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• RYAN S. HELLWIG, PE • STRUCTURAL ENGINEER •
, .0 Of Mgs �gc
4' RYAN S. t
HELLWIG
S STRUCTURAL v
N
October 5, 2009
; 10-
Dean Acheson • � r
Acheson Company / ✓ / •
6 North Main Street
P. O. Box 1052
Williamsburg, MA 01096
Re: Replacement Beam for Existing Front Porch Roof
42 Beacon Street
Florence, MA
Beam Schedule
Design Criteria:
Ground Snow Load = 50 psf
Temperature Factor C, = 1.1
Low -slope Roof Snow Load = 38.5 psf
Length of Upper Roof Available for Drift on Low Roof = 40 ft.
Drift Height = 2 ft. 8 in.
Drift Length = 11 ft.
Maximum Snow Drift Intensity = 56 psf
Beam Tributary Width = 7' - 6" (half of 11 ft deep porch w/ 2 ft. eave overhang)
Beam Span = 15 ft. on center of support piers
Beam Deflection = L/240 maximum for snow loads
Use Four 1.75" x 9 -' /2" LVL
LVL (Laminated Veneer Lumber) Specification:
E = 2,000,000 psi (Modulus of Elasticity)
F = 3000 psi (Allowable Bending Stress - Base/Unadjusted)
• 28 ALDRICH STREET • NORTHAMPTON, MA 01060 •
• VOICE 413 - 584 -HLWG (4594) • FAX 413 - 584 - HLWFax (4593) •
•
ACORN CERTIFICATE OF LIABILITY INSURANCE ACHES-1 DATE (MM/DD/YYYY)
10/16/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
AXiA Insurance Svc B. I .S . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
73 Market Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Springfield MA 01103
Phone: 413 205 - 2942 Fax:413 886 - 0190 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Travelers Insurance Co 01899
INSURER B: National Grange Mutual Ins. Co
Acheson Company
Dean Acheson INSURER C:
6 North Main Street INSURER D:
Williamsburg MA 01096
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXPIRATION
INISRACEIt POLICY EFFECTIVE LTR TYPE OF INSURANCE POLICY NUMBER MIND " � Y ( LIMITS
GENERAL UABIUTY EACH OCCURRENCE $ 1000000
$ X COMMERCIAL GENERAL LIABILITY MPK6058N 05/09/09 05/09/10 S Ea "occur $ 500000
CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10000
PERSONAL S ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2000000
GE 1. AGGREGATE OMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000
POLICY ,a LOC
AUTOMOBILE LABILITY COMBINED SINGLE LIMIT
A ANY AUTO BA- 3196N153- 09 -SEL 03/15/09 03/15/10
(Ea accident)
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS (Per person) $ 100 000
X HIRED AUTOS BODILY INJURY
X NON -OWNED AUTOS (Per accident) $ 300000
PROPERTY DAMAGE $ 300,000
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AU OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND TOR S ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
B Property Section MPK6058N 05/09/09 05/09/10
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
CITYOFN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Northampton
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
James B Lawton
ACORD 26 (2001/08) ® ACORD CORPORATION '1
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 p cessiequires that the buildin d epartment 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- conjunctionto- ermit_issued,, 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.
mate
Address of work
location
, The Commonwealth of Massachusetts
Department of Industrial Accidents
_►�_ ! Office of Investigations
k., n , , * 600 Washington Street
• _° �� / Boston, MA 02111
,;. www.mass gov /dia
-Workers' Compensation Insurance Affidavit Builders/ Contractors /Electricians/Plumb ers.
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual): --9C' CQ/v4..3e
Address: '8- o - N l�\.\L v
City /State /Zip: (.9J■\ \‘ \ ,, An ( O a hone. #: (L($) 3 7y 6 c e
Are ou 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
...loyees (full and/or part- time).* have hired the sub - contractors
listed on the attached sheet. 7. [ mode3in
2. ' f ant a sole proprietor or partner-
e
ship and. have no e toy ees These sub - contractors have g_ 0 Demolition
for me in an capacity. employees and have workers
working Y P ty $ 9 D Building addition
[No workers' comp. insurance comp. ..msnrance.. 10 Q Electrical repairs or additions
required.] 5. E We are a corporation and its eP
o cem_bave _xers3thi
s±_d er 1-1-. PIumbin repairs 3. El I am- a�iomeo-whomeowner deg aB�voFk - -- — - — ❑ g 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' 13.0 Other
comp. insurance requited]
*Any applicant that checks box #d must also fill out the section below showing their workers' compensation policy information.
I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
ZContractors 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 fire
of up to $250.00 a day against the violator. Ile advised that a copy of this statement may be forwarded to the Office of
Investigations of the : . e cove . • e verification.
I do hereby c - ?. ' er . i and pen of perjury that the information provided above-istrue_and.correct
Sienatur -. - � Date. ----' 'r- /•G ye
-
//
Phone #: (q 1 � ) 37 k-t 6 16 C
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):
-J. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector _ _
6. Other
Contact Person: Phone #:
z! a
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: _ Not Applicable CI
Name of License Holder. : �"� . �-�' ` H ' 3 9 <^
Q I al rc, License Numtler
0 • • , ,�,,.� I 10
Address Expiration Date
4PTIIIVI (i ,) 3? €.410
SignaTure Telephone
Registered Hame <improvement °CoMtactor &'& ,.. .. ...,.�' .,
Not Applicable ❑
Company Name Registration Number
N►.e 7 I 2 )Il
' Address � , 010q (4 ' 3) 3 `l
-) `#66 Expiration Date
1 \ \'' 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 ❑
M:41166:101 etaxenitttiou
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 "OidinancesT Stafe r g and State - -of- Massachusetts-General- Laws- Annotated.
Homeowner Signature
v
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ I Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 0
Accessory Bldg. ❑ ( Demolition ❑ New Signs [D] Decks [p Siding [O] Other [or
Brief Description of Proposed (�� ,�
Work: � @^3' GI) A_ s4,- S co ,. ' ciF '
Alteration of existing bedroom Yeso Adding new bedroom Yes
�� No �CID
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
ea fN rtrous'e.amd iailiddiiiii ,f eXistittq hai ship,. =comp[ete tte fdiraitirti
a. Use of building : One Family 1✓ 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, t or- I , as Owner of the subject
property
hereby authorize
to act on my behayla leti to rk authorized by this building permit application.
-- /o ^07
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
4
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
Frontage _ _
Setbacks Front
Side
Rear
Building Height
Bldg. Square Footage
Open Space Footage %
f
(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 YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW ,3 YES
IF YES: enter Book - Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO fifr DONT KNOW 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 40
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 at
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 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton 5ta 1z t. 0 ,, i F. I'
tf p
Building Department Crt, tr r t) 1
n ; I 212 Main Street s r 5e � 't 1 , e v ; A —, ,��
t
Room 100 er a r ` �
Northampton, MA 01060 me ets I`S :�a,`a is t --
1.. �, AA,. r n-, 4-, A n r-,,, A A7 Col 4 n77 F i � ", e ffifn� , '� ie • "V. . ' -
1.1 4 1 a3 - 56 - I 240 FA a 4 I J - J V /- 1 G I G I Ii ,r 5 "r x v -- � w s
APPLICATION TO CONSTRUCT. ALTER. REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be completed by office
1.1 Property Address:
L,1 7 SeS'C_C Map Lot Unit
i \ " 0 t C)6' gone Overlay District
EIrmSt. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
_ - -- _ ______4_0_,r___ c 02, 2 _ _ s3— .. `k- 1 ,r. -. o i t
////!!!!
t Name (Print) , �- Cur Mailing eddre5
Telephone
Signature
2.2 Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 00 c> (a) Building Permit Fee
1 -
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
'
4. Mechanical (HVAC)
5. Fire Protection Q _
6. Total (1 + 2 + 3 + 4 + 5) Check Number /j6�
This Section For Official Us O nly
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2010 -0433
APPLICANT /CONTACT PERSON R DEAN ACHESON
ADDRESS /PHONE P 0 BOX 1052 WILLIAMSBURG (413) 268 -0246
PROPERTY LOCATION 42 BEACON ST
MAP 23A PARCEL 214 001 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 U V
Typeof Construction: REPLACE PORCH BEAM SUPPORT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
O wner/ Statement or License 83968
3 sets of Plans / Plot Plan
THE F LOWING ACTION HAS BE EN TAKEN ON THIS APPLICATION BASED ON
INF MATION 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
. 0 L 2c 0'
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.
42 BEACON ST BP- 2010 -0433
GIS //: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23A - 214 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 -0433
Project # JS- 2010 - 000589
Est. Cost: $2300.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Grout R DEAN ACHESON 83968
Lot Size(sq. ft.): 74487.60 Owner: HALPER SARAH & TOR KROGIUS
Zoning: URB(100)/ Applicant: R DEAN ACHESON
AT: 42 BEACON ST
Applicant Address: Phone: Insurance:
P 0 BOX 1052 (413) 268 -0246
WILLIAMSBURGMA01096 ISSUED ON:10/23/2009 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE PORCH BEAM SUPPORT
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: ,q t
Rough Frame: V k / ) p
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: a( i i f 16 j
,� 0 9
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU ATIONS.
D is al
__-,--,,:f7.....,-,,,,,------&--
Certificate of Occupancy % Signature:
FeeType: Date Paid: Amount:
Building 10/23/2009 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Conmiissione: - Anthony Patillo