35-297 (5) :
ran �
;
FT. Deep
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
M0
0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - r
0 C
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . voZ
N N
m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH
THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI-
TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE.
Plot Plane and Plana,must be filed with this application before a permit be granted.
Zone
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
Application for a Dwelling Permit
a Northampton,Mass. . . /.F14y. 1 �. . . . . . . . 19
Telephone No. . . . . . . . . . . . Q
7b the Supt. of Buildings:
Application for a permit to build is hereby made according to the following:- �-4�
1. Location,Street and No. . .�a . . .t0 o p ���'�. % . . . • . • . . • • • • • • Lot No: .,s. . ....
2. Nearest cross street . ./�-x!('t . . . . . . . . . Size of lot . . . ��.r. ��0. . .
3. Owner's name W. !` 1``"S 1.4(. . . . . . Address PO 4etiL 60 �-Y`� ' ` 4)106
4. Architect's name. . . . -j -. . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J5. Builder's name `.J .��16'`l. . T.`. !� `7Y��•S A j . • • • • Address
Mass.Construction Supervisor's License No. . .0. .r;. . . . . . . . . . Expiration Date . . .
6. Use of Building:One-family . . . . 'C .4 . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . .. Other . . . . . . . . . . . . . .. . . . . .
7. Number of rooms in each family unit: . . . . . .!.d. . . . . . . . . . .. . . Number of Bathrooms ( . .`C /6/,1,,`j>
8. Is there a garage attached? . . . . . . . ..1. C . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
9. Size of building . . . . . .7.�.�X. .`f./�. . . . . . . . . . . . . . . Square footage o2.9�2- . R Gt vf'J
.. . . . . . .&. . . . . . .
10. Number of stories . . . . . . .9�. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Distance from finished grade to high point of roof . . . . . . e� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Type of construction . . . . . . -,51'p n�e.-. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Distance from building to street line in feet . . . . . . .3:5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14. Distance from building to side lot lines in feet:Left . . . . . ,2.vZ. . . . . . . . . . . . . . Right . . . .41 r. . . . . . . . .. . . . . . .
i
15. Distance from building to rear lot line in feet . . . . . . . . .((�yy. .�.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
16. Is a plot plan being filed with this application? . . . . . . ./. .63'. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . .
17. Species of framing lumber:DF . . . . . . . . . . . . . . .. . . . . Spruce . . ��x.rr�. . . . . . . • . Other . . .. . . . . . . . . . . . . . . . .
18. Are all structural conditions noted on drawings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . .
19. Nature of land upon which the structure will be erected:Natural . . . . . .K. . . . . . . . . . . Filled . . . . . . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade . . . . .41. .. . .14' t
. . . . . . . . . . . . .. . . . . . . . .. . . . . . .
21. Material of foundation walls . . :5?!•'u . . . . . . . . . . . . . . . . . . .. Thickness in inches . . . . . . . . . . . .
22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . �/�
. . . . . . . . . . . .. . . . . . .
i�Ci ff !'A< rT. . .S'. !�L' LL3. . . . . . . . . .
23. Material or roof covering . . . . . . . . . . . . . . . . . . . . . . . . . . . ./�. . . . . . • • .
24. Method of heating . . . . . . . . . . . . . . . . . . . . . f//_'7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . .
26. Septic Tank? . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . City Sewer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27. Construction within 100 ft. of wetlands? . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
28. Construction within 100 year flood plain? . . . . . . . . Alp.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . .
29. Estimated cost: Total $ . . . . . . . . . . . . . . . n ''
No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate
of occupancy is issued by the Building Inspector.
The undersigned certifies that the above statements are true to the best of his knowledge and belief.
4 ' .l
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . tSure Onir-actor Si g nature of res p onsible applicant
WRITTEN DESCRIPTION OF WORK TO BE DONE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .
41 z
'� .. �R}fJtCI(1tfRltf .
DEPARTMLNT OF BUII.UIXO w8pg TIONS
INSPECTOR 21.2 wren. stmt . Municipal Building .
Northampton, Mess. 01060
CERTIFICATE of OCCUPANCY and USE
This is to certify that permission is hereby granted under 780 CMR, sixth edition of the
Massachusetts State Building Code, allowing the occupancy or use of the premises or
structure or part thereof located at
63 Woodland Drive - Lot #26
as shown on the Assessors Page# 35 , Lot# 297 Zone SR
in the City of Northampton, as herein specified:
CONSTRUCTION TYPE(780CMR 6) 5
USE GROUP CLASSIFICATION (780 CMR 3 R-4
OCCUPANT LOAD PER FLOOR (780 CMR Table 1008.1.2 40 PSF — lst floor
30 PSF - 2nd floor
LIVE LOAD PER FLOOR (780 CMR Table 1606.1) 40 PSF
Under the following limitations, special stipulations, and /or conditions of the
permits: N/A
Issued this 25th day of September 1998
Certificate of Occupancy and Use 9 1600
Authorized Department Personnel
Electrical Elevator
Fire Plumbing
L.
Building Gas
Building Commissioner
This certificate shall be posted by the owner, in a permanent manner and in a visible
location, on all floors designated as use group I-I, S, M, F, or B, and in every room where
practicable of use group A, I, R-1, or R-2 per requirement of 780 CMR section 120.5
Posting Structures.
Building Department
413-587-1240------fax 413-587-1272
RIGIIT-J LOAD AND EQUIPMENT SUMMARY
File name: J"Z 1.RSR
For: John Zieminski
Northampton Ma 01060
584-4002
By: Hebert Plumbing
59 Conz St
Northampton Ma 01060
5842048
Job#: 63 Woodland Dr.
Wthr: Springfield Westover AF MA
Zone: Entire House
WINTER DESIGN CONDITIONS SUMMER DESIGN CONDITIONS
Outside db: 0 OF Outside db: 95 °F
Inside db: 70 OF Inside db: 35 OF
Design TD: 70 OF Design TD: 20 OF
Daily Range M
Rel.Hum. : 50 %
Grains Water 25 gr
HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING
Bldg.Heat Loss 72344 Btuh Stricture 27248 Btuh
Ventilation Air 0 CFM Ventilation 0 Btuh
Vent Air Loss 0 Btuh Design Temp. Swing .G ,I.
Design Heat Load 72344 Btuh Use Mfg.Data n
RatelSwing Mull. 1.00
INFILTRATION TAM Stmt F(Plip 1AIRd "'124:i With
Method Simplified LATENT COOLING EQUIP LOAD SIZING
Construction Quality Average
Fireplaces 0 Internal Gains 2 7 6 0 Btuh
Ventilation 0 Bttih
HEATING COOLING Infiltration 2 62 2 Btuh
Area(sq.R.) 2896 2 8 8 6 Tot Latent Equip Load 5 3 9 2 Btuh
Volume(cu.ft.) 23088 23088
Air Changes/Hour 0.7 0. 4 Total Equip Load 32630 Btuh
Equivalent CFM 270 15 4
HEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY
Make Make
Trade Trade
Efficiency 80.O AFUE Efficiency 0.17 EEF:
Heating Input 0 Btuh Sensible Coating 0 Btuh
Heating Output 0 Btuh Lake t C+wting 0 Btuh
Heating Temp Rise 0 OF Total C'uoling, 0 Iltuh
Actual Heating Fan 1304 CFM Actual Cooling Fan 1304 CFIVI
I-Itg Air Flow Factor 0.019 CFM/Btuh Clg Air Flow Factor 0.04R CFM/Btuh
Space Thermostat Load Sens Heat Ratio 1?4
MANUAL J: 7th Ed. Right-Suite: Ver 4 .1.10 S/N RSR2192 8
' R 780 CMR Appendix J
Manual Trade-Off Worksheet
Per mit
Builder Name Date
Builder Address
Checked E
Site Address Zone❑12 013 ❑14
Submitted By Phone Date
PROPOSED -REQUIRED
Ceilings, Skylights, and Floors Over Outside Air
Requited
Insulation x Net U-Value
Description R-Value U-Value Area = UA (Table J6.2.211) x Area = Ui
Ceiling ft2
(Table J6.2.2a) --'
Floor Over Outside Air ft2
(Table J6.2.2a) —'
ftz
ft2
Total Area ft2
Walls, Windows, and Doors
Insulation x Net Required
Description R-Value U-Value Area = UA U-Value x Area = U,
Walls ft,
(Table J6.2.2b,c,d) F T
Windows — ft2
(NFRC or Table J1.5.3a) --'
Doors — ft2
(NFRC or Table J1.5.3b) —i
Sliding Glass Doors — ft,
(NFRC or Table J1.5.3a) —'
ft2
ft2
Total Area ft2
Floors and Foundations
Insulation Insulation x Area or Required
Description Depth R-Value U-Value Perimeter =UA U-Value x Area = UA.
Floor Over Unconditioned (Table ft2
Space J6.2.2e)
Basement Wall (Table ft2
J6.2.2f)
Unheated Slab ft
(Table J6.2.2g) in.
Heated Slab ft
(Table J6.2.2g) in.
ft2
ft2
Total Proposed UA must be less Total Total
than or equal to Total Required UA
Proposed UA Required UA
Statement of Compliance:The proposed building design represented in these documents is consistent with the building plans,
specifications,and other calculations submitted with the permit application.
Builder/Designer Company Name Date
DRAFT (for training purposes) 53
ra
ENERGY CONSERVA'T'ION APPLICATION FO , . "996
FOR LOW-RISE RESIDENTIAL NEW CONSTRU T,IOv
Applicant Name: 3-0 lew, Site Address: (c Woodon,,�
Applicant Address: P d 6 vac &,e,2 t City/Town: oIZPl �W Pte-
�i�v,ecE �'-tn- Use Group:
Date of Application: 5—ft o
Applicant Phone: (3_ vo L Applicant Signature:
Compliance Path(check one):
Prescriptive Package(for 1-or 2-family residential buildings not heated by electric resistance)
Fill in all values that apply from Table J5.2.1 b: Package Number(A through KK):
a. Gross Wall Area ;L-7(,? sq.ft f. Wall R-value R R 1
b. Glazing R.O. Area L30 sq.ft. g. Floor R-value R- k
c. Glazing% (b=a) !S.S % h. Basement wall R-
d. Glazing U-value U- �'2-' i. Slab Perimeter R-
e. Ceiling R-value R- j. Heating AFUE S6a d
Component Performance(Manual Trade-Off)
Climate Zone(from Figure J6.2.2) E] Zone 12 Zone 13 Zone 14
Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable]
(� <AScheck Software
Attach Compliance Report and Inspection Checklist printouts. ..s_. .y'° :
F� Systems Analysis Renewable Energy Sources
Attach approved Analysis
Official's Name: Z.0ri4&c7 Official's Signature:
Application Approved g Date of Approval: z
Application Denied Date of Denial:
Reason(s)for Denial:
(over for more) MRS 12/0&/97
system must provide a means for balancing air and water systems.
TEMPERATURE CONTROLS:
[] Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
[] Rated output capacity of the heating/cooling system is
not greater than 125%of the design load as specified
in sections 780CMR 1310 and J4.4.
MISC REQUIREMENTS:
[] Refer to 780 CMR,Appendix J for requirements relating to swimming
pools,HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F,and circulating hot water systems.
----NOTES TO FIELD(Building Department Use Only)-------------------------
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.0
DATE: 5-27-1998
Bldg.l
Dept.l
Use
I
CEILINGS:
[] 11. R-40
Comments/Location
I
WALLS:
[] 11. Wood Frame, 16"0.C.,R-19
Comments/Location
I
WINDOWS AND GLASS DOORS:
[] ( 1.U-value: 0.35
For windows without labeled U-values,describe features:
#Panes Frame Type Thermal Break?[] Yes[] No
Comments/Location
I
FLOORS:
[) 11. Over Unconditioned Space,R-21
Comments/Location
I
AIR LEAKAGE:
[] I Joints,penetrations,and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0.5"
clearance from combustible materials and 3"clearance from insulation.
I
VAPOR RETARDER:
[] I Required on the warm-in-winter side of all non-vented framed
ceilings,walls, and floors.
I
MATERIALS IDENTIFICATION:
[] ( Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
I
DUCT INSULATION:
[] I Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
I
DUCT CONSTRUCTION:
[] ( All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. The HVAC
I I
MAScheck COMPLIANCE REPORT I
Massachusetts Energy Code I Permit# I
MAScheck Software Version 2.0 I
I I
I Checked by/Date i
I I
CITY: Amherst
STATE: Massachusetts
HDD: 6614
CONSTRUCTION TYPE: 1 or 2 family,detached
HEATING SYSTEM TYPE: Other(Non-Electric Resistance)
DATE: 5-27-1998
DATE OF PLANS:
TITLE: 63 Woodlawn lot 26
Builder-John Zieminski,Home owner-Duggan
COMPLIANCE:PASSES
Required UA=473
Your Home=415
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 1344 40.0 0.0 39
WALLS: Wood Frame, 16"O.C. 2768 19.0 0.0 167
GLAZING: Windows or Doors 430 0.350 150
FLOORS: Over Unconditioned Space 1344 21.0 59
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans,specifications,and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building,and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125%of the design load as specified in
sections 780CMR 1310 and J4.4.
Builder/Designer Date
O O
of Nart4amptar ,
c � w �IKSE AChiTEC�IE � i��U V
37 DEPARTMENT OF BUILDING INSPE Ic ws f
INSPECTOR 212 Main Street w Municipal Building
Northampton, Mass. 01060 r
Square Footage Amount
Basement @ .10 % rsd
lst Floor @ .40 /f6-L�- Cv ;2'� �/
�D
2nd Floor @ .20 �7 7Y
1/2 Floors, Attic, Gam .10
(�U
Deck, Porches .10
TOTAL
� �-
63 Gdoaq c~6 bk Aor-26
S-25
I
a —
v IN
M�
cv ,0
• i
12-98
Conditions: Driveway Permit
In lieu of plan approved by City Engineer
I agree to the following added conditions:
1) I will contact the Department of Public Works and have
an inspector check and approve the graded gravel base
prior to paving to insure compliance with slope and
location;
2) I further agree that if in the inspections any of the
permit conditions are not met that I will at no expense
to the City remove and replace the driveway as directed
by the City Engineer.
