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1 F D T C ` MEMBER REPORT Level,Floor:Drop Beam PASSED
I V ■a ■ ` 4 piece(s) 13/4" x 117/8" 1.9E Microllam0 LVL
Overall Length: 18'
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x1�FS€;�, €.....': rya.El,`6�Ott„j ,�..
1 6” 16-6"
Ir
All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.
CMi'S r �BaF" " y, "�t G± tltttltl.• Attow � >-Resulk• IL►F (pF 3 , System:Floor
Member Reaction(lbs) 7496 @ 1'7 3/4" 17763(3.50") Passed(42%) 1.0 D+0.75 L+0.75 S(All Spans) Member Type:Drop Beam
Shear(Ibs) 5438 @ 16'6 1/8" 18163 Passed(30%) 1.15 1.0 D+0.75 L+0.75 S(Alt Spans) Building Use:Residential
Moment(Ft-Ibs) 24977 @ 9'8 7/8" 41051 Passed(61%) 1.15 1.0 D+0.75 L+0.75 S(Alt Spans) Building Code:IBC
Live Load Defl.(in) 0.349 @ 9'7 11/16" 0.533 Passed(L/549) 1.0 D+0.75 L+0.75 S(Alt Spans) Design Methodology:ASD
Total Load Defl.(in) 0.653 @ 9'8" 0.799 Passed(L/294) 1.0 D+0.75 L+0.75 S(Alt Spans)
Deflection criteria:LL(L/360)and TL(L/240).
•Overhang deflection criteria:LL(2L/360)and TL(2L/240).
Bracing(Lu):All compression edges(top and bottom)must be braced at 18'o/c unless detailed otherwise.Proper attachment and positioning of lateral
bracing is required to achieve member stability.
lri \r/fir/ r i 4 P� / /� �pgY,f:•4 to'.upow",
"Flow, 011.11w,"W011'all
1-Column-SPF 3.50" 3.50" 1.50" 3413 2722 2722 8857 Blocking
2-Pocket in masonry-concrete 6.00" 6.00" 1.50" 3130 2342/-24 2330 7802/-24 None
•Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed.
a r "0•1 t 'Flow uYe
loads.
h,r
1-Uniform(PSF) 0 to 18' 7' 15.0 40.0 - Residential-Living Areas
2-Uniform(PSF) 0 to 18' 7' 15.0 - 40.0
3-Uniform(PLF) 0 to 18' N/A 100.0 -
4-Uniform(PLF) 7'to 18' N/A 50.0
75 HARRISON AVE.
NORTHAMPTON,MA
........ (Ij)SUSTAINABLE FORESTRY INITIATIVE
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details.
(www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to
circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to
assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable
forestry standards.
The product application,input design loads,dimensions and support information have been provided by Forte Software Operator
Forte Software Operator Job Notes 12/30/2013 1:13.11 PM
Peter Van Buren Forte v4.0,Design Engine:@5.6.1.203
Cowl's Building Supply
14 13)5A9-0001
pete @cowls.CGm
Page 1 of 1
-a.
City of Northampton
r' °s
Massachusetts �S'' "cftt,
DEPARTMENT OF BUILDING INSPECTIONS
ki .nr
212 Main Street • Municipal Building
w Northampton, MA 01060
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
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 any 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 regulations. The inspection
process requires 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 (if 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 permits in conjunction to the building
permit issued, and 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)
will call to schedule all required building inspections necessary for the building permit issued to me.
Date
Address of work location
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
.:.. ...... .
' 600 Washington Street
v Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeLibly
Name (Business/Organization/Individual): y(
Address: (�o
City/State/Zip:
IVY Phone #: t 1& -Ae
Are you an employer?theck the appro rate bog: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part-time).* have hired the sub-contractors
2.,X 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 any capacity. employees and have workers' 9 ❑ Building addition
[No workers' comp. insurance comp. insurance.1
required.] 5. ❑ We are:a corporation and its 10.❑ Electrical repairs or additions
3.❑ 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.❑ 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.
tHo meowners 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 th pains' f penalltieess of perjury that the information provided above is true and correct.
Signature: Date:
Phone
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: [, �qy0f o 6 yo()o
License Number
Address Expiration Date
Signature Tel hon
9:'Registered Home Improement'ContFactor . Not Applicable £
Company Name Registration Number
Address I Expir tion ate
��� G�� ,• Telephon /(f
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c..162,§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....... £ No._. £
1'1. Home Owner_Egemp Ion
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.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ED
Or Doors (]
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding [O] Other[
Brief Description of Proposed ; , ,, i l w l ( V
Work: jai✓� , � SGt-c,�
Alteration of existing bedroom Yes No Adding new bedroom Yes ;`� No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa. If New house and or addition to existing h`ousnq, complete ttie followiina:
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
as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to wo authorized by this building permit application.
Signature of Own r Date
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.
^�
Cry,),A ii
Print Name
--��{ Date
Signature of Owner/Agent
^ `
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
Tliis column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Rear
Building Height
Bldg.Square Footage 011'0
Open Space Footage %
(Lot area minus bldg&payed
#of Parking Spaces L--j
(volume&Location
A. Has a Special Permit/Vahance/Flnding ever been issued for/on the site?
NO 0 DON TKNOY 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded a1 the Registry ofDeeds?
NO �� �
�~� un / KNOW 0 YES
|F YES: enter Book Pagq and/or Dncument#
�� ��
B. Does the site contain a brook, body of water orwed ��wetlands? N8 «�� DONTKNO\� «�� YES �~�
'
IF YES, has permit been or need tn be obtained from the Conservation Commission?
Needs tobeobtained .
»~� Obtained �~� Date Issued:
�~� �~� '
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size' type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, gradingexcavation,or filling)over 1 acre orinit part ofu common plan
, that will disturb over 1acre? YES NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
-
yry rf'�p nth cls only r 1 1
epa ��e
C•ty of Northampton Status oPermttL 5 k �� s k4
ld,q,
8 •Iding Department GtxrS trtl[—�y�rre�va Perrtlit
's}`r ,emu 31r.rih
12 Main Street SeyverlSeQticAairatity
."1101"1
4
` Room 100 alNater�tltite�lAva 6 flafitlitj�' -
` �.... I.-• al u r#•�.. kl ' .. } 4 ,� t
—Northampton,Northampton, MA 01060 Two SetsMdt Str �totxal P(an5 t
---`` phone 413-587-1240 Fax 413-587-1272 F'loit PlaRS M�ka� r ,�44� q1 I at
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address:
Q� 1C Map Lots F Umt
� C r t
y— .. �Zone Overlay D�sfnct i
E J ti r,
�.Elm St Distncf �r CB District '- .r r
SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) / J / r Current Mailing Address:
Telephone � ` 1 -
Signature l
2.2 Authorized Agent:
1 ��(> 0.11 _ � %l/l/
ILL,,C�i�y��✓f/i/P� 7_l
Name(Print) „ Current Mailing Address: !c) ,)7(?
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS. .
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Feb
2. Electrical _ _ (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4 Check Number
This Section For official'Use Onl
Date
Building Permit Number: Issued:
Signature: Q /
Building Commissionertinspector'of Buildings: Date
75 HARRISON AVE BP-2014-0762
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map-Block: 31A-216 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildbg DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category:renovation BUILDING PERMIT
Permit# BP-2014-0762
Project# JS-2014-001309
Est. Cost: $8000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CLAUDIO GARRIDO 89458
Lot Size(sq. ft.): 8537.76 Owner: UMBACH TIMOTHY A&LINDA M HAMASHIMA
Zoning:URB(100)/ Applicant: CLAUDIO GARRIDO
AT. 75 HARRISON AVE
Applicant Address: Phone: Insurance:
140 NASH HILL RD (413) 268-9052
HAYDENVILLEMA01039 ISSUED ON.1213012013 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE BASEMENT BEAM
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 12/30/2013 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner