17A-140 (2) { •
Coldham &Hartman Architects
To: Tony Patillo Tel: 413 - 587 -1240
Building Inspector Fax: 413 - 587 -1272
City of Northampton
Town Hall
Northampton, MA 01060
From: Caroline Petrovick
Cc: Fax:
Date: July 6, 2009 Project: 09 -01
Subject: Addition Rescheck - 215 Chestnut St Attachments:
Mr. Patillo,
I am working on the Cardell addition at 215 Chestnut St in Florence. The job's contractor, Jon
Thompson contacted me requesting a Rescheck model. It is our understanding that this is not
necessary as stated in article 6101.3.2.1.3 of the Seventh Edition State Building Code. This
article allows the elements of additions to use prescriptive envelope components (per table
6101.3). All of the elements in the addition comply with this table (please see a copy of the table
below).
780 CMR TABLE 6101.3
PRESCRIPTIVE ENVELOPE COMPONENT
CRITERIA ADDITIONS TO EXISTING
LOW -RISE RESIDENTIAL BUILDINGS
MAXIMUM I MINIMUM — 1
Ceilings
and i Basement
Slab
1Fenestration ' Wall ii Floor Perimeter
U- factor
I
exposed f Wa
R -Value R -Value R -Value
floors I R -Value
P i
R -Value and Be th
0.39 R -37' R -13 R -19 R -10 R fe0 '
If necessary, I can complete a Rescheck energy model for the addition elements only. Please let
me know if you feel this is necessary. Thank you for your time.
Thank you.
Caroline Petrovick
155 Pine Street Amherst, MA 01002 coidhamandhartman.com t: 413.549.3616 f: 413.549.6802
,
• RYAN S. HELLWIG, PE • STRUCTURAL ENGINEER •
June 24, 2009
JC Thompson - Carpenter / Builder RYA s cy�
266 Pelham Hill Road a HELMS
Shutesbury, MA 01072 BTRUC IP '
Re: Piano Room Addition °Wi,!{
Cardell Residence ,. �
215 Chestnut Street
Florence, MA
Beam Schedule
Design Criteria: Ground Snow Load = 50 psf
Sloped Roof Snow Load = 32 psf for 8:12 Pitch
Attic Live Load = 20 psf
Floor Live Load = 40 psf
Wind Speed = 90 mph 3 -sec gust
Roof Beam: 8' -6" o/c Span
Roof Trib. = 12 ft (1/4 of 24 ft. wide roof)
Attic Trib. = 7' -6" ('/2 of 15 ft. distance to interior bearing wall)
USE (2) 1%" x 9 %" LVL
2 ° Floor Beam: 14' -6" Span
Floor Trib. = 11' -6" ('/2 of 15 ft. distance to interior bearing wall & 8 ft.
distance to addition exterior wall)
Add 3400 lb. reaction from Roof Beam @ 8' -6" from end
USE (2) 1%" x 16" LVL
Addition Sidewall Joist: 8' -0" o/c Span
Roof Trib. = 8' -6" ('/2 of 17 ft. wide roof)
Add for two -story sidewall dead load
USE (3) 2x10 SPF
Addition Floor Beam: 11' -6" Main Span w/ 1' -6" Cantilever Ea. End
Floor Trib. = 5' -4" (Effective load from cantilevered floor joists)
Add 3300 lb. reaction at ea. end from sidewall joists
USE (3) 1 x 9'/2" LVL
Wall Bracing: Anchor each end of addition floor and roof diaphragms to main house
floor system w/ Simpson Strong -Tie LTT16
• 28 ALDRICH STREET • NORTHAMPTON, MA 01060 •
• Voice = 413 - 584 -HLWG (4594) • Fax = 413 - 584 - HLWFax (4593) • Email = rshpe @crocker.com •
Bor�i` eiah ` a 4 ar s
HOME IMPROVEMENT CONTRACTOR
IL= 4 Registration: 112472
Expiration 1/6/2011 Tr# 278631
Type: DBA
J C THOMPSON CARPENT€R<BU1LDER
JON THOMPSON
266 PELHAM HILL RD
SHUTESBURY, MA 01072: Administrator
3 - 69�
. Board of Building Regale and Standards
Construction Supervisor License
' '' License: CS 42444
Birthdate: 9/5/1954
E- uzuen ::W 5/2009 Tr# 4616
Restriction: 00
JON C THOMPSON
266 _LRAM HILL RD
SHUTESBURY, MA 01072 Commissioner
.
The Commonwealth of Massachusetts
Department of Industrial Accidents
}� Office of Investigations
A¢; it`s
;r 600 Washington Street
*v . `� Boston, MA 02111
'`� : , >.i www mass gov /dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
JJ
Name ( Business /Organization/Individual): � —
tL G Nom Psc:1 1
Address: 266 I 1.4/■ 1)1w 4,4_D
City /State /Zi.: SAJ��SJ ►A, 010 ?2. Phone #: ' S 2.57 - )620
Are you an employer? Check the a propriate box: Type of project (required):
1. ❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and /or part-time).* have hired the sub - contractors 6. ❑New construction
2. [El' I am a sole proprietor— listed on the attached sheet. 7. ❑ Remodeling
-slur and have no employees These sub - contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers'
9. gBuilding addition
[No workers' comp. insurance comp. insurance.$
required.] u 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
]
3. ❑ I am a homeowner doing all work officers have exercised 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
employees. [No workers' 13. ❑ Other
comp. insurance required.]
*Any applicant that checks box #1 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.
tContractors that check this box must attached an additional sheet showing the name 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.
Insurance Company Name:
Policy # or Self -ins. Lic. #: Expiration Date:
Job Site Address: City /State /Zip:
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 of MGL 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 of a 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.
I do hereby cent f under the pains and penalties of perjury that the information provided above is true and correct.
Signature: •^^'' '— Date: 6/21 5
Phone #: ` 4/3 2S . / 6Z-0
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License #
Issuing 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 #:
i
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : \o rl JIo wt PS nl 42441
n' License Number
•
266 76-x 4, 1 -I , u- /fit • Slbi res B ✓al 0/472-- 7/S12ao 7
Address Expiration D to
c, 493- 255 -162-o
Signatur Telephone
9, ReS lstered Home Improvement Contractor: Not Applicable ❑
JG "nit) vA..eso.J C,04-e 1 L / 15 k! 2472—
Company Name Registration Number
/16 /2o
Address Expiration Date
Telephone
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G,t., c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes ❑ No ❑
11. - Home Owner Exemption
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
,
•
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) ED Roofing El
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs ED] Decks [0 Siding [D] Other [D]
Brief Description of Proposed r
Work: 4Pwa *OW r,o ID Lid I1.30-- 4.00N - s. • 2 Alpo 8+'-- o4 --,
Alteration of existing bedroom ✓ Yes No Adding new bedroom Yes ✓ No
Attached Narrative Renovating unfinished basement Yes ✓ No
Plans Attached Roll
6a. If New house and or addition to eaistinQ housing, complete the following:
a. Use of building : One Family ✓ Two Family Other
b. Number of rooms in each family S
!! unit: Number of Bathrooms /0
c. Is there a garage attached? Nv
d. Proposed Square footage of new construction. 24011/ Dimensions 8 '14 /S
e. Number of stories? 2
f. Method of heating? 6-%-(61 r-I c' HOS Fireplaces or Woodstoves /JO Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction 114 r'
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
s
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, Jo py �i4 4-L C.-- , as Owner of the subject
property I
r r
hereby authorize J "t / 04 r%a,J
to act on my behalf, in all m ers relative to work authorized by this build p rmit application.
?/'/
Signs er Date
l'
1, 30 el 114 , 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 under the pains and penalties of perjury.
,1 I'(o+til es a • J
Print t Y /. am_
q,,, y Is / 2.00
Signature •f.6AneWAgent I Date
.
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size t �►l . Y"
Frontage
Setbacks Front' •7$ r
Side 1 4 - R L: R:.. Z� f
Rear 10 + 1°C* .
Building Height t 1
Bldg. Square Footage 760 %
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW a YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO a DONT KNOW (3 YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO el DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES Q 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 a
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO '
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
3epaf meat ttsc -only
City of Northampton to s a€ srm
/ (\ . Building Department Curb Cut/Drveway Permit
212 Main Street Sewer /SepticAvailabrlity
Room 100 Na elt Ava lat #� .
Northampton, MA 01060 Two Sets of Structural Plans
phone 413 - 587 - 1240 Fax 413 - 587 - 1272 Piot/Site Plans
otf`ier specify
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
2/ S eke-47'44r 5 Map Lot Unit
O /U 6 2.. Zone Overlay District
Elm St. District CS District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
J�A%-) D&u— ZIC c 11.64rk-i t r'l- 0/06z_
Name Current Malting Add(' 7
Telephone
Sig a ure
2.2 Authorized Agent:
C 71t6144r 266 ?6 S J;-tSB
Name (Print) Current Mailing Address:
299 -162.0
Signs re Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
4•!,700 . a
2. Electrical oo (b) Estimated Total Cost of
G-' S Construction from (6)
3. Plumbing /J84/- Building Permit Fee
4. Mechanical (HVAC) 750.00
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 4 Opp , O c> Check Number � ; "
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
. ..
File # BP- 2010 -0022
APPLICANT /CONTACT PERSON J C THOMPSON CARPENTER BUILDER
ADDRESS/PHONE 266 PELHAM HILL RD SHUTESBURY (413) 259 -1620
PROPERTY LOCATION 215 CHESTNUT ST
MAP 17A PARCEL 140 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out //,,�� Qf �
Fee Paid /V9�.J Pro
Typeof Construction:_CONSTRUCT 2 STORY 8 X 15 ADDITION (LIVINGRM /BEDROOM)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 042444
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF tMATION 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
Pi e
Signature of Building Official Date
g g
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.
• }
•
BP- 2010 -0022
is #: COMMONWEALTH OF MASSACHUSETTS
:Block :17 -1 t 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- 2010 -0022
Project # JS- 2010 - 000031
Est. Cost: $45000.00
Fee: $96.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: J C THOMPSON CARPENTER BUILDER 042444
Lot Size(sq. ft.): 23870.88 Owner: CARDELL JUDITH B
Zoning: URA(100)/ Applicant: J C THOMPSON CARPENTER BUILDER
AT: 215 CHESTNUT ST
Applicant Address: Phone: Insurance:
266 PELHAM HILL RD (413) 259 -1620
SHUTESBURYMA01072 ISSUED ON:8/4/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY 8 X 15 ADDITION
(LIVINGRM /BEDROOM)
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 8/4/2009 0:00:00 $96.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo