35-182 (2) i
Exisiting Basement
_
i
�I
R_30
3- 2xIO Beau typ
2x6 FT sill plate typ
2xIO Floor Joists 16" O.C.
3/-4" T&G SUb flooring
I
24
6,
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1
/
2�' CO
Vinyl window h
CO
Ln
CO
Existing Easement Ln '
fr1
Lally column pad
CO
LO
Egress Window
Beam Pocket
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Job Truss Truss Type Qty Ply Northampton, MA
Q1409065 T1 MOD. QUEEN 13 1
Truss Engineering Corp.,Indian Orchard,MA 01151 Job Reference(optional) s Nov 26 2013 MiTek Industries,Inc. Fri Sep 05 09:43:45 2014 Page 1
I D:IuzkwU Ha LuOv2K7_H DgaN5ygkJf-ax0_9Eo_vlmAXXB05zauxTK8nAe 1 T97Bd Rl6pgygkH
-1-0-1 4-8-11 10-1-4 16-0-0 21-10-12 27-3-5 32-0-0 3,3-0 0
5-10-12 5-4-9 4-8-11 -0-
4x6 Scale=1:55.1
6.00 12 6
23 24
3x6
3x4 i 3x4 19 0
5 7 3x6
-4 --
4x4 22 25 4x4
3 W5 W5 9
21 4 26
3x6 II 3x6 11
2 10
1 11 io
16 15 17 18 14 19 20 13 12
5x5= 3x4= 3x4 =
5x8 = 5x5=
0-5-8(0-2-14) 0-5-8(0-2-14)
1845#/-42a# 7-6-13 16-0-0 24-5-3 32-0-0 1845#1-.424#
7-6-13 8-5-3 8-5-3 7-6-13
Plate Offsets [2:0-3-0,0-1-0],[6:0-3-2,0-2-01, 10:0-3-0,0-1-0 [12:0-2-4,0-2-121,[14:0-4-0,0-3-01, 16:0-2-4,0-2-12
LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl L/d PLATES GRIP
(Pf/ 35.0
Snow Plates Increase 1.15 TC 0.80 Vert(LL) -0.19 13-14 >999 240 MT20 197/144
Snow(Pf/Pg)31.5/45.0 Lumber Increase 1.15 BC 0.81 Vert(TL) 0.41 13-14 >921 180
BCDL 10.0 Rep Stress Incr YES WB 0.60 Horz(TL) 0.13 12 n/a n/a
BCLL 0.0 * ) Wei
BCDL 10.0 Matrix Code IRC2009/TPI2007 ( ht: 144 lb FT=10%
9
LUMBER
TOP CHORD 2x4 SPF No.2
BOT CHORD 2x4 SPF No.2 TOP CHORD 8) This truss has been designed for a live load of 20.Opsf on the bottom chord in all
WEBS 2x4 SPF Stud*Except* 2-3=-419/153,3-5=-2512/652,5-6=-1915/591,6-7=-1915/591, areas where a rectangle 3-6-0 tall by 1-0-0 wide will fit between the bottom chord and
W6:2x4 SPF No.2,W1:2x6 SPF No.2 7-9=-2512/652,9-10=-419/153,2-16=-473/232, 10-12=-473/232 any other members,with BCDL=10.0psf.
BRACING BOT CHORD 9)Provide mechanical connection(by others)of truss to bearing plate capable of
TOP CHORD 15-16=-459/2189,14-15=-381/2078, 13-14=-381/2078, withstanding 424 lb uplift at joint 16 and 424 lb uplift at joint 12.
Structural wood sheathing directly applied or 2-2-0 oc purlins, except end verticals. 12-13=-459/2189 10)This truss is designed in accordance with the 2009 International Residential Code
ROT CHORD WEBS sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1.Rigid ceiling directly applied or 8-7-11 oc bracing. 5-15=-32/285,5-14=-771/264,6-14=-285/1115,7-14=-771/264, 11)"Semi-rigid pitchbreaks with fixed heels"Member end fixity model was used in the
analysis and design of this truss.
WEBS 7-13=-32/285,3-16=-2304/518,9-12=-2304/518 12)All Plates 20 Gauge Unless Noted
1 Row at midpt 5-14,7-14,3-16,9-12
MiTek recommends that Stabilizers and required cross bracing be installed during NOTES (12)
g 9 9 LOAD CASE(S)
truss erection,in accordance with Stabilizer Installation guide. 1)This truss has been checked for uniform roof live load only,except as noted. Standard
2)Wind:ASCE 7-05; 100mph;TCDL=4.2psf;BCDL=5.Opsf,h=19ft;Cat.II;Exp B;
REACTIONS (lb/size) partially;MWFRS(low-rise)gable end zone and C-C Exterior(2)-1-0-0 to 2-2-6,
16 = 1726/0-5-8 (min.0-2-14) Interior(1)2-2-6 to 12-9-10,Exterior(2)12-9-10 to 16-0-0,Interior(1)19-2-6 to 29-9-10
12 = 1726/0-5-8 (min.0-2-14) zone;cantilever left and right exposed;C-C for members and forces&MWFRS for
Max Horz reactions shown;Lumber DOL=1.60 plate grip DOL=1.60
16 = 89(LC 10) 3)TCLL:ASCE 7-05;Pr-35.0 psf(roof live load:Lumber DOL=1.15 Plate DOL=1.15);
Max Uplift Pg=45.0 psf(ground snow);Pf=31.5 psf(flat roof snow:Lumber DOL=1.15 Plate
16 = -424(LC 11) DOL=1.15);Category II;Exp B;Partially Exp.;Ct=1
12 = -424(LC 12) 4)Unbalanced snow loads have been considered for this design.
Max Grav 5)This truss has been designed for greater of min roof live load of 12.0 psf or 1.00 times
16 = 1845(LC 2) flat roof load of 31.5 psf on overhangs non-concurrent with other live loads.
12 = 1845(LC 2) 6)This truss has been designed for basic load combinations,which include cases with
reductions for multiple concurrent live loads.
FORCES (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. 7)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with
TOP CHORD any other live loads.
2-3=-419/153,3-5=-2512/652,5-6=-1915/591,6-7=-1915/591,
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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:
The debris will be transported by: Td Jd �
The debris will be received by: Vy (J ^5
Building permit number:
Name of Permit Applicant
r013,�114
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
W Office of Investigations
1 Congress Street, Suite 100
<� Boston, MA 02114-2017
°�M S•�� www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:
City/State/Zip: rye"& �, , mA o 1 r z,-? Phone #: 413-IaSZ" 3y 3 0
Are you an employer? Check the appropriate box: Type of project(required):
1.N I am a employer with 1 4. F� 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.$
required.] 5. n We are a corporation and its 10.0 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' 13.0 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. nn
Insurance Company Name:
Policy#or Self-ins. Lic. #: lol C-t - 5 Z2/(o - �P�} Expiration Date: (6'Z-1 11 S
Job Site Address: P tik_ irg Ind City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: `�ag Date: 161301/q
Phone#: ql.3 -�SZ - -?q 30
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:--- LJ SAs / ogq 3 GD
License Number
202- Kt W x,,r i tie S{�-.4•�P�t>^ c t9 —1 )1-7/( S—
Address
Expiration Date
C,J�-�-- L11 3 - I�SL - 3� 3 G
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
i a� > s,� C611cf4y-U401'— t�y8'I
Company Name Registration Number
a0,2 �e Se/Ua�r yC d . q 16-711
Address Expiration Date
tJt5PkS",A-\ , "A C(d 2 Telephone 9I NS Z-3 Y 30
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....... 0 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 buildine 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 EJ Replacement Windows Alteration(s) ❑ Roofing
Or Doors E]
Accessory Bldg. ❑ Demolition E4 New Signs [O] Decks [Q Siding Other[EA
Brief Descri tion of Proposed
Work: KtMove– e_XO'hnq 16iz4 cLJd 1'^ + ���� wt • (UlW uZ�+x�Zf 4dc1 {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 following:
a. Use of building: One Family_ K Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? 06
d. Proposed Square footage of new construction. (o Dimensions q X 3
e. Number of stories? 1'_
f. Method of heating? Curt S r,%i n I SP��� 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 % (o
k. Will building conform to the Building and Zoning regulations? 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
as Owner of the subject
property
hereby authorize ���(' A ^�
to act on my behalf, in all matters relative to work authorized by this building permit application.
01 ".-I C2� i DAIrI
Sj'—gnatuk of Owner Da
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.
�QG�Ci Pl��n�
Print Name
c rte- ,olag� 1
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
Frontage
Setbacks Front 34y' '34
Side L: � R: 75 i L: �q, R: '7
Rear
Building Height 1-7
Bldg.Square Footage If Z % 536
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 ® DON'T KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DON'T KNOW YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained ® , 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 ® NO 0
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
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
ity of Northampton Status of Permit:
uilding Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
OCT 3 Q ��14 Room 100 Water/Well Availability
.-�No hampton, MA 01060 Two Sets of Structural Plans
Electric,Plumbing& £tt� 87-1240 Fax 413-587-1272 Plot/Site Plans
Northampton,
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
PIS V CO--1 �A Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
�r1 2.1 Owner of Record:
Name(Print) Current Mailing Address:
I-AI,3 3f-I —,13 £st3
h-^ Telephone
ignatu
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
U
" ��� q13
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
v r
2. Electrical (b)Estimated Total Cost of
Liao Construction from 6
3. Plumbing 1/r ®®D Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) 00 Check Number ry
This Section For Official Use Only
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0506 f
APPLICANT/CONTACT PERSON TODD ALEXANDER
ADDRESS/PHONE 202 RESERVOIR RD WESTHAMPTON (413)652-3430 Q
PROPERTY LOCATION 5 PINE VALLEY RD
MAP 35 PARCEL 182 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tyneof Construction: REPLACE 16 X 24 W/24 X 32 ADDITION(KITCH/DINING)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 084300
3 sets of Plans/Plot Plan
THE�OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
C�Ap prov�ATION PRESENTED:
ed 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
D fi ' y
Signature of Building 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.
5 PINE VALLEY RD BP-2015-0506
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 - 182 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING PERMIT
Permit# BP-2015-0506
Project# JS-2015-000952
Est.Cost: $90000.00
Fee: $384.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: TODD ALEXANDER 084300
Lot Size(sq. ft.): 32713.56 Owner: CURTIS CHRISTOPHER M
zonine: Applicant: TODD ALEXANDER
AT. 5 PINE VALLEY RD
Applicant Address: Phone: Insurance:
202 RESERVOIR RD (413) 652-3430 O WC
WESTHAMPTON MAO 1027 ISSUED ON:11/10/2014 0:00:00
TO PERFORM THE FOLLOWING WORK.-REPLACE 16 X 24 W/24 X 32 ADDITION
(KITCH/DINING)
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 11/10/2014 0:00:00 $384.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner