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22B-042 (2)
-- --------------- ----------· -·"'ii,. ----------- -- .. .. .. - ... -- ------ --- l (a 1_ b ---·. .. _ .. 7. __ f ____ q IO r \ V2. ( l I '"'t~ l G, f< I 5, 2 IL/, () f 2.. D \I. 0 ID,6 g .-1 i' ' ·"' 1 \~ t ;,' • , ; I 4'' ~~----·-"-., ~-~· _,_ 2 L 9 k 20.0 k le,,, ,1, 3 I~.~ 14 .t.-f 112, 5 ~ ·"'' l , , - .{: ~ ::; / 3 0 0 O ?· I : i ,;·1 ,.! I -' · ... /""" i -------- -- --- ---------- -------------- .. .. • .. • .. • • ------ ---.. ---- - .. --- Lally Column, Basement Pole Columns -Lally Lock Column ~ysiems oy u~c:U1 '-'v1wm1 ... .. a 5 .., .. v .... Lally Columns • ~allL19ck System • Coll![Tl_r1.-5pecs • Builgl!]_g_ Codes • Plc1tg~ • Column_l/Y_rn~ • Column Cutter • Detail Drawings The leader in concrete-fiiled steel Lally columns since 1929 Dean Column Co., Inc . 1-800-442-3455 Mon -Fri 8AM to 5PM • Installation Instruc.t.LQfl-5 • 'll/-2rranty • Lally Column History Home I About Us I Lally Columns I Retailers I Installers I Recent ProJects I Contact Dean Column Co., Inc. The leader in concrete-filled steel columns since 1929 Shipping Address: 22 Park Rd I Queensbury NY, 12804 Mailing Address: PO Box 4179 I Queensbury, NY 12804 Phone: (800) 442-3455 I Fax: (240) 209-5860 david@deancol um n. com © 2012 All Rights Reserved Web Site Layout & Maintenance bv Noh~e-0 WetJ Design http://www.deancolumn.com/products.html l 11<.e O 6/5/2015 ------------- ------ ---------... -- ---------- .. --• - --- - - ... .. - --- \' ,g 5 () I ,,V i ll : / 6 I A I j(!,'2j CL ::~ '• 307 ( b 6 ) o.-:: · GOL , ,..,/ r / r/ ·· tL -L,' I. "' ,.. ; I ) '::' I 9 ( / 8' ' L/ 2 ) ( /6 -I ~-_() _2. ) - 12· 15 1<-N ,,_ 1 I : f '""f L,F: 1,1 f'/M-C /. 1 ( /, 7) .: 3, 2 3 .( /1.,f,,.,.. V -:· A-! '2. -S> ~~ Q C: 11 '~ --r...,.) ,,.....· t .,_. / / ' i J !) / '. {# ,' I I ! t-i (I 6) (' I ( i_ -l i .~ 2. )c::." I ho --------------------- ------.... -- ------------ .. .. --.. --.. ---.. - -- - - --- Des 19 n D + P--I 5; 2 8 [ g .S = 2 0 0 D f bj ff l.. A:' J?_ ·-I 5) 2 &= J ~ i bl/ I ++ u 9..s 2-000 Use q ,' (Jse I j_ , t I 3X 3 X"/ I 5) '2. ~ J =-1 G q y Ii> /J:.-f~ 9 Ci_ I f I 1-··· .L .. ----~ ' i -------------------.. -- ---- -... ------------- • .. .. .. -------- -- - .. .. - B c-n d IV'\ ~ '\-..,,, I W • :3 I (. I -Z) ( S', l 3 ~ = t:, I 2 ,5~ '\?E v1 d 1 }1 c, ~fr-es: _.c;.· c:?._C: \ ~' ~11 ( R 6 .__) , E ~-'-~: +·i.o = r.::""" (i .-·, ...... ,/ <r:, ,, f,O 85 ks1 I \0 9 S"' 4r:/rv," 0 I\<, I 9 1 '2 11/rn~· ~ 29C>0 0 l<... / r ; ., u / / /) (_, &O olc ------------- --------------- --- - --- - • -.. • • • --.. -.. ---.. .. - ----- .. ... .. .. ___ L11{'1 0. l ~~ ::' i 0 Sec f-1 t> •r) • • 1,1 ,-, ,N ",..,_/ l ' . (fj_];;J .. "\ tJ '; ) ~-------- /~ G'f,D :30. 25' 3u,ZS --------· ---------·---- l ~--. L '1L /--1 t,t) r-d :;;, 3 o , 2 3 b ( 9 I 5) ,= 3 (J I 2 /'3 b ::: 3(/B j A~ A~~ ~ J c.) --;,i 5, :5' :352.,0 I :3Bb,O 3'1/,3() t-J,75 i/43. b 9 ~g2,52 227o1?.b .. i 11, 1S /J/J,, 6Cf {:$2,!;.'l. '2'J'l, ~'._() ! 2 J,t, 5 0 lo 3 3, 3 ?? 3 3 0 I, 6 L-f .., ~ 51. 1 )~·- g:: z /\:J ~ _Q._L~ ~ 5. I 3b :::. · ,:i I :2 4. 5· D . _ 4 0 9 1 1 r -e.. = ·2 A ..'.:i i-1,-"2 r !J :: 3:3 o l. o 1.4 ~ 79s,10 --~.t> . +l: :::. I_£. -A 5 '?. .... .:·:j. C, CJ b I 7 - / '2 Lt I :~_ I ., • I "3 lo J :>ecf'for 5-r 7 .:::::. 8 I 2, .!f ~ ([;j) :::: 9 x' B .:-(.~ u ~ Ct~: < J 4 / , 3 l //'j ' h"···" \j Q ':: \/ ( ,j 4 L/ I '2._1±1> b 3,2-~~:1L/,')~ A e"' T-·~: :-:· 8> I? .G~ 1j t .tf • '3 (,; y, ~b-· 5,!'?;b V (, ... t>·,~ ) ·) I \ / I J O j ,. c-.l_ • --------------------- -- --------------- • • --• ----.. ------ - -.. -- --- IA Company Frederick J. Dzialo & Company Inc. Designer . Owner Job Number : microlams Reactions, By Combination LC Joint Label X Force Y Force Z Force ... _ ,-_ _ ._ ·-_ ·-·· _ <~L __ .--_ (kL 0 ___ (k) 1 1 ' N2 0 1 7. 9 I 0 t_-1_-t~~---~_3-~----~=-~ ~~§--~~=J-_ ~-11 .~oJL_-_r~-:-_6 1 N4 O I 14.909 1 0 1------------·---NS__________ -o----------·-r-------7_-9----cf 1 Totals: 0 45.617 0 1 COG (ft): X: 15.75 Y: 0 Z: O 1: I I XMoment 0 (k-ft) __ 0 0 0-- 0 RISA-30 Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] June 9, 2015 3:18 PM Checked By: __ Y Moment Z Moment - -_ik-ft) - -. _(k-ft) O I o ----=}~~ _--i-----~---i----- 0 _ l __ o __ -1 Page 1 ---------------------- - --- ""*"· ------------- .. .. .. .. .. .. .. • --.. ------.. -- -- Member: M1 Shape: HEMFRN01 -2X12 Dy r ··. in Length: 12.5 ft I Joint: N1 J Joint: N3 Dz Max Code Check: 0.446 A T fa Min: -.01 at 9.896 ft . Max: .717 at 6.25 ft k k-ft. ksi · Vy' Min: -.693 at 6.12 ft Max: .883 at 6.25 ft Min: -.511 at 10.156 ft Max: .335 at 6.25 ft fc k Vz My k-ft ft ksi . Min: -.335 at 6.25 ft NDS (1991) Code Check Max Code Check 0.446 Max Shear Check 0.680 (y) Location 6.25 ft Location 6.25 ft Equation 3.9-3 Max Defl Ratio L/10000 CD 1 RB 27.386 CH 1 CL .77 Cr 1 Cfu 1.2 Cf 1 CP .033 _ (ksi) _ Cm Ct CF Y-Y Z-Z Fe' 1· .045 1 i ... 1 1 Lb 12.5 ft 12.5 ft -------------------i Ft' _.6.2!> -1 l 1 1 i le/d 100 13.333 Fb1' .751 1 I 1 1 . I Sway No No Fb2' 1.17 1 1 1 ! Le-Bending 12.5 ft Fv' .075 1 1 - - - ----- E' 1500 1 1 in k k-ft. I ksi · -------- ------------ ---- ----------------- • • • • • • • .. .. -------------- .. - -- Company Frederick J. Dzialo & Company Inc . Designer . Owner Job Number : Beyond Builders Member Stresses. By Combination LC Member Label I 1_---i ____ -M1~ -- __ )_ -- Section Axial -1--1 _·--J~iL - 2 , 0 -3 -! o _4_r·-0 5 ! _ 0 Shear y-y Shear z-z _ _ lksi} _ __ (l<_sit· _ .031 0 ------------ -.01 0 ----------- . 051 __ f _ 0 --· :_01_ __ ! ··-~--b -.031 0 Member Deflections, By Combination LC Member Label Section x-Translation y-Translation z-Translation --i----(in)_ --1 __ (in} (in) -1 -: M1 1 0 I 0 0 I 2 0 -.01 0 3 0 I 0 0 I 4 0 I -.01 0 I I i 5 0 i 0 0 Reactions, By Combination LC Joint Label X Force Y Force Z Force --1 N-1 --(k) --(k) (k) I 1 0 .434 j-0 r--1 -' ---N2 ---1. 0 T 1.433 (5 ----1--1 ---_ _J j 1 I N3--- I 0 T .434 I 0 I I I 1 Totals: 0 2.301 0 1 COG (ft): X: 6.25 Y:O Z:O RISA-3D Version 4.5 [C:\RISA\PMP,FLORENCE ,MA..r3d] x-Rotation _(rac1ians) ·--0 0 0 0 0 X Moment (k-ft} 0 0 0 June 9, 2015 7:16 PM Checked By: __ (n) Uy Ratio (n) Uz Ratio 1----- ! NC NC NC NC NC NC ----J NC NC NC _L NC Y Moment Z Moment jk-ftJ ---(_k-ft) 0 0 -J 0 0 0 I 0 I I --- Page4 ----- -------------------- ----------------- • • ----------- Company Frederick J. Dzialo & Company Inc. Designer . Owner Job Number : Beyond Builders Global I Steel Code ....... -· ... .. ... . .. . .. --· - iAllowable Stress Increase Factor (ASIF) I Include Shear Deformation I Include Warping i No. of Sections for Member Cales Redesign Sections P-Delta Analysis Tolerance /Vertical Axis fASD: AISC 9th~ AISI 99 / 1.333 ._J ]Yes i Yes ·-==i 15 (Yes :-1 10.50% Iv ~ Member NDS Code Details, By Combination LC Member Label Fe' Ft' Fb1' Fb2' .. (kl>i) . (ksi) __ . (ksi) (ksi) 1 M1 .045 --1 .. .625 .751 1.17 : L Fv' RB (ksi) .075 June 9, 2015 7:16 PM Checked By: __ CL CP • Sections --... - --- -... .. --- Section Database Label _ --· _ §hape _ __ SEC1 __ [HEMFRt-l01~2]<12 Joint Coordinates Material Label ··w1·· Area SA(yy) SA(zz) . (in}"2 16.875 .. if2 .. f.2 I y-y .(in"4l __ 3.164 I z-z J (Torsion) TIC (il!"4L_ " .(in"1) pr,ly 177.979_.) 11.593 I Joint label X Coordinate Y Coordinate -(ftj Z Coordinate (ft) Joint Temperature Detach from .. Di~phragn) No N1 N2 N3 Member Data ··i---~} 1 6.25 I 12.5 0 0 0 0 0 0 (F) -·-' 0 0 o I. No No X-Axis Shape/ Material Phyi.O.M. End Releases End Offsets lnactivEMember Member Label I Joint J Joint K Joint Rotate Section Set Memb I-End J-End I-End J-End Code length M1 ··· 1 N1 --r N3 ... __ ~ldegreel.s~_ .Set __ 1 .. _ xyzxyz __ xy_ZX'f.?: _ (in} (i11) _1 ... 1 J 2 ft)_. 5 __ : . . . ... ;Hi:M£RtL1_ yv1 L Yi I . I . _J_ Boundary Conditions Joint Label X Translation Y Translation Z Translation MX Rotation MY Rotation MZ Rotation -_ {k/in} _ _(kiln) _(k/iri) (k-ft/rad) __ -.. ~ftlnid) __ (k-_ftlrac1) N1 Reaction Reaction I Reaction Reaction Reaction -·--N2--·-· -·-----------------. --------------·--Reaction ----· ---------------·· ____ ,, ___ . Reaction . --Reactfon ... ··Read10n N3 Reaction Reaction --------- Member Direct Distributed Loads, Category: OL 1. BLC 1 : loads Member Label Direction Start Magnitude End Magnitude Start Location End Location --··-•.. r (k/fl, F) (k/ft, F) (ft or_%) _ {ftoro/o) .... M1 y -.18 -.18 0 0 . ·------•.. -. Member Section Forces, By Combination LC Member Label Section Axial Sheary-y Shear z-z Torque Momenty-y Momentz-z .. ... ! _ (k) -(k) (kl . (k-ft) {k-ft)_ -(k.-ft) 1 M1 I 1 0 .434 0 0 T 0 0 i I ! 2 0 -.141 0 0 0 -.457 I 3 I 0 .717 0 0 0 .883 I 4 I 0 .141 0 0 0 -.457 L_ 5 0 i -.434 l 0 0 0 0 RISA-3D Version 4.5 [C:\RISA\PMP,FLORENCE ,MA..r3dJ Page3 ------------ ------------- ----------------- t I t I I I t J I I I I t J I t t t J t J t t I t J , I t I I I J I J I J J , • J t , 1 1~" .z -__.X , Loads SLC 1 loads ! ~est11tsfor LC 1 sol Reaction units are kand k-ft -----·--·---·---------· 1-·-'Frederick J. Dzialo & Company Inc. 'Owner --------A Beyond Builders : June 3, 2015 ·----------------------·----1 4: 58 PM PMP,FLORENCE ,MA .. r3d ------------------------- ----------------- I I t I I I J J I I I t I J t I I I t I I I J I J I I I I I I I J I I I J , , • 1 , • J Company Frederick J. Dzialo & Company Inc. Designer . Owner Job Number : microlams Member Deflf!ctions, By Combination. (continued) June 9, 2015 3:24 PM Checked By: __ LC Member Label Section x-Translation y-Translation z-Translation x-Rotation (n) Uy Ratio (n) Uz Ratio ----~~-T-4 --T----~-~)~!---~~l--~1-----~(~) --· 1-~--.{radbansl ____ • ___ 9046.731-r----NC-~---~-~+ __ -_--_---_-____ --_-----______ ·_ , __ 5 _______ L ______ Q _____ ~r ___ .022 __ ~ ____ o ___ ----r ~--o ___ ~ __ · _Nc ______ · __ ----. Ne___ , RISA-3D Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] Page4 -------------------------------------------- t I ) I I J J t t I I t I t t t I f I I ' t I I I I J J t I t t J , I t , , , , 1 , , , Company Frederick J. Dzialo & Company Inc. Designer . Owner June 9, 2015 3:24 PM Job Number : microlams Checked By: __ Basic Load_ Case Data BLC No. ,-T--0 Load Type Totals Basic Load Case Category Category Gravity Direct ___ Desqip1ion _____ Code_~ ___ DesqiQtion __ ~X _Y ____ Z TJoint . Point _ Dist_ Area_Surf. _ loads · OL 1 ' Other Load 1 1 -1 ' 1 ! 1 1 ' ~ None I ! I 1 I I Member Direct Distributed Loads, Category : OL 1, BLC 1 : /oasis Member Label Direction Start Magnitude End Magnitude Start Location End Location ... (l<lft, E} __ _ __ (1<£ft,Fl ___ ~--_(ft.QI %L _______ Jf_to_r_0/ol_ ___ _ M1 y -1.43] ___ .. ___ -1.433 ______ o_________ o _____ , Member Direct Dlsfribuma Loads. Category : None. _SLC 2 : Member Label Direction Start Magnitude End Magnitude Start Location End Location M1 _______ (klft.£L ________ _{klfLE}__ _ _ ___ (ft or%)_ _____ _ift or 0[QL ____ -1.4~ _____ ' ____ -1.433 ___ _ _____ o ---~------------------0 y Member_St1ction Forces, By Combination LC Member Label Section Axial Shear y-y Shear z-z Torque Moment y-y Moment z-z ___________ --, _________ 1'9 ________ (~ ___ ~ _ -~L-__ -----~ftL _______ __lk-ftL __ ~-(10tL __ _ 1 M1 : 1 0 1 0 ' 0 0 0 0 2 0 -3.505 0 0 0 -1.505 3 0 0 0 0 0 -7.274 4 0 3.505 0 0 0 -1.505 ___ 5 ________ O _____ , __ _Q _ _ --" -_ __Q ________ O _____ . ____ O _______ O _____ _ Member SJress~s~ Combination LC Member Label Section Axial Shear y-y Shear z-z Bending y-top Bending y-bot Bending z-top Bending z-bot ____ T ___________________ lk~ ____ _Jk~ ________ (ksi_} __ -----~sl}__ _____ __ik~ _____ __{k~L ______ lls.si)__ __ • 1 . M1 1 1 1 0 , 0 ' 0 ' 0 ' 0 i O ' 0 1==:;_=~===J___2 _ ____L-=::=o --=:--;--_ -.061 ==---o=L-=.146 ___!____-.146 · i-~o ----,---0-~-1 ' • 1 3 : 0 • 0 • 0 • .707 ' -.707 , 0 ' 0 r---=~ ~--~-~ 1_:--; ~ g ~---·og7 __ ~ _ _g-~ -·\J6-~ -.646 -: __ j~· ~-=~t ___ ; Member Deflections, By Cq_mbination LC Member Label Section x-Translation y-Translation z-Translation x-Rotation (n) Uy Ratio (n) Uz Ratio ____________ -,-____ .{i11L~--r--___ (i_r,l _________ {i_11l__~ ___ (radians) ___ -~~----~--------------~-. 1 M1 · 1 · 0 . .022 : 0 1 0 ' NC • NC 1--==j_ --=-==-----== 1 __ j~ ___ g __ == ~ ~----~~i-_-1 ___ ~_2 __ ·-_:_~ -~ --==· ~~:~:~11-:=j ____ tf_-=~: RISA-30 Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] Page3 ------------· -------------------------------- I I t I I t I I t I I t I t J t I I t J t t J I I I J t • J J J J I I t J , J J I , , Company Frederick J. Dzialo & Company Inc. Designer . Owner Job Number : microlams Reactions& Combination June 9, 2015 3:24 PM Checked By: __ LC Joint Label X Force Y Force Z Force X Moment Y Moment Z Moment _____________________ LkL _______ (kl. ____ , ___ {Is} ________ (k.:ftl ______ (ls:f!) ______ Q<.~f!L __ _ 1 : N2 ! 0 ! 7.9 · 0 i O · 0 i O • [ J ~ _ N3 _ _l_ . O _ L._14.909_+--__ 0 . ·-+-----0 ____ t ______ O __ · 1--. 0 ____ 1 1 • N4 . 0 • 14.909 . 0 · 0 i O • 0 --------i---·--··-----~--·-···---r-----···-· ---·-··--·-r·--·-------------·-··--t----·-------· · 1 · N5 0 ' 7.9 i O 1 0 ! 0 ! 0 • 1 Totals: O 45.617 O 1 COG ft: X: 15.75 Y: 0 Z: 0 C,,foba,I Steel Code· --. -. . . · ASD: AISC 9th, AISI 99 -[Allowable Stress Increase Factor (ASIF) ~--'-'1 . .c:..33::..:3:.,__ _____ _ Include Shear Deform~tion Yes jlnclude Warping Yes No. of Sections for Member Cales , 5 I Redesign Sections Yes P-Delta Analysis Tolerance , 0.50% !Vertical Axis I Y MatedaLs (General} Material Label Young's Modulus Shear Modulus Poisson's Thermal Coef. Weight Density Yield Stress _ _ __ (_ksi) _ __ _ _ _ __ JksD _____ Ratio_ _ Jj:)er 1 QA5 Fl __ _ _ _Jk/ftA3_L _ _ _ Q<.siL ___ _ __ -=}.11.Q°_Fi__=-=..,~ __ ::::_ 209.9_~ -~ _ ~ ___ aoo ______ .3 ___ .65 ___ · _ .035 _______ o __ Joint_Coordinates Joint Label X Coordinate Y Coordinate Z Coordinate Joint Temperature Detach from _______________________ (ftL ______ (f_t}_ __________ (ftL _________ 1E) ___ ·-c--_ _Qi~hr~m ___ _ ____ N1 _____ ; ______ 0 _____ ___j. ______ O _______ ~---0 _____ , _______ 0 ___ . _____ No ___ _j N2 ! 2 ' 0 1 0 1 0 ! No '· ----------··-··--,-----------!---··-··--··------·---·-··-·-···-· ------··· ----------------N3 ' 10.5 . O : o , O : No 1 -----l'f4 ___ --,--.. 21 -_ -~ . ___ O _ J _O ___ : ____ O_ _ _1_ __ No ____ : NS , 29.5 . 0 , 0 . 0 , No .• !=~--~ N_§ ___________ 31.5 : __ () ____ L__ 0 _. ~--0 __ ' . _ No ____ ~ MemberQata X-Axis Shape I Material Phyi.O.M. End Releases End Offsets lnactivEMember Member Label I Joint J Joint K Joint Rotate Section Set Memb I-End J-End I-End J-End Code Length __ rv1_1_::_ . -_t:,J1_ ____ · N6 _ --=~-:~degreesLS~t( -_MICR Ly , ___ -~xy~~ ' __ ~X'E J<YZ -_ _(in}-:-_ C (in1=L--~)5 ~ ' RISA-30 Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] Page 2 ' ------------------· -· -----· -------------------- I I t I t t I I t I I • t t J J t I J t J t I I , I , J I J J J , t J 1 , , J , 1 , , , ,Y --s .z _ _;_-.X ,. Load$ BLC 1 1oads . ResuftsforlC f soi ! Reaction unrts are k and k-ft : Frederick J. Dzialo & Company Inc. -------·-----------------·---------. Owner -----------------------··--------·-----microlams , June 9, 2015 ·----------------------. 3:19 PM ---------------PMP MICROLAMS .NORTH hAMPTO Nmodifie ... ] ------- ----------------------------------- ----------!~. -' ', .. \ .. -\· -.. -0.1 -----()J ;~ -·\,.,.> -\~ ·, ... 6' )\ - .. T P /~\/1 t) F1/. . .. / v /""' r0(1\.:(J,I ( ' -~-----·----"'= .... -· -·-··__,.... ~· ~--~-~---- g +"'" ·i- I 1 i ~ ! era.ck' ,ri t.Du \\ <:-< '\I ~ '"" -,. "I\. • ·1 · ~ .' ' ""1 , ...... ~, I '04. \ 'I- /'" 1 ' l\i. ; ' . . \ i i .j • 'W ~ ' ' I' ··v .. , U1 ct:'\ \. . \ \ ,i <:\1 0 ""··· \.!Y I 'J- ! I j (o ... ~j, I ;/ ~· I 2. I'{ r j , ! ,' ,. ,..----,· ' ·-1' .... ---·1 ----- ------- -------------------- .. -------.. ... .. - .. ... Frederick .I. Dzialo & Co.~ Inc . Design of Framing and Foundation PMP Incorporated Northampton, Massachusetts F.J. Dzialo & Company Hatfield, Massachusetts June 9, 2015 Consulting Structural Engineers Registration lv1assac'iuse7s Cur.nect,:;:.R New /ork New Jorsev Pennsyivan;a Colorado 19 Pleasant View Drive, Hatfield, MA 01038 • 413-247-5740 • ACORD® CERTIFICATE OF LIABILITY INSURANCE I 1i7lt!1°s) ~ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward J. Evangelista ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 60 Lancaster Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 33 Tewksbury, MA 01876-0033 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Co. Frederick J. Dzialo & Co., Inc. INSURER B: 1 9 Pleasant View Drive INSURERC: . Hatfield, MA 01038 • INSURERD: I INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TVPF OF INSURANCE POLICY NUMBER DATE IMM/DD/YYYYl DATE /MMIDD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ -DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES /Ea occurrence\ $ I CLAIMS MADE D OCCUR MED EXP (Any one person} $ PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ I POLICY n ~bWr nLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT >--$ ANY AUTO (Ea accident) - >--ALL OWNED AUTOS BODILY INJURY (Per person} $ SCHEDULED AUTOS -HIRED AUTOS BODILY INJURY -$ NON-OWNED AUTOS (Per accident} - -PROPERTY DAMAGE $ (Per accident} GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ =l ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ D OCCUR D CLAIMS MADE AGGREGATE ' $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION I WCSTATU-I IOTH- AND EMPLOYERS' LIABILITY T"OY I. "41TS ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH} E.L. DISEASE -EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER $2,000,000 Each c1.a1m A Professional 105535661 12/8/14 12/8/15 $2,000,000 Annual Aggrega Liability ( ( .,laims made polic ~) $0 Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Engineering Firm CERTIFICATE HOLDER SPECIMEN COPY ACORD 25 (2009/01) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _1Q__ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR CERTIFICATE OF UABiUTY INSURANCE OATE (MM/DD/YYYY) 01/23/2015 THIS CERTIFICATE !S ISSUED AS A i\ilATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFlCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE.R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION lS WAIVED, subject to the terms and conditions of the poiicy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement{s). PRODUCER 4137817075 4137817076 Fred c Fmebel Ins Inc 321 Park Street West Springfield, Ma 01089 INSURED I Eugene Borowski OBA Beyond Builders 117 Sunny Meade Ave I Chicopee, Ma 01020 COVERAGES CERTIFICATE NUMBER: ~R~~'.'CT ERIC FROEBEL -PHON" l.. 8 70--. 'FAX --~-I /AJC No ExtL41f.l7_ 1 /0 __ _ '(AJC,NQ): 413/817076 , fo~J~ss: EFROEBEL@COMCAST.NET r----IN-SURE~(S} AFFORQING COV_ERAGE ---N~IC # ~ ~ 1NsuRERA. Na.utilus Ins Co __ 1NsuRERB. Traveler.? lr,demnitv CQ_ _ ---~ ---j ----f INSURER C : ___ _ INSURERD: I -------I INSURE_~E: INSURER F: REV!SJON NUMBER: THJS IS 1 0 CERTIFY THAT THE POLICIES OF INSURANCE LiSTED BELOW HAVE BEEN ISSUED TO Tl-iE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CDND!TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO \J\itilCH THIS CERTIFiCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EX<::_LU_~_IOMS AND CONDITIONS OF SU<::H POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ __j 't~ TYPE OF INSURANCE [AOD~ s~~i--POLICY NUMBER I :2i11i~1 lr~rJ-iirMY, LIMITS I , COMMERCIAL GENERAL UA81UTY A ~ I, I I CLAIMS-MADE ' ,/ OCCUP. -:-· I . . ---· :=-1 -----·---=------' i GEN'L AGGREGATE LIMIT APPL:ES PER; '1-I ---i PRO ,-, :--j POLICY ___ _J JECT , __ I LOC I : OTHER: AUTOMOBILE LIABILITY l __ I ,,NY AUTO I I AL' OWNED SCl1E"ULE<' r I AUTOS I i AUTOS --; NON-OWNED -·-• HIREDAUTOS _ AUTOS UMBRELLA LIAS OCCUR EXCESS LIAS ' CLAIMS-MADE .-,-~ED I -. r RETENTION s' -------: i WORKERS COMPENSATION I ANO EMPLOYERS" UASILITY y IN : , B 'ANY PROPRIETORIPARTNERIEXECUTI\/E IYI' OFFICER/MEMBER EXCLUDED? iXJ: N, A I (Mandatory in NH) I lf yes, describe under DESCRIPTION OF OPERATIONS below 21514 1076416 i 01/23/2015 EA?:,gg~URRE!:!_CE _ __ S 1.QQQ,QQQ _ _j DA,vi.>. -0 RENTEO 50 000 I ?R£_~_1_SES (E;~_q<;:furrern:e1 .. _s .. • . .. ~ 1 01/23/2016 , ME:) ':XP iAny ona perso"2 ...• : ~: ~~~, -ooo··----. ___ II , PERSONAL & ADV INJURY . GENERAL AGGREGATE -~ 2.000,QQQ __ ! _P__RODuc:rs -COMP/OPA~G ___ s 2,000,00Q _ ' s i ~~~~~~~~llNGLE LIMIT ' S -------! S0Dli.. Y lNJURY (Per person.1 ! !ii rBOOILY iNJURY (Pe, accident) I $ PROPERTY DP~~IAGE : 5 ----·I ..JE~L~~_ciderJt~· ___ _ : EACH OCCURRENCE 'AGGR!=GAfE s ______ . __ lS ------ iS I I --1 1 PER j i OTH-l ' 01i23/2015; Q1/23i2016 c__ __ STATUTE ! i=R__ --------· E.L. EACH ACCIDENT S 109~ QOQ ___ I I E.c. DISEASE -EA EMPLOYEE S 1 QQ.OQQ I EL DISEAS~~PO~iCY LIMIT i $ 500·000 _____ _ I ' i DESCRIPTION OF OPERATIONS/ LOCA TlONS / VEHICLES (ACORD 101, Addttional Remarks Schedule, may be attached if more space is required) I Drywall Demolition,Contruction, Carpentry Additional lnsured:GMMF LOAN HOLDING LLC, 1290 AVE OF AMERICAS,NY NY 10104 !SILVERBRICK GROUP 250 PARK AVE NY NY 10177 CERTIFICATE HOLDER 15 TAYLOR,LLC-CiO SILVERBRICK GROUP 250 PARK AVE NEW YORK, NY 10177 I CANCE LL~ TION I! SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I ACCOROAN~E WITH THE POLICY PROVISIONS. /,7 /., ·, . ,,,-I ~UTHORIZEO REPRESENT<IT~E ,/ ,\/ ----. •. \ ~--- / _;_.---,...,__ .• _) ;. ( <::--~ I © 1988-2014 ACORD CORPORATION. Al\ rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD --r ------.. . , ---.--o· .L J,."""""'..:,.1.,1..1."'.£..&.\. • ocation: ;t CORTICELLIST Neigborhood: 402 Land: 93,510 . Living Units: 0 Deed Book: 4315 Building: 222,890 lass: L-400 Deed Page: 271 Total: 316,400 Liilding Information :.1 I Building Sketch I ' ~,., ldg#: l . ::94, bescri~orlAre. ·ear Built: . ··1900. ~,,:L'.· ..... i' 40 l;MJ:l /' :A\lsBR. ofUnits: 0 1r 'AO.''~:f~~ . ~!i:} ~uality Grade: .. C-I ,_,'. , .. 30i: ·t. ! ~::26' ?JI /'t" tfJ ft? 'ie/ )~R ' • • I ':, Efficiencies: ., : ' 0 ''.,' ' ~ /fl'~l) tiM 1llt 1-Bedroom: 0 I ·eo~ ., "' ~ : ,; 2-Bedroom: 0 .-,---,:<•·:.:::.~-, 98\~~ 61:( 3-Bedroom: ; /1 0 . ' ; .•. 338,t~qft:; · 84cC . -·._ ~: .. ~~--:;~...;. "-•~ -· •.. -., .. ;:--_-•,·. '.overed Parking: · 0 rncovered Parking: 0 ~o ,24: ' ! ' . . .......... .',.' ., 'otal Bnadj:RCN~ • i 399,850 'otal Unadj RCNLD: 220,390 '• C 6 I ,,4 .• I 42; i-rade Factor: .92 ? .·:-,·.--.-··'. ·DOCK-·. lien, 36 Ident Units: I ~39,, ~: unc/Econ Factor: I e a:>. ,:-:--.-·c'::--_·_, . ,. 24 <f.. s<!? I ~CLD: 220,390 jDetail Information: ~ttached Improvements I fypel!Meas-I 11Meas-21!Meas-3II# Unitsj ILevelsllU sellExt Walls llHeat IIACII% GoodllUnadj RCNI ~s2 11 11018jlo 111 11 1 I I-Bl lrEJI II IOI 011 109,4201 filJI 1sooll3 ll1so 11 1 I 1-01 IIEJIBrick StonellHW/SteamlOI 011 67,2501 )DIii 100110 111 11 1 I 1-0l l[~[JIBrick Stone IIHW/SteamlOI · 011 93,6201 )DIil 120110 111 11 1 I 1-02 IIEJIFrame IIHW/SteamlOI· ~I 70,8301 l,Dl II so4jlo 11 1 111 I 1-01 l@DIMetal-LightllHW/SteamlOI 011 58,7301 and Data IIOutbuilding Info I square Foot Type I \ \ !Type llsQ Feetllvalue I !Utilities I \ ' '/ ~~~ !All Public! EJFid~Le~ B~~~~E Built Cond Util Good Yalu 27,544 93,510 or ize ,, no !Acreage Type I information !Type !IAcres,IIValue·I, • l!~~~~~oad!I !Other Improvements: II Total Value: 1 '-- --"sJ;;.~--r-.. --~-1 i' i ,~. ! 'W ! ~ 1-f I I\J ":~,: \ ~ i , I , (5'\ ·~----",r· ''. i' \0-'"-' ,_ I ! \ .,. .__ 1i;i-:,. ~'-! . ()\ "· ""~' !", '> i G'' I, ,, ~-0 .,_. ., (, ( //-:,s--·--·· . .,., J .. --···· . 111 is I I t ~-----·-.,,,...[ I -\. ~-1· -t· (\ ' ... ""' I i.. ,:::,;· , -~ t::· ! ?• ~ ', f • 01 '""' r :.:~ ! ; I ,s; hi -I !. I I>:' .. ·-1!, '· \~ ~ t; c . ------// _, :d •. -) ... ··-········ -· 1(" i;t "} ---,· o/ d:/ ~ -. or·_·l·, .. ,·a 7) .... / (7 / City of Northampton Building Department Plan Review 1 ---· 1•· +n-J ,,,., ,-:;--;;-··--·· .,t~ ____ .JL~-v .. i ~--7·.J..,.,:. ·1-~-"--. :._:-) J :3_ , y ..,. 1 )( ....-.2 I v --!--l _________ .;i;, ___________ I ·/.1 · ',,} •·> . .··.,:;;. \ . • . .::; /\ q L \/ L · / u., 1 fl) 3 r:· 5 e , UJ 212 Main Street Northampton, MA 01060 ;Jf/~~ r12-ettJiNe<.e ,., ( /_//1..j~ -"' ., /_/ I .,.-·1--/ / A ~-,;: c.-(" u c r· /1 6 . ' ,.. -,·",)•I , I ( ,<',./ 1..,_ .. ! /! ,..,, .. ,· I <· p .r+' G . / / !3ocJ L1 ·-··----------,---·---.. f ,,;./ ·------~-! ·1 / ... . . ..... ----. ,/1 '·,,: '1 . I 1:".r,._,.~-,1~:, J. ---····-•• Jr.I· / ">xn ·J c.. ,a::· X q t{) If PJ, :1-# ,5 c:; cO ; . ' ./. t; r;;..1;: , ,-,} ,·'.,) ,. /\' q. _,_ C. _\ .. -."'::~ •"i ' ·1-------, \ \ . Jr) ,~ . ~ l:t --,. / .... ~'.-~ )( \/ ~ t f .-:-! ~1 ---,-. -., ~' r, \>. ~-·· "" , Ii ,., I. /' \) ~:t :~; -r, ... \, .. 3 ~ ~ ,:._.,,,.\ I iJ c· i \. ;~\ ·' ----'---'-"--q-~-=;,-"t-~ ll --·---~ ")': . \'>-l' ~-. I \I · • I J ~ I ., ( ~"'~ . • . . . • . \,----~.. i. £.1 l . ..,,-.. ,. ·---.---··· -! ' '/ ,, ... t'· .__.) ...... -~-------·~!---···--. I . \ 1',.1,L1 ·,:::; .. I .. ,. ·, _ I) , I/ I :I ,: ( ' .. 1 .: ,I i . . . r> )( I '7 @) f "l 6 ~' C ·-.,... ~ a· .\,:;;-. ~------/t:,f. C ~ i• i'<. : tr-·\ r 11 = ~-v\ ·i : 1,.,il . I I' l '<! ' ! 't "~~"-1 _____ .. _ ' 1·, ·-,· t , --. i I .11 ~--if ~, '(< I . I / .• -\\'/ I I I : J-' I. \ I ---~ ' -4 -..... t -. (f i 1, ............. _, _____ , ________ , __ I -'~ ---------·--·--------' i ~\•"'¥'_ ,----~---v-~--··~·..:.,·-----t.., . . -::::. ! l ... , . ' ' ' . ' . '_, ;"'-. (,-· ~ ' \ (, ' --.----------------·-·-··---·-"-..:;'.P\~_ I } ~ ·1 ~1· t~·, h/--· --1 1 ' \..i i-...._ ~ ·'V ""' ,.rr"1::.~ ~:, The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia ',S. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A lican.t Information Please Print Leoibl Are you an employer? Check t e appr I. D I am a employer with ___ _ employees (full and/or part-time).* . 2. D I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. D I am a homeowner doing all work myself. [No workers' comp. insurance required.] t o Phone#: ria~tox: 4. I am a general contractor and I have hired the sub-contractors list~d on the attached sheet. These sub-contractors have employees and have workers' comp. insurance. t 5. 0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. 0 New construction 7. D Remodeling 8. 0 Demolition 9. 0 Building addition 10. D Electrical repairs or additions 11.0 Plumbing rep;lirs or additions 12.0 Roofrepairs 13.0 Other ---------- • Any applicant that checks box # I 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 narrx: 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. .....-, J .-:-. · Insurance Company Name:· //' dl Ye., / e/' 5 d/J ~ Ge) . Policy# or Self-ins. Lie. #:_~/~L'>-~7~6-·Lf~_/_? _________ Expiration Date: Job Site Address: / C, ," f I C~ IJ· Sf City/State/Zip: a..~>1.e'-<' .4~ C'J / t.'>~ ~ I 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 ofMGL 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 ofa 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. Phone#: Official use on(JJ. Do not write in this area, to be completed by city or town official -city or Town:-----------------Permit/License# _______________ _ Issuing Authority ( circle one): L Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other -------------- Contact Person: _____ ~--------------Phone#: _______________ _ X Versionl.7 Commercial Building Permit May 15, 2000 SECTION 10-.STRUCTURALPEERREVIEWt780:CMRJ10i11} . ' ... · .. ,.· ··:' .. : ,, ... · ...... ·.·· .... ·. ·: :'.·.,;' Independent Structural Engineering Structural Peer Review Required SECTION 11 -OWNERAUTHORIZATIQr.1-JOBECOMPL!:TEP;,WHEW OWNERS AGENT OR CONTRACTOR APPLIES FORBUILDING PERMIT Yes 0 No 0 ........... ho act on my behalf, in all mattersrelative to work authorized by this building permit applicatio~. ··.···~····/ .. -;"7·-.. ·. .. ····-----. ··· .. ·.· .. · i ____ &l,.f LJ' S---···--··-··· .. J Signature of Owner Date \-A-'--· .,-."_,.....,..,,....._,,,,,.,,--.,"~-·· •~-mN---------Aw,-.,,;.-,..,,. _________ ,.....,,..._,w,,,-·.-. -..,.,,.._ · . ..,,,.,..,,.~u-w,,,m,_N ·.~ ,.·v ------~--- I, .... , 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 .. und~rthe pa ins and _penalties. of perjufY: •..• _ ···---.. ·-··-,,-----· -·--·-··--·-"'·· ..................... _ ... ,,, .... -· __ ............... , Print Name . Signature of Owner/Agent Date SECTION 12 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Name of License Holder : I ... Ge~.z1; _7':?a,:::s:52~-~' .... ''''•-··""' ....... J ' i .. ' ............... ..1 t ... ..,. . .... . Not Applicable D I cs.~/ t:ef? c-~7-..•..... -........ · 1 License Number r. t~ .. !~.3.7.(~--•·- Expiration Date # /7f'~73 -3 /11/11 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 Q Versionl.7 Commercial Building Permit May 15, 2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT JO 780 CMfU16 (CONTAINING MORE THAN 35,000 C.F. OF l;~LOSED SPACE) 9.1 Registered Architect: Not Applicable D ' . . . Name (Registrant):_ . . .. . . .. . . . .. . ; 1 ! ·----,,.·--~,~------,...,..,,-,,,.,.,..,.-.-,--.·-·----~.-N,,,.--,,~~~·,m=,-,-.,--· A 0A 0 Registration Number ... ·"·-····--·---·······-· . ·-···-----·····,.------.. ·-· .,...... ",. •.... ________ ,,,.. ...) ! ·. ,... . ·.· . Address ~~.,,~~~.,.,.~.~'~'•"•ll .. ,• W> ,~, .. Y•,A ,,.• '"~.,,~, •~ ~•"•'"W •,,"A •••• , •••• w~ Expiration Date Signature Telephone 9;2 Registered Professional Engineer(s): Registration Number ri~~~ce:~3:~-~.:-:i~J ... b: .. Expiration Date . r··-·-·----,,-......, ... , .. -.. ····-·-···,-·--------···" .. ! i ~---,~v~·. , ~,;·-,. MW_,,,.,,.,..._w~-,~.,~·-,x«< ,,n,, Area of Responsibility •• •· •• ~•••Y•••-••Y'•·----~-----·~·--·---,..,, ..... • ........ >N ____ ,_, ____ ,,..,._,_.,.,,.._ ___ .,. ___ ....,,_,._.,,,.,....p_,,. ___ ,,,._ •• ,,.,,,_, r .......................... -.• -.. ., ...... .,....""~--.. ~··-'>'""<•~"""·. --·~··w'"""····· ,.... .... ~·-·-······· ..... _ ........ ~-· .,., 1 •,M'··-. ',. ·-·-·-.. ' ......... = ~-·--··· --·=•>'•~ ... _,.,.,,,,NM~,.,.,,_.,_Wy"_,..,.,.,...,._ '"M._.,,_ -... , •••-NasH,,._, -·w~-••w= ..... -v.-,,,,,,,.,-N...,,.,.,,,~~-' i ,........ .. ·-···· ....... ,.,_.... ---,.·· ... Address Signature Telephone Expiration Date 1 Address r--..... . _ ..... -·; -----------------------~ ---.,,M,,o-,--.-•-·-••••-,,w.-: Signature Telephone Expiration Date ••••• ··"'·-•-··"·""'"-•·•-'"-.,'''""--····"v·••-·-·-•, ,..,. --~---.,,,.,......,.-.,,--..,...,_.,..., -,,,. ... ,<. • • -..,_......,. ,....,,....._..,.,..,...,....,._...,...l I Name Area of Responsibility ~ . -~,--. .. ' Address Registration Number I . ' -----------------------'.,_w,<,<'»~·-,"'""-"''""'''•······•"••V .... """''"••··••' r ......... . . . ... .· ... . Signature Telephone Expiration Date 9.3 General Contractor Not Applicable D Telephone Versionl.7 Commercial Building Permit May 15, 2000 .-------,..--------, 8. NORTHAMPTONZONING Lot Size Frontage Setbacks Front Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved arkin ) # of Parking S aces Fill: (volume & Location) Existing L~,12J L:~6'J RJ3=q] Proposed Required by Zoning , This colwnn to ·rre filled in by Building Department A. Has a Special Permit/Variance/Finding ever been issued for/on the site? -NO O DONT KNOW a YES 0 : IF.YES, date issued: · IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW Qy~-Q ____ _ Book! .. I }. ~.,,, ,,,~-,,-,.....,w,w. v,,--.,·.,".,--.,,.~ ' IF YES: enter Page/ and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ¢ DONT KNOW O YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained C. Do any signs exist on the property? YES IF YES, describe size, type and location: 0 0 , Date Issued: NO @ D. Are there any proposed changes to or additions of signs intended for the property ? YES Q IF YES, describe size, type and location: NO 0 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 ~-_ · IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS l.,ESS THAN .. 35,000 CUBIC FEET OF ENCLOSED SPACE· '.,!t Interior Alterations j;gj Existing Wall Signs D Demolition 2r Repairs O Additions D Accessory ~-i, lding D -~ Exterior Alteration IJ2-Existing Ground Sign D New Signs D Roofing O Change of Use D Other b .----·-·----------·-· ~ ·z-·-·-·-·-·---.. --··--··-.. ····-··----. . ·-······-······ ..........r .... Brief Description !Enter a brief description here. J?.o/::,dcce.-s:2 1.t.r . &>.f-ex:,/~,,,,. ,?P,c/1 Of Proposed Work=L,:12~ .. :~~ _11!:IL: .. ~PtP1~2J_~L-ce?f P=-~J/ ~ ,,._J __ '° /: __ F-·-~-~---··· ~'=-~ f!~:1:.".~{j .. :: SECTION 5 -USE GROUP ANDCONSTRUCTIONTYPE' I USE GROUP (Check as applicable) · CONSTRUCTION TYPE A Assembly A-1 D A-2 D A-3 D 1A D D A-4 D A-5 D 1B D , B Business [Y 2A D D " r D E Educational A 28 F Factory Qr F-1 0 F-2 0 2C 0 H Hioh Hazard D -----.,_ --3A D I Institutional D 1-1 0 1-2 0 1-3 0 38 D M Mercantile D 4 CJ R Residential D R-1 D R-2 D R-3 0 5A D S Storage D S-1 D S-2 0 58 D U Utility D Specify: I ·~ ""' -• ••><-<w,•-•••• ,..~·~H•••~•••·""-" M Mixed Use 0 Specify:! S Special Use D Specify: I .·: ···:· .. · .... ,:.·: .. ,.·::. :·.-..... , .. : .... •· ..... :· .. ,.:.,. ...... ::_····: ::···.". : .·. . .. · COMPLETE THIS SECTION-IF EXISTINGHUllD1N(3:·-UNDERG01NG,;RENOVATIQN$.,'ADDITIONSAND/ORCHANGE IN USE Existing Use Group: 1 ... ·--~ ::r;;,(~'Y0::-::= ~. I Proposed Use Group: ! ···-··· .. '] Existing Hazard Index 780 CMR 34): L. ·--·-·"·-······· . ______! Proposed Hazard Index 780 CMR 34): L. ...... . .......... _J SECTION 6 BUILDING HEIGHT AND AREA I BUILDING AREA EXISTING Floor Area per Floor (sf) 1st : Is. iJi!.' : ·=;i{TZ_ ;;_;J+J 2nd ..... £>; /4 .Qf.?.l/..."?~. f!± J 7 ...... · 'J?. .. · . .. ... ,. _____ ,,.,,, ....... ., ........... , 3rd i .> .. F: ... -...3<J)() __ '?j]'1J 4th llS/h[L .3/J12_5ft &J 6:11 I S(5 I< -~ ?>.~Y .. ~ ... Et_ Total Area (sf) 11 ~I~ ; Total Height (ft) ./..?../···- 7. Wate~upply (M.G.L. c. 40, § 54) Public ~ Private D / PROPOSED NEW CONSTRUCTION znd ; , .................. ,, ............................ -.. . ! Total Proposed Ne. w Co7nstruc.!!2Djsf) _____ ..... . : .2. i;t&1 ~ M .......................................... i ....... , ........ .. Total Height ft ... · •. L ;2-.~··· ... I-• .. i. , .. , ·· OFFICE USE'QNLY 7.1 Flood Zone Information: 7.3 Sewagi, pisposaf System: Zone .. ..... _ J Outside Flood ZoneO Municipal J;!'J _ On site disposal systemO ! City of Northampton Building Department 212 Main Street Room 100 , c~ ·,,, :i \w r~ ~~, .. _________ ___, U' JUN I 2 20IS orthampton, MA 01060 u....~~~:.:::!.!:..::::;.;.~fefW!""""3-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to .be completed by office I C<9 ~ f / 'c_e_ ! /1: S -1-; ______ ~ ~.r &i.,, <--..r.L-/J1 .r... 6 I & 6 ~ Map Lot Overlay District Unit . CB Distril;t SECTION 2 -PROPEIHY OWNERSHIP/AUJHORIZEO,AGENT. < 2.1 Owner of Record: c· (v/Zt_ 1l+-Jt1_~ ::z~= ~-A1-1L1:1r 5==~~~~-1 \i Name (Print) Current Signature Telephone Signature Item Official, Use .Only 1. Building 2. Electrical (b)EstimatedTotaJCost of .. Construction from 6 3. Plumbing Building PermitFee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) · Check Number This .Section For Official Use Onl Building Permit Number ~igoature: Building Commissioner/Inspector of Buildings Date issued Date File# BP-2015-1283 APPLICANT/CONT ACT PERSON GENE BOROWSKI ADDRESS/PHONE 117 SUNNYMEADE AVE CHICOPEEOI020-1780 (413) 687-3777 PROPERTY LOCATION 1 CORTICELLI ST MAP 22B PARCEL 042 001 ZONE SI(lOO)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DA TE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REPLACE 32'LF EXTERIOR WALL.NEW FOOTIGS,COLUMNS,FLR JOIST & SUB FLOOR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 106527 3 sets of Plans/ Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 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 ofMGL 40A. Contact Office of Planning & Development for more information. 1 CORTICELLI ST GIS #: Map:Block: 22B -042 BP-2015-1283 COMMONWEAL TH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS _Pe_rm_it_: ___ B~ui_ld~in_,_g DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-1283 Project# JS-2015-002361 Est. Cost: $35000.00 Fee: $210.00 Const. Class: Use Group: Lot Size(sq. ft.): 27529.92 Zoning: SI(I 00)/ PERMISSION IS HEREBY GRANTED TO: Contractor: License: GENE BOROWSKI 106527 -----~- Owner: PHILLIPS WILLIAM L Applicant: GENE BOROWSKI AT: 1 CORTICELLI ST Applicant Address: Phone: Insurance: 117 SUNNYMEADE AVE (413) 687-3777 CHICOPEEMA01020-1780 ISSUED ON:6115/2015 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE 32'LF EXTERIOR WALL.NEW FOOTIGS,COLUMNS,FLR JOIST & SUB FLOOR POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 6/15/2015 0:00:00 $210.00 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Louis Hasbrouck -Building Commissioner