By:
e tioner
NOTE: The Public Works Department recommends that you provide a
plan showing the proposed driveway with grades and location
in the future to avoid possible expense which you will incur
by not getting approval of actual plans in advance.
replaces 12-98
Nti( I f. 11998
C I T Y O F N 0 R T H A M P T 0 N, M A S S.
«.' ..�.. :x.. 19 98
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at 63 Woodland Drive
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 if the grade of the proposed driveway exceeds 3% or more.
By:
. Box 602 8 584-4002
F• rence MA 1062
Proposed Location
Inspected by: rM, • 14 951'
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
$25.00 Fee Paid Ck. No. 2449
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
{0 4Kroy r j
a6 �lasaacltnsctta � ,
m DEPARTMENT OF BUILDING INSPE ION4
212 Main Street ' Municipal Bu n�` '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(LcensecJpermlttee)
with a principal place of business/residence at:
S3 M pwc E PZ, pG E- 1U `71>,.j (phone#) 58 YO D 2
(sue`t/city/stat chip)
do hereby certify, under the pains and penalties of perjury, that:
I am an employer providing the fo!lowing worker's compensation coverage for my
employees worming on this job:
KAVcl L-�s 00AI 3 Lel'
Y Y3
(Imp rance Company) (Policy Number) (Expiration Date)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance- Cornpany/Poiicy Number) (Expiration Date)
(Name of Contractor) Orrsu ncz Company/Policy Number) (Expiration Date)
t
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) gnsm=ce Company/Policy Number) (Expiration Date)
(attach additicoil zhcct if neo,&ry to ioc u iofntnu>;om Pcrtaiming to ell oodmdom)
( ) X
and a sole proprietor and have no one working for me.
( ) X am a home owner performing all the work myself.
NOTE:Please lx award that whilo homeowners who employ pc r%om to do ntaiMmanct c=anx600 or repair work on a dvrclling of
not mo"than throo units is wbxh the h0000wncr raids of oc the Vvxv t appurtenant ibmtw ate not gcocally ooandered to be
employrcra under the wock="oompcaaation Act(GL152,s3 1(5)),apptic&6on by a homeowni7 for a Uccnso or permit may evidcnm the
leg"Mat' of as employer under thn Wotite'a Compemaiiou Act.
I undmiaud that a copy of thin riaSrnxnt may bo forwarded to tbo Dcparwn of of Indu b iel Acodco&Offioo of Itrnusnoo for tho
coverage verification and that failure to secure covttago under section 25A of MOL 152 can lead to tbo imposition of criminal P—tia
eonsisii s of a fine of up to S1,500.00 and/or imptisoamcat of up to one year and civil petnitics iu the form of a Stop Work Order and a
5no of 3100.00 a day again&mr-
For dcp=tD=3b1 u'o-JY
Permit Number
M44 _Lot#
`;; Sigiiafure of Lic�nseelPermitiee
09-98
Water Entry Application
DATE: 9/2- J? SIGNED: -
(Appli is ante&Telephone No.) �--
(Address of Applicant)
$ 200.00 entry fee paid. Check No.: 2450
100.00 meter fee paid. Check No.: 2450
Application approved and permit issued:
DATE: 9�z.4(g� SIGNED:
(Director of Public Works)
FEE SCHEDULE:
Water Entry Permit Fee= $200
Water Meter Fees:
5/8" Meter= $100
3/4" Meter= $150
1" Meter= $200
C:\MyFilesTermits\WaterTntryapp.wpd
09-98
RESIDENTIAL OR COMMERCIAL BUILDING WATER APPLICATION
To the City of NORTHAMPTON, MASSACHUSETTS:
The undersigned, being the Owner of the
Owner, Owner's Agent
property located at 63 Woodland Drive does
(Number) (Street)
hereby request a permit to install and connect a 5 Water
(Size)
Service to the Residence at said location.
(Residence, Commercial Bldg. , etc. )
1. "Owner shall mean the person holding title to the property
served or to be served by the water service.
2. The name and address of person or firm who will perform the
proposed work is Robert Wade 584-3492
422 North Farms Road, Northampton, MA 01062
3. Plan/Sketch and specification for the proposed water service
shall be attached to permit.
In consideration of the granting of this permit, the undersigned
agrees:
1. The Water Department shall make all taps to the water main.
2. WATER ENTRY PERMIT fee is $200.00.
3. Additional work performed by City forces from the water main
to streetline shall be paid at the prevailing labor rates and
cost of material.
Water Meters 5/8" $100.00
3/4" $150.00
1" $200.00
Water Meters 1 1/2" and above shall be purchased by the owners -
using city specs_
4. The Water Superintendent shall be notifed for water line
inspection prior to backfill of trench.
L0 T62Z2Z29T51:klQHA GZA123aU ZIP* IT 26-11-50
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.fob' Truss Truss Ty�c -----TQty Ply --
I i95H2O85 j701 DUAL PfTCH 12 1 1
L..P 8.R TRU5S CO.INC_,HUDSON NY 12531 ---'—' ' —•
4.O i2 Dec 16 1997 MiTek industries,Inc. 1 i 1140:14 1498 Page Y
01 0 8-7-4 16-412 7 0
I 34-6-10 �. i —��
0-10-0 8-7-4 7.9-3 7-9-8 5-2-3 5-2-3 5-5 G 0-10.0
4.00(�z
6x7:=
4x4 6.00
4x3 l 6
4x4
5 _ - =:
r� 4x4 f \'' ��� 7
�--`
° 4x12— 16 15 14 13 12 11 6x7— °
1,5x4 Il 3x15 M16"= 4x8= 3x4-
3x4 3x10 M20t-I_
B-7-4 I._ 16 412 31-11-E 40-0-0
8-7-4 7-9-8 7-9-8 7-9-4 8-0-8
Pr-Ile Offsets Is:o.3s,o- s1,ls:o-ao,o-1-9)
ILOADING (ps1) SPACING 2-0-0 C51 ❑EFt (in) Qoc) lldaft PLATES GRIP
TCLL 40.0 I Plate:Increase 1.15 TC 0.72 Vart(LL) .0.39 14 s99g M20 1971144
TCDL 10.0 Lumber Increase 1.15 BC 0,79 Verl(fL) -0.66 14-16 y727 M20H 148/10$
BCLL 0.0 RupStreaelncr YES WB 0.80 Horz(TL) 0.22 9 nla M16 127/$2
BCDL 10,0 Code w e0CA/AN5195 Min Length 1 LL dell c 240 W17i9ht:187 lb
LUMBER -- -• _ _—. ...-�---- —...._.
BRAC114C
TOP CHORD 2 X 6 SPF No.2'Exeept` TOP CHORD Sheathed or2-10-5 on center purlin spacing.
1-4 2 X 6 SPF 1650E 1.5E BOT CHORD Rigid moiling directly applied or 10.0-0 on center bracing.
50T CHORD 2 X 4 SPF 210OF 1.8E WEBS 1 flow at midpt 3-14,7-12
WEaS 2 X 4 SPF Stud'Exccpt- 2 Rovra at 113 pts 5.13
5-13 2 X 4 SYP No.3
WEDGE Right:2 X 4 SPF Stud
i
REACTIONS (lb/size) 2=2480/0-3-14(input: 0-3-9).9=2480-'O-3-14(input: 0-3-8)
May Horz 2=85(load case 5)
FORCES (Ib)-First Load Case Only
TOP CHOF2D 1-2=E,Z-3.5635,3.4=-4319,4-5=-4319,5-6=•-2436,6-7=3087.7.5=3862,8-9=-4136,9.10=9
I BOT CHORD 2.16=5314,1S-16--9314,14-15--5314.13-14--405)3,12-13=3285,11-12 3:55,9-71=3651
WEBS 3 16=16?,3.14=-1302.5-14=620,5 13�1822,C-13 1662,7.13=762,7-11=400,9.11=253
NOTES
1)This truss tlas been designed for the wind loads generated by W mph winds al 2S A abovs ground level,uz;ng 10.0 psf top chord da;,d load and 10.0 psf bottom chord dead
load,100 mi from hurricane oceanline,on do occupancy category I,condition I enclosed building,of dimensions 45 It by 24 d with exposure C ASCE 7.93 per BOCA/ANSMS
If end v(,,rtica13 or trantil—ers exist,they are expusrd to wind. If porches e"l,they are not exposed to wind. The)umber DOL increase is 1.33,and the plole grip increase is-
1.$3
` 2)Unbalanced�ncw loads have been ccnsidercd for this design.
3)All plates are M20 platen unicss otherwise indicated,
1 4)WARNING;Required hearing&;zc ot}oinl(s)2,g greater than input bearing size.
t 5)This truss has been designed with ANSVTPI 1-1995 criteria.
r
LOAD CASE(S) Standard
I
I �
I
{+;r
i
05-11-98 11 :42 RECEIVED FROM: 5188282891 P • 05
b8H2Oc` It,G' RO^✓�:r'tJ;:� I: � �5 �� ,°'*5�
P&R TRUSS CO.INC..HUDSON NY 12534 4,0-32 s Dec 1619971Ju
-0 10-0 6-2.14 12-0-12 L 16-D-0 23-10 5 32
�- -----, - --1-- --- -I - _-
0-10-0 6-2-14 5-9.14 3-11-4 7-10-5 8-1-11 0-10-0
B.00 F"
2x5 11 6
II l 4X� 4x6
j 3x4 5 / \ 72x5
1 r 12._ ~-� - 111 �:-t`* j 9I0
6X1 0
I� u' f
0
5x7 13 12 4x'12
1.5x411 6x8
3.00 12
1 6-2-14 12-2-$ - i- -21-11-8 _.. --;-- 32-0-0
6-2-14 5-11-10 9-9-0 1C-0-8
Plutc ofc-et� 2.0-0.0 0-,•01,t6:o-z-o,0-2-,2. 9:0-D-13 0-0-12 11:0-4-0,0.3-0 12:0-6-O,a2 1 2
LOADING (psi) SPACING 2.0.0 CSI DEFL (in) Qoc) Vdet, PLATES GRIP
TCLL 40.0 Plates Inorr--asr, 1.15 TO 0.72 Vert(LL) -0.39 11 >966 M20 197/144
TCDL 10.G Lumber Increase 1.15 BC 0.92 Vert(TL) -1.05 11-12 X361
BCLL 0.0 Rep Stress Incr YES WB 0.85 Horz(TL) 0.35 9 nia
BGDl. 10.0 Code BOCA/ANSI95 �- Min Length J LL dell=240 Weight;150 lb
LUMBER BRACING
TOP CHORD 2 X 6 5PF No.2'Except` TOR CHORD Sheathed or 2-11$on center purlin spaeinq,
6-7 2 X 6 SPF 165OF 1.5E,7-10 2 7.6 SPF 165OF 1.5E BOT CHORD Rigid ceiling directly applied or 1M-0 on center bracinq.
BOT CHORD 2 X 4 SPF No.2'Except* WEBS 1 Row at midpt 6-12
'11-12 2 X 4 SPF 155OF 1.5E,9-11 2 X 4 SPF 2100F 1.8E
WEBS 2X4 SPF Stud'Except"
6-12 2 X 4 SYP No_3,6-112 X 4 SPF No.2
W CAGE Left:2 X 4 SPF Stud,Right:2 X 4 SPF Stud
REACTIONS 0bhsize) 2=2002/G-3-8.9--2000/0-3-8
Max Horz 2=88(lood case 5)
FORCES (lb)-Fimt Load Case Only
TOP GHORD 1-2=9,2-3=X187,3 4 -2526,45=2526,5� X526,6.7=4902,7-8=�19b2,S-9 -5488.9-10=7
BOT CHORD 2-13=2791,12-13=2791,11-12=2107.9-11=4970
WEBS 3-13019,3-12=-614.5-12=488,6.12=495.6-11=32&3.8'11=571
NDYEs
1)This tnwts his boon designed for the Wind loads generated try 80 mph winds 21 25 ft above ground tevel,using 10.0 psf top chord dead load and 10,0 psf bottom chord dead
load,100 mi from hurricane oceanline,on an occupancy category 1,condition I enclosed building,of dimensions 45 ft by 24 ft with exposure C ASCE 7-93 per OOCAJANSI95
If end verficals or c;3n1ileveis exist,they are exposed to wind, If torches exist,they are not exposed to wind. The lumber DOL lncfea;(:is 1.33,and the plate grip incresr:e is
1,33
1.)Unbalanced snow loads have been congldPrgd for this design.
3)All plates are M20 plates unless otherwise indicated,
4)Bcaring at joini(s)9 considers paral let Io grain value using ANSI/TPl 1-1995 angle t o g rain formub<. Building designer should
1 verify c2poc:ity of bearing surface.
15)Thi;truss has been designed with ANSUTPI 1-1995 criteria.
i LOAD CASES) Standard
1 `
05-11 -98 11 :42 RECEIVED FROM: 5188282891 P- 04
MHY-11-8U MUN lU|bU 8M FGK [KU�6 UUU�UN �8X NU h188�8�88l y. UJ
.ype
9 Ply
P,--- ' - .=-..-
320 0-0
- 5-4-3 -. .~ =""
FTT 4x4
CD 4
3A 3X5— 3X5 3A
LOADING(Ptp SPACING CS1 DEFL (in) (loc) I/defl PLATE$ GRIP
TCL� 40O Rates lncrt,,i�ze 1.15 TC 0.$5 Vert(LL) -0.19 16 >999 M20 16171144
TCDL 10.0 Lumber Increase 1.15 BC 0.81) Vert(TL) -0.40 16-13 �-965
BCDL 10.0 Cod, BOCAIANS19S Win Length I LL clpfl=240 Weight:140 lb
LUMER BRACING
TOP CHCRD 2 X 4 SPF No.2 TOP CHORD Sheathed or 2-1-3 on center purlin fipac;ing,
BOTCHORD 2 X 4 SPF JMF;15E*Except* BOTCHORD Rigid ceiling direotly applied or 10-0-0 on cfntete bf-'4-7ing.
REACTIONS Ob/size) 12=200310-2-8
FORCES (lb)-First Load Ca�c Only
TOP CHORD 1-2=4,2-3=-3225 ~_~`^~ _~-^ 795-6-2 ' 7+9-10~287�10~11~°225,11~29-3225,12-13~*
BOTCHORO
NOTES
1)ThifL trusf,has been designed for IhP wind loads generated by 80 mph vvii)d!t at 25 R above ground level,using 10.0 M. f top chord dead load;aro 11).Q pz;l 0ollom chord dead
load,100 m;from hurricane oceanline,on an occupancy category 1,condition I enclozied building.of dimensions 45 ft by 24 It vvith exposure C ASCE 7.93 per SOCA/ANS195
It ttnd verticalt:at oanlilcvcis exist.th&ysr&exp"edfowind. tfporche,exist,11ny w�not cxposcd to wind. The lumber IDOL ificre��o j.�;1.23.and the plate grip increase Is
2)UnbnI;jnc.ed�novy loads have been considt!rml for this design.
4)Thia.ti uss h�if,bcon designed with ANS117PI 1.1995 criteria.
LOAD CASE(S) Standkud
05-11 -98 11 :41 RECEIVED FROM: 5188262891 � ' mJ
MAY-11-J6 MUN IU;bl Hrl r&K Mbb HIJUOUN 1711A 11U, J100LOL001 J . uv
Job (Truss 'Trt-=Type Qty Fly
4 9SH2OE5 T02 HOWE 1 2
&R TRUSS CO.INC,HUDSON NY 12534 —St)t-�C' -1;d.e1r1e-1,Inc.—Mw,l,%,-y 11 11:40:x,0 199_86—Page 1-
10-7-7 14-4-0
,-5-7
4x6 11
8.00[1 T
3X5
4
6X8 f 9 8 10 11 7 12 14 6x8,',-
3x8 (I 10xl2---- 3x8 H
1-3-1-9— 7-2-0 �_0:7-7 14-40
3-8-9 3-5-7 3-5-7 :3-8-9
PI;Alo Off, I-12,0-2-6) 00-1-Z -O0-t 8
LOADING (psf) SPACING CSI DEFL (in) (too) 11dog PLATES GRIP
TOLL 40,0 Plate3lncrcase 1.15 TC 0.90 Vart(LL) -0.09 ::7 -999 M:o 1971144
TCDL 10,0 Lumpur lfw'c.s. BC 0.50 Vert(TL) -0.14 7 >999
BCI-L 0.0 Rep Stress incr YES W8 0.88 .,3
Horz(TL 0.03 5 nl
SCOL 10.0 Code BOCNANS195 (Matrix) Min Length/LL dcfl=240 Weight:173 ib
LUMBER BRACING
TOP CHORD 2 X 4 SPF No TOP CHORD Sheathed or4-4-12K,.center puriln!ip3oing.
BOT CHORD 2 X&SYP DSS 607 CHORD Rigid ceilirvj direclly applied or 10-M on center br,,icing.
WEBS 2 X 4 SPF Stud'Except'
3-7 2 X 4 SPF No.2
WEDGE Left:2 X 6 SPF No-2,Right:2 X 6 SPF No.2
REACTIONS (lblsi76) 1=555110-3-8.5=6654/0-3-$
Max Horz I=127(1oad mt;e 5)
FORCES (lb)-First Load Case Only
TOP CHORD 1-2=-90$9.2-3=-6574,3-4,-6$74,4-5=5095
SOT CHORD
WEBS 2-8--2918,3.7c6800,4-6=296�-,2-7=-2117,4-7=2166
NOTE�S
C 1)2-ply truss to be conneutcd together with Nails as follows: Top chords connected with 1 row(s)at 0-9-0 on rt.-rdcr. Bottom chord,-connected with 2 row(r) it 0-5-0
on co ntcr. Webs connected with I row(s)at 0-9-0 on renter,
2)This twaa hays been designed for Ifi&wind loads generated qy 50 Mph winds at 25 ft:aboVo ground level.using 10.0 psf top chord dead land and 10.0 psf bottom chord dead
load.100 mi from hurricane oce3nline,on an eirtuparicy category 1,oond;iion I enclosed building,of dimensions 45 ft by 24 n with exposure C ASCIF 7-93 pinf 5OC-NANSI95
If end varliezils or cantilevers exist,they are exposed to wind. If parches exial,they arr.,not exposed to wind. The,lumber DOL increase is 1,3$,end the plate grip incr&:,&&i---.
Unbalanced snow loads have been considered for this detign.
4)Except is fftwn below,special connect;0r)(:s)required to support concentrated load(s).D"Ign or connection(s)is de!eqjtcd
to the building designer.
5)All plates arc W20 plates unless otherwise indicated.
C)This truss hay been designed with ANSUTPI 1.1995 criteria.
LOAD CASE(S)
1)Snow:Lumber Increase--1.15,Ph;ifc Increase-1.15
i Uniform Lo-ads(p1l)
Veil! 8-9=-20.0,8-10=-20.D,10-11=-20.0.7-11=-120.0,7.17=-20.0,12-13=-20.0,6-13---20.0,6-14=20.0.
5-14=-20.0,1-2=100.0.2-3-100.0,3-4=100.0,4-5=100.0
Concentrated Loads(1b) Cc
Vert:9=1920 10x-19-20 I I=-1920 12-1i?20 la-1920 14-1920
2)Unb3l.Snow•1.401:Lumber Increase=115,Phl,Incremse=1.15
Uniform Loads(plf)
2-3-120-0.3-4=-20.0,4-5---20.0
Concentrated Loads(lb)
Vert;9=-1920 10=-1920 11=-1920 12=-1920 13=-1920 14=-1920
3)Uribial-Snow-Right:Lumber Increase=1.15,Plate Increm"-r1,15
Uniform Lo30S(P11)
Vert:1-9=-20.0,8-9-t-20.0,8-1 0=20.0,10-11=-20.0,7.11=-20.0,7-12-20.0,12-12=20.0,6-13=-20.0,
5-14=-2Q.0.1-2=-20.0,2-3z.20.0,a-4=-120.0,4-5=-120.0
Continued.epage
11 :43 RECEIVED FROM: 5168262891 P • 06
10. Do any signs exist on the property? YES NO K/
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO }C
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This columm to be Pilled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 37-, 38&Sf,FT 3z 3 sQ Ft
Frontage l�f 3�? "f'T 1 Y3,T FT / <j—
Setbacks - frnnt '3 5-
- side L: U R: ° L: _R: "2 v
- rear t 410
Building height 301 31 15-
Bldg Square footage 3 2,0 6 Ste,
%Open Space:
(Lot area minus bldg
&paned parking) r
# of Parking Spaces O
# rof Loading Docks
d O
Fill:
-(volume--& location)
13 . Certification: I hereby certify that the information contained herein
(,4 is true and accurate to the best of my knowledge.
DATE: 1-0 he APPLICANT's SIGNATURE 2 A—
NOTE: lavAjanq&e of a zoning permit does not relieve an cap 1i ant's bur a to oompty With 4111
zoning requirements and obtain all required permits from h Board o ealth. Conservt�tion
Commission. Department of Publio Works and other applio le permit granting authorities.
FILE #
File No. J
t
' ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
ht`, P-0- 130X 6,0 ,- Y J-
Address: 53 jV1 r4-Pt.e E P r h6F 2l) N `ry .� Telephone:
2. Owner of Property: T r C"f °
Add ress:_�3 ig ga c c- 12 t'D 6 E e- Telephone:
3. Status of Applicant: __Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 6>3 CjQL>1 U+C _b OP—WE C "o �E.
Parcel Id: Zoning Map# � ' Parcel# 7 District(s): _
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property VtWt4 -' 614ILSW6 COLE
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
C f 2 STb g-y 5 t ss G L E Fire i L y P-c=3 r 0 e�GE
W i rid- py czea- 2 C rte &K ge--
7. Attached Plans: _ Sketch Plan K Site Plan x Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO X_ DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE # J � ��
M'A2PL4MT;/C,ONTACT PERSON:
ADDRESS/PR.ONE:
PROPERTY LOCATION:
MAP PARCEL: ZONE
THIS SECTION FOR.OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTT IT Y'D OUT
Fee Pnid
Q
Type nf Cnnctriirtinn-
.Rerrindelin2 Interior
Addition
6+
THE OL OWIN ACT ON HAS BEEN TAKEN ON THIS AP ICATION-
Approved as presented based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLAINNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed_
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
urb Cut from DPW, ater Availability Sewer Availability
ell Water Potability-Bd Health
it fr Ca ' Co pi •
Signature of Building pector Date
NOTE:issuance of as zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorltles.
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