24C-186 (3) i
Marybeth 7-13-10
)
Key13eals Northampton
101'1
KeyBeazn;lt 4_505a
1anBeanEngine 4.507h
Materials Database 1109
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, L1240 total 1.500" max, LL
Live Load: 40 PLF Deck Connection: Nailed Member Weight: 4.7 PLF
Filename: KYB1
Other Loads
Type Trib. Dead Other
(Description) Begin End Width Start End Start End Category
Replacement Uniform (PSF) 0' 0.00" 5° 0.00" 7' 6.00" 10 30 Live
Additional Uniform (PSF) 0' 0.00" 5' 0.00" 7' 6.00" 10 0 Live
Additional Uniform (PLF) 0' 0.00" 5' 0.00" 80 0 Live
Replacement Tapered (PLF) 0' 0.00" 5' 0.00" 100 150 175 262 Snow
•
:s ..,. : ..::� •:.,�: ? . •:: w i. ♦ . i �' +�..w:: f. :.x: .wo 4 S , ::: <,Zi,. .:i,.}�:b�;..J:� .,��, ::: : :. t { C a l ai: { v. :Kv, i j', �. ' }� �• , k ,. j :3#•; :W �.': i
T T
A'
j
5 O 0
5 0 0
Bearings and Reactions
Location Type Input Length Min Required Gravity Reaction Gravity Uplift
1 0' 0.000" Wall N/A 1.500" 1728# --
2 5' 1.750" Wall N/A 1.500" 1834# --
Maximum Load Case Reactions
Used for applying point bads (or line bads) to carrying members
Dead Live Snow
1 903# 579# 522#
2 948# 579# 602#
Design spans
5' 1.750"
Product: 1 314x9 1/2 Versa -Lam 2.0 -3100 SP 1 ply
Component Member Design has Passed Design Checks""
Minimum 1.50" bearing required at bearing # 1
Minimum 1.50" bearing required at bearing # 2
Design assumes continuous lateral bracing along the top chord.
Design assumes no lateral bracing along the bottom chord. 1 11
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 2292.`# 8026.1/ 28% 2.58' Total load D +0.75(L +S)
II
Shear 1244.# 3633.# 34% 4.37' Total load D +0.75(L +S)
TL Deflection 0.0437" 0.2573" L/999+ 2.58' Total load D +0.75(L +S)
LL Deflection 0.0210" 0.1715" L/999+ 2.58' Total load 0.75(L +S)
Control: Shear
DOLs: Live =100% Snow- 115% Roof = 125% Wind = 160%
1
•',• AB product names are trademarks of their respective owners
:�": 5: "'ii` Z if th:` :- Copyright (C1198 9-2005 by Keyrnark Enterprises. LLC, ALL RIGHTS RESERVED.
"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 fisted 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 manufacturer s
specifications.
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
iermits 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
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
Department of Indust Accidents
Office of Investigations •
T .'
600 Washington Street
Boston, MA 02111
• www.mass.„0-ov/dia
- Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/IndivirinnI):
• • Address:
•
City/State/Zip: Phone.#: •
Are you an employer? Check the appropriate box: • •Type of project (required): /
1.0 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
2.j I am a sole proprietor or partner-
listed on the attached sheet. 7. 0 R.emodelin
ship and no =ployees
g
These sub-contractors have 8. 0 Demolition • have
employees and have workers' •
working for me m any capacity. 9 -Er Build* tAdititin
•
[No workers' comp. insurance
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3. 0 I am a homeowner doing all work officers have 4xercise4 their 11.0 Plumbing repairs or additions
right of per MGL r-1
myself. [No workers' comp. k2.1_ it.00I repairs .
insurance required.] t • l-
c. 152, §1(4), and we have no
employees. [No workers' 13.g Other • 0 i COI
comp. insurance required]
*Any applicant that checks box #1 must also fill out the section below showing theirworicers' compensation policy information.
t Homeowners who submit this affidavit inthcating they are doing all work and then hire outside =infractors 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 whetheror not those entities have
employees. If the sub-contractors have employees, they must provide their workers comp policy amber.
l am an employer that is providing workers' compensation insurance for my einployees. Below is the policy and job site
information.
• -
Insurance Company Name:
Policy # or Self-ins. Lic. #: Expiration Date:
Job Site Address: City/Stafr../Zip:* •
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required Mid& Sectiiir 25A 'ofMGL c. 152 can lead to the iinpOiltiOn of Criminal Penalties of a
fine up to 51,500.00 an.d/or one-year imprisonm.e4 as well as civil penalties in the form of a STOP WORK ORI)ER. 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 die Office of
ThtfeittaitionS of the DIA for ins e Coverize Verification.
_ _ _ - - • - - -
_ [do her e P ens- jWes ofperfury that the informationprovidedabove _
Si u ture:0■1K • 4e . B ate 0 •
Phone # 2 Q /.' /
• - Offithr! use only. Do not write in this th-ea, to be completed by city or townOkiciaL
• •
City or Town: Permit/License #
Issuing Authority (circle one):
.1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical,Itypector 5. Plumbing Inspector
6. Other 6-
Contact Person: Phone #:
•
•
SECTION 8 -- CONSTRUCTION SERVICES
8.1 Licensed Construction Su ervisor. ( ^ Not Applicable ❑
Name of License Holder : r l 1 1/h i \ (' LS J Zz' Ct, y
License Number
31\ I' r / /
Address I Q,_ n ' , r `-D �
LLt
& Expiration Date
Signature �'� � Telephone
- llr ( 0e/A 3 2 0 --/ e 3/
t , =om r � r i`:. j , x:
9 ���� ti f�i' r!t»'= � - . � � . ,. N w `: . w .. ..�, s <� Not Applicable ❑
lyy7z
Company Name Registrat Nu ber
Of.A.e cum 0 Lola__ __ / /J / 0
Address Expiration Dat
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 ❑
lialU4 N' ' On
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
*., .
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(sJ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [C] Siding [D] Other [0]
Brief Description of - ro. ,• � /�
Work: AA I A /0 V ` -4 ■ 1J W� k_
Alteration of existing bedroom Yes .V No Adding new bedroom Yes
Attached Narrative Renovating unfinished basement Yes No
Plans Attached RoII - Sheet
eiltiteirEOV4Ilinflifilid. , +o rexjtj it h sln . '" Bret . irtallilinicc:
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 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN ,
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
�fy
---jl" 1, 1 v u_ iet 1 C ( , as Owner of the subject
property Al hereby authorize f UV \ ■ t SC /i
to act on my be = , i all matte 'rel. ive ti ork authorize. by this building permit application.
7 /V //o
Signature of Owner ' Date
I, 1 IAA fe S,14(._ , 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 un the pains and .nalties of perjury.
Print Name
__ /, , - /y 0
Signature of • , eNAgent Date
+ r
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 l 1 @ I 1 ,
Frontage I I
Setbacks Front
Side L:i = R:1 i L:1 i R:' 1
µ
Rear �-
1
Building Height - I 1
Bldg. Square Footage % = i 1
Open Space Footage %
a I
(Lot area minus bldg & paved t -�-'� i 1 1 i j
parking) _
# of Parking Spaces I I
Fill: qm__._m_� . _...._..�. _ .,....�__ . ........
(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 Page I and /or Document #?
B. Does the site contain a brook, body of water or wetlands? N01:1) DONT KNOW Q 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
IF YES, describe size, type and location: ! t
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:
s _
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 ® NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
t 7 '
City of Northampton ' ,
Building Department
n Ty D�[ d y7 M l ty T"
212 Main Street ,,, .til��
,; Room 100 "' N
N " )Northampton, MA 01060 s
phone,413-587L1240 Fax 413- 587 -1272 , , '' ,
`"- APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION I - SITE INFORMATION
This section to be completed by office
1.1 Property Address:
/ I alp ee — S'
l ap Lot unit
/0 ` " . `Zone OvrerlayDistnct
ELm St D1 strict` :" GB Dlstrlct
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 er of Re ord:
(,as 340\ Z(1 cyu S riov► n
Name ( 'nt �A '' c W ^ Current Mailing Address:
��\� " 1 Telephone i I T
Signature ` w �, ��/J 11
2.2 Authorized t Qat( f
` 1 �_ /
i� / eSGI C� �/ / l-uaL ` � '
Name (Print) Current Mailing Address:
Si ure \ Telephone
SECTI N 3- ES MATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building U p a (a) Building Permit Fee
ac( 0 2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection 56-
6. Total = (1 + 2 + 3 + 4 + 5) 0 00 a Check Number fl t
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2011 -0036
APPLICANT /CONTACT PERSON KIM RESCIA
ADDRESS/PHONE 311 Locust St FLORENCE (413) 320 -1831 0
PROPERTY LOCATION 211 CRESCENT ST
MAP 24C PARCEL 186 001 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 `4
Typeof Construction:_INSTALL NEW KITCHEN WINDOW
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 022464
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
ire /d
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.
A
cR SCl4T ST BP-2011-0036
GIS #: COMMONWEALTH OF MASSACHUSETTS
4 Map:Block: 24C - 186 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- 2011 -0036
Project # JS- 2011- 000064
Est. Cost: $2000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KIM RESCIA 022464
Lot Size(sq. ft.): 5924.16 Owner: COHN MERYL
Zoning: URB(100)/ Applicant: KIM RESCIA
AT: 211 CRESCENT ST
Applicant Address: Phone: Insurance:
311 Locust St (413) 320 -1831 0
FLORENCEMA01062 ISSUED ON: 7/19/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL NEW KITCHEN WINDOW
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 7/19/2010 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
e