24A-214 (2) •
780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS
BUILDING PLANNING FOR SINGLE- AND TWO - FAMILY DWELLINGS
780 CMR TABLE 5301.2.1.3
EQUIVALENT BASIC WIND SPEEDS'
3- second gust 85 90 100 105 110 120 125 130 140 145 150 160 170
Fastest mile 70 75 80 85 90 100 105 110 120 125 130 140 150
For SI: 1 mile per hour = 1.609 km/h.
a. Linear interpolation is permitted
5301.6 Roof Load. Roof shall be designed for the
live load indicated in 780 CMR Table 5301.6 or the 780 CMR TABLE 5301.6
snow load based on the Massachusetts Ground MINIMUM ROOF LIVE LOADS IN
Snow Load 780 CMR Table 5301.2(5), whichever POUNDS -FORCE PER SQUARE FOOT OF
is greater. HORIZONTAL PROJECTION
TRIBUTARY LOADED
5301.7 Deflection. The allowable deflection of any I AREA IN SQUARE FEET
structural member under the live load listed in FOR ANY STRUCTURAL
780 CMR 5301.5 and 5301.6 shall not exceed the MEMBER
values in 780 CMR Table 5301.7. 0 to 200 201 to Over
ROOF SLOPE _ 600 600
780 CMR TABLE 5301.5 Flat or rise less than 4 20 16 12
MINIMUM UNIFORMLY DISTRIBUTED inches per foot (1:3)
LIVE LOADS Rise 4 inches per foot (1:3)
(in pounds per square foot) to less than 12 inches per 16 14 12
USE LIVE LOAD foot (1:1)
Attics with storage' 20 Rise 12 inches per foot 12 12 12
Attics without storage' 10 (1:1) and greater
Decks` 40 For SI: 1 square foot = 0.0929 m' 1 pound per square
foot = 0.0479 kN /m' 1 inch per foot = 0.0833
Exterior balconies 60 minim.
Fire escapes 40 780 CMR TABLE 5301.7
Guardrails and handrails' 200 ALLOWABLE DEFLECTION OF
Guardrails in –fill components' T 50 STRUCTURAL MEMBERS''''''
Passenger vehicle garages' 50' STRUCTURAL MEMBER ALLOWABLE
Rooms other than sleeping rooms 40 DEFLECTION
Sleeping rooms 30 Rafters having slopes greater
than 3/12 with no finished L /180
Stairs 40'
For SI: 1 pound per square foot = 0.0479 kN /m' 1 ceiling attached to rafters
square inch = 645 mm' 1 pound = 4.45 N. Interior walls and partitions H/ 180
a. Elevated garage floors shall be capable of supporting Floors and plastered ceilings L/360
a 2,000 -pound load applied over a 20- square-inch All other structural members L/240 —
area. Exterior walls with plaster or H/360
b. No storage with roof slope not over three units in 12 stucco finish
units. Exterior walls —wind loads' L/240
c. Individual stair treads shall be designed for the with brittle finishes
uniformly distributed live load or a 300 –pound Exterior walls —wind loads' L/ 120
concentrated load acting over an area of four square with flexible fmishes
inches, whichever produces the greater stresses. Note: L = span length, H = span height.
d. A single concentrated load applied in any direction at a. The wind load shall be permitted to be taken as 0.7
any point along the top. times the Component and Cladding loads for the
e. See 780 CMR 5502.2.1 for decks attached to exterior purpose of the determining deflection limits herein.
walls. b. For cantilever members, L shall be taken as twice the
f. Guard in -fill components (all those except the length of the cantilever.
handrail), balusters and panel fillers shall be designed c. For aluminum structural members or panels used in
to withstand a horizontally applied normal load of 50 roofs or walls of sun -room additions or patio covers,
pounds on an area equal to one square foot. This load not supporting edge of glass or sandwich panels, the
need not be assumed to act concurrently with any total load deflection shall not exceed L /60. For
other live load requirement. sandwich panels used in roofs or walls of sunroom
additions or patio covers, the total load deflection
shall not exceed L /120.
1/11/08 (Effective 1/1/08) - corrected 780 CMR - Seventh Edition 549
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 pxaces_s 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 .pernitissued,.. 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
176t understand the above.
smsmIt
: ome o /resident's si_ ature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Address of work a S �� /�
location
1 _„ (\ .„
(2719
The Commonwealth of Massachusetts
Department of Industrial Accidents
^1.,= Office of Investigations
a1-� 600 Washington Street
- f 7
Boston, MA 02111
• www.assgov /dia
-Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual):
Address:
City /State /Zip: Phone. #:
Are you an employer? Check the appropriate box: Type of project (required): /'
1. Q I am a employer with 4. 0 I am a general contractor and I 6. 0 New construction
employees (full and/or part-time).* have hired the sub - contractors
ti
listed on the attached sheet 7. ❑ Remodeling
2. El I am a sole proprietor or partner-
ship and have. no • P-= ployees These sub - contractors have g. Derioiition
working for mein any capacity. employees and have workers'
Y P ty. 9. 0 Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3. [Q I am -a- homeowner- tieing- all -work _o_ revs .ta_ ve:cxer_cissd_their . —1-1-0-Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12. Q 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 #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.
Iam 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 51,500.00 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: 15e advised that a copy of this statement may be forwarded to the Of ice of
Investigations of the DIA for insurance coveraze verification.
I do hereby_ _certify under the pains and penalties of perjury that the information provided _above_a_truesznd_correct____
Signature: Date;
Phone #:
Official use only. Do not rvr'lie in this area, to. be coveted by city or town afficiaL
_ 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 SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :
— License- Number
Address Expiration Date
Signature Telephone
9. egistered:Home ontractor ,. __, u.. 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 ❑
tSUilipt1011.
The_ curr-ent_exemption for "homeowners" was extended to include Owner 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 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 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
o am pton r rnances, a e an. . w - 4 : 10 e00,..: 6 s=Gencral Laws- Annotated.
Homeowner Signature /L _ ■,
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑
Ur Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Deck f [ Siding [G] Other [0]
Brief Description of Proposed nn r ,r�)� J G,
Work: / ( I Al L4 </ ti ?r new e I
Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
6 a: 11 - 1Velichouseerid : sir. acidifion Ito existiho "housing,: complete the'':falowin
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? Me/
d. Proposed Square footage of new construction. Dimensions /OA
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Complianc . ^ Masscheck Energy Compliance form attached?
h. Type of construction r! 6A [�
i. Is construction within 100 ft. of wetlands? Yes ti 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
, 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
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 Name
Signature of Owner /Agent 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 ,,r_.
Frontage .__..
Setbacks Front 31.
Side
Rear
Building Height
Da L Bldg. Square Footage % _._..._._
Open Space Footage % --
(Lot area minus bldg & paved
pricing)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Speci ermit /Variance /Finding ever been issued for /on the site?
NO DONT KNOW 0 YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
IF YES: enter Book , Page and /or Document # .._
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES
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 er
IF YES, describe size, type and location:
Wre there anyyproposed c anges to or a loons o signs inten ecildi the property ? YES 0 NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, exca tion, 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.
•
t4V4tAkte
City of Northampton
Building Department PoitcVaugip
212 Main Street
:SeyoectS, ki
Room 100
W e*LA 1b4 - fi":1 , 45 - ,•44 , ...1/4 , 5747-PAPA;(411 , 441#4::;.t1
--Northampton '1Af
phone 413-587-1240 Fax 413-587-1272 -
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVAt 'ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMA N MCI 2 0 LLutt
1.1 Property Address: This section to be completed by office
Pl ace_ _gap Lot; Unit
ki'Ll3712v Zone Overlay District
Elm St District CB District
SECTION 2. PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
flac
Name (Print)z-' __ y, Current Mairing Addres :
. Telephone 3 5
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 (a) :Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection vtL) I
6. Total=(1+2+3+4+5) Z I Check Number
This Section For:Official ifse.Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File # BP- 2010 -0551
APPLICANT /CONTACT PERSON BAK ROBERT E & DEBRA J
ADDRESS /PHONE 35 ADARE PL NORTHAMPTON (413) 586 -5301 ()
PROPERTY LOCATION 35 ADARE PL
MAP 24A 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
Typeof Construction: CONSTRUCT 10 X 12 DECK TO KITCHEN ADDITION
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 FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF 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
Demolition Delay
/
a
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.
BP- 2010 -0551
cis #: COMMONWEALTH OF MASSACHUSETTS
` CITY OF NORTHAMPTON
Lot: -001 11 /
1 /
Permit: BUTIdinq
Category: BUILDING PERMIT
Permit # BP- 2010 -0551
Project ii JS- 2010 - 000775
Est. Cost: $2000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 13503.60 Owner: BAK ROBERT E & DEBRA J
Zoning: URB(100)/ Applicant: BAK ROBERT E & DEBRA J
AT: 35 ADARE PL
Applicant Address: Phone: Insurance:
35 ADARE PL (413) 586 -5301 ()
NORTHAMPTONMA01060 ISSUED ON:
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 10 X 12 DECK TO KITCHEN
ADDITION
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 12/8/2009 0:00:00 $50.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo