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22B-025 (3) Metcalfe Associates Architecture 142 Main St. Northampton, MA, 01060 Tristram W. Metcalfe III, Ma. Reg. 5393 Phone number > 413 586 5775 Cell number> 413 695 8200 Email >twm3 @rcn.com NCARB,NYS,MA,CT 1' registrations WMAIA AIA May 22,2014 Louis Hasbrouck, [413 587 12401 Building Inspector City of Northampton Puchalski Municipal Building, 212 Main Street,Northampton,MA 01060 RE;25 Corticelli Street Bath room renovations With; Keith Graham,Construction Manager Dear Louis, I have been helping klei4th restore the above residence due to water damage and structural problems. We have determined the following repair to the 2nd floor frame below the bathroom which had toilet leak causing frame damage. We adding 2 new beam systems to carry the 2nd floor which we assume also may be carrying roof loads through an unaccessible crawl space attic. First beam; The interior wall between dining room and adjacent room will be reinforced with a 2x12 LVL spanning 12'-6" flushed into the wall studs below the joists and Second beam; At the dinning room mid floor joist span below bath room we will add 3> 2x8 LVLs same span cutting joists to flush ceiling and use joist hangars. Both will have solid wall multiple stud posts to grade though the basement. This report is to the best of my knowledge. If you have questions contact me and I will respond. Thank you. Sincerely, Tris Metcalfe MA RA #5393 rn 25 Corticelli Street Florence MA 01062 Building Permit Attachment Chris Aiken/Angie Hauser Owners 610-425-7672 Work being done to remedy flood from 2nd Floor toilet • Remove and replace dining room ceiling • Add structural repairs to second floor- floor joists • Add 3 X microlamb girders sized as per Metcaff Associates • 2 microlamb supports • Re-sheetrock ceiling and areas of walls where sheet rock removed • Install new wood flooring in second floor hallway and bedroom • Re-install vanity and toilet • Install the floor in bathroom • Add insulation to bay window ceiling area Massachusetts DEPARTMENT OP BUILDING INSPECTIONS y, 212 Main Street • Municipal Building 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 rouqh 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, anal that they get their q ',ed inspections. Failure of the individual trades to secure the perr�xifs and,inspections as requir d,c DELAY the project until such time as the proper permits and pections are made 10 understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date S ? Address of work location 2- S C C, r L.0 / �� � 1 ne L ommonweaun of Lvlussucnuseu.5 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): _ L_,)_6 Address: C 6 1- O r� ~ �tl�C City/State/Zip: Phone #: V 2 S , 76 7Z_ Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp. insurance.$ quired.] 5. E] We are a corporation and its 10.X 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 giat a copy of this statement may be forwarded to the Office of Investigatio the f r insurance coverage veri atio I do her by certify un r he pains and penalties er' that the information provided above is true and correct. Si atu e: Date: `� 12.2— Sz' Phone#: Z 7�' 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: License Number Address Expiration Date Signature Telephone 9..R"isteied Homeamprovement Not Applicable £ Company Name Registration Number Address Expiration Date Telephone 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. F- 11. Home Owner'.Exe= 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'Compensati n) and Chapter 153(Liability of Employers to Employees for injuries not resulti Death)of the Massachusetts Gen 1 L ws Annotated,You may be liable for person(s) you hire to perform work for y and r t ' permit. r The undersigned"homeowne certiiies'an assumes responsibility 'co 'liance with the State Building Code,City of Northampton Ordinances,S ate an oca Zoning Laws and State lea achusetts General Laws Annotated. X Homeowner Signature. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House [] Addition Replacement Windows Alterations) Roofing Or Doors 0 Accesso Bldg. ,Demolition ® kew Signs [0] Decks [M Sid' g[ Other[t7j nef escription o Proposed Wor 1447g L-0, 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 existlna'ho using, complete the 7 4611 owinu: 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. 1. 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, ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature p€ er Date I, as Owner/Aae6 eby declare that the statements and i ormation on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and pena ies of perjury. ,r / 5 , '2 Print Na / ` ' , 2--all L Signature of Owner/fit 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 N! Building Department Lot Size Frontage - — -— Setbacks Front ! �— �, Side L:U:l R:�1j L:1.._.__,_; R:L—____ Rear Building Height I Bldg.Square Footage ,;,n� s % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces { Fill: volume&Location) ! 1 f A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW YES Q IF YES, date issued:; IF YES: Was the permit recorded at the RegisW of Deeds? NO Q DONT KNOW YES O IF YES: enter Book —� Page and/or Document# y Y— -----� B. Does the site contain a brook, body of water or wetlands? NO e DONT KNOW Q YES 0 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 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,eNgervation,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. City of NorthamptonatVS,o II irmtt ly x}44 za 3¢eCf y3A � if{K xe LS h'rif� z,� �{v rx �:� c s3h�' u i —Building Department �tr5rtip t rEDxme�va 9Perrrtitr ���«�r�u ��;'^� 1f y , ( d r`�i4YLx`k'+7�'� �N J �� [� �� 212 Main Street Se werlSgptlofiYaitality� Room 100 tW, t rlVlfeltAvaila�ult .t icr a ` sy'` ��� ri + �}s ` !X"j Pc rF 1b,ii rt d SiaZni r 1M S-� 1{I Th vv'w o tlt�sS�lefz ey s`P;os laf x nSa tvwrt tx rL,cf r�iMF�ia,cl'�Pf T�1 lra�r,+t sL F f r ��u�4 1 epYfra� * �aL�t �Ira Northampton, MA 01060 MAY 2 2 2 Pone'4*3' 587-1240 Fax 413-587-1272 Plo i 1tic-' *c rE Y 44Rw-:.a5 ,fiFr'uir.rr ti �'� �f iAyg L n kr�r:n JM4 IAtr}.� nx p} F Otf)"erFS P�CIL�I ir.rn4 h� �ry � � ti",S r sw1 f; ?; Elecinc. ul ' r APRLICATI �i 7�5�AAI� UCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: 4.; This sectiort to be c d b ompletey office � �/ C � I I �� k5" - ,�Map � I ��Y�A �' Lot Cc� �i� ,{ y is f L' M1 g' y4v f ., Overlay4D�sfrrct © t 6 L V 1 Elm St Distri ct ' CB,i7istri6tr - SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Na a(Prin ' Current,M rlp Andre s� ` 77 Telephone Signs ure 2.2 Authorized Agent: 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 - (a)Building Permit Fee 2. Electrical vo (b)Estimated Total Cost of . Construction from 6 3. Plumbing 35 Building Permit Fee 0 . �o 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) Check Number O This Section For Official Use'Only Building Permit Number: IIsssued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2014-1233 APPLICANT/CONTACT PERSON AIKEN CHRISTOPHER ADDRESS/PHONE 25 CORTICELLI ST FLORENCE (610)425-7672 Q PROPERTY LOCATION 25 CORTICELLI ST MAP 22B PARCEL 025 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Typeof Construction:_RENOVATE BATH,DINING RM&2ND FLR FLOOR JOISTS&MICROLAMS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 075895 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO�RRM--ATION 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 Sig fngo6fticia 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. 25 CORTICELLI ST BP-2014-1233 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-025 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-2014-1233 Project# JS-2014-002075 Est. Cost: $6850.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KEITH GRAHAM CONSTRUCTION 075895 Lot Size(sa. ft.): 11064.24 Owner: AIKEN CHRISTOPHER Zoning. URB(100)/ Applicant. AIKEN CHRISTOPHER AT: 25 CORTICELLI ST Applicant Address: Phone: Insurance: 25 CORTICELLI ST (610) 425-7672 O FLORENCEMA01062 ISSUED ON.61212014 0:00:00 TO PERFORM THE FOLLOWING WORK.RENOVATE BATH, DINING RM & 2ND FLR FLOOR JOISTS & MICROLAMS 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 6/2/2014 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner