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04-017 (5) n i/f mil' , a K• �t= sS Pt' Z Will IN ax AW t 11' r J � a r , a Bra ryu- ui lt 1' ti M 0 ,moo ti CUSTOMER Stephen Ross �s Construction Associates SHEET 1 of 1 9 I-08 CUSTOMER SIGNATURE DATE ► Rafter Section: 3" x 5" Bra r 12 ti,ry> � a a � 0i1 � Glued Laminated Bean Specifications; Moisture Content < 16% i \ Laminations t=1/4" M Southern Yellow Pine 24F-V3 SP/SP (AITC Manual) Fb = 2400 psi ° Y; Fv = 200 psi E = 1,800,000 psi j 3'-8 1/4"� Fc (perp to grain) = 650 psi Fc (par to grain) = 1700 psi cu Ft (par to grain) = 1150 psi \ Existing Floor Eaxial = 1,600,000 psi K = 20,6 ^ co rU � I CD co I j i M C I Scale: 3/8" = 1' D I CO \ M `D o I I Existing Floor CUSTOMER Stephen Ross 4'-5 112" Construction Associates SHEET 1 of 1 9-18-08 CUSTOMER SIGNATURE DATE MASSACHUSETTS Load Combinations: 1. DL +LL 2. DL +L,or SL where Lr is roof live load 3. DL+WL 4. DL+0.:75 WL + 0.75 (L, or SL)E-- CONTROLS 5. 0.6DL+ WL Ground 35 45 55 65 Snow Load, psf Uniform 143 181 206 233 Wind Vertical* W, lbs/ft Speed Triangular 0 0 0 0 Vertical 90 Load, Wsv, mph lbs/ft Uniform 70 70 70 70 Horizontal WLW Ground 35 45 55 65 Snow Load, psf Uniform 143 181 206 233 Wind Vertical* W, lbs/ft Speed Triangular 0 0 0 0 Vertical 100 Load, Wsv, mph lbs/ft Uniform 85 85 85 85 Horizontal WLW MA 1 Bra y-Built 0 ,o ti CUSTOMER Stephen {toss �s Construction Associates CUSTOMER SIGNATURE DATE SHEET 1 of Lj 9-21-08 Rafter Section: 3" x 5" Bra u-Built '' 1' 12 M Glued Laminated Bean Specifications: Moisture Content < 16% Laminations t=1/4" 00 Southern Yellow Pine 24F-V3 SP/SP <AITC Manual) -' Fb = 2400 psi ° ; F = 200 psi E = 1,800,000 psi Ln `D 1/4 Fc (perp to grain) = 650 psi F (par to grain) = 1700 psi tU Ft (par to grain) = 1150 psi \ Existing Floor Eaxial = 1,600,000 psi K = 20,6 r co 'u I \ \ 0 I co \ u M C-0 I - Scale: 3/8" = 1' � rl co \ M CD ,I I Existing Floor CUSTOMER Stephen Ross 4'-5 1/2" Construction Associates CUSTOMER SIGNATURE DATE SHEET 1 of 1 9-18-08 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ s / Name of License Holder: License Number 34t >4 �f/ L � Address Expiration ate Signature Telephone &13) 9,Reaps ored.Home Improvement Contractor: / Not Applicable 13 i .c.. ��• lam.t G -t✓rte. 7 �sl C f�aW /��° g it Compa ame Registration Numb r S 6e' S'-t- +c'✓c c� ..-c.. ��--t� �.-.r- 1 C� S C �C7 Address Expirati6n E5atK 1-7 'i Telephone ST 2 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 .1. - Doane fawner 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 W' ows Alterations) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0) Decks [p Siding[O] Other[0] Brief Desliption of Proposed Work: 1�'-t© �f.�rr �t �-'U � z rii S'G"•o• ,�i�� / Alteration of existing bedroom Yes L11 No Adding new bedroom Yes 1/ No Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll -Sheet ea.WNeiih6use andrddition to existing housing, complete the foiiowin: : a. Use f uildi g:O0e Fa Two Family Other b. Nu be of oom' in ea family unit: Number of Bathrooms c. I ther gar e 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, /c i[' t•✓� /' i-� C 6 ��� as Owner of the subject property hereby authorize to act on my behalf, in all matters e6lative to work authorized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby eclare 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. 4e 4 Print Name .. er natur Owner/Agent Date Section 4. ZONING All I rmation Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning e This column to be filled in by i' Building Department 1 Lot Size Frontage Setbal frn L: R: L: _ R: Rear 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 r been issued for/on the site? NO Q DON'T KNOW YES 0 IF YES, date issued:` IF YES: Was the permit recorded at the Regi ry of Deeds? NO Q DONT KNOW YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,exca ion,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 City of Northampton Status of Permit: Buildin ..Departmt {{ Girt Cut/Driyeway Permit 212 Miti(t Sj egSeptic YailefaiMry I t__ Room,too #ter/Well Availability Northampton.',MA 01060 %0 Sets of Structural Plans phone 413-587-120 rax���-5 761 g ' atlSite Plan, Oth r Specify APPLICATION TO CONSTRUCT, LTER,i €¢ lj�,;` trcnlOVaTp oR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office ' 1.1 Property Address: ,�.)( J /Y Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name�(Print),.- Current Mailing Address:11 A vlf ✓�� Telephone _ Signature 2.2 Authorized Agent: Name(nt) Current Mailing Address: ig at a Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building el) c,.) (a)Building Permit Fee 2. Electrical - (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection G J vv 6. Total=(1 +2+3+4+5) gyp. Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0424 APPLICANT/CONTACT PERSON STEPHEN D ROSS ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413) 584-1224 Q PROPERTY LOCATION 582 KENNEDY RD MAP 04 PARCEL 017 001 ZONE RR000)//WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid Typeof Construction: REPLACE 2 STORY SUNROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 079160 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: i,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 Q 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. 582 KENNEDY RD BP-2009-0424 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma :Block: 04-017 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0424 Project# JS-2009-000572 Est. Cost: $28000.00 Fee: $168.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group:_ STEPHEN D ROSS 079160 Lot Size(sq. ft.): 327571.20 Owner: HINCKLEY C RICHARD &JOANN Zoning:RR(100)//WSP Applicant: STEPHEN D ROSS AT. 582 KENNEDY RD Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584-1224 O WC NORTHAMPTONMA01060 ISSUED ON:1013012008 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE 2 STORY SUNROOM 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:©A- f--;2TQg`'� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUL 'T IONS Certificate of Occu anc Signature: FeeType: Date Paid: Amount: Building 10/30/2008 0:00:00 $168.00285 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo