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23A-149 Forte MEMBER REPORT Level, Floor: Drop Beam, 15'5 clear span, 16" DEEP PASSED 3 piece(s) 1 3/4" x 16" 1.9E Microllam® LVL Overall Length: 16' 4" - k.S ; :;' 1 :7ggttirii5:,' , i? 4 q3PMWFPVL;"V.4 5 Aiti;TaakeZNI'l Fi z:', - * - f r kit4Yif , ti , dtilg:' T t - Nil - ';r:R , 1W?,,k ,l'AW44, , t1:44.0.ilivrikr-1414-.1* '•- 0 0 t t t t It 1 I 15' 5" 't 4' El S All Dimensions Are Horizontal;Drawing is Conceptual Design Results Actual 6 Location Allowed Result LOP . Loath Combination (Pattern) System : Floor Member Reaction (lbs) 10538 @ 4" 12272 Passed (8696) -- 1.0 D + 0.75 L + 0.75 5 (All Spans) Member Type : Drop Beam Shear (lbs) 8411 © 1' 9 1/2" 15960 Passed (5396) 1.00 1.0 D + 1.0 L (All Spans) Building Use : Residential Moment (Ft-lbs) 50033 @ 8' 53672 Passed (93%) 1.15 1.0 D + 0.75 L + 0.75 5 (All Spans) Building Code : IBC Live Load Defl. (in) 0.420 @ 8' 0.522 Passed (L/448) -- 1.0 D + 0.75 L + 0.75 S (All Spans) Design Methodology : ASD Total Load Defl. (in) 0.668 @ 8' _ 0.783 Passed (1/281) -- 1.0 D + 0.75 L + 0.75 S (All Spans) • Deflection criteria: LL (L/360) and T. (L/240). • Bracing (Lu): All compression edges (top and bottan) must be braced at 3' 1 1/16" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing toads to Supports (lbs) Supports Total Avallabie ltorpilred Dead ` Snow Total Accessories 1 - Stud wall - SPF 5.50 5.50 4.72 3923 6574 2247 12744 Blocking 2 - Stud wall - SPF 5.50 5.50" 4.69' 31 6574 2153 12609 Blocking • Blocking Panels are assumed to carry no loads apphed directly above them and the full load is applied to the member being designed. Tributary Dead Floor Live Snow Loads ' Location Width ( (1.90) (1.15) Comments 1 - Uniform(PSF) 0 to 164 11' 6 12.0 40.0 - 2nd floor joist load 2 - Uniform(PSF) 0 to 16 4 11 6' 12.0 30.0 - attic floor joist load 3 - Uniform(PLF) 0 to 16 4 N/A 60.0 dead load from wall above roof point load in 8 from end 4 - Point(Ib) 8' N/A 1937 - 4400 (conservative location) 'LEVEL. Notes (t SUSTANABIA" ropcsmi 0 1 iLevel 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.ilevelcorn) 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. level 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 Terry Reynolds For;, Sofrwore f.:)i.: , 1 Job Note ' ',.", ,'''...,..:, .'"`i •'!: 4 I 1 rt Forte flsl* REPORT Level, mock roof be for po int load on main g irder PASSED software 1 piece(s) 3 1/2" x 9 1/4" 2.0E Parallam® PSL Overall Length: 15' . ' � s ` �y'z. fJ a f<�.7•�'t'� �>- nab e { �g c "vs ,c3f� y k 4} L'2 ' Fi -441 t' 1 `a ye '° 1 e > ; s 2f t"r� : } f .. ., • te r 0 I/ t t ri r I If fit I r s" r s• 0 El All Dimensions Are Horizontal;Drawing is Conceptual Design Results Actual @ Location Allowed Result LDF Load: Combination (Pattern) System : Roof Member Reaction (Ibs) 6337 @ 7' 6" 8881 Passed (71%) -- 1.0 D + 1.0 S (All Spans) Member Type : Drop Beam Shear (Ibs) 2535 @ 8' 5" 7198 Passed (3596) 1.15 1.0 D + 1.0 S (An Spans) Building Use : Residential Moment (Ft-Ibs) -4647 @ 7' 6" 14278 Passed (3396) 1.15 1.0 D + 1.0 S (An Spans) Building Code : IBC Live Load Deft. (in) 0.039 @ 3' 3 3/8" 0.244 Passed (L/999 +) -- 1.0 D + 1.0 S (An Spans) Design Methodology : ASD Total Load Deft. (in) 0.057 © 3' 3 3/8" 0.367 Passed (1/999 +) -- 1.0 D + 1.0 S (An Spans) Member Pitch: 0/12 • Deflection criteria: LL (L/360) and TL (L/240). • Bracing (Lu): All compression edges (top and bottom) must be braced at 15' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Loads to Suppoits (16s) Supports Total Available Required Dead Snow Total Accessories 1 - Column - SPF 3.50' 3.50' 1.50' 616 1400 2016 Blocking 2 - Column - SPF 3.50 3.50 2.50 1937 4400 6337 Blocking 3 - Column - SPF 3.50 3.50' 1.50" 616 1400 2016 Blocking • Blocking Panels are assumed to carry no bads applied directly above them and the full load is applied to the member being designed. Tributary Dead Snow Loads Location Width (0.90) (1.15) Comments 1 - Uniform(PSF) O to 15 12' 16.8 40.0 Snow ILEVEL Notes f St LST \INAi1I F r <>etstRY iN± ill: ivF !Level warrants that the sizing of its products will be in accordance with !Level product design criteria and published design values. iLevel expressly disclaim any other warranties related to the software. Refer to current level 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 bads, dimensions and support information have been provided by Terry Reynolds kr Forte MEMBER REPORT Level, Floor: Drop Beam, 15'5 clear span, 14 "DEEP PASSED 4 ?� software 4 piece(s) 13/4" x 14" 1.9E Microllam® LVL Overall Length: 16' 4" i uit e , s 1 '}�4i! _ u � _ l ""' E 4 r 4 o c t i a ` o C � � . 1.f u y a ` r t g � `t`ptte4, '(y9 1u. ""'� E c tai ,.p pat = ° - e rte"'` r� �} i'.x � x a" � 3 n Pk x d - a it - p 'i5`� s �r ts=4 ��s"t l - 1 alit s r + , a , a,.- im o x r s rr'` ',� ,. 4 r m a,m + m r p r r 15' 5 " i ` o All Dimensions Are Horizontal;Drawing is Conceptual Deslgn Results Actual 0 Location Allowed Result LDF Load: Combination (Pattern) System : Floor Member Reaction (lbs) 10570 © 4" 16363 Passed (65 %) -- 1.0 D + 0.75 L + 0.75 S (All Spans) Member Type : Drop Beam Shear (lbs) 8630 @ 1' 7 1/2" 18620 Passed (46 %) 1.00 1.0 D + 1.0 L (All Spans) Building Use : Residential Moment (Ft -lbs) 50151 @ 8' 55794 Passed (90 %) 1.15 1.0 D + 0.75 L + 0.75 S (All Spans) Building Code : IBC Live Load Defl. (in) 0.458 C 8' 0.522 Passed (L/411) -- 1.0 D + 0.75 L + 0.75 S (All Spans) Design Methodology : ASD Total Load Defl. (in) 0.731 © 8' 0.783 Passed (L/257) -- _ 1.0 D + 0.75 L + 0.75 S (All Spans) • Deflection criteria: LL (L/360) and TL (L/240). • Bracing (Lu): All compression edges (top and bottom) must be braced at 7 11/16" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. Beating Loads to Supports(lbs) Supports Total Available Required Dead Uv Show Total Accessories 1 - Stud wall - SPF 5.50' 5.50' 3.55' 3954 6574 2247 12775 Blocking 2 - Stud wall - SPF 5.50` 5.50' 3.53" 3913 6574 2153 12640 Blocking • Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. Tributary Dead Floor Live Snow Loads Location Width (0,90) (1.00) (1,15) Comments 1 - Uniform(PSF) O to 16 4 11 6 12.0 40.0 - 2nd floor joist load 2 - Uniform(PSF) 0 to 16 4" 11' 6 12.0 30.0 - attic floor joist load 3 - Uniform(PLF) 0 to 16 4 N/A 60.0 - - dead bad from wall above 4 - Point(lb) 8' N/A 1937 - 4400 roof point load in 8' from end (conservative location) LEVEL Notes a „aroomrroir.>rr ■r- io iLevel warrants that the sizing of its products will be in accordance with iLevel product design criteria and published design values. iLevel 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 Blod(s) 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 bads, dimensions and support information have been provided by Terry Reynolds -t , ti Forte t )l_ 3 4 A> RED #X ix software 110 Pine St NOHO.4te 03 *,Level Member Name Resutts Current Solution Comments Floor: Drop Beam, 15'5 clear span, 14 "DEEP Passed 4 Piece(s) 1 3/4" x 14" 1.9E Mkrollam® LVL mock roof beam for point load on main girder Passed 1 Piece(s) 3 1/2" x 9 1/4" 2.0E Parallam® PSL Floor: Drop Beam, 15'S clear span, 16" DEEP Passed 3 Piece(s) 1 3/4" x 16" 1.9E Microllam® LVL r-- r-- ' 1 i / 1 \\\ v.k\I v I ft � , t►l \\\ - - `, q ao) 001011111.1111----------------_____ , \\\ :� ______.