in writing by TEC. SUB -TOTAL This product list is Taus Engineering Corporation's INTERPRETATION of plans and drawings as supplied to us. No responsibility is taken or implied by TEC for the structural integrity of the structure below the trusses or the affects of TEC's product on the structure as a whale. The building owner/owner's agent is solely responsible for verifying alt t WIDE LOAD / dimensions, geometry, loads and load requirements for accuracy and full compliance to construction documents and shall rI G I be responsible for notifying TEC immediately of any discrepancies. Truss Engineering Corporation is NOT responsible for ESCORT F EE field verification of dimensions or special conditions. The building ownerlowner's agent is responsible for coordinating all construction details between trades. The truss installer shall follow all BCSI recommendations, construction document specifications as well as any site specific 1G RAND ND TO TA L requirements to ensure safe and proper installation. No loading shall be applied to trusses until properly and fully I ` �7 ■ I installed, including all sheathing, hangers, wall anchors, lateral web bracing (as shown on in t vidual shop drawings), and permanent bracing (as required by the construction documents). Installation contractor shall refer to the individual truss -- -_- - -_. - - -... _. -.. - -- - -- - - - - -- - - - - -- shop drawings for all structural requirements of muses, including but not limited to bearing locations and requirements, ply to ply nailing, lateral web bracing, and truss spacing. No trusses supplied by Truss Engineering Corporation may be cut, drilled, or altered in any way without first contacting TEC and receiving engineering documents allowing such. * ** THESE DRAWINGS HAVE BEEN REVIEWED AND ARE APPROVED AS AN ORDER * ** Approved By; -_ - -_ Approval Date: PO #: Requested Delivery Date: -- -__ - The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations . { � 1 Congress Street, Suite 100 Boston, MA 02114 -2017 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information ((�� '' Please Print Legibly Name (Business/Organization/Individual): J r er 1 (A.Vd JI eee � G . Address: 750 ��t n Roo.C1 City /State /Zip: Be. Iaerkm-)vt M] 01 007 Phone #: 9 13- y a7 - 803 Are you an employer? Check the appropriate box: Type of project (required): 1. [Elam a employer with 4. ❑ I am a general contractor and I employees (full and/or part - time).* have hired the sub - contractors 6. ❑New construction 2. D I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in aci employees and have workers' g any capacity. 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 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 13.[✓rOther t rso� �tn employees. [No workers' comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 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. 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 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 under the pains and penalties of perjury that the information provided above is true and correct. Signature: 1 i Datei Phone #: ' 1 )3 - t a7" /3o3/ 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : ! \ e.r K ) ekbecov1 8C?.7Lj License Number 7 30 6 Kt( Rc,d &IcLe 4o, MA 0/007 7- ?8 13 Address Expiration Date Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ D " ht".: s we - I ��� xi Company Na Registration Number 73o bv4 gem i IUD- &1007 9 - 12 - I Address Expiration Date y Telephone / L 7 - 0O L j 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 buildin ermit. Signed Affidavit Attached Yes No ❑ 11. - Home ner Exemption The current exemption for "home ers" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to enga individual for hire who does not possess a 1 - • - - , provided that the owner acts as supervisor. CMR 780, Sixth Edition tion 108.3.5.1. Definition of Homeowner: Person (s) who own a . • cel of land o. ich he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, att. • :. or detached structures accessory to such use and/ or farm structures. A person who constructs more than o I ome in • o -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Buil.' • Official, on a form ac , . ble to the Building Official. that he /she shall be res s onsible for all such work l erfo ed under the buildin l ermit. As acting Construction Su ' e or your presence on the job site will be require. • om time to time, during and upon completion of the work f. • hich this permit is issued. Also be advised th. • ith reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees fo juries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire , . erform work for you under this permit. The un. ersigned "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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. Er Demolition ❑ New Signs [0] Decks [[I Siding [p] Other [El Brief Descrip ;•n of 'roposed j � ; -1 7 7 Work: � . � • � i , ��i /. :cam / A� � CJ� -6 � � , Alteration of existing bedroom Yes No Adding new bedroom Yes ► • • ' Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet J 6a. If New house and or addition to existing housing, complete the following: 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 I, Nt- 1tn.IA' , as Owner of the subject property � � hereby authorize " J \I \c r c ecor to act on my behalf, in all rs relative to vit rk author by this building permit application. it itiitti 9 ) Signature o Own r Date I, ...Ty 1-er Bec ; OY1 , as Owner /Authorized Agent hereby declade that the statemots and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under t ii e pains and penalties of perjury. --- ri c 6:c"Do(lo. i Yt Print Name Signature of e A nt Date 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 y43 1 00 ti y3,11O Frontage 50 5 Setbacks Front SO, a.00 Side L: R: L: 'ftO" R: SO ' - Rear 50° t Building Height 2 Bldg. Square Footage 3000 I.la % —1/559' ` 1.0'). Open Space Footage p� % y3t�c t (Lot area minus bldg & paved 135 o� 1 parking) q a +al i Rage # of Parking Spaces ' Fill: /VI A I I A (volume & Location) f r / 1 Ir A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW ei YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO e( DONT KNOW ® YES O 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 \:J IF YES, describe size, type and location: er D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, ex tion, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. w ,w...,. 1 Department use only • E EIVED City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit SEP I 202 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans No F �lrtr�l.w►ot D1 0 i" c one 413 -587 -1240 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 1.1 Property Address: This section to be completed by office 7 A7 Park H ; I I f OcAc Map Lot Unit Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: I I l � •r 54ePltA * K�►b 4 L �Vo.\ 7e17 f oek H;1I FIorevc� I 4 Name (Prin) / Current Mailin Address: 530 y4o 6/e/ien Jo I Telephone Signature 2.2 Authorized Agent: I {� 1 1;1p - VP c`o�.e r ov1 / 7 2,� a ( I ( Root" BeICLAbW it 01007 Name (Pr ) Current Mailing Address: 8 d3j Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building /7/ p6 6 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of 3 Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection .1 6. Total = (1 + 2 + 3 + 4 + 5) 3D , t 00 Check Number 6 03 / # 3 5 . . 0 This Section For Official Use Only Date Budding Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date d s� File # BP- 2013 -0284 `ly��/ (1.-k l APPLICANT /CONTACT PERSON TYLER BERGERON ADDRESS/PHONE 7 SCHOOL ST GRANBY (413) 427 -8034 O �` E' N ` ° PROPERTY LOCATION 727 PARK HILL RD V ` 1� � 1 Out „ MAP 49 PARCEL 048 001 ZONE e ►` THIS SECTION FOR OFFICIAL USE ONLY: r �j� PERMIT APPLICATION CHECKLIST y __ ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out f 03 ( At,2 2 ,t-' a U r Fee Paid ( y ✓ Typeof Construction: CONSTRUCT ?8'X 42 DET GARAGE New Construction 'Z '4 3 7 Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 080274 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) -( i? t i PLANNING BOARD PERMIT REQUIRED UNDER:§ 00 / 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 Signature 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. File # BP- 2013 -0284 OVA APPLICANT /CONTACT PERSON TYLER BERGERON ADDRESS/PHONE 7 SCHOOL ST GRANBY (413) 427 -8034 O PROPERTY LOCATION 727 PARK HILL RD MAP 49 PARCEL 048 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid G y°� °L Typeof Construction: CONSTRUCT 27 X 37 DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 080274 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO yqATION 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 9( 12-- Signature of Building fficial Date g g 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. 727 PARK HILL RD BP- 2013 -0284 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 49 - 048 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: GARAGE BUILDING PERMIT Permit # BP- 2013 -0284 Project # JS- 2013- 000464 Est. Cost: $50000.00 Fee: $235.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TYLER BERGERON 080274 Lot Size(sq. ft.): 443440.80 Owner: DUVAL STEPHEN R & KIMBERLY L Zoning: Applicant: TYLER BERGERON AT: 727 PARK HILL RD Applicant Address: Phone: Insurance: 7 SCHOOL ST (413) 427 -8034 () WC GRANBYMA01033 ISSUED ON:9/26/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 27 X 37 DET GARAGE 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 9/26/2012 0:00:00 $235.20 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner