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24D-126 (4) 1 eve RIDGE BEAM 1 3/4" x 14" 1.9E Microllam® LVL TJ -Beam® 6.35 Serial Number User. 1 1/22/20102:02:09 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 2 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 10' 0.00" ^ Max. Vertical Reaction Total (lbs) 4253 4120 Max. Vertical Reaction Live (lbs) 3067 2971 Required Bearing Length in 5.72(W) 5.54(W) Max. Unbraced Length (in) 48 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 825 -825 Max Shear at Support (lbs) 1112 -1112 Member Reaction (lbs) 1112 1112 Support Reaction (lbs) 1186 1149 Moment (Ft -Lbs) 2780 Loading on all spans, LDF = 1.15 , 1.0 Dead + 1.0 Floor + 1.0 Snow Shear at Support (lbs) 2957 -2957 Max Shear at Support (lbs) 3987 -3987 Member Reaction (lbs) 3987 3987 Support Reaction (lbs) 4253 4120 Moment (Ft -Lbs) 9967 Live Deflection (in) 0.206 Total Deflection (in) 0.285 PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baillargeon Payne Job Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone :413 549 0001 Fax : 413 549 4686 joe( cowls.com Copyright o 2009 by iLevel ®, Federal Way, WA. Microllam® is a registered trademark of iLevel ®. PDF created with pdfFactory trial version www.pdffactory.com .ts +R 1 eve RIDGE BEAM 1 3/4" x 14" 1.9E Microllam® LVL TJ- Beam ®6.35 Serial Number Use 1 1/22/2010 2:02:09 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 012 Roof Slope912 01 1 .E1 10' 6" All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 11' 6" Primary Load Group - Snow (psf): 50.0 Live at 115 % duration, 15.0 Dead SUPPORTS: Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 5.50" 5.72" 3067/1186 /0/4253 L1: Blocking 1 Ply 1 3/4" x 14" 1.9E Microllam® LVL 2 Stud wall 3.50" 5.54" 2971 / 1149 / 0 / 4120 L1: Blocking 1 Ply 1 3/4" x 14" 1.9E Microllam® LVL -See iLevel® Specter's /Builder's Guide for detail(s): L1: Blocking - Bearing length requirement exceeds input at support(s) 1, 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Result Location Shear (Ibs) 3987 -2957 5353 Passed (55 %) Rt. end Span 1 under Snow loading Moment (Ft -Lbs) 9967 9967 13949 Passed (71 %) MID Span 1 under Snow loading Live Load Defl (in) 0.206 0.333 Passed (L/583) MID Span 1 under Snow loading Total Load Defl (in) 0.285 0.500 Passed (L/421) MID Span 1 under Snow loading - Deflection Criteria: STANDARD(LL:U360,TL:U240). - Bracing(Lu): All compression edges (top and bottom) must be braced at 4' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. - Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: - IMPORTANT! The analysis presented is output from software developed by iLevel®. (Level® warrants the sizing of its products by this software will be accomplished in accordance with iLevel® product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by an (Level® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability. -THIS ANALYSIS FOR iLevel® PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. - Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel® Distribution product listed above. Operator Notes: 50/15 ROOF LOAD @ 11'6" TRIB, 9/12 ROOF PITCH PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baillargeon Payne Job Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone : 413 549 0001 Fax :413 549 4686 joe©cowls.com Copyright ® 2009 by iLevel®, Federal Way, WA. Microllam® is a registered trademark of iLevel®. PDF created with pdfFactory trial version www.r dffactorv.com ■ 1 eve • • 16 in long chimney header 2 Pcs of 1 3/4" x 16" 1.9E Microllam® LVL TJ -Beam® 6.35 Serial Number: User:1 1/22/201012:04 :00 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 2 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Operator Notes: 40/12 loading @ 1' trib, 555/292 lb point load from small chimney headers, this calc is based on clear span beam (because of rollover issues, when using 16" deep Iv!, 2 -ply is always reccommended) PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baillargeon Payne Job Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone :413 549 0001 Fax :413 549 4686 ige@cowls.com Copyright ® 2009 by iLevel ®, Federal Way, WA. Microllam® is a registered trademark of iLevel ®. PDF created with pdfFactory trial version www.pdffactorv.com 1 eve 16 in long chimney header 2 Pcs of 1 3/4" x 16" 1.9E Microllam® LVL TJ- Beam ®6.35 Serial Number: User:1 1/22/2010 12:04:00 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 3 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 22' 8.00" Max. Vertical Reaction Total (lbs) 1585 1660 Max. Vertical Reaction Live (lbs) 991 1039 Required Bearing Length in 1.50(W) 1.50(W) Max. Unbraced Length (in) 182 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 550 -576 Max Shear at Support (lbs) 590 -616 Shear Within Span (lbs) -360 Member Reaction (lbs) 590 616 Support Reaction (lbs) 595 621 Moment (Ft -Lbs) 4638 Loading on all spans, LDF = 1.00 , 1.0 Dead + 1.0 Floor Shear at Support (lbs) 1476 -1551 Max Shear at Support (lbs) 1574 -1649 Shear Within Span (lbs) -1019 Member Reaction (lbs) 1574 1649 Support Reaction (lbs) 1585 1660 Moment (Ft -Lbs) 12672 Live Deflection (in) 0.321 Total Deflection (in) 0.508 PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baillargeon Payne Job Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone :413 549 0001 Fax : 413 549 4686 joe(cowls.com Copyright ® 2009 by iLevel ®, Federal Way, WA. Microllam® is a registered trademark of iLevel ®. PDF created with pdfFactory trial version www.pdffactory.com i eve 16 in long chimmey header 2 Pcs of 1 3/4" x 16" 1.9E Microllam® LVL TJ -Beam® 6.35 Serial Number User. 1 1/22/2010 12:03:59 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED _ � 1 4, 23' J. Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 1' Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(Ibs) Floor(1.00) 555 292 10' 6" - point load from small chimney header Point(Ibs) Floor(1.00) 555 292 13' 6" - point load from small chimney header SUPPORTS: input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 1.50" 991 /595 / 0 / 1585 A3: Rim Board 1 Ply 1 1/4" x 16" 0.8E TJ -Strand Rim Board® 2 Stud wall 3.50" 1.50" 1039 / 621 / 0 / 1660 A3: Rim Board 1 Ply 1 1/4" x 16" 0.8E TJ- Strand Rim Board® -See iLevel® Specifier'sBuilder's Guide for detail(s): A3: Rim Board DESIGN CONTROLS: Maximum Design Control Result Location Shear (Ibs) -1649 -1551 10640 Passed (15 %) Rt. end Span 1 under Floor loading Moment (Ft -Lbs) 12672 12672 31114 Passed (41 %) MID Span 1 under Floor loading Live Load Defl (in) 0.321 0.567 Passed (U846) MID Span 1 under Floor loading Total Load Defl (in) 0.508 1.133 Passed (U535) MID Span 1 under Floor loading - Deflection Criteria: STANDARD(LL:U480,TL:U240). - Bracing(Lu): All compression edges (top and bottom) must be braced at 15' 2" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: - IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel® warrants the sizing of its products by this software will be accomplished in accordance with iLevel® product design criteria and code accepted design values. The specific product application, input design Toads, and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability. -THIS ANALYSIS FOR iLevel® PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. - Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel® Distribution product listed above. -Note: See iLevel® Specifier'sBuilder's Guide for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baillargeon Payne Job Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone :413 549 0001 Fax : 413 549 4686 iecowls.com Copyright 0 2009 by iLevel ®, Federal Way, WA. Microllam® is a registered trademark of iLevel ®. PDF created with pdfFactory trial version www.pdffactory.com ■ 1 eve Payne joist 16 in 16" TJI® 560 @ 16" o/c TJ -Beam® 6.35 Serial Number User: 1 1/22/201011:29:22AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 2 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTES: - IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel® warrants the sizing of its products by this software will be accomplished in accordance with iLevel® product design criteria and code accepted design values. The specific product application, input design Toads, and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability. -THIS ANALYSIS FOR iLevel® PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. - Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel® Distribution product listed above. Operator Notes: 40/12 loading, 23' span out to out, 350/200 plf point load © midpoint from wall above supporting attic joists @ 30/12 • PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baillargeon Payne Job Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone :413 549 0001 Fax : 413 549 4686 joencowls.com Copyright ® 2009 by iLevel ®, Federal Way, WA. TJI® and TJ -Beam® are registered trademarks of iLevel ®. e -I Joist °,Pro° and TJ -Pro° are trademarks of iLevel ®. C: \Documents and Settings \Joe B \My Documents \TJ BEAM CALCS \Jamey Hasbrook \Payne \14 in joist.sms PDF created with pdfFactory trial version www.pdffactory.com eVe payne joist 16 in 16" TJI® 560 @ 16" o/c TJ- Beam® 6.35 Serial Number. Use 1 1/22/2010 11:29:22 AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 3 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 22' 7.00" ^ Max. Vertical Reaction Total (lbs) 1164 1164 Max. Vertical Reaction Live (lbs) 847 847 Selected Bearing Length (in) 2.25(W) 2.25(W) Max. Unbraced Length (in) 74 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 313 -313 Max Shear at Support (lbs) 314 -314 Shear Within Span (lbs) 133 Member Reaction (lbs) 314 314 Support Reaction (lbs) 317 317 Moment (Ft -Lbs) 2526 Loading on all spans, LDF = 1.00 , 1.0 Dead + 1.0 Floor Shear at Support (lbs) 1144 -1144 Max Shear at Support (lbs) 1150 -1150 Shear Within Span (lbs) -367 Member Reaction (lbs) 1150 1150 Support Reaction (lbs) 1164 1164 Moment (Ft -Lbs) 8560 Live Deflection (in) 0.430 Total Deflection (in) 0.604 PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baiilargeon Payne Job Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone :413 549 0001 Fax :413 549 4686 joe@cowls.com Copyright C 2009 by iLevel ®, Federal Way, WA. TJI® and TJ -Beam® are registered trademarks of iLevel ®. e -I Joist °,Pro° and TJ -Pro° are trademarks of iLevel ®. C: \Documents and Settings \Joe B \My Documents \TJ BEAM CALCS \Jamey Hasbrook \Payne \14 in joist.sms PDF created with pdfFactory trial version www.pdffactory.com l eve .fogrozam 16" TJI® 560 @ 16" o/c TJ- Beam® 6.35 Serial Number User: 1 1/22/201011:29:21 AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version, 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED S P3• i Product Diagram is Conceptual. LOADS: Analysis is for a Joist Member. Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(plf) Floor(1.00) 350.0 200.0 11' 6" - load from wall above supporting attic joists SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 2.25" 847 /317 /0/1164 A3: Rim Board 1 Ply 1 1/4" x 16" 0.8E TJ- Strand Rim Board® 2 Stud wall 3.50" 2.25" 847 / 317 / 0 / 1164 A3: Rim Board 1 Ply 1 1/4" x 16" 0.8E TJ- Strand Rim Board® - See 'Level® Specifier's/Builder's Guide for detail(s): A3: Rim Board DESIGN CONTROLS: Maximum Design Control Result Location Shear (Ibs) 1150 -1144 2710 Passed (42 %) Rt. end Span 1 under Floor loading Vertical Reaction (Ibs) 1150 1150 1396 Passed (82 %) Bearing 2 under Floor loading Moment (Ft -Lbs) 8560 8560 12925 Passed (66 %) MID Span 1 under Floor loading Live Load Defl (in) 0.430 0.565 Passed (U631) MID Span 1 under Floor loading Total Load Deft (in) 0.604 1.129 Passed (L/448) MID Span 1 under Floor loading TJPro 44 30 Passed Span 1 - Deflection Criteria: STANDARD(LL:U480,TL:U240). - Deflection analysis is based on composite action with single layer of 19/32" Panels (20" Span Rating) GLUED & NAILED wood decking. - Bracing(Lu): All compression edges (top and bottom) must be braced at 6' 2" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. TJ - Pro RATING SYSTEM -The TJ -Pro Rating System value provides additional floor performance information and is based on a GLUED & NAILED 19/32" Panels (20" Span Rating) decking. The controlling span is supported by walls. Additional considerations for this rating include: Ceiling - None. A structural analysis of the deck has not been performed by the program. Comparison Value: 2.37 PROJECT INFORMATION: OPERATOR INFORMATION: Jason Graves Joe Baillargeon Cowls Building Supply Northampton, MA 125 Sunderland Rd. North Amherst, MA 01059 Phone :413 549 0001 Fax : 413 549 4686 ioeecowls.com Copyright ® 2009 by iLevel ®, Federal way, WA. TJI® and TJ -Beam® are registered trademarks of iLeve10. e -I Joist °,Pro° and TJ -Pro" are trademarks of iLevel ®. 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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 proceyss 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-c onjunction .to- the_building.permit_issued, and that they get their required inspections. Failure of the individual traclps to,s4cure the.pgnnits and,ipections as required.cop RELAY the project until such time as the 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. Datez — Address of work location • • The Commonwealth of Massachusetts Department of Industrial Accidents —_ =_►.. _ Office of Investig,ations • a 600 Washington Street y Boston, MA 02111 ��. www.mass.gov /dia -Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/PIumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual):. Address: ADy £ 4viy SF City /State/Zip: !1v /tt ,'ann r . / ()Med Phone #: r/3, 5. 6L/e2 Are you an employer? Check the appropriate box: Type of project (required):. 1.,®I am a employer with 4.. 0 I am a general contractor and I 6. New construction employees (full and/or part- time).* have hired the sub - contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have no e These sub - contractors have. 8. 0 Demolon working any ca for me in an employees and have workers' capacity. tY• $ 9.7kutlding addition [No workers' co insurance _ comp._insurance. . required J 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.0 I -am --ahomeowner- doing- all - wane- - _ ____o_ e _haves ercised-their 11 - J-- Plmmbing; 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' 13.0 Other_ comp. insurance required.] *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. 1 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. lithe 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: (Ntnt4e /aft .1 ( 0 • Policy # or Self-ins. Lic. #: lQ(_ 00'f - QG as /S' . Expiration Date: 9/a /0 Job Site Address: ovi? eS t .5,L City /State/Zip:* 4intA(iniAn i / C/044 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 ae of up to $250.00 a day against the violator. lge advised that a copy of this statement may be forwarded to the Office of Investisations of the DIA for insurance coverage verification. I do hereby certify under the ' d penalties of perjtay that the information provided above is true andcorrect __ _ Signature Date Phone #: e(13, 3, 2 - 6 `! 7 . - _ Official useonly. Do not wr1te in tfiic arrea to be cnmpteted 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. EIectrical Inspector 5. Plumbing Inspector _ _ _ 6.Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: pl / Not Applicable ❑ Name of License Holder : -jaw Grover° (Q 7 G License Number /01( to KQdey s1'. lvdrfiaMpi►1 / ''bl 4 /Di0 7 Address Expiration Da e 4- (r3. 3• e‘4 (Signature Telephone 9 Reuisferec - Hamel riprove enh , kir �� s � ;te a , Not Applicable ❑ Ekmv4' C' Oc y I Court. - _AMA 6tL t• 7 ftO1 Company Name / Registration Number SAME Af , dWE 01//a Address Expiration Date If 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 ❑ The_current_exemption f o r "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 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 referenceto 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 . 1 amp on •r.tnances_ a e and • •. • ° .: -•- • : • General -Laws- Annotated. Homeowner Signature s SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) i New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [II] Debkd.I � Siding [ID] Other [❑) Brief Description of Proposed ,...) Work: C DISTruc o. r ldit- i �ileal t /c r ex �.��y i `3 1', , Alteration of existing bedroom Yes No Adding new bedroom Yes N . J -.. ro „ A Attached Narrative .Renovating unfinished basemeft Yes �No J t Plans Attached Roll - Sheet rr .. f) f 6a.tf N ew house and; Eiaa a exis inrq `ho ssnq oi>t' p` a the faitoowi �' . • a. Use of building : One Family x Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? i eS / / d. Proposed Square footage of new construction. A a( Dimensions c9J X e. Number of stories? f. Method of heating? ho, /er- Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. //►► Masscheck Energy Compliance form attached? h. Type of construction 4)011. Aifirt e an,SVitkci -left i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes /‹-Plo j. Depth of basement or cellar floor below finished grade 7 k. Will building conform to the Building and Zoning regulations? X 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 IIII 4 ''f" I, ,� ivir ii imii ii :ii ti '''t-'',A4:4; i. . r J ' .. (5 , as Owner of the subject . prop., or - //'' hereby authorize t/•/WV' to act on my behalf, in all q;11/1 ?rs relative to work authorized by this building permit application. Si ure of Owner Date I, C 6ra , as Owner /Authorized Agent hereby �I 5m eclare 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. - t 7 .'#i //'raz&V Print Name /,,., _ S' tature of Owner /Ag- t Date k . 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 , (f l! Lot Size i_ % /Ot , ; y f _. .. Frontage i _ .__ ----- _ Setbacks Front ! j/� J Side L - / R: S L _ R:/ 1 L -1 411111 Rear _ .5- i i Building Height / _ '" ' / , Bldg. Square Footage /104/14W1 ? % �Q�r Open Space Footage y�� y - f717 y % , (Lot area minus bldg & paved e : s / . / /i parking) ' o° # of Parking Spaces' Fill: 1 a�, e . ..._ �m...w...._. (volume & Location) - -• ! f. — — — •. 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:' S at Qei 1 IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES 6 IF YES: enter Book I 9yr, 1 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: C. Do any signs exist on the property? YES 0 NO k 4 IF YES, describe size, type and location: ,¢ -- - - D: - Are here any proposed changes o or a ttions o signs it tended foe the property ? YES 0 NO r. IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exc ation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO , 014 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton ec� � ' Building Department �.- 212 Main Street6� Room 100 Northampton, MA 01060 . phone 413- 587 -1240 Fax 413 - 587 -1272 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 de J -/7 rf � Map Lot Unit .Zone ' Overlay District /1)0 /A tor not o/060 E lm St °District CB District SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: t ci�a °lrs _ — — - - — 9 - �Sa rte -z -. r Name (Print) 1 Current Mailing Address: .'' `P IS" /Lrriir + Telephone 'Tat _ Cy /3) sij4 - ,: /s 2.2 Authorized Agent: ,Son ortri/ 7d'/ ,' %41 $ . , Name (Print) Current Mailing Address: 4 G/ /3,a . e; Sig .tune Telephone ECTION 3 ESTIMATED ® STRUCTIONI COSTS Item Estimated Cost (Dollars) to be Official Use Only ompleted by permit applicant 1. Building ` z (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 6. Total = (1 + 2 + 3 + 4 + 5) '` 9/ �D�7 Check Number 1 7/t77 55 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0486 APPLICANT /CONTACT PERSON JASON GRAVER ADDRESS/PHONE 104R HAWLEY ST NORTHAMPTON (413) 320 -6427 PROPERTY LOCATION 247 STATE ST MAP 24D PARCEL 126 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid • Building Permit Filled out q r— V _ Fee Paid Or /�v4 `J _ Typeof Construction: CONSTRUCT 2ND STORY 23.X24 ADDITION (SHELL ONLY) New Construction Non Structural interior renovations _ Addition to Existing _ Accessory Structure _ Building Plans Included: Owner/ Statement or License 103229 UJ r(o �, H° SE i� u S ` Ff A`,�„ 5o iv, ANC) co ET€CW/?. 3 sets of Plans /Plot Plan PE P ca PAC'rt (..0) D 6 THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO PRESENTED: t H t ..i> W i( ( Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ REF 5elou Lf) Intermediate Project: Site Plan AND /OR Special Permit With Site Plan 4t 2 Lt 6, no 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 Signature of Building fficial 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. 247 STATE ST BP- 2010 -0486 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 126 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2010 -0486 Project # JS- 2010- 000039 Est. Cost: $30000.00 Fee: $213.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JASON GRAVER 103229 Lot size(sg. ft.): 4094.64 Owner: SELLERS JOAN R & MARK Zoning: URC(100)/ Applicant: JASON GRAVER AT: 247 STATE ST Applicant Address: Phone: Insurance: 104R HAWLEY ST (413) 320 -6427 NORTHAMPTONMA01060 ISSUED ON :4/20/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2ND STORY 22 X24 ADDITION (SHELL ONLY) WHOLE HOUSE MUST HAVE SMOKE & CO DETECTORS PER CURRENT CODE(HARDWIRED) 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 REGULATIO■ 1427 Ordy,/ Certificate of Signature: FeeType: Da e Paid: Amount: Building 4/20/2010 0:00:00 $213.40 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo 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 r- ' -s that the buildin• department be called to inspect work at various stages, which include foundation /footings (before backfdl), 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_ thebuilding _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 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. - - - Date T__ -- Address of work location _ • ' , The Commonwealth of Massachusetts Department of Industrial Accidents e = `= h: O f fice o f Investigations • a 1 a _ ° 600 Washington Street `! _ / Boston, MA 02111 , ;,0 . www.mass gov /dia - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AP plicant Information Please Print Legibly Name ( Business /Organization/Individual): nj I/' t (.� fPc,,, �"'�� Address: 3 c) vc�\ t.5Li S k N e i v Aln. w\. , r/'-" (/ I bib 6 0 City/State/Zip: Phone. #: �' 3 ( 13 Are you an employer? Check the appropriate box: Type of project (required) ] 1. ❑ I am a employer with 4.. 0 I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 2.' I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling These sub - contractors have ship and have no employees 8. ❑ DemolMon for me in any capacity. employees and have workers' working y p ty. 9 ❑ Building addition [No workers' comp. insurance comp._;nsurance.$_ insuraninsurance required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions - 3.0 I am -a homeowner- doing. all -work ofac_ez hay ezcase_dtlaeir.__ —11.1.0 klumbing 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' 13.0 Other comp. insurance required.] *Any applicant drat checks box #I 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 pi 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 t apir ation 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 afire of up to $250.00 a day against the violator. lie advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance covera2.e verification. . I do hereby certify under th pains and penn 'ies of perjury that the information provided _above_is_true_and_correct __ Sisnature: Date: j 0 11 0 Phone #: / 3 et - 3 - Official use only. .Do not write in thli area; to be by city or town o 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 0 Name of License Holder : eft f.. Pitt' » b c �t f j ` ► y License Number Valle e ti ��' ��"V 1 Q 1 �1 �'1 1 ('Y1'I /0,c61 Addre Expirati n Date 5Ati -6 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number 36 vtd.te Address �-) Expiration Date V o ✓ k \t + 1/w �\ Telephone Jay 1 3 i 5" 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 ❑ 11. - Home Owner Exemption 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 1083.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to resid ich there is, or is intended to be, a one or two family dwelling, attached or detached structures sue use and/ or farm structures. &person who constructs more than one home in a tw - riod shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, o acceptable to the Building Official. that he /she shall be resbonsible for all such work performed under uildina permit. As acting Construction Supervisor your s -nce on the job site will be required from time to time, during and upon completion of the work for which thi : - rmit is issued. Also be advised that with refere ' - to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not ulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform a for you under this permit. The undersign i omeowner" 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 El Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [D Siding [I❑] Other [0] Brief Demip on of Proposed �� � gfn2.lt �a - ( Y ip 7r ,ft- ak Work' 1 g ro O, t";kwn OVC �1 %s�� (1 •i�-� � 'fti) -1 (AA . (A Alteration of existing bedroom Yes No Adding new bedroom X Yes No Attached Narrative ' Renovating unfinished basement Yes r No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family t,! Two Family Other b. Number of rooms in each family unit: 5 Number of Bathrooms 1 c. Is thire a garage attached? CS r/ l d. Proposed Square footage of new construction. A xb1t S7 C Dimensions ?A a X.G (lt t 't�. . e t u x3,.1;.0 e. Number of stories? a f. Method of heating? U ' Fireplaces or Woodstoves Number of each .g. Energy Conservation ♦ C - , omplliaance. Masscheck Energy Compliance form attached? h. Type of construction l} ,, . k U'C 5 i. Is construction within 100 ft. of wetlands? Yes x No. Is construction within 100 yr. floodplain Yes /No j. Depth of basement or cellar floor below finished grade 7 ) f k. Will building conform to the Building and Zoning regulations? ,X Yes No . I. Septic Tank City Sewer V Private well City water Supply t/ SECTION 7A - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT � 1, r t7 Se /fI( (S , as Owner of the subject property hereby authorize Al C.-- t y 1 7 to act on my behalf, in all matters relative to work authorized by this building permit application. Si ature of Owner Date E r , 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. G.R. ?A mss% Print Name Signature of Owner /Agent Date colnA a o�.� - o N / 4, c A O al 21M e > 4 k / \ . V y) S L l\ 7 1 ) \ 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 4, ((c' .fn Frontage Setbacks Front 6 Side L: � R: .5.`5 L: ( t R: , .. /© /0 Rear ,.� g t /3 Building Height Bldg. Square Footage % L(Q3 ,5 b Q OW' Open Space Footage % (Lot area minus bldg & paved 30A parking) d A I tI 2 d) t-i D # of Parking Spaces ..- Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES ®f� IF YES, date issued: glr IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES IF YES: enter Book clot 89 Page Cj and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only • City of Northampton Status of Permit: Building Department Curb'Cut/Driveway Permit 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413 - 587 -1240 Fax 413- 587 -1272 Plot/Site Plans Other Specify 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 j f 3 p* e F: ,/� Map Lot Unit L >,� 1�1. tVI 0 ton n to co Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: l r t �1 r ftk �' .� j �� y az ` a fr', (f Cat -1/Ia rn a br) Name (Print) Current Mailin A dr ess: � �y 4% Telephone 4---2 ti -3:2 Signature 2.2 Authorized Acient: PCCVI A ? U 0: `( 'S ��I �n p Name (Print) Current Mailing Address: L - - ELI 1315 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant I 1. Building (a) Building Permit Fee it/ 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + + 4 + 5 30 Ob 0 Check Number le -,Y � '(12 / 1 , This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0486 APPLICANT /CONTACT PERSON ERIC PAYNE ADDRESS /PHONE 30 VALLEY ST NORTHAMPTON (413) 584 -1375 0 PROPERTY LOCATION 247 STATE ST I – 9 2.7 MAP 24D PARCEL 126 001 ZONE URC(100)/ -- ' y(/ .)Q _?) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST 0 0) r ,,-") - 0 ENCLOSED REI ZONING FORM FILLED OUT C) /' >; w fir,! Fee Paid Building Permit Filled out /� ,3 go d �� Cr) Fee Paid 1S � Typeof Construction:_CONSTRUCT 2ND STORY 22 X24 ADDITION (SHELL New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/ Statement or License 086442 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOATION PRESENTED: 2- 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 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. 247 STATE ST BP- 2010 -0486 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 126 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2010 -0486 Project # JS- 2010- 000039 Est. Cost: $30000.00 Fee: $404.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JASON GRAVER 103229 Lot Size(sq. ft.): 4094.64 Owner: SELLERS JOAN R & MARK Zoning: URC(100)/ Applicant: JASON GRAVER AT: 247 STATE ST Applicant Address: Phone: Insurance: 104R HAWLEY ST (413) 320 -6427 NORTHAMPTONMA01060 ISSUED ON:4/20/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2ND STORY 22 X24 ADDITION (SHELL ONLY) WHOLE HOUSE MUST HAVE SMOKE & CO DETECTORS PER CURRENT CODE(HARDWIRED) 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 4/20/2010 0:00:00 $404.40 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo d (ir ).\ '\' V\Pj\-1 V-2\1 \O\NNIX, C ` nSR' il s' °v\ giC 2j t o r6\ S k�tik t- al Thr, V; 1010 Mark and Joan Sellers 247 State Street Northampton, MA 01060 April 14, 2010 Office of the Building Commissioner 212 Main Street Northampton, MA 01060 To Whom It May Concern: We, Mark and Joan Sellers, with all due respect, release Eric Payne Construction from the building permit that is in process for 247 State Street. James Hasbrouck of Custom Building & Remodeling and Jason Graver of Elemental Carpentry will assume the building permit. Sincerely, tiA se Mark Sellers Jo./ ellers Cc Eric Payne 30 Valley Street Northampton, MA 01060 Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA -2010 -0005 Date: August 27, 2009 MEMBERS PRESENT: VOTE: Malcolm B.E. Smith votes to Grant MOTION MADE BY. SECONDED BY: VOTE COUNT: DECISION: Malcolm B.E. Smith 1 Granted w/ Conditions MINUTES OF MEETING. Available in the Office of Planning 8 Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify That this is a true and accurate decision made by the Zoning Board Administrator and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. I certify that a copy of this decision has been mailed to the Owner and Applicant. ClUt The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty (30) days from the date ' of the decision. All appeals are heard by the full Zoning Board of Appeals. GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. r BLDG. J DPVI CITY CLERK Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2010 -0005 Date: August 27, 2009 AP PLICAT ION TYPE. SUBMISSION DATE. Residential Finding 8/4/2009 Applicant's Name: Owner's Name: ' y NAME NAME SELLERS JOAN R & MARK SELLERS JOAN R & MARK ADDRESS: ADDRESS: 247 STATE ST 247 STATE ST TOWN: STATE ZIP CODE: TOWN: STATE: ZIP CODE: NORTHAMPTON MA 01060 NORTHAMPTON MA 01060 PHONE NO.: FAX NO,: PHONE NO.: FAX NO: EMAIL ADDRESS EMAIL ADDRESS Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME: ' ' , 24rrArr sr URC(1001/ TOWN: ACTION TAKEN: ADDRESS: NORTHAMPTON MA 01060 Approved w/ Conditions MAP: BLOCK: LOT: MAP DATE SECTION OF BYLAW: 24D 126 001 Chpt, 350- 9.3: Pre - existing Nonconforming TOWN: STATE: ZIP CODE: Book: Page: Structures or Uses May be Changed, 6152 247 Extended or Altered. PHONE NO.: FAX NO.: EMAIL ADDRESS. NATURE OF PROPOSED WORK. Build second floor addition (APPROX 22 X24). HARDSHIP: CONDITION OF APPROVAL' 1) Construction access should be primarily from the south access if possible. 2). If street tree trimming is required in the public right -of -way, the applicant shall contact the DPW street division for permission. Trimming shall only be done upon consultation with the tree warden and at the applicant's expense. 3). Any disturbance to city right -of -way or property shall be restored to at least pre - construction conditions. FINDINGS: The designated Zoning Administrator granted the Finding based on the materials and graphics submitted with the application. The Findings of the Board Administrator under Section 9.3 for the addition on the second floor of the existing single family house related to the side yard setbacks were as follows: 1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming structure on the lot. The addition would extend to within 5.5' of the side lot line. The current non - conforming structure is 5.5' from the fine at its closest point. No other setbacks are affected. 2. The Administrator found that the home would not extend any closer to any front, side, or rear property boundary than the current zoning allows and that the pre- existing structure already extends. 3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions; and does not involve a sign. COULD NOT DEROGATE BECAUSE FILING DEADLINE. MAILING DATE. HEARING CONTINUED DATE DECISION DRAFT BY APPEAL DATE 7/28/2009 8/22/2009 9/10/2009 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE FINAL SIGNING BY: APPEAL DEADLINE 8/15/2009 10/8/2009 8/27/2009 9/10/2009 9/27/2009 FIRST ADVERTISING DATE: HEARING DATE. VOTING DATE. 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File No • ,' �" a„�` ,''''''pa <;... usx+ a «r.,a �, � wea.; _ - .. ,y � . zs� -.4 :�. n. „ f a� - +xs, -.A5.”. = a.. - " ,cam„ -. � �:r w s _ . - ;� ..., s . ,w �... - w � ;3 _ � . L Please print all information and return this form to the Building Inspectors Office with the $z5 filing fee (check or money order) payable to the City of Northampton P� pc , F 1. Name of Applicant: --' ; . — .... - Address: _ k i 1 L� ` ,�, ' ,? Ik Telephone 2. Owner of Property: \. - ` 4._ ' f` .._ Address ` ° ` '': — Telephone: i f 3. Status of Applicant: Owner Contract Purchaser – Lessee Other (explain) C 4. Job Location:�� `J 1 �J?– dJ 1 E -dF_ - -,T ---_, -- , - ---17- ,- °,1,,, -5 ", � F ..:.. _. (�, - d � a . ..- .r:, ,.°?.. ;. < _... 7. " T "- ,�.1' P ik' _ < ,. - -t- - 7.- -- --_- s ^ ., n ; ;`" ` ° ,.. : Ir .. �2 5. Existing Use of Structure /Property . 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): ` lam f. 2, pi c Ne-- t-. i ( z TY F' CL V v t 7. Attached Plans: Sketch Plan �^ Site Plan — Engineered /Surveyed Plans 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO V DONT KNOW YES IF YES, date issued: _ IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and /or Document # `9.Does the site contain a brook, body of water or wetlands? NO // DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues -On ether W:1IIocuments\FORlvIS \oriiginal \Building- Inspector\Zoning- Permit _Application- passive.doc 8/4/2004 File # MP- 2010 -0004 APPLICANT /CONTACT PERSON PECK JEFFREY ADDRESS/PHONE 5 VINCENT RD (413) 339 -8321 0 PROPERTY LOCATI • MAP' 24D PARCEL 126 O() f ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM : LLED OUT / Fee 'air fp Building Permit Filled out Fee Paid T peof Construction: ZPA - ADD 2ND FLR (APPROX 22 X24) 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 FOLLOWING ACTI HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRES TED: Approved dditional 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: § 33 — `.J Seo0 .S'0 T619e'Z Finding Special Permit Variance* cue 5/44/4 "ciP Received & Recorded at Registry of Deeds Proof Enclosed O� Aearre.ej Other Permits Required: 4-4,97,0 4/ 3300 / 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 Co ssion Permit DPW Storm Water Management 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 the Office of Planning & Development for more information. Zoning Board of Appeals - Decision City of Northampt Hearing No.: ZBA -2010 -0005 Date: August 27, 2009 MEMBERS PRESENT: VOTE: Malcolm B.E. Smith votes to Grant MOTION MADE BY: SECONDED B Y: VOTE COUNT: DECISION: Malcolm B.E. Smith 1 Granted w/ Conditions MINUTES OF MEETING: Available in the Office of Planning 8 Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board Administrator and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. I certify that a copy of this decision has been mailed to the Owner and Applicant. cmtt „timka.A,' • The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty (30) days from the date of the decision. All appeals are heard by the full Zoning Board of Appeals; IlECEllWED AUG 2 8 2009 CITY CLERKS OFFICE NORTHAMPTON, MA 01060 September 29, 2009 I, Wendy Mazza, City Clerk of the City of Northampton, hereby certify that the above Decision of the Northampton Zoning Board if Appeals' authorized Zoning Administrator was filed in the Office of the City Clerk on August 28, 2009, that thirty days have elapsed since such filing and that no appeal has been filed in this matter. Attest: City C rk City o Northampton ATTEST. BEAMPL3HIRE, `"` , • GISTER MARIANNE L. DONOHUE GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. • J Zoning Board of Appeals - Decision City of Northampton I II II V I I I II II II I I III II I III II IIII I 2009 00025193 Hearing No.: ZBA -2010 -0005 Date: August 27,.2009 Bk: 9989Pg: 297 Page: 1 of 2 APPLICATION TYPE: SUBMISSION DATE: Recorded: 10/13/2009 1 :43 AM Residential Finding 8/4/2009 Applicant's Name: Owner's Name: NAME: NAME: SELLERS JOAN R & MARK SELLERS JOAN R & MARK ADDRESS: ADDRESS: 247 STATE ST 247 STATE ST TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: NORTHAMPTON MA 01060 NORTHAMPTON MA 01060 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: EMAIL ADDRESS: EMAIL ADDRESS: • Site Information: Surveyor's Name: STREET NO.: SITE ZONING: .. - COMPANY NAME: 247 STATE ST URC(100)/ TOWN: ACTION TAKEN: ADDRESS: NORTHAMPTON MA 01060 Approved w/ Conditions • MAP: BLOCK: LOT: MAP DATE: SECTION OF BYLAW: 24D 126 001 Chpt. 350- 9.3: Pre - existing Nonconforming TOWN: STATE: ZIP CODE: Book: Page: Structures or Uses May be Changed, 6152 247 Extended or Altered. PHONE NO.: FAX NO.: • EMAIL ADDRESS: NATURE OF PROPOSED WORK - Build second floor addition (APPROX 22 X24). HARDSHIP: CONDITION OF APPROVAL: 1) Construction access should be primarily from the south access if possible. 2). If street tree trimming is required in the public right -of -way, the applicant shall contact the DPW street division for permission. Trimming shall only be done upon consultation with the tree warden and at the applicant's expense. 3). Any disturbance to city right -of -way or property shall be restored to at least pre- construction conditions. FINDINGS: The designated Zoning Administrator granted the Finding based on the materials and graphics submitted with the application. The Findings of the Board Administrator under Section 9.3 for the addition on the second floor of the existing single family house related to the side yard setbacks were as follows: 1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming structure on the lot. The addition would extend to within 5.5' of the side lot line. The current non - conforming structure is 5.5' from the line at its closest point. No other setbacks are affected. 2. The Administrator found that the home would not extend any closer to any front, side, or rear property boundary than the current zoning allows and that the pre - existing structure already extends. 3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions; and does not involve a sign. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE: 7/28/2009 8/22/2009 9/10/2009 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE: 8/15/2009 10/8/2009 8/27/2009 9/10/2009 9/27/2009 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: . DECISION DATE: 8/13/2009 8/27/2009 8/27/2009 8/28/2009 SECOND,ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: _ DECISION DEADLINE: 8/20/2009 4:10 PM 11/25/2009 11/25/2009 • GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. File # MP- 2010 -0004 f APPLICANT /CONTACT PERSON PECK JEFFREY ADDRESS /PHONE 5 VINC‘?NT RD (413) 339 -8321 () PROPERTY LOCATION 247 STATE ST 4,014.D. PAfPE ,,1 ¢ < QI t NE 1.111c4 'Qv THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT f /�� Fee Paid / � 4 /� Building Permit Filled out Fee Paid `I'ypeof Construction: ZPA - ADD 2ND FLR (APPROX 22 X24) 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQItMATION 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 //j7.1:047 Signature of Building Officio 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 the Office of Planning & Development for more information.