38B-066 (17) BP-2023-0117
251 SOUTH ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-066-001 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-2023-0117 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOWS 2023 Contractor: License:
Est. Cost: 2500
Const.Class: Exp.Date:
Use Group: Owner: S. MALINOWSKI, REBECCA
Lot Size (sq.ft.)
Zoning: URB Applicant: S.MALINOWSKI, REBECCA
Applicant Address Phone: Insurance:
251 SOUTH ST
NORTHAMPTON, MA 01060
ISSUED ON: 02/01/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL HEADER FOR WINDOW
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:
iT'b ,,
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
4*
R
_�.. ¢''`;,
The Commonwealth of Massachusett ''
Board of Building Regulations and/Stan FOR
1 Massachusetts State Building C �� 80 CMR`7 /�Q� j' C AI ITY
°, r ! US
Building Permit Application To Construct,Repaid;•l , Or Deffohs a Revised ar 2011
One-or Two-Family Dwelling '"-n/ti`'ia
n This Section For Official Use Only`'.N`c7/
Building Permit Number: & 13"// 7 Date Applied: /'
c ,‘. I ,,,e),. (45.4.1 CY'/33
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
' S
1.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
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
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1rQ wner'of Reco/rld:
PSelLEG . frt41;Aocr/5-kt 00r 1LcriVIIA /IA Ol o&O
Name(Print) City,State,ZIP'
25-f Sou14,t S-F 6/'633 1116 bkyrtcatli4044..r4: ,7.
No.and Street Telephone ( Email Address c�
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work':
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x t
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5. Mechanical (Fire j� .
$
Suppression) Total All Fees: $ cam•°C)
Check No. Kg Check Amount:
6.Total Project Cost: $ /J �'J
diPaid in Full 0 Outstanding Balance Due:
City of Northampton
174, Massachusetts
+ ,
DEPARTMENT OF BUILDING INSPECTIONS y'
212 Main Street • Municipal Building
Northampton, MA 01060 30j�'
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS,
DOORS, ROOFS,RENOVATIONS,ROOF MOUNTED SOLAR,ETC.
1. Building Permit Application signed by legal owner and filled out
by owner or authorized agent.
2. One set of plans and specifications of proposed work(Digital and hard copy).
3. Construction Debris Affidavit filled out and signed by applicant.
4. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance.
6. Energy Conservation Compliance Certificate (new /replacement windows).
7. Home owner's License Exemption Form (if applicable).
8. Note any Special Permit requirements (if applicable).
9. Energy Code—all new construction(Gut/Rehab) requires a HERS Rater Affidavit
10. Please provide the appropriate fee in the form of a check made payable to: The City of
Northampton.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
\ License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
n M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvemen 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'COMPENSATI• INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must be corn. eted and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the . ilding permit.
Signed Affidavit Attached? Yes ❑ No.... .....❑
SECTION 7a:OWNER AUTHORIZATIO TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APP►I S FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'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.
e
Print Owner's or Authorized Agent's Name(Electronic 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.¢ov/dgs
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"
%.
..‘..
..v..... The Commonwealth of Massachusetts
.._,,!... ,.= •
527.1.1i= i.,,i
At
•••••• Department of Industrial Accidents
l
I Congress Street,Suite 100
Boston, MA 02114-2017
www.mass.govidia
Workers'Compensation Insurance AMdavit:Builders/( ont ractorsiEkctricians/Plumbers.
TO BE FILED WITH THE PERNIITITSG.0 tHORJTY.
Applicant Information Please Print Legibly
Name i Business,Organiza tton:I mit%iduni):.........g4e.,..Cc,„10... kik 1;iit I, ,uf5:,,-,
Address: 2-c( co,4•14 SI-
_
- ---
CityiStateiZip: 1 .10 r 11,10/4V IDA A/lit 0/060 Phone#: ‘/ bi ‘ 3 I /4
Are you on employer?Cheek the appropriate boa: .
Ty pe of project(required):
1.0 I am a employer with erriployee9 tfull andior part-tinie t" t 7. 1 New construction
I ,--
20 1 rim a tole peupraetor or partnerahip and have nu employera working fur toe in 1 S. D Remodeling
any eapnetti,„(Nu worker.'comp.inaurance required.]
.
31:3 I am a hotriwwiler doing all unit myself[No workers'comm..insuranue req moat]' 9 I Demolition
1 a 0 Building addition
4.earn a!unix-owner and will be home*amino:tors to conduct all work on my piwerty. I will
...Inure that all comm.-tura richer hate workers'CilatpaLtaillX1 siwiramee or are i".,le j 1 14:3 Electrical repairs or additions
piwnetora with no employees,
l 2.0 Plumbing repairs or additions
5.0isei a iteneral contractor and I have hired the sub-contractora Listed on the atm:in:4'two.
th sub-con cmautu haw eanployeea saa have workers comp.neaarariceJ 130 Roof repairs
14.Ej°did.
6E3 We are a corporation and its talkers have exec'used their nest of exemption per saii.e.
I:Q.,§1141,and we have no emplo)etms..[No workers'eumn.inaurance required]
'Any'applicant that check....i boa 'I rrunt Alva till out the nechan bclu*showing their*utkent'.c.untptInsatito policy information,
*Hoirreowners who ilianut this atridai•it indicatinir they are doing ail work and then hire outside,:ontracteri must iukrrnit a new atlidat.it traiLat mg-.L....L.
Curitraetora that cheek thr buA rout attached an .1.1itional sheet flowing the rerme of the>ub-contraetorA and state whether or riot those i...-s.11-1,V:.
Q.,r 1,.,,,,,,,.. If L..,ub,contractor have cinplo!..ce ,they ritu.t No..ide theil. worker,'.:;mir.ivIr.: number
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: ___
Policy 4 or Self-ins.Lic, #: Expiration Date:
Job Site Address: CityiStateiZip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under NIGL c. 152, §25A is a criminal violation punishable by a tine up to$1,500.00
and or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a
day against the violator.A copy of this statement inay be forwarded to the Office of Investigations of the DIA for insurance
coverage verificatiof I
I do hereby certify under the pain and peipihies of perjury that the information provided above is true and correct.
Date: 1-3/ —23
Signature: .1
i
Phone 4:
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: Permit/License#
Wining Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing,Inspector
6.Other
Contact Person: Phone 4:
f
City of Northampton
Massachusetts .z �
s , DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
-** 4" '; Northampton, MA 01060 ��") I-,',k�`'
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.
The debris will be disposed of in:
Location of Facility: '°L Pt 7 1 YCili
The debris will be transported by:
Name of Hauler:
e-
Signature of Applicant: Date: 1-3 r"3
City of Northampton
0.. cr, s
l a +
Massachusetts ;f-
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building tea.
,-M--: Northampton, MA 01060
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
1,
RE g&C A S(/VA/USO/ MAti NOWSK (insert full legal name), bo yf,q/(i I(insert
month, day, year), hereby depose and state the following:
1. 1 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 am 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. 1 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 of perjury on this 3 I day of 20 a,)
fiarA4, 4g4tior46.
(Signature) U
'''I FO R TE W E B MEMBER REPORT PASSED
Level,backporch header
2 piece(s)1 3/4"x 7 1/4"2.0E Microllam®LVL
Overall Length:7'7'
0 0
4, 7 1"
4
All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.
Design Results Actual 0 Location Allowed Result LDF Loath Combination(Pattern) System:Wall
Member Reaction(Ibs) 986 @ 1 1/2" 7613(3.00") Passed(13%) — 1.0 D+1.0 S(All Spans) Member Type:Header
Build*Use:Residential
Shear(Ibs) 764 @ 10 1/4" 5544 Passed(14%) 1.15 1.0 D+ 1.0 S(All Spans) Building Code:IBC 2015
Moment(Ft-Ibs) 1749 @ 3'9 1/2" 8182 Passed(21%) 1.15 1.0 D+1.0 S(All Spans) Desigr1 Methodology:ASD
Live Load Defl.(in) 0.053 @ 3'9 1/2" 0.244 Passed(L/999+) -- 1.0 D+1.0 S(All Spans)
Total Load Defl.(in) 0.084 @ 3'9 1/2" 0.313 Passed(L/999+) -- 1.0 D+1.0 S(All Spans)
• Deflection criteria:LL(L/360)and TL(5/16").
•Allowed moment does not reflect the adjustment for the beam stability factor.
Bearing Length Loads to Supports(Ibs)
Supports Total Available Required Dead Floor Live Snow Factored Accessories
1-Trimmer-SPF 3.00" 3.00" 1.50" 370 190 616 986 None
2-Trimmer-SPF 3.00" 3.00" 1.50" 370 190 616 986 None
Lateral Bracing Bracing Intervals CommentsA y e by
Dread Hermann
DN:c=US,st=New Jersey.l=Marlton,
Top Edge(Lu) 7'7"0/c Di stall si ned o=Weyerhaeuser Co.cn=Drexel Hermann,
7'7"0/c email=Drexel.Hermann@weyerhaeuser.com
Bottom Edge(Lu) Date:2023.01.30 14:28:46-05'00'
•Maximum allowable bracing intervals based on applied load. Weyerhaeuser
Dead Floor Live Snow
Vertical Loads Location Tributary Width (0.90) (1.00) (1.15) Comments
0-Self Weight(PLF) 0 to 7'7" N/A 7.4 -- --
1-Uniform(PSF) 0 to 7'7" 2'6" 10.0 20.0 - CEILING JOIST
2-Uniform(PSF) 0 to 7'7" 3'3" 20.1 - 50.0 ROOF FRAMING
Member Notes
BACK PORCH REPLACEMENT WINDOW HEADER I
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.Weyerhaeuser expressly disclaims any other warranties
related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is
responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at
Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC-ES under evaluation reports ESR-1153 and ESR-1387
and/or tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to
www.weyerhaeuser.com/woodproducts/document-library.
The product application,input design loads,dimensions and support information have been provided by ForteWEB Software Operator
The professional engineer's stamp on this calculation verifies that the analysis presented conforms to accepted
engineering practices.I have not reviewed the project plans or field conditions.Neither the undersigned en:i • ��
Weyerhaeuser NR Company is acting as the engineer of record for the referenced project.If this calculation is not/� ,-E
with the buildingdesign and field conditions,it should be rejected or returned to us to be corrected. l M.
consistent g
RM' .c.!{y
-rtl
,o N. 491 6
—x• 9FGISTE�F°\�4"
ForteWEB Software Operator lob Notes FSS/%Na;O . ✓ :15:02 PM UTC
Peter Van Buren JULIAN ALBO
COWLS BUILDING SUPPLY 251 SOUTH ST. ForteWEB v3.5, EngirW •.2.3.63,Data:V8.1.3.6
(413)549-0001 NORTHAMPTON,MA
pete@cowls.com Tech Call#138952 Weyerhaeuser File Name: 251 SOUTH ST. NORTHAMPTON, MA