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Rr t 1_ W VA �9� n� nB 2s 4 9RaW 3 119 „ i aw ' \\\ i 04 004 )u,9R 05-062 sss 09-060 t -------------------` 03 r301 3tag4 »3B 04-012 u,zR 05-059 o cry f ryl *o c/v i rl n ar ,�,o IV } 1 j von 7 3 � Y ' i j \ c^•i�► f t ^ ` ' to 60 f Ll' J ITi F y, ! t V I/V tat'lL 4� f Y F f A� Nx�CC ! } [ j l + e F �+ y� j #f � � � f ��f L°•C ` g 1 r i 4.7 too 0 � 2 F o w �t� � yw ` quts z 0 el* � F �'►Aj L S IO1N t.o too u ' �. fir^ G P tE �i `r.R fi ,2 a r rj� re t t Fortier 6-16-06 50 Williston Ave 8:02am 1 of 1 KeyBean-&4.410h lanBean Engine 4.413j Materials Database 507 Member Data Description: Member Type:Joist Application: Floor Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: NBC Live Load: 40 PSF Deflection Criteria: U480 live, U240 total Dead Load: 10 PSF Deck Connection: Glued& Nailed DOL: 100% Filename: KYB1 2000 20 0 0 Bearings and Reactions Input Minimum Worst Case Location Type Length Length Total 100% Dead Total 1 0'0.00" Wall 3.50" 1.75" 653# 653# 392PLF 98PLF 490PLF 2 19 6.75" Wall 3.50" 1.75" 653# 653# 392PLF 98PLF 490PLF Design spans 19'6.75" Product:117/8"NI-40x 16.0"O.C. Component Member Design has Passed Design Checks* Allowable Stress Design Actual Allowable Capacity Location Loading Moment 3189.'# 3760.'# 84% 9.78' Total load 100% Shear 652.# 1480.# 44% 0' Total load 100% End Reaction 652.# 1429.# 45% 0' Dead load LL Deflection 0.4337" 0.4891" U541 9.78' Total load 100% TL Deflection 0.5421" 0.9781" U433 9.78' Total load 100% Control: LL Deflection Al product names are trademarks of their respective owners Jason Tumer Copyright(C)19892005by Keymark Enterprises,L.L.C.ALLRIGHTS RESERVED. il.ssing is defined as when the member,floorldA,beam a girder,shown onthis rawirg meets applicable design criteria for toads,Loading Conditions,and Spans stedon this sheet.The design must be reviewed by aqua)lied designer or design rofessional as required for approval.This design assumes product installation ocordirg to the marufacturer s specifications. Job Truss Truss Type Qty Ply Q6O6182 S1 SCISSORS 1 1 Job Reference o tional Truss Engineering Corp.,Indian Orchard,MA 01151 6.300 s Apr 19 2006 MiTek Industries,Inc. Thu Jun 15 12:51:18 2006 Page 1 6-11-6 6-11-5 7-0-11 13-.0-0 7-0.11 20-0-11 6-11-5 26 0.f 0.7-0.0 Scale=1:37. 4x9= 4 i I 6.00 12 i 3x4 3x4 3 W4 W4 6 10 5x8- N W2 W2 N t+f 6 2 11 9 4x5; 7 q 4x5; 0 3.00 12 12 8x9, 6x9 0-0.0 6-11-5 13-0-0 2040-11 26-0.0 5-11-5 7-0-11 7-0.11 5-11-5 Plate Offsets(X,Y): 8:0-3-2.0-6-2, 9:0-2-1 0-1-10 10:0-4-0.0-2-15, 11:0-2-1.0-1-10, 12:0-3-2.0-6-2 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft L/d PLATES GRIP TCLL 40.0 Plates Increase 1.15 TC 0.93 Vert(LL) -0.33 10-11 >948 240 MT20 197/144 TCDL 10.0 Lumber Increase 1.15 BC 0.78 Vert(TL) -0.52 9-10 >591 180 BCLL 0.0 Rep Stress Incr YES WS 0.98 Horz(TL) 0.33 8 n/a n/a BCDL 10.0 Code BOCA/ANSI95 (Matrix) Weight:104 lb LUMBER 7)All Plates 20 Gauge Unless Noted TOP CHORD 2 X 4 SPF No.2 TOP CHORD BOT CHORD 2 X 4 SPF 1650F 1.5E 6-8 = -1738 WEB$ 2 X 4 SPF Stud*Except* BOT CHORD W1 2 X 4 SPF 2700F 2.2E,W2 2 X 4 SPF No.2,W1 2 X 4 SPF 2700F 2.2E 11-12 = 711 10-11 = 3547 9-10 = 3547 W2 2 X 4 SPF No.2 8-9 = 711 BRACING WEBS TOP CHORD 4-10 = 1952 3-11 = -220 5-9 = -220 Sheathed, except end verticals. 3-10 = -705 5-10 = -705 2-11 = 2761 BOT CHORD 6-9 = 2761 Rigid ceiling directly applied or 10-0-0 oc bracing. NOTES (7) REACTIONS (lb/size) 1)Unbalanced roof live loads have been considered for this design. 12 = 1657/0-3-8 2)Wind:ASCE 7-02;100mph;h=25ft;TCDL=4.2psf;BCDL=5.Opsf;Category 11,Exp B; 8 = 165710-3-8 enclosed,MWFRS gable end zone and C-C Exterior(2)-1-0-0 to 2-0-0,Intenor(1)2-0-0 to Max Horz 10-0-0,Exterior(2)10-0-0 to 13-0-0,Intenor(1)16-0-0 to 27-0-0 zone;cantilever left and 12 = -72(load case 3) right exposed, Lumber DOL=1.33 plate grip DOL=1.33 Plate metal DOL=1.33.This truss Max Uplift is designed for C-C for members and forces,and for MWFRS for reactions specified. 12 = -213(load case 5) 3)As requested,plates have not been designed to provide for placement tolerances or 8 = -213(load case 6) rough handling and erection conditions. It is the responsibility of the fabricator to increase plate sizes to account for these factors. FORCES (lb)-First Load Case Only 4)'This truss has been designed for a live load of 20.Opsf on the bottom chord in all TOP CHORD areas where a rectangle 3-6-0 tall by 1-0-0 wide will fit between the bottom chord and any 1-2 = 51 2-13 = -3958 3-13 = -3724 other members. 3-14 = -3182 4-14 = -2897 4-15 = -2897 5)Bearing at joint(s)12,8 considers parallel to grain value using ANSI/TPI 1 angle to 5-15 = -3182 5-6 = -3958 6-7 = 51 grain formula. Building designer should verify capacity of bearing surface. 2-12 = -1738 6)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 213 lb uplift at joint 12 and 213 lb uplift at joint 8. Job Truss rtl,ee type City Fly Dare . 06040056 ACS24-12 ATric 5 1 l Job Reference o UNverael Products,Belchenc�wn,MA 01007 6200 s OCl 1 B 2005 MITek I Idustrles,Inc,Mon Apr 03 09:43:4[M Page 1 i 1,0,0 &4.2 10-0-8 12.0-0 13-5-8 17-7-14 1-0-0 6-4.2 4-2-6 15.8 1-5-8 4-2.8 6-4-2 1-0.0 J Scale=1;42,4 3x8= 5 3X8 i 3x8 4 B 8.00 FIT 2x4\\ 2x4/1 3 7 a v7 a 1 8 = 11 10 3x6 3xB 7x18= 7x18= 0-0-0 0 7-6-0 16-6-0 24-0-0 r 7.8-0 9.0.0 7-&0 Plate Offsets X Y: 112:0-B-0.0-0451.[5.0-3-0 Edael f8:0-M,0-Ml,[10.0-0-0,03-41,[11;0.8.0,044] LOADING(pan SPACING 2-0-0 CSI DEFL M (loc) I/deft Idd PLATES GRIP TCLL 28.0 Plates Increase 1,15 TC 0.85 Vort(ll.) •0.28 2.11 5999 380 MT20 1971144 (Ground Snovr=50.0) L„�ee lAo,.00Se 1.15 tic 0.81 VargTL) -0.41 2-11 >696 180 TCDL 10.0 Rep Stress Incr YES WB 0,46 Horz(TL) 0,07 8 No n19 BaL .o 0 Code 16C2003rTP12W2 (Matrix) I Weight 91 lb LUMBER BRACING TOP CHORD z X 4 SPF 165oF 1.5E TOP CHORD Structural wood sheathing directly applied or 3-2-2 oc purlins. BOT CHORD 2 X 4 SPF Np.2'Fxcept" ROT CHORD Rigid coign9 directly applied or 6-0.10 oc bracing. 82 2 X 6 SPF Not WEBS 2 X 4 SPF Stud REACTIONS(lb/size) 2--122510-3s,e=1225/0-421-e Max LIPIM2=1084(load Case 4),8=1u540oad case 4) Max GreV2e1554(load Ca"2),801554(load Ga66 3) FORCES (lb)-Maximum CompressloruMaximurn Tension TOP CHORD 1.2�o/54,23--.239211566,3.4=211711643,4-6=,2371 110,5-6=2371110,6-7=211711643,7.8-2392/1566,8-9=0154 sOTCHORt) 2-11=115411988,10-11=-890»253.8-toe-1154/1988 WEBS 4.8-114311226,3-11=•763/567,4-11=-02/tOiS,6 10 37/1018,7-10=76W657 NOTES 1 1)Wind:ASCE 7-02;120mph;h=zst TC0L=5.0paf;Iscua .Dpat;Category It;Exp D;enclosed;C-C Exterior(2);cantilever)eft and right exposed;and I vertical left and right oxposed;lumber DOL=i.33 plate grip DOL=1.33. 2)TCLL;ASCE 7-02;Pp=50.0 pef(ground snow);P".0 pat(oat roof snow);Category II;ED D;Fully Exp.;Or 1 3)Unbalanced snow loads have bear considered for this design. 4)This truss has been designed for greaterof min roof live load of 18.0 pV 9r 1.00 times flat roof load of 28,0 pal on overhangs non-concurrent with other live loads. 5)This truss requires plate inspection per the Tooth Count Method when this truss Is chosen for quality assurance inspection. 8)Provide mechanical connection(by others)of truss to bearing prate capable of withstanding 1084 lb Uptift at joint 2 and 1084 lb uplift at joint 8. j 7)This truss Is designed in accordance with the 2003 International Building Code section 2306.1 and retarenced standard ANSUTPI 1, LOAD CASE(S) Standard 9q , 4 ecx �,e P-� zo 'd [5:9 9002 s JOV L9ZSEZ£Cly:Xe3 n1308d 1S3bOd IVS83AINn Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Ducts outside the building must be insulated to R-6.5. I Duct Construction: [ ] I All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: j ] ( Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. 1 Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: ( ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 Of or chilled fluids below 55 OF must be insulated to the levels in Table 2. REScheck Inspection Checklist 1995 MEC REScheckSoftware Version 3.5 Release le DATE: 06/21/06 PROJECT TITLE:521 AUDUBON RD. Bldg. J Dept. J Use J ( J Ceilings: [ J J 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation J Comments: I Above-Grade Walls: [ ] J 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation J Comments: I J Windows: [ ] J 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor: 0.340 J For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: ( J i 2. Window 2:Wood Frame:Double Pane with Low-E,U-factor: 0.320 i For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: J Doors: ( ] ( 1. Door l: Solid,U-factor: 0.470 J Comments: [ J J 2. Door 2:Glass,U-factor:0.330 Comments: i J Floors: ( ] J 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation J Comments: I J Air Leakage: [ ] J Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] ( Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly J with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a J 3"clearance from insulation. I J Vapor Retarder: [ ] J Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I J Materials Identification: [ ] J Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating J equipment must be provided. [ ] J Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I J Duct Insulation: [ ] I Ducts in unconditioned spaces must be insulated to R-5. i r Permit Number REScheck Compliance Certificate Checked By/Date 1995 MEC REScheckSoftware Version 3.5 Release le Data filename:Untitled.rck PROJECT TITLE: 521 AUDUBON RD. CITY:Northampton STATE: Massachusetts HDD:6404 CONSTRUCTION TYPE: Single Family DATE:06/21/06 DATE OF PLANS:606 PROJECT DESCRIPTION: 2 STORY ADDITION WITH ATTACHED GARAGE DESIGNER/CONTRACTOR: DAVID FORTIER BUILDERS/RON ALTIMARI WOODWORKING COMPLIANCE:Passes Maximum UA=242 Your Home UA= 191 21.1%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 540 30.0 0.0 18 Wall 1:Wood Frame, 16"o.c. 1678 19.0 0.0 90 Window 1:Wood Frame:Double Pane with Low-E 134 0.340 46 Window 2: Wood Frame:Double Pane with Low-E 6 0.320 2 Door 1: Solid 20 0.470 9 Door 2: Glass 20 0.330 7 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 572 30.0 0.0 19 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in REScheckVersion 3.5 Release le (formerly MECchec�and to comply with the mandatory requirements listed in the RESchecklnspecti Checkl' Builder/Designer '� �`��� A Date L `G ` rF 7 r i_✓ yg "—" DLP/Jst7W,=hri Cyr BCJ:LZ,)DtC INSPLLJ 1rJiaS —€ i } j--�r�`�i Jrf-• ?7? �'ri�.tS1 JL:C-L � �1;:nICi,^.a� Lucl�inp ���-� A'orLhr.:np!Sri, Ajrcc- Ol Dut3 �x i g t5i :ILDB J_50 2nc5 —30 Ile, 1/2 =1DDr5, r?LL2r. saiac�= ✓� a �.� �—� eq . - lf,� ono PLANNING AND DEVELOPMENT • CITY OF NORTHAMPTON City Hall- 2i o Main Street,Room 1 1 • Northampton,MA o1o60-3198 4131587-1166 • Fax:587-1264 ■ I �p WaNne Feiden, Director - planning @northamptonplanning.org - rvww.northamptonplanning.org April 13, 2004 Kelly Ansaldo 521 Audubon Road Leeds, MA 01053 RE: Wetland Permitting for Proposed Fork Map 4, Parcel 3 Dear Kelly, I am writing this letter to follow-up on my site visit last month. As an agent of the Northampton Conservation Commission, I looked at the man-made pond on your property, the drainage channel running from it, and the wetlands and stream behind your house. • The pond and its drainage channel are not jurisdictional wetlands under state regulations or the local wetlands ordinance. • The wetlands and stream are jurisdictional. However, if all work is confined to the existing lawn area, before the wooded slope, you will not need to obtain a wetlands permit from the Conservation Commission because you will be outside the 100-foot wetland buffer and the 200-foot riverfront area. If you should have any questions, please do not hesitate to call me at 587-1263. Sincerely, Gloria McPherson Conservation and Land Use Planner planning board-conservation commission -zoning boardof appeals -housing partnership-redevelopmentauthoritp -nortyampton CIS economic development-community development-historic district commission -yistorical commission-central business architecture original priwedon recycledpaper s°•d ! 1 i b I ! I r� i I St 1 A�?, Ll t4 Sip, ,�1 lu ¢St1AA1P�. O O �111A35AC�1[StttB 5" DEPARTMENT OF BUILDING INSPECTIONS / ,t INSPECTOR 212 Main Street • Municipal Building ' North,unpton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as has/her construction super :7sor. 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 roueh 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, and,that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, 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 Address of work location R E if Of �rlrfl�alll}IfoII I - A y E �Zasanr{jrtsrtta' _ _ DEPARTMEITT OP BUILDr?\10 tNSPECTIol.'s 212 Main Strcct Municipal Building Northampton, Mass. 01060 «`O1=R'S CGNOENSA-MN MSURANCE A1=, I, YJ• t'J_�'�. 'Lu l��r�2s j .< f`" G i ihA;21 `"�L , � (]i ccns��lperm)ttcc) •- - --_-- —- \,.rI h a principal place of business/residencc at: 32 LAv2F-L /V,L_tl: � �"A 0 10 6Gt (phone:') do hereby certify, under the.pzi is and penalties of penury:; hal i (A) I an an employer providing the following worker's comoenS-r-io, cove mge for Iny ernplovees xvorUng on uiis job: �Ciobtloi /c/3 hl (Iastir-n=Connany) (Pclic: N>=-Lbr_r) )UO y Flxpi •tior at--) O I am a sole proprieror, general contractor or homeow-cer (c cie one) and have hired the con actors listed below r,"bo have- the follo"ving worker's coLoep—,,aaon palicies: ([+t1tIJ: Oi Con.t^ci0r) (IRqumnt„ Coinpa,i)-ili obc'i ?-,lu LC:) f!_>:J4JGQ Datc) j (N.mc of Coorrzcior) (U:s,ira-oc:- Compam--Polk Number) (Uipu-tioa Date) (Name of Conn ci&) (Insurance Compaoy/PoUq- Number) (Expiraeo Datc) (Name of Contractor) (Insufa.n= Compzuy/PoLcy Numbu) (Expim6oa Datc)- (aQ.ah.dui;Oc-j exct.ifacccas�•to atcud�iaforns�o0 pccns In.11 Deer-_c.o:�) - { ) I am a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself: i NOTE:plr be etrare tfi,•-i;ijc bomcowam ubo cmPla),pcz=w d_i -• r csr-oo e rc ar wom cu.d.Tz-,-t of oat tact c tea(Yaa uat�in uayeh the bomoow vcr raido a on tlx p ouar zppurtcarl tbeeo a r o0e C=�e-_1}y Dees d-T i to be citpioyc s unc c ttx woi ds oc��c .+;cn A= G L!S2:s t 5 I � )).zPPliation by.bomcoavc fcr a kits--or per:ait ray cvid=ox tt;c lepl rtasu of ea cployer under rho VlorSr o!a Co�rmaiioa AeL f undcsuad�a Dopy of this mt®rrn may be for�.n,d.ed to the Dcpenmcui of ladusrial nvadc�i'Olt oo of lruu-aaoa for the nov=a sc vrrjl eaio0 and th1 Ciltzc to satuc town aSc under uGioa 25A of hloL 152 an lad to the i=p s oa of eimiaa!prnaltia =o of i fiat orup to S 1}00.00.ndfo-na{xtyo¢ of up to Doc ymz end a,.it pcnxtja in tx form of a stop wort Ord=wA a rl=0[5100.00 t day api¢A ay- F,6 � �u.c nary per1IlJt NLLmbcr N43 P." Lot Signaunr of Lic=Lo-1 crmiucc to J SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ ` Name of License Holder: �' 0() � y" License Number Fe 3 Address Expirati-or Date �'� LlavvZr2l ��. 1i/'i�i�l NaMl►n�� Gll%UU Signature Telephone . . , Not Applicable ,❑ 9-hte'gis#eredsl�ome I n rowrnent.:Coittractar. c+-;Z- f &)0(01 6 i,- 4 C i 11 t f t O, U /013 5ci Company Name Registration Number Address Expir tion ate-T f VA it( Ji � r-7 H I.Ar"- Ofelephone y h��r' r1L7 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...... ❑ 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-vear 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 Replacement Windows Alteration(s) E Roofing Q Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[[A] Other[CD] Brief Description of Proposed ) /� (f/,�, I Work: c1 r+l ,X� ✓�!1� ii�'v 'aZlik `r� CHri) lJ`. !j `7 ,ZX ? / Q�.ui )0,-CC11 Alteration of existing bedroom Yes No Adding new bedroom Ye >� No Attached Narrative Renovating unfinished basement Yes h No Plans Attached Rolf -Sheet t�a4s ifs.NeW-1 oUtWai or aticlltl fo ezis#ina i ras nd m r et# 01 o nrin'c: a. Use of building:One Family i Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? r K S d. Proposed Square footage of new construction. j�a A : ,a t `).Z Dimensions ZZAaA Gc-L .2 Q'X a q e. Number of stories? - 2 f. Method of heating? fC'(p!4t UO r Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? — h. Type of construction Ula.✓,� l' AIL a i. Is construction within 100 ft.of wetlands? _Yes _No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade (4— f -3laC& AT- C qAo a k. Will building conform to the Building and Zoning regulations? aC Yes No. L Septic Tank City Sewer Private well '�- City water Supply SECTION 7a-OWNER.AUTHOR¢ATION-, TO BE COMPLETED'WHEN OWNERS.AGENTOR CON7RAGT.OR,4PPLIES`FOR:BtJ1tNG'P.ERMIT' as Owner of the subject property hereby authorize E 4 to act on my behalf, in all matters relative to work authorized by this building permit application. C' 4,c. Signature of Date I, u t;) t7 as-07aner/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 Name 7i« lJi u2 G G u Signature of OMn&/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 z Setbacks Front V Z 5 V Side L:... A. R:J L: R:'?`L Rear Soo # Building Height : r�7 Bldg. Square Footage % Sr Open Space Footage % (Lot area minus bldg&paved I parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW kw YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Pager and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued. f 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 0 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 Q NO V IF YES,then a Northampton Storm Water Management Permit from the DPW is required. T rs60- tr of Northampton stairs"€ � � �` ilding Department ; 5 '�� � x 112 Main Street 2 2006 , Room 100 � � orth mpton, MA 01060 phon 3-58 -1240 Fax 413-587-1272 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 x `3 1C1�. b1Ot Ucut Tone..: OverlayDcst�ct . ryEim St:;D�strict�=" � `" CBD�'stE�ct SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailin Address: - 55"7 4 Telephone Sig atur 2.2 Authorized Agent: +, t 1 u ' S b� 2Tit�1ot--,w CJ�U iJ Ii0 �`1� �Z'2 � � � R(2t Name(Pri Current Mailing Address: Signature Telephone-7 SECTION 3-:ESTIMATED CONSTRUCTION COSTS- Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 10 (a)Building Permit Fee F t 2. Electrical (b)Estimated Total Cost of o 0 6) 0 Construction from 6 3. Plumbing l UG Building Permit Fee 4. Mechanical(HVAC) t� . p 5.Fire Protection oC 6. Total=0 +2+3+.4+5) j Check Number oZ� This.Section For Official Use Only Building Permit Number. Issued: Signature: Building Commissioner/Inspector of Buildings Date File#VP-2006-1384 APPLICANT/CONTACT PERSON David Fortier ADDRESS/PHONE 32 Laurel St NORTHAMPTON (413)586-8965 PROPERTY LOCATION 521 AUDUBON RD MAP 04 PARCEL 003 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 2 STORY 22 X 26 ADDITION(LIVING RM&FAMILY RM)&28 X 24 ATT GARAGE&52 X 7 FRONT PORCH New Construction Non Structural interior renovations Addition to Existing Accessoly Structure Building Plans Included: Owner/Statement or License 008026 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 O� Z3 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. /15/ 521 AUDUBON RD BP-2006-1384 Gl`i 4: COQ IMONWEALTH OF MASSACHUSETTS LL Map:Block: 04-003 CITY OF NORTHAMPTON Lot: -001 Permit Building Category: BUILDING PERMIT Permit# BP-2006-1384 Project# JS-2006-2053 Est Cost: $126000.00 Fee: $683.20 PERMISSION IS HEI,'LBY GRANTED TO: Const. Class: Contractor: License: U,= : David Fortier ____008026 Lot Size s -ft.1: 718740.00 Owner: ANSALDO ROBERT L&KELLY J Zorint: FY, Applicant: David Fortier Applicant Address: — Phone: Insurance: 32 Laurel St (413) ';W-8965 `VC NORTHAMPTONMA01060 ISSUED ON.612312006 0:00:00 TO PERFORM THE FOLLOWING WORIC:CONSTRUCT 2 STORY 22 X 26 ADDITION (LIVING RM. & FAMILY RM) & 28 X 24 ATT GARAGE & 52 X 7 FRONT PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: V f< 'G G° • Footings: 7� ` Rough:iO•'d. .,06j* Rough:1/;jz/dl P"b House Foundation: �j7�t3 d ��C25►Jb �u�l` �� 1 0UVA) Driveway Final: I ll Final: - ,�^ O Final:l 'y��"" �, D 4 Rough Frame. 0 j< k6 � ; n6 1 I Gas: Fire Department Fireplace/Chimney: --- Final: Smoke Final: ©r J a-(�•p(� THIS PERMIT MAY BE REVOKED BV't'IIE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OI+'ITS RULES AND REGULA3 '. Certificate of Occupancy Si ng ature: `ff Feel e: Date Paid: _AM01111t: Building 6/230006 0:0!1:00 •101376 212 M.nir Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo