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31B-151 17 TRUMBULL RD BP-2011-0595 GIs #: COMMONWEALTH OF MASSACHUSETTS Ma p :Bloc 31B - 151 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP- 2011 -0595 Project# JS- 2011 - 000959 Est. Cost: $49500.00 Fee: $297.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT NICKERSON 053156 Lot Size(sq. ft.): 4835.16 Owner: O'CONNOR COLLEEN Zoning: URC(100)/ Applicant: SCOTT NICKERSON AT. 17 TRUMBULL RD Applicant Address: Phone: Insurance: 197 NORTH LEVERETT RD (413) 896 -3347 (� Workers Compensation LEVERETTMA01054 ISSUED ON :312112011 0:00:00 TO PERFORM THE FOLLOWING WORK.- PITCHED ROOF SECTION, CONSTRUCT NEW PITCH & DECK 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 3/21/20110:00:00 $297.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner File # BP- 2011 -0595 kk APPLICANT /CONTACT PERSON SCOTT NICKERSON ADDRESS /PHONE 197 NORTH LEVERETT RD LEVERETT (413) 896 -3 Y() �JJ PROPERTY LOCATION 17 TRUMBULL RD MAP 31 B PARCEL 151 001 ZONE URC( 100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid Typeof Construction: REMOVE PITCHED ROOF SECTION, CONSTRUCT NEW PITCH & DECK New Construction Non Structural interior renovations Addition to Existin Accessory Structure Building Plans Included: Owner/ Statement or License 053156 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO)RMATION 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 Permit DPW Storm Water Management Demolition Delay 14 1d ll 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. File # BP- 2011 -0595 L, APPLICANT /CONTACT PERSON SCOTT NICKERSON ADDRESS/PHONE 197 NORTH LEVERETT RD LEVERETT (413) 896 -3347 Q PROPERTY LOCATION 17 TRUMBULL RD MAP 31B PARCEL 151 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_ypeof Construction:_ REMOVE PITCHED ROOF SECTION, CONSTRUCT NEW PITCH & DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 053156 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRE NTED: Approved ditional 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: § 9 ' , `�� ( b y 7 Finding Special Permit Variance* bit 11 6 rJA, T kkrL(7 S Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature of Building O ficial 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. Versionl.7 Commercial Building Permit May 15, 2000 Depattmet O use only City of Northampton Sta iu J ernt #��; �< Building Department gway l?ertrt 212 Main Street Sewed. ept) �vatlahiittj Room 100 ilSfat 7U Fell ailibi .� Northampton, MA 01060 Tv Se Hof Strwctural Plans 72 Pk"' phone 413 -587 -1240 Fax 413 - 587 -12 to Plarrs ©thee Specify 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 1.1 Property Address This section to be completed by office 0' T /� �n 4 l� a 2 !' Map Lot Unit 4 Zone Overlay District i Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: S 11 /�[�c �Lr✓e� _.d.. ... L �� �� �C itiCs� C ✓G'ic /� /T _ f Name (Print) Current Mailing Address e IO J my _. y__.. Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building � a (a) Building Permit Fee 2. Electrical m M (b) Estimated Total Cost of 3 �Q Construction from 6 _ 3. Plumbing 3 S - 6 d Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) J C3 Check Number This Section For Official Use Onl Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date Versionl.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size,._. -.,m __._. _..7, ...__ . ... .... ........ _ _.......,,,,, .... ,_._. Frontage Setbacks Front IS µ Side L: R: - -' L: _._,' Rear_., Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved(��,, p arking) # of Parking Spaces - •• --t-± Fill: (volume & Location) A. Has a Speci ermit /Variance /Finding ever been issued for /on the site? NO DONT KNOW 0 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 Page and /or Document #' B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued C. Do any signs exist on the property? YES 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 (3r IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavatio ing) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780: CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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 Signature of Ow er �O I, S C�.�.._�.._ .__ ....._.l �. -1 c.. ��'✓f... a,._ _ ,.,....... . as Ow /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 pnd penalties of perjury,. , Print Name Si ture of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor Not Applicable ❑ Name of License Holder License Number Address 7 Expiration Date Sig r Telephone SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) -T 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 buiI5!P2ftrmit. Signed Affidavit Attached Yes No Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA -2011 -0008 Date: February 1, 2011 APPLICATION TYPE: SUBMISSION DATE: Residential Finding 1/10/2011 Ililllllllillll IIII I IIIII Iililllllll II i II III I I IIIIIIIII II I Applicant's Name. Owners Name: II II NAME. NAME. Bk: 10498Pg: 310 Page: 1 of 2 O'CONNOR COLLEEN O'CONNOR COLLEEN Recorded: 03/08/2011 09:42 AM ADDRESS: ADDRESS: PO Box 1444 PO Box 1444 TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: NORTHAMPTON MA 010'61 NORTHAMPTON MA 01061 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: 413 519-5616 (413) 519 -5616 0 EMAIL ADDRESS: EMAIL ADDRESS: Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME: 17 TRUMBULL RD URC(100)1 TOWN: ACTION TAKEN: ADDRESS: NORTHAMPTON MA 01060 Grant MAP: BLOCK: LOT: MAP DATE: SECTION OF BYLAW: 31B 151 001 Chapt. 350 -9.3 (1) (D): Pre - existing TOWN. STATE TIP CODE: Book Page: Nonconforming Structures or Uses May be 1238 1 406 Changed, Extended or Altered with a PHONE NO.: FAX NO.: Finding from the Zoning Board of Appeals. EMAIL ADDRESS: NATURE OF PROPOSED WORK REMOVE PITCHED ROOF SECTION, CONSTRUCT NEW PITCH & DECK HARDSHIP: CONDITION OF APPROVAL: FINDINGS: The designated Zoning Administrator granted the Finding based on the materials and graphics submitted with the application and additional plans submitted at the hearing. The Findings of the Board Administrator under Section 9.3 for reconstruction of the roof at the rear of the 4-unit related to the side yard setbacks as follows: 1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming house. The house is approximately 6' from the side lot line and the 3rd floor addition would be approximately 8' from the side lot line over existing first floor footprint. 2. The Administrator found that the home would not extend any closer to any front side, or rear property boundary than the current zoning allows and that the pre - existing structure already extends. 3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions and is a minor addition compared to the remaining size of the structure. The new roof line would be lower than the primary roof line at the front of the structure; and does not involve a sign. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE: 12/28/2010 1/22/2011 2/10/2011 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE: 1/15/2011 3116/2011 112712011 2/10/2011 3 1312011 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 1/13/2011 1/27/2011 1/27/2011 2/1/2011 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: #120/2011 4:00 PM 4/27/2011 412712011 MEMBERS PRESENT: VOTE: David Bloomberg votes to Grant GeoTMS® 2011 Des Lauriers Municipal Solutions, Inc. Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA -2011 -0008 Date: February 1, 2011 MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION: David Bloomberg 1 Approved MINUTES OF MEETING: Available In the Office of Planning & Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board Administrator and certify that a copy of this and all plans have been flied with the Board and the City Clerk on the date shown above. 1 certify that a copy of this cision has been mailed to the Owner and Applicant. The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty (30) days from the date of the decision. AM appeals are heard by the full Zoning Board of Appeals. C E V E FEB - 2011 CITY CLERKS OFFICE NORTHAMPTON, MA 01060 March 4, 2011 I, Wendy Mazza City Clerk of the City of Northampton, hereby certify that the above Decision of the Northampton Zoning Board of Appeals Zoning Administrator was filed in the office of the City Clerk on February 1. 2011, that thirty days have elapsed since such filing and that no appeal has been filed this matter. Attest: CJL� City Clerk City of Northampton GeOTMS® 2011 Des Lauriers Municipal Solutions, Inc. - 63" I`M. HAwnIRE, - AURUNNN L. DONOMM -4 tl JIM((� b) bl 4 ■ ' 1000 Lincoln Drive East, Suite 313 Marlton, New Jersey 08053 Tel (856) 596 -5555 by Wey?rf,aeuser Fax (856) 985 -9806 March 8, 2011 Cowls Building Supply Kyle Belanger 125 Sunserland Road Amherst, Ma. 01002 Re: Sealed Calculations iLevel® TC #: 96365 15 Trimble Street Northampton, Ma. 01060 Enclosed are iLevel® ForteTM calculations and a Job Summary Report for joist and beam applications that have been prepared for the above referenced project based on information provided by Kyle Belanger —Cowls Building Supply The calculations have been identified in the Job Summary Report and by the date and time in the lower right hand corner of each sheet: 3/7/20113:42:25 pm Many uniformly loaded joist and beam calculations can be verified by referencing the applicable span charts within the appropriate product literature. These common conditions covered by span chart literature may not have been addressed via individual calculations within this package. Each analysis reflects the iLevel product, depth, and size that can structurally support the input loads shown. The professional engineer's seal on this letter verifies that the analyses presented conform to accepted engineering practices and use code - accepted product design values. Although I have not personally reviewed the project plans or visited the jobsite, we guarantee that our products, as shown in the attached calculations, have been engineered to support the design loads provided in accordance with iLevel criteria. All notes and design load information shown on these calculations should be reviewed with the building designer and/or the local code official to ensure that the loads, spans, and other conditions are correct and/or acceptable for the specific application. Building inspectors and/or owners should identify the "Silent Floor "TJI ", "Microllam LVL", "Parallam PSL", or "TimberStrand LSL" markings on iLevel products to confirm that this letter is valid for the products actually installed. Please feel free to contact me if there are any qu stions regarding the analyses, I can be reached at (800)- 854 -5647. Sincerely, 16 It Robert A. Kus , PE t��Q�NEEii East Divisio ngineer MA: 39354 ■ Forte JOB SUMMARY REPORT software 96365.4te Member Name Results Current Solution Errors Floor: Flush Beam Pass 2 Piece(s) 13/4" x 9 1/2" 1.9E Microllamp LVL Forte'"" Software Operator ,lob Notes 3/7/2011 3:42:25 PM Geoffrey Mcclen, FLUSH BEAM iLevel® Forte v2.1, Design Engine: V5.2.1.1 Weyerhaeuser 15 TRUMBLE ST. 96365.4te (856) 596 -5555 NORTHAMPTON, MA 01060 geoff meclaw @weyerhaeusercom call #96365 Page 1 Of 2 ■ Forte MEMBER REPORT Level, Floor Rush Beam PASSED software 2 piece(s) 13/4" x 9 1/2 1.9E Microllam® LVL Overall Length 13' 10" 0 0 134 1❑ All Dimensions are Horizontal; Drawing is Conceptual Design Results Actual o Location Allowed Resuk LDF Load Combination (Load Pattern) System : Floor Member Reaction (Ibs) 1994 @ 1 1/2" 3981 Passed (50 %) - - 1.0 D + 1.0 L (All Spans) Member Type : Flush Beam Shear (Ibs) 1720 @ 1' 1/2" 6318 Passed (27 %) 1.00 1.0 D + 1.0 L (All Spans) Building Use : Residential Moment (Ft -Ibs) 6750 @ 6' 11" 11775 Passed (57 %) 1.00 1.0 D + 1.0 L (All Spans) Building Code : IBC Live Load Defl. (in) 0.343 @ 6' 11" 0.340 Passed (L/475) - - 1.0 D + 1.0 L (All Spans) Design Methodology: ASD Total Load Defl. (in) 0.496 @ 6' 11" 0.679 Passed (L/328) 1.0 D + 1.0 L (All Spans) • Deflection criteria: LL (L/480) and TL (L/240). Bracing (Lu): All compression edges (top and bottom) must be braced at 13' 7 112" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Support Reactions (ft) Supports Total Avafiabis Required Dead F[w Rve Roof the Snow Wind Seismk AcceruorWe 1 - Column - Spruce Pine Fir 3.00" 1.75" 1.50" 623 1401 0 0 0 0 1 1/4" Rim Board 2 - Column - Spruce Pine Fir 3.00" 1.75" 1.50" 623 1401 0 0 0 1 0 1 1/4" Rim Board . Rim Board is assumed to carry all bads applied directly above it, bypassing the member being designed. Tributary Dead Floor Lire Roof Uve Snow Wind Sekmk Loads Location Width (0.90) (1.00) (nowwww:325) (Lis) (1.60) (1.80) Conrnents 1 - Uniform(PSF) 0 to 13' 10" 6' 9" 12.0 30.0 0.0 0.0 0.0 0.0 Residential - Living Areas (LEVEL® Notes SUSTAINABLE FORESTRY INITIATIVE !Level@ warrants that the sizing of its products will be in accordance with iLevel@ product design criteria and published design values. !Level@ expressly disclaims any other warranties related to the software. Refer to current iLevel@ literature for installation details. (www.iLevel.com) Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this 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. iLevel@ products manufactured at Weyerhaeuser facilities are third -party certified to sustainable forestry standards. The product application, input design loads, dimensions and support information have been provided by Kyle Belanger -Cowls Forte- Software Operator Job Notes 3/7/2011 3:42:25 PM ceorrrey McClain FLUSH BEAM !Level® Forte T"' v2.1, Design Engine: V5.2.1.1 Weyerhaeuser 15 TRUMBLE ST. 96365.4te (856) 596 -5555 NORTHAMPTON. MA 01060 geoff mcdain @weyerhaeuser corn cal:. #96365 Page 2 Of 2 File # BP- 2011 -0565 APPLICANT /CONTACT PERSON SCOTT NICKERSON ADDRESS/PHONE 197 NORTH LEVERETT RD LEVERETT (413) 896 -3347 Q ?G 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 C : RENOVATE EXISTING BEDRM TO CLOSET/BATH W ew Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 053156 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: pproved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay '2,/ 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. s City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 ` ^ phone 413 - 587 -1240 Fax 413 - 587 -1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE 01�,DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION P4 ✓ _. - his section to be completed by office 1.1 Property Address 01� A/ ✓vfic �.�!/ Lot Unit Ueertay D;rstnct F Elrrr °St D�strlcE CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owne of Record / / Name (Print) Current Mailing Address: Telephone Signature 2.2 Authorized Anent: r, Sir IV, I , Xe . - � � 1 �l � /C� Ze Name (Print) Current Mailing Address: V7 3 -- d `!6 Y <� sigaw Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building O (a ).- Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) / J O O Check Number a This Section For Official Use Onl Building Permit Number: IIsssued: Signature: Building Commissioner/Inspectorof Buildings Date SECTION 5- DESCRIPTION OF PROPOSED WORK (check all apaiic able ) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [M Siding [O] Other [e1] Brief Descrip]jon of Pl�op ed Work: ✓7l� �ICw Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa � it atis a i 3 ii rrr )fths, s W Win., t ii � .f it vi i a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION'- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT' 1, 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. Signature of Owner Date 1 ���> L/ & /1 1 1 1 —/ r1/ as Own /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best nowledge and belief. Signed unde the pains a penalties of perjury. Print Name Si at Owner /Agent Date L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investig ations 600 Washington Street Boston, MA 02111 www mass gov /dia - Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/PIumbers Applicant Information Please Print Legibly Name ( Business /Organiiatiowindividual) Address: City /Sta&Lp: Phone. #: Are you an employer?. Check the appropriate box: Type of project (required):. 1.0 I am a employer with 4.. I am a general contractor and I 6. 0 New construction employees (fall and/or part-time)-* have hired the sub- contractors 2.0 I am a sole proprietor or parincr- listed on the: attached sheet. 7. E]. Remodeling ship and have no, epployees These sub - contractors .have. .8. 0 Deaolition working for me m an employees_and:73aye workers' � y t1' 9 � `= addition [NO Workers Comp: msuranGe required:) 5. We are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work officers have xercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0. Roof repairs insurance required) t c: 152, § 1(4), and we have no emplOYM. (No workers' 13.0 Other comp. insurance required. }. =Any applicant-that checks box #{1:mrstalso fill out the section belowshowing theirworkcrs'-eompensation policy information: t Homeowners who submit this aiiidavit:indicating they are doing all work and then hire outside conhactors must submit a new affidavit indicating such: IConnactors that check this box must.attached an additional shed showing the name of the sub contactors and state whither ornot 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. Insurance Company Name: . Policy # or Self- -ins. Lic. #: Expiration Date: . Job Site Address:_ City /Stafe/Ztp: Attach a copy of the workers' - compensation policy declaration page (showing the pglicy number. and expiration date). Failure. to- secure coverage;as requi dd under Section 251 ofMGL c. 152 caii lead - to die imPOdd ba ofcrimmiI penalties of a fine up to $1,500.00 and/or one.- year as well as civil penalties in the form of a STOP WORK - ORDER and-a £ire of up to S250.00 a_day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA or insurance coverage verification _ I do hereLy_ certify under the pouts and penalties of pej*y that - the ucformatwn�rovrded av is 'aadcvrrec S_ gnature: Date Phone # Offtcial use only. Do not write in this area, fo be completed by city or tow offuiaL City or Town: Permit/License # Issuing Authority (circle one): J. Board of Health 2. Building Department 3. City/Town Clerk .4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone #: File # BP- 2011 -0595 6 L, b APPLICANT /CONTACT PERSON SCOTT NICKERSON ADDRESS/PHONE 197 NORTH LEVERETT RD LEVERETT (413) 896 -3347 Q PR 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: REMOVE PITCHED ROOF SECTION, CONSTRUCT NEW PITCH & DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 053156 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PREPENTED: Approved — N Xditional 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: § 9 , 6) 6 7 Finding Special Permit Variance* (512 11(c NA Tu-M6S Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Z9 h6- Signature of Building O facial 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. Versionl.7 Commercial Building Permit May 15, 2000 City of Northampton _ Building Department 212 Main Street S _ Room 100 — MA 01060 phone 413'587 -1240 Fax 413 - 587 -1272 APPLICATION TO CONSTRrIC (, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address This section to be completed by office _ __...._.. .. .. .W �— / /v J ►K l� i o � r 3 Map Lot Unit /y( t4 Zone Overlay District EIm.St District CB District SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record teeri Name (Print) Cu rrent Mailing Ad dress:.,._. Signature Telephone 2.2 Authorized Agent: 'y � c. t r ✓sr� '� N. L C vt� // , f CJCrC ^4 _ .. _.__._.. ... _..__. .. _ _._ _ �X�, _ _ __� __ Name (Print) Cu rrent Ma i nq Addr O AO J — y__ 3 Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only com pleted by ermit applicant 1. Building u � fa D ; (a) Building Permit Fee# 2. Electrical w (b) Estimated Total Cost of 3 ConsCnicfion from 6 3. Plumbing N,3 r Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number This Section For Official Use Onl Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date Versionl.7 Commercial Building Permit May 15, 2000 S. NORTHA,MPTON'ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size C�.• - -- - - -_�- - ��.�. w _ i Frontage -� Setbacks Front Side L: R: L: R: Rear Building Height EKE Bldg. Square Footage % Open Space Footage % . -- (Lot area minus bldg & paved p arkin g) # of Parking S aces Fill: (volume & Location A. Has a Speci ermit /Variance /Finding ever been issued for /on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES Q IF YES: enter Book ` } Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO �f IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavatio in g) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15, 2000 SECTION 10-STRUCTURAL PEER REVIEW (780 110.'11) Independent Structural Engineering Structural Peer Review Require Yes No SECTION 11 OWNER AUTHORIZATION - TO BE COMPLETED :WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property hereby authorize __..._ � to act on my behalf, in all matters relative to work authorized by this building permit applicatio { I Signature of 0 er �D as Ow /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 andyenalties of a 'u _ E Print Name -- - - - - i Si to a of Owner /Agent Date SECTION 12 - CONSTRUCTION. SERVICES 10.1 Licensed Construction Supervisor Not Applicable ❑ Name of License Holdera Lice nse Number Address 7 ----_ Expirati n Date Sig r Telephone SECTION 13 - WORKERS' COMPENSATION INSURANCE- AFFIDAVIT (M.G.L: c.152= 45C(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 buildi rmit. Signed Affidavit Attached Yes No 0 ■ c� _p( '�� P VC i - COLEEN'S BIG BEAM �sr' 2 Pcs of 1 3/4" x 11 7/8" 1.9E Microllam® LVL TJ -Beam® 6.36 Serial Number: r i r o ' User: 1 12/9/201011:04:31 AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED I F M � 51 b 1 g . 1 Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 2'9" Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 0.0 120.0 0 To 19' Adds To DEAD LOAD FROM WALL ABOVE SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live /Dead /Uplift/Total 1 Stud wall 3.50" 1.75" 1045 / 1563 / 0 / 2608 L1: Blocking 1 Ply 1 3/4" x 11 7/8" 1.9E Microllam® LVL 2 Stud wall 3.50" 1.75" 1045 / 1563 / 0 / 2608 L1: Blocking 1 Ply 1 3/4" x 11 7/8" 1.9E Microllam® LVL -See iLevel@ Specifier's /Builder's Guide for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Result Location Shear (Ibs) 2562 -2256 7897 Passed (29 %) Rt. end Span 1 under Floor loading Moment (Ft -Lbs) 11955 11955 17848 Passed (67 %) MID Span 1 under Floor loading Live Load Defl (in) 0.338 0.622 Passed (0663) MID Span 1 under Floor loading Total Load Defl (in) 0.843 0.933 Passed (U266) MID Span 1 under Floor loading - Deflection Criteria: MINIMUM(LL:U360,TL:U240). - Bracing(Lu): All compression edges (top and bottom) must be braced at 12' 1" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: - IMPORTANT! The analysis presented is output from software developed by iLevel@. iLevel@ warrants the sizing of its products by this software will be accomplished in accordance with iLevel@ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevele Associate. -Not all products are readily available. Check with your supplier or iLevel@ technical representative for product availability. -THIS ANALYSIS FOR iLevel@ PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. - Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel@ Distribution product listed above. -Note: See iLevel@ Specifier's /Builder's Guide for multiple ply connection. Operator Notes: 40/12 LOADING @ 2'9 TRIB PROJECT INFORMATION: OPERATOR INFORMATION: SCOTT NICKERSEN Joe Baillargeon COLLEEN JOB Cowls Building Supply 125 Sunderland Rd. North Amherst, MA 01059 Phone : 413 549 0001 Fax : 413 549 4686 joe @cowls.com Copy,igh _005 by ;Level., Federal WV, WA. Microllam- is a registered trademer}_ c`_ iLeve-. s COLEEN'S BIG BEAM e.r, =,. 2 Pcs of 1 3/4" x 11 7/8" 1.9E Microllam@ LVL TJ -Beam® 6.36 Serial Number: user: 1 12/9/201011:04:31 AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 2 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 18' 8.00" ^ Max. Vertical Reaction Total (lbs) 2608 2608 Max. Vertical Reaction Live (lbs) 1045 1045 Required Bearing Length in 1.75(W) 1.75(W) Max. Unbraced Length (in) 145 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 1352 -1352 Max Shear at Support (lbs) 1535 -1535 Member Reaction (lbs) 1535 1535 Support Reaction (lbs) 1563 1563 Moment (Ft -Lbs) 7164 Loading on all spans, LDF = 1.00 1.0 Dead + 1.0 Floor Shear at Support (lbs) 2256 -2256 Max Shear at Support (lbs) 2562 -2562 Member Reaction (lbs) 2562 2562 Support Reaction (lbs) 2608 2608 Moment (Ft -Lbs) 11955 Live Deflection (in) 0.338 Total Deflection (in) 0.843 PROJECT INFORMATION: OPERATOR INFORMATION: SCOTT NICKERSEN Joe Baillargeon COLLEEN JOB Cowls Building Supply 125 Sunderland Rd. North Amherst, MA 01059 Phone: 413 549 0001 Fax : 413 549 4686 joe @cowls.com Cocyrighi 1009 by iL,evei Federa_ Way, WA. Micrcllam 1 s a registered Lredemarh of iievel v �. 1 Ix- ve &: r a k t 9 oil -:.f iA rte' F f ,f ,/ ♦ 3 � a y apt y , 9 sm CO r t 2 q 4 � 1 d ,.,�� i : i s - � %�"� � p � °j ':�? '+ Y � ' �'t�' Q d Sa ,az j�� �'� �I � ��E�t,,,�• � ' L � *ty t,,�� � i'� y (J a ® 7j `Y}atil 1) vr, > i 1 dtit !'A��j'�►pe� �) X75 J / ' T� , -vW I REPORT THAT THE PROPERTY LINES SHOWN HEREON ARE THE LINES DIVIDING EXISTING ; OWNERSHIPS, AND THE LINES OF STREETS AND ; WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE o STREETS OR WAYS ALREADY ESTABLISHED, AND D THAT NO NEW LINES FOR DIVISION OF EXISTING Z OWNERSHIP OR FOR NEW WAYS ARE SHOWN. 0 GEOFFREY V. BURGESS AND CHRISTIAN A. GUNDERMAN y SURVEYOR: ^' �• BOOK 7401, PAGE 324 - Z CHRISTIAN CAMPE AND ELIZABETH WADHAM A to BOOK 9588, PAGE 141 0 0 FOR REFERENCE TO LOCUS SEE: o ♦ o MICHELE D. ST. PIERRE AND COLLEEN M. O'CONNOR 44.00' \ z BOOK 9826, PAGE 303 SEE: PLAN BOOK 193, PAGE 75 ---- - - - - -� • • LOT 1 I I 1F Z Z 4,869f SQ. FT. gravel 1R - #7 0 A ! I p0rkfn9 14 ♦ q O iL — — — J it - - --�. �% e W 1n ! M ARLENE STEINBERG -- x. - 0 SANDRA ANN PUTALA W w F I BOOK 8728, PAGE 176 ��. D BOOK 4751, PAGE 189 maa m o° I I I a crime m ! z coo mqq I _ $ I ♦ BARRY S. GO6 N &� N c O I I° I of D SUSAN L STUBBS mx6 i� ! I I ° I I BOOK 6601, PAGE 49 �gOm I I I m l (� w #17 I Z of u i #19 I I f i rn 115 0 I I I 11 $ I I I o� 1 0 - eer n BOO of I I I I I D 11 LI II II I � II N 88'33'13' W 69.48' 44.31' I I I I 44,33 I I I -- N 88'33'13' W N 88'3313' W TRUMBULL ROAD N F.K.A. PARK STREET ALL � or LEGEND RA IZER O FOUND IRON PIN W 003 ❑ FOUND CONCRETE BOUND L ■ FOUND STONE BOUND ® RAILROAD SPIKE FOUND o UNMARKED POINT I REPORT THAT THIS PLAN FULLY AND ACCURATELY DEPICTS THE LAYOUT OF EACH UNIT, IT'S LOCATION, N SITE PLAN UNIT NUMBER, DIMENSIONS, APPROXIMATE AREA, MAIN ENTRANCE, IMMEDIATELY ADJOINING UNITS, AND "THE ANNA -GAIL CONDOMINIUMS IMMEDIATE COMMON AREA TO WHICH IT HAS ACCESS, AS BUILT. _U I REPORT THAT THE PROPERTY SHOWN HEREON IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS AT TRUMBULL ROAD" SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 0 17 TRUMBULL ROAD 0 NORTHAMPTON, M ASSACHUSETTS SURVEYOR: MICHELE D. ST. PIERR F AND COLLEEN M. O'CONNOR I REPORT THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY SCALE: 1 " -20' FEBRUARY 2, 2010 WITH THE 1976 RULES AND REGULATIONS OF THE REGISTERS HAROLD L EATON AND ASSOCIATM INC. OF DEEDS OF THE COMMONWEALTH OF MASSACHUSETTS. 2 REEGGI� PRO D SURVEYORS may g, 413 - 584 -7599 413 -585 -5976 (fax) emaA RANDALL E. IZER #35032 o 2 h 0 60' I REPORT THAT THE PROPERTY LINES SHOWN HEREON ARE THE LINES DIVIDING EXISTING m OWNERSHIPS, AND THE LINES OF STREETS AND w WAYS SHOWN ARE THOSE OF PUBLIC R PRIVATE o STREETS OR WAYS ALREADY ESTABLISHED, AND z THAT NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR FOR NEW WAYS ARE SHOWN. o SURVEYOR GEOFFREY V. BURGESS AND CHRISTIAN A. GUNDERMAN r BOOK 7401, PAGE 324 Z CHRISTIAN CAMPE AND ELIZABETH WADHAM w BOOK 9588, PAGE 141 n A FOR REFERENCE TO LOCUS SEE: ° m ♦ v MICHELE D. ST. PIERRE AND COLLEEN M. O'CONNOR 44.00' \ Z BOOK 9828, PACE 303 ---- -_ - - _� w SEE: PLAN BOOK 193, PACE 75 � LOT 1 Z - F - - z z 4.869* SO. FT. 0 gravel iR � #7 � w f l parkMg I 1 q O �$ I L r 2 l _ ___ �}n f MARLENE STEtNBERG 2F r -- ♦ - - - - -- 'w w F I BOOK 8728, PAGE 176 �� -0 SANDRA ANN PUTALA -0 BOOK 4751, PAGE 189aa �1 f I I I I 8 � �mo v roQ I I I Z I 11 t BARRY S. G�TEIN k7 0 , v' � SUSAN L STUBBS m Y m j f I I ° o ° j D BOOK 6601, PAGE 49 m N# I I I I ml vim O I I a I #17 I Z uD f /19 I I f I vt I C Z u m #15 � $ I I o I 1 2 I I $ I I I o o4' bo d a ' 7 II II I II I . I II II I � II N 88'33'13' W 69.48 44.31' I I I I 44.33• I 1 1 N 8833'13' W -- N 88'33'13` W TRUMBULL ROAD N F.K.A. PARK STREET LEGEND F ALL o FOUND IRON PIN L►1 z ❑ FOUND CONCRETE BOUND LLJ ■ FOUND STONE BOUND ® RAILROAD SPIKE FOUND NR UNMARKE POINT I REPORT THAT THIS PLAN FULLY AND ACCURATELY DEPICTS THE LAYOUT OF EACH UNIT, IT'S LOCATION SITE PLAN UNIT NUMBER, DIMENSIONS, APPROXIMATE AREA, MAIN ENTRANCE, IMMEDIATELY ADJOINING UNITS, AND "THE ANNA -GAIL CONDOMINIUMS IMMEDIATE COMMON AREA TO WHICH IT HAS ACCESS, AS BUILT. U AT TRUMBULL ROAD" THE PROPERTY SHOWN ON AL FLOOD I SUR NCE MAPS FOR IS NOT L #2 0 617 A FLOOD PRONE AREA AS 7 TRUMBULL ROAD NORTHAMPTON, M ASSACHUSETTS ARED SURVEYOR �' 1 MICHELE D. ST. PIERRE AND F OR COLLEEN M. O'CONNOR I REPORT THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY SCALE: 1' -20' FEBRUARY 2, 2010 WITH THE 1976 RULES AND REGULATIONS OF THE REGISTERS HAROLD L EATON AND ASSOCIATES, INC. OF DEEDS OF THE COMMONWEALTH OF MASSACHUSETTS. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSETTS an1.� a `f • T 413- 584 -7599 413 -585 -5976 (fax) emal — hieatonOaal.eom RANDALL E. IZER #35032 0' 20• 40' 6o'