\---------------_____ . -0JAiia'0' -------\\ �� a .v \ OW 4 -- e ,, \ e /Q 2 - ( 9■ di ,,,, , , / / 4 4 - --- C - " / 8' l (.......'%..... ""- 27' I 33' Walt 36' 4"-----, Caner Pantry G /36. 24' �I I Door ss 5' -3' — 36' Open 1 Boaksheli Cabinet 36 27' 4 ' Open Bottom f Desk s S' Drawer I _ — 18' Pantry 3' - 6" 30' 32 ' 30' Sliding Drawers Trays T r- 3'-0 1,. FrNis y 9'_4 3 8" r *� /_ th., le 7 —8 ` Braeerl 36. 33' 18' 24' 7 21' SS L8. Trash 3 6' .. Dish SPK. Renee Drawer Washer J I I 17' -9' ` D '\j \r-, ^{ ep 1 e_4.e.- ( 1/ -1 • City of Northampton Massachusetts • �. �. DEPARTMENT OF BUILDING INSPECTIONS zn 212 Main Street • Municipal Building Northampton, MA 01060 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 backfiii), 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 /`e -A,c—e ILO re understand the above. (Home owner /resident's s ' nature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date V3 )) 2 Address of work location 11 D P 4: )t - o f VLIA— The Commonwealth of Massachusetts ,,,, Department o f Industrial Accidents . """"'S '""" 7.1 Office of Investigations ' =rolgt . = `? 600 Washington Street R JO •r ... " ""'� Boston, MA 02111 ` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): (N t ,/L Address: ) [ 0 1 , City /State /Zip: v '- -- kg I 0G Z Phone #: ii . s-- - 5 �7" 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 employees (full and/or part- time).* have hired the sub - contractors 6. ['New construction listed on the attached sheet. 7. 51] Remodeling 2. El I am a sole proprietor or partner- have ors These sub-contractors h ship and have no employees 8. ['Demolition working for me in any capacity. employees and have workers' 9. 111 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. ❑ 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 � comp. insurance required.] 1 I *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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb e ' under the pains an , enaltieso that the information provided above is true and correct. Signature: / , Date: /�� )Ii Phone #: t L j 3 — : Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other • Contact Person: Phone #: SECTION 8 CONSTRUCTION SERVICE 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone WgTifi'rTdW'net rriiWiaelire'tlreo7rtraaoi-atteaftVq*A94etotMttt Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M G L c, 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ t 8 ' I to F;, ®$ 011 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 " homeowne " ifies and assumes responsibility compliance with the State Building Code, City of Northampton Ordinance a and Local Zoning La d Sta ✓ assachusetts General Laws Annotated. Homeowner Signature • SECTION 5- DESCRIPTIQN OF 'PROPOSED WORK:v(check all applicable) a ; _ „. ,, New House ❑ Addition ❑ Replacement Windows Alteration(s) ® Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [0] Other [0] Brief Description of Pr sed Work: L'-) c.4c^ Alteration of existing bedroom Yes ? No Adding new bedroom Yes Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet );a . ew t�o i; dition #aye cistinq_housinq complete.. lie :ollow nq: 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 OWNER , OWNER AUT}1ORIZATION., , O BE COMPLETED WHEN , SAGENT OR FOR BUILDING PERMIT �`3!��� .,.fl.. 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. Signature of Owner Date , 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 Name Signature of Owner /Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incom In n ' x Existing Proposed Required by ring This column to be fille Building Department lc F Lot Size GCG J c ) Q[ t C ;_ _ ". 7:1 ..r ; of < Frontage Setbacks Front = I i Side L:E I R: I L:' i R:` = I �___ I Rear CtfC� Building Height t i 1 1 , ni C jd, Q Bldg. Square Footage 7 _ 1 % 1 1 t = I Open Space Footage area minus bldg & paved j I , i i parking) L # of Parking Spaces Z 1 ... Fill: ___ a _ ._ . __ (volume & Location) A. Has a Special Permit /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 [ I Page 1 and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 0 , Date Issued: I C. Do any signs exist on the property? YES 0 NO 'cil 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 Ct IF YES, describe size, type and location: I E. Will the construction activity disturb (clearing, grading, e cavation, 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 -0686 APPLICANT /CONTACT PERSON REYNOLDS TERRENCE R ADDRESS/PHONE 120 NORTH ST WHATELY (413) 387 -8078 Q PROPERTY LOCATION 110 PINE ST MAP 23A PARCEL 149 001 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 Fee Paid Typeof Construction: REMOVE WALL & NEW KITCHEN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLL G 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 iy 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. 110 PINE ST BP- 2012 -0686 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A - 149 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 -0686 Project # JS- 2012- 001204 Est. Cost: $14700.00 Fee: $88.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 43995.60 Owner: REYNOLDS TERRENCE R Zoning: URB(100)/ Applicant: REYNOLDS TERRENCE R AT: 110 PINE ST Applicant Address: Phone: Insurance: 110 PINE ST (413) 387 -8078 0 FLORENCEMA01062 ISSUED ON:2/3/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: REMOVE WALL & NEW KITCHEN 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 2/3/2012 0:00:00 $88.20 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner 110 PINE ST BP-2012-0686 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A -149 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 -0656 Proiect # JS -2012 - 001204 Est. Cost: $14700.00 Fee: $88.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sd ft.): 43995.60 Owner: REYNOLDS TERRENCE R Zoning: URB(1.00)/ Applicant: REYNOLDS TERRENCE R AT: 110 PNEi Applicant Address: Phone: Insurance: 110 PINE ST (413) 387 -8078 () FLORENCEMA01062 ISSUED ON:2/3/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: REMOVE WALL & NEW KITCHEN 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 :,-. // -[ "� j o gh: / p�ia House # Foundation: Driveway Final: Fina1�.3 "� F _ _ j� S Rou h Frame: P./i - g ck t Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final —o l pJ � eSmoke: Final: Q 6 5_/g THIS PERMIT MAY BE REVO • I BY THE ITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND ' • /4% = ' ..weL / 41.0.,4 Certificate of Occupancy .ignature: N _ _ FeeType: Date Paid: Amount: Building 2/3/2012 0:00:00 $88.20 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner