25A-096 65 Sherman Ave 12 -28 -11
eyBe Northampton Ma. 1:37pm
1 of 1
KeyBeam® 4.507f
kmBeamEngine 4.509s
Materials Database 1318
Member Data
Description: Member Type: Beam Application: Floor
Top Lateral Bracing: Continuous
Bottom Lateral Bracing: None
Standard Load: Moisture Condition: Dry Building Code: IBC / IRC
Dead Load: 10 PLF Deflection Criteria: L/360 live, L/240 total
Live Load: 30 PLF Deck Connection: Nailed Member Weight: 11.7 PLF
Filename: KYB1
Other Loads
Type Trib. Dead Other
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform (PSF) Top 0' 0.00" 15 10.00" 12' 0.00" 10 30 Live
, �,� Va "� � -a,` w =-"7" '�` e�� �,= �`�� t if' � ' 4ij Vi=a^ i` r r _ ,
15 10 0
P
15 10 0
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall Steel 3.500" 1.500" 3785# --
2 15' 4.750" Wall Steel 3.500" 1.500" 3785# --
Maximum Load Case Reactions
Used for applying point loads (or line loads) to carrying members
Dead Live
1 1014# 2771#
2 1014# 2771#
Design spans
15' 4.750"
Product: 1- 3/4x11 -7/8 VERSA -LAM 2.0 3100 SP 2 ply
Component Member Design has Passed Design Checks. **
Design assumes continuous lateral bracing along the top chord.
Design assumes no lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 14569.'# 21275.'# 68% 7.7' Total load D +L
Shear 3298.# 7897.# 41% 0.01' Total load D +L
Max. Reaction 3785.# 9187.# 41% 0' Total load D +L
TL Deflection 0.6363" 0.7698" U290 7.7' Total load D +L
LL Deflection 0.4659" 0.5132" 11396 7.7' Total load L
Control: LL Deflection
DOLs: Live = 100% Snow =115% Roof= 125% Wind= 160%
Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives
All product names are trademarks of their respective owners
= Cop (C)1987 -2011 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED.
�tl - �1LR1't21if:S.t LI'
"Passing is defined as when the member, floor joist, beam or girder, shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet.
The design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product installation according to the manufacturers specifications.
65 Sherman Ave 12 -28 -11
KeyBe Northampton Ma. 1:37pm
1 of 1
KeyBeam® 4.507f
kmBeamEngine 4.509s
Materials Database 1318
Member Data
Description: Member Type: Beam Application: Floor
Top Lateral Bracing: Continuous
Bottom Lateral Bracing: None
Standard Load: Moisture Condition: Dry Building Code: IBC / IRC
Dead Load: 10 PLF Deflection Criteria: L/360 live, U240 total
Live Load: 30 PLF Deck Connection: Nailed Member Weight: 11.7 PLF
Filename: KYB1
Other Loads
Type Trib. Dead Other
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform (PSF) Top 0' 0.00" 15' 10.00" 12' 0.00" 10 30 Live
15 10 0
1510 0
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall Steel 3.500" 1.500" 3785# --
2 15' 4.750" Wall Steel 3.500" 1.500" 785 --
Maximum Load Case Reactions
Used for applying point loads (or line loads) to carrying members
Dead Live
1 1014# 2771#
2 1014# 2771#
Design spans
15' 4.750"
Product: 1- 3/4x11 -7/8 VERSA -LAM 2.0 3100 SP 2 ply
Component Member Design has Passed Design Checks.**
Design assumes continuous lateral bracing along the top chord.
Design assumes no lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 14569.'# 21275.'# 68% 7.7' Total load D +L
Shear 3298.# 7897.# 41% 0.01' Total load D +L
Max. Reaction 3785.# 9187.# 41% 0' Total load D +L
TL Deflection 0.6363" 0.7698" L/290 7.7' Total load D +L
LL Deflection 0.4659" 0.5132" L/396 7.7' Total load L
Control: LL Deflection
DOLs: Live = 100% Snow =115% Roof =125% Wind= 160%
Manufacturer's installation guide MUST be consulted for multi -ply connection details and altematives
All product names are trademarks of their respective owners
ik sCopynght (C)1987 -2011 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED.
- ixurursr >. rr.c
"Passing is defined as when the member, floor joist, beam or girder, shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet.
The design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product installation according to the manufacturers specifications.
City of Northampton
AMA
Massachusetts
vett
DEPARTMENT OF BUILDING INSPECTIONS s ice'
7
�t 4
212 Main Street • Municipal Building �
Northampton, MA 01060 d` `b
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her
construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which
he /she resides or intends 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."
The building department for the City of Northampton wants any person(s) who seek to use the home
owner exemption, to act as their own construction supervisor, to be aware that by doing so you
become responsible for compliance with state building codes and regulations. The inspection
process requires that the building department be called to inspect work at various stages, which include
foundation /footings (before backfili), sonotube holes (before pour), a rough building inspection
(before work is concealed), insulation inspection (if required) and a final building inspection.
The building department requires these inspections before the work is concealed, failure to secure
these inspections can result in failure to obtain a certificate of occupancy until the work can be
inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be
responsible to make sure that the trades hired secure their proper permits in conjunction to the building
permit issued, and that they get their required inspections. Failure of the individual trades to secure
the permits and inspections as required can DELAY the project until such time as the proper permits
and inspections are made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date
Address of work location
. The Commonwealth of Massachusetts
,,k _. Department of Industrial Accidents
,_ Office of Investigations
.. 5' 600 Washington Street
it -1 " Boston, MA 02111
"�` www mass gov /dia
Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers
Applicant Information Please Print Legibly
Nary e (Business/Organization/Individual):
T O 1) IO 0 W-411 n a 7 1^il G„ s „v_ V . ' t. f
Address: `)- s (° r. ) 5 fi
M IA
City /State /Zip: E ix j )— \., e w- . P .-,'N j Phone #: i ^^ (
Are you an employer? Check the appropriate box: Type of project (required):
1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part- time).* have hired the sub - contractors
2. ( I am a sole proprietor or partner - listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub contractors have g. Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp. insurance comp. insurance.
required.] 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. ❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13. ❑ Other
1 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.
$Contractors 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 hereb certify under the pains and penalties of perjury that the information provided above is true and correct.
L
Signatur . '\./L --- Date: \ �- a- 1 I \ 1.
Phone #:
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 #:
J
SECTION 8 CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Appl ❑
Name of License Holder : Y jN t ,, '- L t' - ' ..SZ ( 00 1 ),
License Number
•e■ s � EllA- tel4 w, e ko ( i ► ),
Address fr• q 0 I 0 - a 3- Expiration Date
• ature Telephone
ed e e ,. lie; mpr.ovemeil ,Cori -,Fe4 Not Ap�pplicca 0
Company Name Registration Number
0 ( G t X W a 0 w t .� `. S -ter v < -r S
Address � J f tt 16\n f / G Expiration Date
S h� S fi 61 (7 a-- -3'" Telephone 4 (
1 - 1- '} 1 `1
SECTION 1,0 WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M G L x § 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 l No ❑
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
•
J
SECTION 5= DESCRIPTION .O ':PROPOSED WORK (Check ail 'applicable)
.�
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing I I
Or Doors 0
Accessory Bldg. ❑ Demolition New Signs [El] Decks [p Siding [0] Other [0]
Brief Description of Proposed
Work: P .f 1r•1 0
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
a ; ew hou - ands addiltron° o.'exis ing.. ousinq omp ete hL UQwinct:
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 OWNERAUTHORIZATION TO ',BE COMPLETED WHEN is
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING'PERIIMIT
, 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
IN At 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 under the pains and penalties of perjury.
Print e
Signat re of Owner /Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
b
Existing Proposed Required by 'Zoning
This column to be filled in by
Building Department
Lot Size i ` 1 i f i
r
Frontage i
Setbacks Front } 'r.
Side I: ` l R:I L:i ` R.:I f L_____1 1
T I i
Rear i
Building Height I 1 j
Bldg. Square Footage r ] % t-'
Open Space Footage % € 4
(Lot area minus bldg & paved I
parking) -
# of Parking Spaces = 1
Fill: .____. _ , _ _. _
I
(volume & Location)
1 i; € l
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:3
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book I Pagel 1 and /or Document # I
B. Does the site contain a brook, body of water or wetlands? NO 0 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 , Date Issued: {
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location: 1 1
3
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
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.
File # BP- 2012 -0614
APPLICANT /CONTACT PERSON IRWIN ACHMAD
ADDRESS/PHONE 7 Spring Street EASTHAMPTON (413) 977 -1925 0
PROPERTY LOCATION 65 SHERMAN AVE
MAP 25A PARCEL 096 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out J
Fee Paid / 155
Tvpeof Construction: DEMO WALL /1 Iii
New Construction
Non Structural interior renovations �4 "dam e
Addition to Existin! .
Accesso Structure d4
Buildin l Plans Included: _ �� Q
Owner/ Statement or License 100992
3 sets of Plans / Plot Plan
THE FOL NG ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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
t.D y ,,,741
Si ya . •.� a of B ildng Off ial 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.
65 SHERMAN AVE BP -2012 -0614
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25A - 096 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2012 -0614
Project # JS- 2012- 001064
Est. Cost: $3000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: IRWIN AC H MAD 100992
Lot Size(sq. ft.): 7884.36 Owner: SPIEGAL HELEN & KEELY SAVOIE
Zoning: URB(100)/ Applicant: IRWIN AC H MAD
AT: 65 SHERMAN AVE
Applicant Address: Phone: Insurance:
7 Spring Street (413) 977 -1925 0
EASTHAMPTONMA01027 ISSUED ON:1/4/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: DEMO WALL - BEAM BEARING MUST BE
SUFFICIENT FOR THE LOAD
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 1/4/2012 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner