The URL can be used to link to this page

23A-123 (3) .............. kmEtcariTAigine 4.600s Rainbo",Bacon1020614-Level 8 5-5-14 Nfaleriflis Database 1472 l4pm 2 ot.'2 Member Data Description: CalcG2 Member Type: Girder Application: Floor Comments: Top Lateral Bracing: Continuous Bottom Lateral Bracing:Continuous Standard Load: Moisture Condition:Dry Building Code:IBC/IRC Live Load: 0 PLF Deflection Criteria: L/360 live, L1240 total 2.000"max. LL Dead Load: 0 PLF Deck Connection: Nailed Member Weight: 13.8 PLF Filename:Q:tRainbovvBa Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PLF) Top 01 0.001, 10' 6,00'1 -53 -13 Live Replacement Uniform(PLF) Top 01 0.001, 10' 6.00" 27 7 Live Replacement Uniform(PLF) Top 01 0.0011 10, 6,001, 40 13 Live Point(LBS) Top 11 111311 214 413 Live Point(LBS) To 6' 6.00" . ...... 2807 1958 Live ZIP- 10 6 0 -Al 0 10 6 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 01 0.0001, Wall NIA N/A 1.5001, 2825# -267# 2 10, 6.0001, Wall N/A N/A -1,500" 3588# -267# Maximum Load Case Reactions Used for aPPlY;rq Point i0adS fOr I Ine loads)to carrying members Live Dead 1 15734 12524 2 2124# 1464# ........... Design spans 10' 1.750" Product: 1-3/4xl4 VERSA-LAM 2.03100SP 2ply 'PASSES DESIGN CHECKS Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing atong the bottom chord. Review gravity uplift reaction force of 267lbs at bearing 1 and ensure that the structure,can resist appropriately. Review gravity uplift reaction force of 267lbs at bearing 2 and ensure that,the's'thicture can resist appropriately. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 12982.'# 29034,'# 44% 6.51 Total Load D+L Negative Moment 6794 29034.'# 2% 5.25' Total Load D+L Shear 34714 9310.# 37% 9.31, Total Load D+L TL Deflection 0,1249" 0.5073' L/974 5,76' Total Load D+L LL Deflection 0,0729" 0.3382" U999+ 5-76' Total Load L Control: Positive Moment DOL_s: Live=100% Snow--115% Rc4_)f=125% Wind=160% Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives All plodQW,lam-are of 11wr respective owners t Copyrkjllt C)I'W-2012 by Ktlymalk Entelpsos,L C ALL RIGHTS RE5ERVED. 'a member,fluor mist,heam or gi tlec,shown an thrs drawurp,neets !cable ciesige&leria for Luad oad,nq C-CitionS,and Spa IiVeJ on lfltS Sheet. Tha dsi n n uat be remev,od Ay a giialified deli rier or denial o.xssibnal as u,lured:'oc.,aroval.This r."if"n assumes 2induct Insta iat—11—dirl;1e the manViaCl—f S KcNAut15 srnctur:T•t2.402j RainhowBacom020614-Levc]8 5-i-14 '4Satert3lsnttabase 14T 1:I4prre I of 2 Member Data [Description:CalcG1 Member Type: Girder Application: Floor Comments: Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBCIIRC Live Load: 0 PLF Deflection Criteria: LI360 live, Lt240 total 2.000"max. LL Dead Load: 0 PLF Deck Connection: Nailed Member Weight: 13.8 PLF Filename: Q:\RainbowBa Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PLF) Top 0' 0.06" 14'11.75" 53 18 Live Replacement Uniform(PLF) Top 0' 0.00" 14'11.75" 326 233 Live Q 1411 12 1411 12 Bearings and eactions Input thin Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Girder NIA NIA NIA 4593# - 2 14'11.750" Wall NIA N/A 1.750" 4593# Maximum Load Case Reactions Used.'or applying point loads(or hne Wads)to wwpitg members Live Dead 2707# 1886# 2 2707# 1886# Design spans 14' 31625" j Product: 1-3/4xl4 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable,e Stress Design Actual Ailtiv✓'able Capacity Location Loading Positive Moment 1aff"i 29034.'# 56% 7.44' Total Load D+L Shear 38444 9310.# 41% 0.3' Total Load D+L TL Deflection t;0.3778" 0.7151" L'454 7.44' Total Load D+L LL Deflection 0.2226" 0.4767" Lt771 7.44' Total Load L Control. Positive Moment DQLs: Live=100% Snova=115% Roof=125% Wind=160% Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives Minimum bearing length requirements at hangared connections depend on the connection style and are not included in this design. t t X I(rcadcci n.,+s are t'aJemarks of theh mspeCtwe oriners :d a s. I.;b.,6ght(0j19V--2012 by Kepmark Enterprises;LLC_ALL RIGHTS RESERVED. 'Pasxrcq s v hood a "t c ine rr.i L r,ncarlo7st,Ueare or girder srcrwn on this J'aAng meets appikcatrle des gn •t7oAa For nad.Loa lig conditions,and Spam is ed on t n .let he des ion n usi-,a ev ,00 b a<aalif�ed deli ner or desl n ofessional as re,ufred fora orov 'his dear..assmm�s or>dsy ne!aii�U,m.=ixi n to th8 mar o1eelurer s s;u=e E r,ahnns. f .........._ 128 Ryan Road Esti` mate RWnb"L Florence, MAO 1062 Date Estimate# 2/11/2014 1366 Name/Address Barry and Emily Bacom 20 Middle Street Florence,MA 01062 Terms Project On receipt Bacom Remodel Description 'Project Total Total $20,076.02 We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total.Payments to be made as follows:half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to cant'fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to yy,c pa as led. Signature (4131141-3838 PETER @RAINHOME.NET Page 5 "-'opr 128 Ryan Road Estimate aminhnsil Florence, MA 01062 5 NEW Date Estimate# 2/11/2014 1366 Name/Address Barry and Emily Bacom 20 Middle Street Florence,MA 01062 Terms Project On receipt Bacom Remodel Description Remove existing plumbing fixtures Bathtub I Ea Installation of the in thin set mortar,floors 112 SF Bathtub supply rough-in 1 Ea Sink supply rough-in I Ea Re using esisting Floor mounted tank type toilet I Ea Bath floor mount bathtub w/shower ring(Re usung existing claw foot tub) I Ea Glazed ceramic wall tile,subway 400 SF Crown molding 44 LF Gypsum wallboard nailed or screwed to wood 3/8 in.on walls 900 SF Installation of tile in adhesive,walls 154 SF Building permit fees 2 LS Recycler fees-waste disposal 2 Ea Project material,labor,equipment,subcontract Material,per job Labor,per job Equipment,per job Subcontract,per job *Project Subtotal Total We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total.Payments to be made as follows:half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified. phone Y E-mail S'ty�a.ase v f (4131341-3838 PETER @RAINHOME.NET � - Page 4 VVV A 128 Ryan Road 3 Florence, MA 01062 Date Estimate# 2/11/2014 1366 Name/Address Barry and Emily Bacom 20 Middle Street Florence,MA 01062 Terms Project On receipt Bacom Remodel Description Stud walls framing.2 in.x 4 in., 8'high 21 SF Gypsum interior plaster repair on walls 9 SY Paint Plaster or drywall,latex 300 SF BEDROOM 3 Remove existing plumbing fixture and cabinet for re-use 1 Ea Removal of linoleum 18 SY Wood flooring.Finishing a wood floor,including filler,shellac,polyurethane or waterborne urethane 154 SF Gypsum interior plaster repair on walls 7 SY Paint Plaster or drywall,latex 450 SF 2ND FLOOR EXISTING BATHROOM Remove existing plumbing fixture.Lavatories I Ea Removal of wail sheathing I SF Removal of suspended ceiling panels I SF Gypsum interior plaster repair on walls 15 SY Remove existing plumbing fixtures toilet 1 Ea Total We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total.Payments to be made as follows:half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements,contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to b i speci phM.e# E-mail Signature (413)34I=3838 PETER @RAINHOME.NET Page 3 ��FR•RE4110b �j�--- � 128 Ryan Road Estimate Florence, MA 01062 Date Estimate# 2/11/2014 1366 Name/Address Barry and Emily Bacom 20 Middle Street Florence,MA 01062 Terms Project On receipt Bacom Remodel Description Removal of wall sheathing 24 SF Gypsum interior plaster repair on walls 6SY Paint Plaster or drywall,latex smooth surface 400 SF Repair of plaster ceilings 69 SF Gypsum wallboard screwed to wood 3/8 in,on walls taped,sanded 24 SF Attempt to repair brick-bowed wall repair,Yet to be determined cause until opened.This lone is based on the issue being minor. 24 SF BEDROOOM I Removal of Crown molding(to be reused) 85 SF Gypsum wallboard screwed to wood 3/8 in.on ceilings 195 SF Gypsum interior plaster repair.on walls 25 SY Paint Plaster or drywall,latex.Smooth surface 448 SF Crown Moulding re-install 25 LF BEDROOM Removal of interior door trim 12 SF Gypsum wallboard nailed or screwed to wood. 1/2 in.on walls taped,sanded 21S Total We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total.Payments to be made as follows:half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to he completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid specified. Phone# E-mail ,� Signature .au" (413)341-3838 PETER @RAINHOME.NET Page 2 �`tij}ER•UNOp _ 128 Ryan Road RALq� Florence, MA 01062 Estimate t 5'1 Date Estimate# 2/11/2014 1366 Name/Address Barry and Emily Bacom 20 Middle Street Florence,MA 01062 Terms Project On receipt Bacom Remodel Description Estimate includes work to be completed as follows at 20 Middle Street in Florence,MA. LIVING ROOMIFOYER Removal of 2x4 stud walls 144 SF Steam baseboard radiator removal in hallway 3 LF LVL beams(laminated veneer lumber). 1.75'x 14"1.8E 72 LF Posts for LVL 27 LF Pine flooring repair/refinish 30 SF Removal of ceiling panels 210 SF Gypsum interior plaster repair.on walls,ceilings 2 SY Gypsum wallboard screwed to wood 1/2 in.on walls,LVLs,taped,sanded finish 78 SF Stair banister repair I LF Paint Plaster or drywall,latex 34 SF SECOND FLOOR HALLWAY Removal of ceiling panels 69 SF Total We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total.Payments to be made as follow.=s.half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifimtions involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agree m n:s ctmungent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. Accepmance of.Proposal will commence with the home owners signature.Prices,specifications and conditionsAre satisfactory and are hereby accepter--,n-t Signature.Rainbow Home Improvement is authorized to do the work as specified and to pfi4 as s cified. P?7sne E-mail Signature "" (=1- iat3 PETER @RAINHOME.NET � ; Page 1 4s Home Owner's who secure their own construction-related permits or dew i;excluded from access to the Guarantee Fund.Where the contractor deems himself to be insecure _... _yam prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of he owner.shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLAN SPACES. Owner: Owner ---� Contractor: "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. Owne Contractor: Contract RHI Construction Inc(Rainbow Home Improvement)Proposes to hereby furnish material&labor complete in accordance %ith the specifications,and for the sum total outlined in estimate number Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements are contingent upon strikes,accidents or delays beyond our control.Owner is to carry fire,home owners other necessary insurance.RHI Construction Inc(Rainbow Home Improvement)will maintain proper liability insurance and workmen's compensation insurance as necessary.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.RHI Construction Inc(Rainbow Home Improvement)is authorized to do the work as specified and to be paid as specified.RHI Construction Inc(Rainbow Home Improvement)EIN#27-1544579, 128 Ryan Road Florence,MA 01062.A Massachusetts registered Home Improvement Company#137097.Represented by Thomas Malone,Construction Supervisor#55236 and Peter Cabaniol Construction Supervisor#99861 are entering into an contract agreeing upon the stated construction,reconstruction outlined in the estimate attached here in# 13 pfe ,on this date I ,by the rightful home owners I�a✓or w I Z "-. I C�C.-een.-V% The work is scheduled to begin on I`1 t The work is to be substantially completed by q I All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to; Registration Divison,Program Coordinator One Ashburton Place Room 1301 Boston,Ma 02108 Tel: (617)727-8598 The homeowners have three day cancellation rights under MGL c 93 s 48; MGL c 140D s 10 or MGL a 255D s 14 as may be applicable. All warranties on the owner's rights under the provisions of 780 CMR R6 and MGL c 142A.Home owner will reveal whether any lien or security interest is on the residence as a consequence of this contract Permit Notice:Any and all necessary construction-related permits tat it shall be the obligation the contractor to obtaip such permits as the owner's agent. Electrical Plumbine Building } F bzi i, uonnector beiector (K)'. Fiy join Version 2013.0.2 (2/6/2013) Page 11 13:16 05/05/14 Application Solid Sawn, SCL-Concentrated p Load Duration Load (Lbs) Conn ID Length (Ft) lc 1 Floor 100 4765 1.5 r)X MIN Loaded Ply Type Size Memb ID LVL DF/SP 1.75x14 DBL N 12 Model Sides Quantitv ........... ..... 1,5-1 l'- H A r'l 6 E p SIDS 1/4x3-1/2 Front 813R! S P A GE Refer to current Wood Construction Connectors catalog for General Notes& Installation Instructions. if fii Version 2013.0.2 (2/612013) Page 1 13:16 05,05/14 Load Duration Uplift Duration Style Conn ID QQt Floor 100 Quake/Wind 160 Face Mount Header Trap Flange Options Type (Flange Thickness) Size Memb ID Open/Closed Sloped Down Offset LVL DFISP 1.75x14 DBL 0 None 0 None None `f Joist 1 k Type (Flange Thickness) Size Load Uplift Skew Slope Memb ID 1 LVL DFISP 1.75x14 DBL 4765 0 None 0 None Model _ W H B TF TF Fstnr Face Fstnr Joist Fstnr Load Uplift Icost HH11S410 ` y 3.625 9.000 3.000 30-16d 10-16d 5635 4000 100 HUCQ412-SDS 3.563 1'1.000 3.000 14-SDS 1/4)6-SDS 1/42-1/5460 2510 251 HGUS410 3.625 9.063 4.000 46-10d 16-10d 7715 3475 350 HGUS410 3.625 9.063 4.000 46-16d 16-16d 9100 4095 354 t OHU410-SDS3 3.563 8.750 4.000 12-SDS 1/4)6-SDS 1/4x3 5040 2765 403 HGUS412 3.625 10.438 4.000 56-10d 20-10d 8140 4275 407 HGUS412 3.625 10.438 4.000 56-16d 20-16d 9600 5045 411 OHU412-SDS3 3.563 10.750 4.000 12-SDS 1/4)8-SDS 114x3 5040 3565 436 HGUS414 3.625 11438 4.000 66-10d 22-10d 8565 4675 454 HGUS414 3.625 12:438 4.000 66-16d 22-16d 10100 5515 459 OHU414-SDS3 3.563 12.750 4.000 14-SDS 1/4)10-SDS 1/4x3 5880 3565 478 HGUQ410-SDS3 3.625 8.875 4.000 28-SDS 1/4)8-SDS 1/4x3 7415 3440 484 HGU3.63-SDS 3.625 13.938 5:250 36-SDS 1/4)24-SDS 1/4x214145 9895 H=13.938 LGU3.63-SDS 3.625 13.938 4.500 16-SDS 1/4)12-SDS 1/4x2-6720 5555 H=13.938 MGU3.63-SDS 3.625 13.938 4.500 24-SDS 1/4)16-SDS 1/4x2-'9450 7260 H=13.938 Defer to current Wood Construction Connectors catalog for General [Dotes& Installation Instructions. t 1; I a ( CA k O 3 rn d 1�) 0 rn o z < co °o f v' rn -n ' � z (.n r' - C) o p O C'% z �1 "F c0 O p 14' Bearing Wall-To Be removed a Replaced w/L\/L rm O_ 0 4068 ul i 3 a C � Ap � rn � prnpr�►rnrn � � ►' yrn � OD � z < � z � 2x � 0 O — ?c rn � � p0 D — rn wrn � A M M — rnd z rn rn < � p 3 � � rnrnG� zrnzr � nz � r 0F � � rnc�i� � 3rn0 U' cp n' U, cPd -T, Xz p m O 3, 30p00 3 — w rn � cn O < rn rn � > Y' '� � � rnr- rZOar rn O rn rnn rn � � � pOO � � � � rncr rh (-Nul fn r-Z ^' pp rnr- rrnn � Yzx > < � rnU' ,-o � ?a --iU' z rn > zcP rrn � r0,� > � zv3 O { 0 cn rn z r rp rn r d SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Constructio n SS-upervisor: Not Applicable ❑ Name of License Holder: MOM M A I-a ti Q. 0 S S 2 -3 lb License Number AM R-o a p 171 ov N te., N1 A 01019 -2- 1 - 1 0 - Z o I b Address Expiration Date _ (4t -3) 3,41 • 3e g0 Signature Telepho e 9.Registered Home Improvement Contractor: Not Applicable ❑ I b -7 S a1 S Company Name Registration Number LA 1 N Boat Nv M e , M Pic.-v ervh e4_1+ i4) -7 -- Address —T Expiration Date LR= LL— -AAA fLnw 10 jC,"A 1,e0(VAA Telephone (`133)3913 83£V SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... 9( OA 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,Smote and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature , X SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[7 Siding[O] Other[PQ Brief Description o Proposed o Work: � LVVAN AAAJ1TJ2[P In er -h le W ✓k� �fcav �i4 ry H► I , Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.If New house and or addition to existing housing, complete the fallowing: 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, 1�M 1 L-\- 9 AV GD M as Owner of the subject property 111' hereby authorize F-!14.1 .g O 1.+j 1+0 M I' M PV-0 Ve M em+ to n behalfin all matters relative to work authorized by this building permit application. AM C� _ Ct _ i4 Si at O Date �C, 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. Print N Signature of O er/Agent 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 Frontage Setbacks Front Side L R: L: I2. ., _...... Rear f Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: % (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES Q IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,exravation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only "-9 City of Northampton Status of Permit: ti �14 Building Department Curb Cut/Driveway Permit MAY 212 Main Street Sewer/Septic Availability ROOM 100 Water/Well Availability Eectric,plumbing&Gas inspections Northampton, MA 01060 Two Sets of Structural Plans Northampton.MA 01060 ne 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 M I D Map Lot Unit Lo p-em LR I M R Zone Overlay District 0 l o b 2 Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: 134IZIZY F,AA I y 13Ar coM 20 M IDD" b1'e4•, ,e to Na Pri Current Mailing Address: Telephone Si nature 2.2 Authorize Agent: hh #- Ae1 1J1 D Yn U2rlMe ]�f3 V— nn F-DA 17 1' 1 D V 0"t e. AAA Name(Print) Current Mailing Address: Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 1 -7 (a)Building Permit Fee 2. Electrical t7 (b)Estimated Total Cost of Construction from 6 3. Plumbing 00 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 +2+3+4 + 5) Z& / 1, OL L Check Number 7" This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-1054 APPLICANT/CONTACT PERSON THOMAS MALONE ADDRESS/PHONE 128 RYAN RD FLORENCE (413)885-9038 PROPERTY LOCATION 20 MIDDLE ST MAP 23A PARCEL 123 001 ZONE URB000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid I I / Building Permit Filled out Fee Paid T_yneof Construction: REPLACE LIVING RM WALL W/LVL RENO BATH, SHEETROCK WALLS& CEILINGS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 055236 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN OF, RATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolitio ay Signa re of Bui ing Of dial 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. 20 MIDDLE ST BP-2014-1054 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A- 123 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2014-1054 Project# JS-2014-001809 Est. Cost: $17399.00 Fee: $224.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS MALONE 055236 Lot Size(sq ft.): 13503.60 Owner: BACON BARRY&EMILY zoning URB(100)/ Applicant. THOMAS MALONE AT. 20 MIDDLE ST Applicant Address: Phone: Insurance: 128 RYAN RD (413) 885-9038 FLORENCEMA01062 ISSUED ON:411612014 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE LIVING RM WALL W/LVL, RENO BATH, SHEETROCK WALLS & CEILINGS 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: FeeTyne: Date Paid: Amount: Building 4/16/2014 0:00:00 $224.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner