31A-143 (2) MARTHA BEDELL ARCHITECTS - --- AI
• S CLEMENT CIRCLE CAMBRIDGE MA TIRK • ERICKSON HOUSE
• TELEPHONE (617)492-8346 34 FORBES AVENUE SCALE: AS NOTED
• EMAIL: MARTHA(cb BEDELL.COM NORTHAMPTON, MA DATE: JUNE 29, 2014 '
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MARTHA BEDELL ARCHITECTS
• S CLEMENT CIRCLE CAMBRIDGE MA TIRK • ERICKSON HOUSE
• TELEPHONE (617)432-8346 34 FORBES AVENUE SCALE: AS NOTED
• EMAIL: MARTHA(�)BEDELL.COM NORTHAMPTON, MA DATE: JUNE 23, 2014
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MARTHA BEDELL ARCHITECTS
• 5 CLEMENT CIRCLE CAMBRIDGE MA TIRK • ERICKSON HOUSE
• TELEPHONE (617)492-8346 34 FORBES AVENUE SCALE: AS NOTED
• EMAIL: MARTHA(a-)BEDELL.COM NORTHAMPTON, MA DATE: JUNE 29, 2014
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cs Hearn4.605 34 Forbes Ave 7-11-14
lanBearn ngine 4.6.1.0
NlateriaEsDambase 1492 Northampton 7:15atn
10 1
Member Data
Description: Member Type:Beam Application:Floor
Top Lateral Bracing:Continuous
Bottom Lateral Bracing: 0.00
Standard Load: Moisture Condition:Dry Building Code:IBC/IRC
Live Load: 40 PLF Deflection Criteria: L/360 live,L240 total
Dead Load: 10 PLF Deck Connection:Nailed Member Weight: 11.7 PLF
Filename:Beam1
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PSF) Top 0' 0.00" 12' 0.00" 17' 4.50" 35 17 Snow
Additional Uniform(PSF) Top 0' 0.00" 12' 0.00" 6' 3.00" 60 10 Live
Additional Uniform(PLF) Top 0' 0.00" 12' 0.00" 0 80 Live
12 o a
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12 O O
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 or 0.000" Wall SPF Plate(425psi) N/A 4.846" 7208# --
2 12' 0.000" Wall SPF Plate(425 psi) N/A 4.846" 7208# --
Maximum Load Case Reactions
Used for applying point loads(or line lead.)to campng members
Live Snow Dead
1 2277# 3693# 2730#
2 2277# 3693# 2730#
Design spans
17 1.750"
Product: 1-314x11-7t8 VERSA-LAAM 2,0 3100 SP 2 ply PASSES DESIGN CHECKS
Connect members with 2 rows of 16d common nails at 12.0"oc
Minimum 4.85"bearing required at bearing#1
Minimum 4.85"bearing required at bearing#2
Design assumes continuous lateral bracing along the top chord.
Design assumes maximum unbraced length of 0.00'along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 21887.'# 24466.'# 89% 6' Total Load D+0.75(L+S)
Shear 6034.# 9081.# 66% 11.47' Total Load 0+0.75(L+S)
TL Deflection 0.5950" 0.6073" 0244 6' Total Load D+0.75(L+S)
LL Deflection 0.3696" 0.4049" 0394 6' Total Load 0.75 L+S`
Control: TL Deflection
DOLS: Live=100% SncAv=115% Roof=125% Wind=160%
All product names are trademarks of their respeaive owners Doug Hodgins
rk Miles Inc.
Copyright(C)2013 by Simpson Strong-Ti.Company Inc.ALL RIGHTS RESERVED.
"Passing.s definad asvhen the:member,floor joist,beam or girder,shown on this drawing meets applicable design m iuma for Loads,Loading Conditions,and Spans listed on this sheet.
The design must he reviewed by a qualified designer or design pmfes.ional as required for approval.This design assumes prndud installation according to the manuiaattrars
soacifwtions.
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b. CO within 10' of bedroom doors, at each level, for every 1500 sqft, (plumbing code in the
mechanical room) Except if there are no fossil burning fuels.
c. Heat detector in attached garage, and other large unfinished unconditioned spaces.
41. Closets beneath stair which have doors must be drywalled with%".780 CMR R302.7
42. If there is mechanical equipment or a combustible roof, 30 sqft of space, and 30" measured from top of
ceiling joist to bottom of rafters an attic access of minimum RO of 22" x 30" is required to be located in
an accessible place. It must be insulated,gasketed, and secured in place.
Relevant items must be submitted to the building department for approvals before inspections and or
Certificates of Occupancy can be issued.
Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday
through Friday, 8:30 am to 4:30 pm, excepting we close for walk-ins at 12:00 noon on Wednesdays. My email
address is: cmiller(cr�northamptonma.gov
Thank you for your cooperation on these matters.
Aor
Chuck Miller
City of Northampton
Assistant Commissioner and Zoning Enforcement
in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom or to any other hole.
Notches are different.
26. Drilling or notching of more than 50%of the wall plate width of an exterior wall or load bearing partition
requires a 16 GA 1%2" strap across the area and 6" beyond each side with 8- 10nd nails. 780 CMR
R602.6.1
27. Dryer ducts must terminate outside of the building, have a backdraft damper, cannot include a screen,
and require 3' clearance from windows.780 CMR M1502.3
28. Dryer duct transition is limited to 8' of aluminum flex, must be exposed, and the proper UL listing.780
CMR M1502.4.3
29. Dryer duct maximum equivalent length is 25' less 5' per 901 elbow or per manufacturer's specs.780
CMR M1502.4.4.1, no screwed connections.
30. Dryer ducts when concealed must have a permanent label or tag within 6'of the duct connection 780
CMR M1502.4.5
31. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4
32. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work
maintaining 1" clearance for 5'from the duct outlet for all fireplaces and airtight doors. 2009 IECC
402.4.3
33. Fire and draft stopping shall be completed before rough inspection.Typical locations,top (ceiling)ceilin and
bottom (floor) plates, soffits, and every 10' within enclosed cavities. 780 CMR R302.
34. Ignition barriers are required over all thermal plastics and must be in place before final. 780 CMR R316.
35. Dwelling/Garage fire separation. An attached garage (within 3'of main structure) is required to have%"
drywall on the garage side of the separation wall and if there is a finished space above the garage all
walls must have%" drywall and the ceiling 5/8" drywall. 780 CMR R302.6
36. Energy aspects shall comply with the stretch energy code.780 CMR Appendix 115AA or 2009 IECC.
a. An initial HERS evaluation is required including insulation levels anticipated.
b. A final HERS evaluation confirming code requirements have been met including duct testing.
c. A signed copy of the Thermal Bypass Checklist.
d. Energy information including mechanical equipment posted on the electric panel.
e. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star
Windows and the Thermal Bypass Checklist. Duct blast testing when practicable.
f. All band joist insulation must be enclosed within an air tight cavity, which you must create.
37. Vapor retarders.Although these are still in the code have exceptions, one must understand that there is
a difference between a vapor retarder or barrier and an air barrier. An air barrier is intended to stop air
flow(convection) a vapor retarder or barrier is intended to stop molecular moisture transfer(diffusion).
A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has
to be absolute and complete. If air can leak through an electrical device or through a crack it follows the
path of least resistance and carries 99%of the moisture in a structure.This is evident every time one
exposes fiberglass insulation and finds black insulation,which is dirt filter out of the air moving through
the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements.
38. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4.
39. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note:Thrul-oks
are engineered for post attachment supporting a railing. Lateral attachment is required for each deck
per section 502.2.2.3.
40. Smoke and CO detectors as required. 780 CMR R314 and R315.
a. Smokes in each bedroom,within 10' of a bedroom door, and at the bottom of a stair leading to
a finished floor above.
11. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1/1ad 780 CMR
R802.3.1
12. Ridge boards must be the full depth of the cut. 780 CMR R802.3.
13. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and
number of jack studs required.
14. All framing materials which are not code prescriptive must have stamped engineering.
a. LVLs
b. I-joist and or Floor Truss
c. Roof truss
15. All I-Joist need to be protected from fire with%drywall or 5/8 wood structural panel. (R501.3)
16. A braced wall plan identifying appropriate braced wall areas where required (R301.1) and braced wall
method being used. 780 CMR 602.10.
a. Garage corners and large corner window/door layout may require special solutions.
b. All corners must be appropriately attached to the foundation.
c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4)the nailing requirement is 4" and 3"
respectively using 8d common nails or galvanized box nails. PNEUMATIC nails must be full
headed with the temper and shank sizing meeting the strict code requirement.
17. When nailing sheathing make sure your pneumatic nailers' pressure is properly set. Nails set too deep
perforate the sheathing weakening it and contribute to building damage in high wind events.
18. Ceiling heights minimum 7'for habitable spaces, 6'8" for bathrooms includes tub/shower area if a
shower head is used, 6'8" for basements, 6'4" at beams/ducts.780 CMR R305.1. MA amended
19. Hazardous glazing locations, within 24 of a door, or within 60 of a stair, or across from hot tubs, spas,
bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4
20. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4"
sphere rule. Order restrictors. 780 CMR R612.2
21. Egress and emergency escape requirements shall be strictly met.
a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310
b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20"x41" exception 5 sqft
at 15t floor. Minimum clear opening 20"x24" or 24"x20". 780 CMR R310.1.1
c. Two doors remote as possible at the normal level of travel, opening measured from the face of
the slab to the stop with door at 90 degrees,one 32" and one 28" minimum 78" high. 780 CMR
R311.2
d. Landing at each door 36" out and the width of the door minimum 36", maximum step 7 3/" from
the top of the threshold and only in-swinging doors. 780 CMR R311.3
22. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9",
maximum riser 8%", maximum overall variance for the run is 3/8",4" sphere rule on risers except where
the total rise is 30" or less 780 CMR R311.7.4.3 Exception,4 3/8" on balustrade, 6" in the triangle.
Graspable rail 1%" minimum and 2" maximum rail, height minimum 34" maximum 38", required for 4 or
more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. Rails
must be continuous and returned to the wall if not to newel post.780 CMR R311.7.
23. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than
30" above floor or grade within 36",4" sphere rule. 780 CMR R312.1.
24. Floor joist systems that are not equal to 1%2" nominal dimension must be covered with%2" drywall or
5/8" wood structural panel or equivalent with some exceptions. 780 CMR R501.3
25. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR
R502.8 and R602.6. In bearing studs holes not larger than 40%of a stud no closer than 5/8 to the edge,
In interior non-bearing studs holes not larger than 60%of a stud no closer than 5/8 to the edge, or holes
City of Northampton
=ter z. Massachusetts
r`4 X DEPARTMENT OF BUILDING INSPECTIONS r
w '
212 Main Street • Municipal Building
Northampton, MA 01060 ly q+ )
INSPECTOR
Theodore Tirk Jr. July 17, 2014
78 a Street
Northampton, MA 01060
Subject Location: 34 Forbes Avenue
Map Block: 31A-143
Mr.Tirk,
Your building permit application and plans dated 7-29-14 have been approved as drawn and per this memo.
All work must meet all applicable codes whether noted or not included within this memo.
Please follow up on the following items:
These items will need to be accomplished as the project moves forward and before rough inspections;
1. All loads must have continuous load paths to appropriate bearing.
2. Stamped engineering for all non prescriptive materials and or systems.
3. The center pier on the new deck must have a minimum 14" base, corners can be 8"
4. Smoke and CO detectors must be brought up to current code requirements.
Note:July 1 begins enforcement of the 2012 IECC with MA amendments and fire protection for non-
dimensional lumber floor system frames,the new Stretch Code is pending.
As of August 4th 2011 the 8th Edition MA code is the 2009 IRC with MA amendments.
In the following are some generic requirements which seem to be problematic.
This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes.
Read only international codes are available on line at http://publicecodes.cyberregs.com/icod/one
must also consider the MA amendments to these codes which can be found at www.mass.gov/dps/bbr
The current relevant building codes are:
2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 2009 or 2012 IECC,AA115, MA amendments.
1. Structures shall conform to 780 CMR 8th Edition 1 and 2 family building codes with MA amendments.
2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements.
3. A basement drainage system is required in all basements 780 CMR R405.2.3.except those in group I
soils (table R405.1)
4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1.
5. Through wall form ties must be removed from both faces and patched with hydraulic cement. 780 CMR
R406.2 of amendments.
6. Foundation anchor bolts must be %2" and be embedded a minimum of 7" into the concrete. 10" bolts!
780 CMR R403.1.6
7. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions.
8. Emergency escape is required out of every basement whether habitable or not. 780 CMR R310.1
9. Crawl spaces can be treated in three different ways,vented (poor idea), exhausted (similar to exhaust
only systems), or treating the space with supply and return. See 780 CMR R408
10. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties
and may require up sizing of rafters and increased nailing for example with a 4" slope 8-16nd common
are required at each connection. 780 CMR R802.3.1. When there is neither of these a structural ridge is
required with a load path to the foundation.
City of Northampton Mail-Re: Tirk Erickson/House 34 Forbes Ave. https://mail.google.com/mail/u/O/?ui=2&ik=39211afc3d&view=pt&se...
Fire Ribbon Vent Froe 3 ft Vu Thru
Model No. 54 Restrictions- Front view
VFe v �Aver' 36"W x 18"H
ExiLr'oY D=mersion 41.,1 16"W x 28.25"H.x 1$,•D ir, t
�.�. u r t;.. 1 'ef r
Ferri e rr- .°s' n 42"Wx31.5'Hx 17"D
`uo Tp e Natural or LP/Propone
t,ws 1/2'pipe '
on/04 Remote control
Fff:cenr;r Up to 95%
Vrntirg Opt�or, n/a _.
Vent Tupe n/o r
Fcn n/a
Clec~€ t 1 Ov with battery backup
BTU i pu- ga 24,000,34,000 BTU/h
BTU i pu,LP/pr,:,psne 24,000.34,000 BTU/h
Doors/,,- No doors or fixed glass panels Top view
^r C Inr Satin 8[aek or Stainless Steel
MIX&€Pp,,y P e sure 10.5"w.c.for noturol gas
130"w.c.for LP/Propane
P"":n SUply Pray 5.0"w.c,for natural gas
11.0"W.C.for LP/Propane
Ce.,if a F €is Omni-Test Laboratories
ANSI 221.11.2x•2008 '"
a4 W
t5 Stainless Steel firebox
Fire Objects and Media Troy*
'mecin troy requised when usiry fire a'ajgc!4 Right Site view
Safety screen
Why pick a 'dent Free Vu Thru a
Stah-of the-art electronic ignition
* Discrete air inlet
*Over 95%efficient
*Lower cost to install since there is no chimney or flue
.Oxygen Depletion Sensor(ODS)safety system
*The ProFame System remote control allows for 5 dif-
ferent otlustcble flame height settings.
2 of - 7/17/2014 1:29 PM
City of Northampton Mail-Re: Tirk Erickson/House 34 Forbes Ave. https://mail.google.com/mail/u/0/?ui=2&ik=39211afc3d&view=pt&se...
07-1�
Charles Miller<cmiller @northamptonma.gov>
Re: Tirk Erickson /House 34 Forbes Ave.
1 message
Martha Bedell<martha @marthabedell.com>
To:Charles Miller<cmiller @northamptonma.gov>
Hi,
will resend in a different way(as soon as I figure out what that might be).
Thanks,
Martha
On Jul 17,2014,at 1:14 PM,Charles Miller<cmiller @northamptonma.gov>wrote:
Hi,
Sorry I can't view the file
Chuck Miller
On Thu,Jul 17,2014 at 10:03 AM,Martha Bedell<martha @marthabedell.com>wrote:
Mr.Miller-
Attached below are the specs for the vent free fireplace to be installed at 34 Forbes Avenue. Please note that on the floor plan already submitted we have includ
air,which is more than is required by code.
Also attached are the framing details you requested.
Please let me know if you need more information.
Thank you,
Martha Bedell
Architect
1 of 3 7/17/2014 1:29 PM
TIRK & SONS BUILDERS, INC.
375 Bellus Road
Ashfield, MA 01330
413/628-0106 (TEL)
4131628-0044(FAX)
Existing house has 4 Bedrooms on the second floor. Per plans we are reducing that
number to two.
TIRK & SONS BUILDERS, INC.
375 Bellus Road
Ashfield, MA 01330
4131628-0106 (TEL)
413/628-0044(FAX)
Work at 34 Forbes ave to include the following:
1)Framing changer per attached plans
2)New deck at rear
3)Replace all windows and exterior doors with Marvin Integrity
4)New siding and trim (soffit to remain intact)
5)New Wiring
6)New Plumbing
7)New Gas boiler and domestic hot water tank
8) Hot water baseboard heat
9)Replace slab in basement
1.0) Spray foam insulation by Greenfoam Insulutions
11) New Drywall
12)Flooring through out
13)New kitchen and interior trim throught
ILI 11
TIRK & SONS BUILDERS, INC.
375 Bellus Road
Ashfield, MA 01330
4131628-0106 (TEL)
413/628-0044
Insulation to be installed as follows by Greenfoam Insolutions:
1) Basement walls-"Closed cell spray foam 3 " R6.5 per inch total r value 19.5
2) Exterior walls-Furred out with 1"of rigid foam and%strapping over-5112 open
cell at R3.9 per inch total Rr value 21.45
3) Roof to be furred down with 2"of rigid foam and%strapping over-6"closed
cell at R 6.5 per inch total R value 39
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
REFERENCE: NOTE:
BOOK 8275, PAGE 220 PROPERTY LINES SHOWN ARE APPROXIMATE,
BOOK 427, PAGE 541 A FULL FIELD SURVEY IS REQUIRED TO
ACCURATELY DETERMINE THEIR LOCATION.
70.17'±
gar.
LOT #14
-H +i
in r
rn #34 rn
NOTE:
SUBJECT TO EASEMENTS AND
RIGHTS OF WAYS OF RECORD.
70'±
FORBES AVENUE
TO:
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
-NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
of Mqs -MORTGAGE LOAN INSPECTION PLAT-
Sq NORTHAMPTON, MASSACHUSETTS
RAND ALL PREPARED FOR
IZER
LUCY TIRK & DAVID ERICKSON
035032 SCALE: 1"=30 MAY 5, 2015
RV HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
The Commonwealth o f Massachusetts
Department of Industrial Accidents
s Office of Investigations
1 Congress Street, Suite 100
t Boston, MA 02114-2017
qM www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name (Business/Organization/individual): hetc± ?/- �;JC/�C.y� .�'S ,v * . • —
Address: fo d& YJ
City/State/Zip: / Phone#:
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ 1 am a employer with 4. ❑ 1 am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. E]New construction
2.❑ 1 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 or me in an capacity. employees and have workers'
g Y p tY- .
[No workers' comp. insurance comp. insurance.+ 9. ❑Building addition
required.] 5.1M 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 12.0 Roof repairs
insurance required.] t c. 152, §](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.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic. #:_ Expiration Date: _
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
7 do hereby certify under the pains and penalties of perjury/that the information provided above i true and correct
I k j
Sim ature: A,�,r,✓ 7- Date: 0/
Phone# 4-1.3 -Lo3 "'o/O(.o
Of 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#:
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: -� Cf Aw/3CS 14V U
The debris will be transported by: S T1 5 (//'C,,,6�-
The debris will be received by: V19 L L" �"Y ��Gy�L i
Building permit number:
TV,-?
Name of Permit Applicant ///I"�fi / // iG �(; C
Date Signature of Permit Applicant
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Thcb10l�1efi A —re p C�—5/;4 —
License Numbe
too &x 3&4�I , AWut-9-?o OZ—?O/
Address Expiratio ate
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
1;�;, r -f- C)/V,-;
Commpajny Name Registration Number
Address �erryn Expiradyli 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...... ❑
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,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ✓❑ Roofing ❑
Or Doors M
Accessory Bldg. ❑ Demolition ❑ New Signs [a] Decks [Q !ding[a) Other[a] `
Brief Description of Propo ;"7 r
Work: see autwhed sheet OAK A4041
v
Alteration of existing bedr o bg79 � Y_e No
Attached Narrative eno fi ishe basement Yes X No
Plans Attached Roll -Sheet -eA I-
sa.If New house and or addition toe fisting housing, complete the following:
a. Use of building:One Family x Two Family Other
b. Number of rooms in each family unit: 7 Number of Bathrooms 31/2
c. Is there a garage attached? no
d. Proposed Square footage of new construction. O Dimensions
e. Number of stories? 3
f. Method of heating? Gas Hot Water Fireplaces or Woodstoves yes Number of each ]
g. Energy Conservation Compliance. See attached sheet Masscheck Energy Compliance form attached?
h. Type of construction Wood Frame
i. Is construction within 100 ft.of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
S'
k. Will building conform to the Building and Zoning regulations? _X Yes No.
I. Septic Tank City Sewer_X_ Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
/ j�� js
I, �^V C_ IV � !✓090 0 (�R k�,?�S 04V as Owner of the subject
property
hereby authorize li r
t act on my b5half,je a[Lmatters relative to work auth ed by is building permit application.
Signature of wner Date
I 2/ —6000 �f�' 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.
7� c>6)
Print Name
Signature of Owner/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 6534 SF no change
Frontage 70' +- no change
Setbacks Front 15' n/c
Side L:19' R: 16' L:n/c R:n/c
Rear 45+- 40'+-
Building Height N/C
Bldg. Square Footage 1 140 17.5
Open Space Footage %
(Lot area minus bldg&paved 4682 71.5
parking)
#of Parking Spaces 4
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DONT KNOW ® YES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW ® YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained ® , Date Issued:
C. Do any signs exist on the property? YES ® NO e
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 e
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES ® NO e
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
- City of Northampton Status of Permit:
CCIj i' Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
A ..3 2014 Lo Room 100 Water/WellAvailability
orthampton, MA 01060 Two Sets of Structural Plans
Rhen Electrr. 413-587-1240 Fax 413-587-1272 Plot/Site Plans
,r,<; ec ions
r: -;o Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
11 Property Address: This section to be completed by office
Map Lot Unit
3 L
Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Lucy Tirk&David erickson 2A Crestview Dr., South Deerfield Ma
Name(Print) / Current Mailing Address:
J /I �" -" Telephone
Signature
2.2 Authorized Agent:
508-922-2689 508-922-2689
Name(Print) Current Mailing Address:
508-922-2689
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 175,000 (a)Building Permit Fee
2. Electrical 15,000 (b)Estimated Total Cost of
Construction from 6
3. Plumbing 16,000 Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection 18,000
6. Total=(1 +2+3+4+5) 224,000 Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0028
' J r
APPLICANT/CONTACT PERSON THEODORE M TIRK JR _ a,_}
ADDRESS/PHONE P O BOX 36 ASHFIELD (413)625-0106 AA,J/ V"'�"""
PROPERTY LOCATION 34 FORBES AVE 1�"
Q d
MAP 31A PARCEL 143 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 1,W
Fee Paid
Typeof Construction: CONSTRUCT 12 X ly DECK REMODEL KITCH REPL WINDOWS,SIDING,FMSH
2RD FLR BEDROOM/FULL BATH 2ND FLR ADD FULL BATH,4 BEDRMS_TO 2
New Construction
Non Structural interior renovations
Addition to Existing-
Accessory Structure
Building Plans Included•
Owner/Statement or License 050212
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I_NRGRMATION PRESENTED:
jj// 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
olition elay
Sig re of Build' g Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
34 FORBES AVE BP-2015-0028
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A- 143 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-2015-0028
Project# JS-2015-000038
Est. Cost: $224000.00
Fee: $1344.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THEODORE M TIRK JR 050212
Lot Size(sq.ft.): 6708.24 Owner: TIRK LUCY&DAVID ERICKSON
Zoning: URB(100)/ Applicant. THEODORE M TIRK JR
AT. 34 FORBES AVE
Applicant Address: Phone: Insurance:
P O BOX 36 (413) 625-0106
ASHFIELDMA01330 ISSUED ON.712112014 0:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT 12 X 14 DECK,REMODEL
KITCH,REPL WINDOWS,SIDING,FINISH 2RD FLR BEDROOM/FULL BATH,2ND FLR ADD FULL
BATH, 4 BEDRMS TO 2
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 SiEnature:
FeeType• Date Paid: Amount:
Building 7/21/2014 0:00:00 $1344.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
BP-2014-1208
34 FORBES AVE
GIs#:_ COMMONWEALTH OF MASSACHUSETTS
MM Block: 3 1 A- 143 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH GUNREGISTERED TY FFUND (MGL 142A)
PFrmir Buildin_ DO NOT HAVE ACCESS TO THE
BUILDING PERMIT.
Category:renovation
Permit# BP-2014-1208 I
Pro'ect# JS-2014-002043
Est Cost $15000.00
Fee: 90.00 PERMISSIONIS HEREBY GRANTED TO:
Contractor: License:
Const.Class. THEODORE M TIRK JR 050212
Use Group:
Lot Size(sa ft)' 6708.24 Own_ er: IRK LUCK'&DAVID ERICKSON
t
Zoning:URB 100 / Apryplicant: 'THEODORE M TIRK JR
t QRB3LS RV E
Phone. Insurance.*
ranee:
1pplicantAddress: (413) 625-0106
D ()BOX 36
ISSUED ON.S/20/2014 0.00 00
ASHFIELDMA01330
TO PERFORM THE FOLLOWING WORK:REMOVE INTERIOR FINISHES, INSULATION &
EXTERIOR SIDING
POST THIS CARD SO IT IS VISIBLE FROM DT H W STREET Building Inspector
Inspector of Plumbing Inspector of Wiring
Service: Meter:
Underground: Footings:
Rough: Rough:
House# Foundation:
Driveway Final:
2inal: Final: Rough Frame:
Fireplace/Chimney:
Gas: Fire Department Y
List.iation:
Rough: vii-
Final: dkX16-a(`%
Final: Smoke:
PERMIT MAY BE RF OKED BY T CITY OF NORTHAMPTON UPON VIOLATION OF
THIS �r
ANY OF ITS RULES AND ` uU lz ow
tw•e:
Certific le of Occupancy
FeeT e: Date Paid: A_mOUnt:
Building 5/20,12014 No "aolo $90.0o
212 Main`�ireet,Phonr�'F 1:3}587-12-,0,Fax: (413)587-1272
Louis Hasbrouck--Building Co.:imissioner