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23A-175 B 2022-1219 32 PINE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-175-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1219 PERMISSION IS HEREBY GRANTED TO: Project# KITCH/BATH RENO Contractor: License: Est. Cost: 20000 JEFFREY BOTT CS-053157 Const.Class: Exp.Date:09/06/2023 MILLER VIRGINIA&ANN S WASSEL CO- Use Group: Owner: TRUSTEES Lot Size (sq.ft.) Zoning: URB Applicant: JEFFREY BOTT Applicant Address Phone: Insurance: 32 Pine Street (413)530-6920 FLORENCE, MA 01062 ISSUED ON:09128/2022 TO PERFORM THE FOLLOWING WORK: BUMP OUT WALL AND RENO KITCH/BATH 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: fAVAAk-, - 3-11 • Fees Paid: S130.00 212 Main Street,Phone 413 587-1240,Fax: 413 587-1272 Office of the Building Commissioner / 19N4N, yer 9 lOns 1---", / LF The Commonwealth of Massacltfusett/iNi \*0, , Board of Building Regulations ad St ards Vt) FOR €, Massachusetts State Building Code\ 8 c961 \ ' CIPALITY Building Permit Application To Construct, Repair,Ren a emoll� a evise Mar 2011 One-or Two-Family Dwelling 'o4 Sow This Section For Official Use Only -/ `C., Building Permit Number: 64Qj?a, Jail' Date A plied: �O°"S qa Building Official(Print Name) Signature SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 32 Pine Street 23A 175 1.1 a Is this an accepted street?yes x*A no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: URB N/A 20,700 109' Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 10' 20' 15'or 0' 15' 20' 60' 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public IN Private 0 Zone: Outside Flood Zone? Municipal III On site disposal system 0 Check if yell SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Florence MA 01062 Ginny Miller&Jeffrey Bott Name(Print) City,State,ZIP 32 Pine Street 413-530-6920 jeffbott@aol.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building II Owner-Occupied 0 Repairs(s) 0 Alteration(s) a Addition Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Bump out kitchen wall and remodel kitchen and half bath SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $17,0000 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $1,000. ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $2,000 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All F Check No. 07 litheck Amount: L Cash Amount: 6.Total Project Cost: $20,000 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-053157 09/06/2023 Jeffrey Bott License Number Expiration Date Name of CSL Holder 32 Pine Street List CSL Type(see below) U No.and Street Type Description Florence MA 01062 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-530-6920 jeffbott@aol.com SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town,State,ZIP Telephone SECTION 6: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 M No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Myself,Jeffrey Bott to act on my behalf,in all matters' relative to work authorized by this building permit application. `'}1 J �� gth' 09/27/2022 Print O er' 4une(Electronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Ginny Miller&Jeffrey Bott f)-t5ik 09/27/2022 Print Owner's or Authorized Agent' lectronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost"64 sq. ft. CITY OF NORTHAMPTON SETBACK PLAN MAP:23A LOT: 175 LOT SIZE:20,700 sq.ft. REAR LOT DIMENSION: 140' approx. REAR YARD SIDE YARD 15" See Site Plan SIDE YARD 28' FRONT SETBACK FRONTAGE 109' City of Northampton �.`4 lam: c,,?.-----. sic Massachusetts �? _ R R: �G L' j DEPARTMENT OF BUILDING INSPECTIONS �A gA: 212 Main Street • Municipal Building yO% 2, -! Northampton, MA 01060 rsbyi,' N CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. work at 32 Pine Street, Florence MA 01062See Site Plan The debris will be disposed of in: Valley Recycling Location of Facility: 234 Easthampton Road, Northampton, MA The debris will be transported by: Name of Hauler: Jeffrey Bott t'5-* Signature of Applicant: Date: 09/27/2022 The Commonwealth of Massachusetts _ T Department ofIndustrial:4ccidents ys am: .. I Congress Street.Suite 100 �r. : Boston. 31:4 02114-2017 www mass.gov/dia �I urker '( ompensation Insurance AtTidas it:Bnilderslt'oatractors/EkctriciansfPlumhers. i)RE FILED WITH H OIE PERMITTING AlTHORiI . Annlictlat Information Please Print Legibly Name IHusincsVOnganirattun Inditiduail: jJeffrey Bott Address: 32 Pine Street Cat}'State.`Zip. Florence MA 01062 phone#. 413-530-6920 Arr tau an entphnrr:'('taRl apprepflatebum Type of project(required). 1.0 I Aura a crnpt,ry a with employees(full andur part-tirn'1.• 7. New construction L I am a sole proprietor or pettnership and have no employers*miens tor me in K. I Remodeling any capacity. wctkrn'comp.insurance required.) 9. ❑Demolition _40 I am a homeowner dumb all work myself.(No workers'comp insurance mowed.)" 10 O Building addition *.II I am a home+ow mew and will be hiring evrwacturs to conduct all work on my property. I wilt enraUrv'that all emMractors tither Nate workers'U arp:manor)insurance or are sole l i.a Electrical repairs or additions propnetors with no employed. 12.0 Plumbing repairs or additions 53 I am a general contractor and I hate hired the soh-contracture listed Ltd the attached sheet These sub-contractors hate einpkr'.t +and base wurkcrs•runup.insurance. 13 Roof repairs 14.O Other ti.❑We are a corporation and its officers lute diereised their nght of exemption per M(iL e. ISM, It41.and we have no arrptuyees.(No*Utter.'comp.insurance required.) •Arts applicant that chocks bur al must also till out the section below shutting their nortera'eomprrisaGun policy information. t Homeowners sbu submit this atlidatit tndacatimg they are doing all work and then hire outside contractors must subnut a new atTida%a uaitiwting sitch. :Contractor.that cheek this bos must attached an aitdrtional sheet showing the name lit the sub-contractor,mot state is hither of not those entities hate mash re, It the sub-emit.or.Igoe ciiiplirt o•,.the!, mu,'pies•,sic their usrrknrs•cramp.policy number. I am an employer that Ls providing workers'compensation insurance for my employers. Below is the policy and job site information. insurance Company Name:__ _ Policy#or Self-its.Lic. #: Expiration Date: Job Site Address: City State.Zip: Attach a copy of the worker's'compensation policy declaration page(showing the policy panther and expiration gale). Failure to secure coverage as required under MGL c. 152. §25A is a criminal violation punishable by a line up to SI.500.00 anti-'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator_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: Phone Dart' °Q-Zi Z O Z- Phone z 4 3-530 6920 Official use only. Do not write in this area.to be completed by city or town official City or Town: Permit"l.icense* Issuing,luthorits (circk one): I. Board of Ileaith 2.Building Department 3.City(town Clerk 4.Eketricat Inspector 5. Plumbing Inspector b.Other _ Contact Person: Phone*: �M�Mt,o City of Northampton ti �5 .... si Massachusetts 425 °f fd , � c 1 f * '' DEPARTMENT OF BUILDING INSPECTIONS ij„ ..�` 212 Main Street • Municipal Building "t� Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDA /" I Jeffrey Bott (insert full le al name), born _ (insert month, day, year), hereby depose and state the following: 09/06/1949 / 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5,.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I ant seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s)who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties o,'perjury on this 27 day o f September 2022 (Si: atu t CS Beam 2021.5.0.8 7-29-22 kmBeamEr a 2018.9.0.1 r 1 Materials Database 1587 6u!ram J,--` c0fit. W FL�1e" vaAVr r"Lo1aJ& 8:20am l of] Member Data Description: Member Type:Beam Application:Floor Top Lateral Bracng:Continuous Bottom Lateral Bracing: 0.00 Standard Load: Moisture Condition:Dry Building Code:IBC/IRC Live Load: 40 PLF Deflection Criteria: U360live,U240 total Dead Load: 10 PLF Deck Connection:Nailed Member Weight: 6.0 PLF Filename:Beam1 Other Loads Type Trb. Other Dead (Description) Side Begin End Width Start End Start End Category Replacem ent Tapered(PLF) Top 0 0.00" 12 0.00" 0 0 60 160 Live Replacement Uniform(PSF) Top 0 0.00" 1Z 0.00' 1'0.00" 31 15 Snow Additional Uniform(PSF) Top 0 0.00" 17 0.00" 2 8.06" 35 15 Snow / 12 0 0 ©/ / 12 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 a0.000" Wall SPF#3Stud2xor4xEnd-Grain(650psi) 3.500' 1.500" 1612# — 2 12 0.000' Wall SPF#3/Stud 2x or4x End-Grain(650psi) 3.500' 1.588" 1806# — Maximum Load Case Reactions Urd for apptyng pont bads(or Fie bads)to carryng members Snow Dead 1 . 720# 892# 2 720# 1086# Design spans 11'6.750" Product: 1-3/4x11-7/8 VERSA-LAM 2.0 3100 SP 1 ply PASSES DESI N CHECKS Design assumes continuous lateral bracing along the top chord. Design accrlmes maximum unbraced length of 0.00'along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 4940.# 12233.# 40% 6.01' Total Load D+S Shear 1464.# 4541.# 32% 10.8' Total Load D+S Max.Reaction 1806.# 3981.# 45% 12 Total Load D+S TL Deflection 02434" 0.5781" U570 6.01' Total Load D+S LL Deflection 0.1025' 0.3854" U999+ 6' Total Load S Control:Max Reaction DOLs:Libe=100%Snov, 115%Roof=125%Wind=160% Al product names are trademad's of the respective owners Copyright(C)2018 by Simpson Strong-Tie Company he ALL RIGHTS RESERVED. "Pasang s defned as uchen the member,floor team or girder,shown on the draving meets appkable design criteria for Loads Loadhg Condtbns,and Spans fisted on the sheet.The design must be reviewed by a quaffed designer or design professional as regdred for approval.This design acmes product hstalatbn aanrdnq to the manufacturer s qsedfications