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24D-207 (7) Cntical LC A2 - - • - - 0 0 Message List Vertical Direction Overall Spans Design is OK Pos ilise moment LC : -A2: D + l Nega6,e moment LC: -A1: D Shear LC: -A2: 0 + L Dettec6on LC: -TOTAL LOADS Moment shear interaction LC:-A2: D + L Biareal moment interaction LC: -A2: D + L Web stiffener required at lett support in Span 1 Web stiffener required at right support in Span 1 Spent Positive moment LC:-A2: D + L Negative moment LC: -Ai D Shear LC -A2: 0 +L Deflection LC: -TOTAL LOAD Moment shear interaction LC 0 + L Web cnppting interaction LC:-TOTAL LOADS Biaxial moment interaction LC: -A2: D + L Web stiffener required at left support in Span 1 Web stiffener required at right support in Span 1 Lateral Direction Overall Spans !ias :gr is OK Positive moment LC: -A1: D Negative moment LC' -A1 D Shear LC: -A1: D Deflection LC: -TOTAL LOADS Moment shear interaction LC -Al D Biaial moment interaction LC -A2: D • L Spent Positse moment LC: -A1: D Negative moment LC: -Al: D Shear LC:-A1: 0 Deflection LC: - TOTAL LOAD Moment shear interaction LC -At: D Biaxial moment interaction LC: -A2: D + L PDF created with pdfFactory trial version www.pdffactory.com Span Maximo Vertical Direction Spanl Span2 Span3 Span4 Span5 LC RC Bending Capacity (1b41) 92700 0 0 0 0 0 0 0 Positive Bending Moment (lb-ft) 50657.77 0 0 0 0 0 0 0 Ratio 0.55 0 0 0 0 0 0 0 Critical LC A2 - - - - - - Bending Capacity(tb -N) 92700 0 0 0 0 0 0 0 Negative Bending Moment (lb-ft) 0 0 0 0 0 0 0 0 Ratio 0 0 0 0 0 0 0 0 Cnticai LC Al - - - - - Shear Capacity (lb) 37700 0 0 0 0 0 0 0 Actual Shear (lb) 8810.61 0 0 0 0 0 0 0 Ratio 0.23 0 0 0 0 0 0 0 Cntigl LC A2 - - - - - Deflection Limit (in.) 1.15 0 0 0 0 0 0 0 Deflection (in.) 0.74 0 0 0 0 0 0 0 Ratio 0.64 0 0 0 0 0 0 0 Critical LC TOTAL - - - - Live Deflection Limit (in.) 0.77 0 0 0 0 0 0 0 Deflection (in.) 0.46 0 0 0 0 0 0 0 Ratio 06 0 0 0 0 0 0 0 Critical LC LIVE - Stiffener Capacity (lb) 26000 0 0 0 0 0 0 0 Actual Web Crippling (lb) 8810.61 0 0 0 0 0 0 0 Ratio 0.34 0 0 0 0 0 0 0 Critical LC TOTAL - - - Moment -Shear Interaction Ratio 0.55 0 0 0 0 0 0 0 Critical LC A2 - - - 0 0 Biatdat Moment Interaction Ratio 0.55 0 0 0 0 0 0 0 CnticalLC A2 - - - 0 0 Lateral Direction Spanl Span2 Span3 Span4 Span5 LC RC Bending Capacity (lb-ft) 12000 0 0 0 0 0 0 0 Positi'e Bending Moment (15 -8) 0 0 0 0 0 0 0 0 Ratio 0 0 0 0 0 0 0 0 Critical LC Al - - - - - - Bending Capacity (lb-ft) 12000 0 0 0 0 0 0 0 Negathe Bending Moment (lb-ft) 0 0 0 0 0 0 0 0 Ratio 0 0 0 0 0 0 0 0 Cntcal LC Al - - - - - - • Shear Capacity (lb) 74200 0 0 0 0 0 0 0 Actual Shear (lb) 0 0 0 0 0 0 0 0 Ratio 0 0 0 0 0 0 0 0 Critical LC Al • - - - - - Deflection Limit (in.) 1.15 0 0 0 0 0 0 0 Deflection (in.) 0 0 0 0 0 0 0 0 Ratio 0 0 0 0 0 0 0 0 Critical LC At - - - - • • Live Deflection Limit (in.) 0.77 0 0 0 0 0 0 0 Deflection (in.) 0 0 0 0 0 0 0 0 Ratio 0 0 0 0 0 0 0 0 Critical LC LIVE - - - - - Moment -Shear Interaction Ratio 0 0 0 0 0 0 0 0 Critical LC Al • - - - 0 0 Biaaat Moment Interaction Ratio 0.55 0 0 0 0 0 0 0 PDF created with pdfFactory trial version www.odffactory.com CJ Span Width Dead Live Wind Seismic Snow (ft) (Psi) (Psi) (psf) (Psi) (Psi) False An Spans 6. 30 80 0.0 0.0 0.0 Una Loads : Dead Live Wnd Seismic Snow Span (psi) (pli) (PIf) (PIO) (plc) All Spans 80 0.0 0.0 0.0 0.0 Load Combination Allowable Stress Design (ASD) Al 0 A2:D +L A3 :0+S A4 : 0 + 0.75L + 0.75S A5 :13+W A6:0+ 0.7E A7 : D + 0.75W+ 0.75L + 0.75S A8: 0 * 0.75E + 0.75L + 0.75S A9 : 0.90 + W A10.090 +0.7E Analysis Detail Vertical Direction Lateral Direction Reactionl = 8811 Ib =0 lb Reaction2 = 8811 Ib =01b Stiffener Locations Web Stiffener Required at Location 0 ft = 2 Web Stiffener Required allocation 23 ft = 2 Peskin Check Maximum Overall: Vertical Direction Lateral Direction Bending Capacity = 92700 lb -ft = 12000 lb -ft PosWe Bending Moment = 50657.77 Ib -ft = 0 I0-0 Ratio = 0.55 = 0 Critical LC = A2 = Al Bending Capacity = 92700 lb -ft = 12000 Ib -ft Negative Bending Moment = 0 Ib -ft = 0 lb-ft Ratio = 0 = 0 Critical LC = Al = Al Shear Capacity = 37700 Ib = 74200 Ib Actual Shear = 8810.61 Ib = 0 Ib Ratio = 023 = 0 Critical LC = A2 = Al Deflection Limit = 1.15 in = 1.15 in. Deflection = 0.74 in = 0 M. Ratio = 0.64 = 0 Critical LC = TOTAL = TOTAL Lice Detection Limit = 0.77 M. = 0.77 in. Deflection = 0.46 in = 0 in. Ratio = 0.6 = 0 Critical LC = LIVE = LIVE Stiffener Capacity = 26000 Ib = N/A Actual Web Crippling = 8810.61 Ib = N/A Ratio = 0.34 = N/A Critical LC = TOTAL = N/A Moment -Shear interaction Ratio = 0.55 = 0 Bialdal Moment interaction Ratio =0.55 =0.55 PDF created with pdfFactory trial version www.Ddffactory -com LSB, Lite Steel beam LSB' Selector Software Draft contents of report aenerated by LSB Selector software Version 2.0 Disclaimer The technical data, product specifications and product performance data included as part of the LSB Selector Software are not a substitute for the professional expertise, recommendations and judgment of a certified engineering professional after consideration of important factors like specific project objectives, anticipated structural demands, environmental and climate conditions, and governmental code requirements. The Software and its use under any circumstances are not intended to replace or eliminate the need for the advice of a qualified Professional Engineer. By installing and using the Licensed Product, Licensee assumes complete responsibility for the selection. Use, efficiency, and suitability of the Licensed Product and for the suitability and performance of any product of Licensor selected and used by Licensee in reliance on the Licensed Product Licensor shall have no liability to Licensee or third parties for a failure of the Licensed Product as a design tool or otherwise or for any failure of any product of Licensor to perform or suffice for any purpose. LiteSteel Beam is a trademark, and LSB is a registered trademark of LiteSteel Technologies. Proiect Data Project Name Project Number = Project Location Description Date - =06/09/2011 Designer program Settinag Application version = LSB Selector Software 2.0 Design Method = ASO Units = US (Imperial) Program Mode = Manually Picked Web Stiffener = Yes - Insure the web Stiffener are Installed Allowable Live Deflection = 360 Allowable Total Deflection = 240 Beam Data LSB Beam Size = 1400LSB350.134 Back to Back Number of Spans = 1 Span1 =230 Span 1 Unbraced Length = 0 ft Section Prnnertiag Beam Depth(d) = 13.8 in. Beam Width(b) = 7 in. Flange Depth(dl) =1.18 in. Beam Web Thickness(t) = 0.134 in. Ro =0.201 in. Riw =0.118 in. Area = 7,68 in . Weight/ft = 26.14 lb be =217.6 in° Sx = 31.58 in . Rx = 5.32 in. ly = 11.48 in° Sy4 = 10.66 In? SN = 4.74 in. Ry = 1.221n. m = 1.35 in. G Jf = 8673kin2 = 1.544 in. CW = 168.1 n e Loading Data Area Loads : PDF created with pdfFactory trial version www. pdffactory.com Narrative The subject property, located at 234 State Street, is a single family home in URC. The home is 1620 square feet, and the property is 7,405 square feet. There is also a 173 square foot accessory shed. The project is a gut rehab and will achieve LEED for Homes and Energy Star Certification. All walls and ceilings will be removed down to the studs in the original circa 1900 farmhouse (384 square feet on each floor / 768 square feet total, plus the staircase to the second floor). In the first addition built circa 1950, all walls and ceilings will be removed down to the studs, and the laminate flooring will be removed to the subfloor. Throughout the home, doors and trim will be removed. Three partition walls will be removed. The home layout is being reconfigured, and three new partition walls will be constructed in the process. In order to make the openings larger between the kitchen and family room, and kitchen and living room, new structural supports will be framed. Basement structural work will include the replacement of two spanning light steel I -beams (22 feet long), one with a new footing. The structural work will also include adding collar ties to reinforce the first addition (addition with the kitchen). The existing porch will be reset on a new foundation with concrete poured in sonotubes. The interior staircase between the first and second floors will be rebuilt to meet code, which involves widening the staircase and adding depth to the stair treads. Energy /HVAC work to be completed will include removal of existing equipment (furnace, air ducts, oil tank and gas line, hot water heater and two in -room gas heaters). This equipment will be replaced with a high efficiency combined natural gas hot water boiler and water tank (to be side vented) and baseboard distribution system. In the original home and first addition, in which all walls will be removed, the existing exterior wall cavities will be insulated and sealed with closed cell spray foam. In the second addition (built circa 1970), the plywood siding will be replaced, and in the process, rigid foam board insulation and Tyvek will be installed. Closed cell spray foam insulation will be added in the first floor framing cavities, and except for an insulated closet for the heating equipment, the basement will be removed from the thermal envelope. Additional cellulose insulation will be added in the attic, and additional sealing work will be completed. All windows will be replaced with double -paned replacement windows and all exterior doors will be replaced. All plumbing will be replaced, existing knob and tube wiring will be removed, and the electrical system will be upgraded and new wiring will be installed. The roof and vent pipe flashing will be replaced, additional roof vents will be added, and gutters will be installed. As previously mentioned, the siding on the second addition will be replaced. All new mechanicals will be side vented and the chimney will be removed and capped — in the basement, the chimney will be cleaned and sealed. Additional masonry work to the brick foundation will be completed as well. A basement window well and drain will be replaced. The home will also achieve lead compliance. Work will include scraping of exterior columns and window sills. All interior lead- containing materials will be removed in the demolition. --.1...) 1 1 1a.5 FT EXt NG I 1 234 STATE SfiR CC ;H ED Z)1 -I Ili 25 f LoT ¶ z6 : 14O . FT FkoNt sE 20 FT R, 5 - • 3 FT AMILY' L., scra.AC,K : 2. FT RJR SETgAGt 28 FT - II Stid() SLD6 SETIsACK: 3FT _ St- r Xe4k S6TBAck: 4 FT D It "� i I I 1 d _ . . -0- Atir.„.„..., _. ._.--- 4 A.:~ ''- pANTRY KIrcti EN :1.- C NIMNEY 1 :1114' d •° BEDROOM Z QED e(10 is _.,,, _ L 7c, ._ J x j 4,. U 0 A LtVINLC, T1 r C�,E ®o� �n(k - UT U6FT DKIYEWA"( S£coNO FLOOR SCALE III, 100 FT 15 KT Y i 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 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 backfill) 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 1, 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 Date Address of work location .,. , . ,.. . - • The Commonwealth ofMassachusetts - Department of Industrial ACcidents - Office of In , • r •E. --,." 600 Washington Street r- = , Boston, MA 02111 . - -,•, -...- - a .',.r -,;•....r.....-,, . .. , . www.mass.gov/dia ' • , • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers - • Applicant Information - Please Print Legibly Name (Businesi/Organizadon/IndiviAmo: . . . - - Address: ( 50,1A4 Mk 54- • . , • 7 . . * City/State/Zip: T tRACk... - - Phone.#: '€(i3 --4 1 4 '01 - 34-3 I - Are you an employer? Check the appropriatebox: ' . •Type of project (required):. / 1. I am a employer with - 4, 0 I am a general contractor and 1 6 0 New coistruction have hired the sub-contractors employees (fall and/or part-time). lis-ted on Iheari sheet: 7. 0 Remodeling 2_4;14 ara a Sole propietor or partner- These sub-contractors have S. 0 Derra - ship and bave no e3-loyees working forme m any capacity kirAiloyees,andliaye workers' .-.... : -,. • • 9: 011iildnii'adititiii [No workers' comp. instrance . 10.0 require Electrical repairs or additions , . . 5. 0 We are a corporation and its 3. 0 I am a homeowner doing all work officers hairefzerCised 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. PI Cithei _-ii . . . *Any applicant -that checks box #1 also fill out the section belowshowmg theirsVorkere com3ensation policy informatiou; f Homeowner* v/ho submit this affidavit intIng they are doings]] work and then hire outside contractora must submita new affidavit indicatiag such. :Contractors that check this box must attached an additional sheet showing the name of the subcontractors and "state wiether•ornotlhose•entities have • . • employees. If the sub-contraCtorshaVe employees, they must provide their wOrkeis' comp. poky number. • - , run an employer that isp roviding workers' compensation insurance for my anplOyees. Below IF the polieyand job site information. : . . . • . . - • • . . . • • - Insurance Company Name: • • •• . . . .. . . . . . . . . . . Expiration Date: Policy # or Self-iiii. Lic. # • . . . . .. . . . . . Job Site Address: : - . '' City/StafriZip:'. Attach a copy of the workers' compensation policy declaration page (showing the policy iiiirober and date). .. . . ., .._ . • • • . , • • . :. ... • Failure to secure coverage as required itti SeetrOn lead to the iiiiPositiiiii Of of a fine up to S1,500.00 ancVor orie as weil as civil Penalties in the form of a STOP WORK-ORDER and a fine . _ . _ . : . of up to S25000 a day against tlie violator Be advised that a copy of thi.s statement may be forWarded.tailii•OEceof r afeitiiations - tif the for hisMance CoVeinue verification. _ . _ . . . ...... .: : ........ ;: ... ...... „,_, ... fda unite/7 the pain' . . sand penalties olperjaly that infOrtnati'onprOvidettabOVelittitejandiorroc, ' .... ' . , .. .. . .......-.._.,_ . . Siena6ize: ...:4t" • . - : . • Dili: ( --rt 4 - 9..6.1,1 • . . , , • Phone i: 4( 3 — Gig ct–'3‘13 ( . _ _• • •:_-.-•' •-_ ' • • . - • • . . - Offidal ttse only. Do not write in this area, to be completed by city or toWn'afficial 1 . . " City or Town: Issuing Authority (circle one): ' ‘ r ' • . *- Permit/License # ' _ . . ... • .1. Board of Health 2. Building Department 3. City/Town Clerk 4. ElectricalInmector 5. Plumbing Inspector 6. Cither Contact Person: - . Phone #: - . • - • • SECTION 8 -- CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: C Not Applicable � ❑ Name of License Holder : t dd/7�{ c.j 0c 1 " t / n,� License Number Ad 500 � ARAN �. ! ld+ qN► LP (/"1.t.- O (o 607 FC ^.1 a ►off Address Expiration Date Signature • Telephond.: . . ; , . , .9 , eaisteiia,it iiirie tri.prdrremdiita ictcia. q N' ,' ...., 41: Not Applicable ❑ r J Saa2, 16$ cal 3 Company Name Registration Number (Da s' b..vt s 4- . J!ov'2 i ts ,Ma 4 - a _?o t3 Address Expiration Date Telephone 41 `l jq -3Y3( 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 ❑ The current exemption for "homeowners" was extended to include Owner- occupied Dwellines 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 1083.5.1. 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 buildine 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) [ Roofing 0 Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [[] .. Siding [D] , Other ]0]. ' Brief Desccigtion of Propos P Work: 1o(a(Q x11 Q4120►04 W *'.I -in floo4A, s" L.s B &Am t Zn, .(0 (.16r ` $ To K.+.Lay CAC' 02c r oof Alteration of existing bedroom Yes '7 No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet fa. f Ur i ii iii . liatai ita X itif oilib a otrliflejilfi 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 Ta - OWNER AUTHORIZATION - TO BE COMPLETED WHEN , OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i /SL ACK SHEEP DcvEL'OPMENT L`C /DAN/ «.E T /✓ ` /('i/ as Owner of the subject property ff // hereby authorize /T e it AV' SOU to act on m behalf, in all matters �relative to work authorized by this building permit application. awt�/1r ti fi(7 -- 44/23/!! Signature of Owner / Date I, Oek S 0' , 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. ORAIvr � J Print Name Signs f Owner /Agent Date • I Section 4. ZONING All Information Must Be Completed. Permit Can Be benieq Due To Incomplete Information x Existing Plated I Required by Zoning This column to be filled in by Building Department ' Lot Size qO .= Z `f .. .,1• • _ I . Frontage t 5`5" #'1 I • T .._.__, Setbacks Front E pp JI r9 1 Side L I R: F � L: J R:` 3 ? d _ Rear al Building Height Bldg. Square Footage ft. l [A7• t % (i I $1 :17, i. I Open Space Footage (Lot area minus bldg & paved !Iii _..w parking) # of Parking Spaces 1 Fill: , _WA__, T ____ � I (volume & Location) --- '� 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:1 ' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book g P age i ? 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: C. Do any signs exist on the property? YES 0 NO el IF YES, describe size, type and location: ~ .__ .w _....__,__,........ ; D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: 1 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 go IF YES, then a Northampton Storm Water Management Permit from the DPW is required. .. Y RECEIVED City of North am • • , ' : - : 2 Building Dep )rt -rat € h. 6 � 4 cull " . 212 Main . tre: �, � Room 1 )0 .0 # . . �� Northampton, MA -: et NOwsPE g d ,g. phone 413 - 587 -1240 - 2 " 1 :`'''' t7 0106 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 2.34 STATE STREET Map Lot Unit NoRtHAt "PTow MA o1o60 Zone Overlay Distract ELM St. Distract CB District SECTION 2:- PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: BLACK Siit.E' DEVELOPMENT LLC/ 92 DAY AVENV A/02TWAMPToii MA Name Print) . A 141 1 E 1.1.E J M c KA14 N Current Mailing Address: 010‘0 61.-1.4-cA // ` / �� 4/3.320. %Lf �l G Telephone Signature 2.2 Authorized Agent: ► S 5 a.3-z (02. Sovh -L Mw1h 64-* f-IoireaQo_ A.. Name (Print) , Current Mailing Address: _....■l.. t 't t3 -- I L ( C t —3Y3 Si - , Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item ' Cost (Dollars) to be Offical Use!Only completed by hermit applicant 1. Building (a) Building Permit Fee 1;OO,oO 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) l +r w I: t +,1„t 1 5. c r t ) 5. Fire Protection 4 P f FE-6 6. Total = (1 + 2 + 3 + 4 + 5) '8300 - oO Check Number This Section For Official! Use Only Date Building Permit Number: Issued: Signature 0" 1 / Building Commissioner /inspector of Buildings Date 234 STATE ST BP- 2011 -1093 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 207 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- 2011 -1093 Project # JS- 2011- 001342 Est. Cost: Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HENRY J SOUZA Lot Size(sq. ft.): 7230.96 Owner: MCKAHN DANIELLE J Zoning: URC(100)/ Applicant: HENRY J SOUZA AT: 234 STATE ST Applicant Address: Phone: Insurance: 62 SOUTH MAIN ST (413) 949 -3431 FLOREN CEMA01062 ISSUED ON: 6/24/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: Install beams and collar ties 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 6/24/2011 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner