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30B-045 (2) 25 Hinckley & 12-31-09 Northampton Ma. 2:55pm. I of I , KeyBeamer 4 50'A iuriBeamEngint 4 50Th Materials Databese IWO Member Data Description: Member T Beam Appicalion: ROW Top Lateral Bracing Continuous Bottom LabsreA Bra": No Standard Load: Moisture Conon: Dry Bung Code: IBC / IRC • Dead Load 10 PLF Deflection Cfiteria: U360 kva, 11240 total tsar max. LL • Live Load 40 PLF Deck Connection: Naffed Member Weight 11.7 PLF i Filename: KYB1 I, Other Loads ' Type Titti. Dead Other • (Description) Begin End Iliad% Start End Start End Category 1 Replacement Uniform (PSF) Cf 0.00" 13' 0,00' 12' aocr 10 30 Live Additional Uniform (PLF) ft acoo- 13' 0.00' 0 180 Live Additional Uniform (PSF) 0' 0.00' 13' 0.00" 12' 6.00" 10 0 Live .,r-Nn:::: , ?.?:;_, :::,"/ A.: < l. S, ".I1-,Z I:Nr: :: IVT: ' -f - I. *-7 .. t Ire§II -5 :V.g:*i V ' f., • `,, .iP '.;,,,. ,, ' -1" >i'n-. ., ' 7'. :"-x":4 , ,,,,' ,, , 4`.'X'T , I 'AIT `I,",I,T+WATIt ,,,; ,,,x I'el f':It;thigi:VketellIMA'Ag-IM:AIIIMPAIAIVII ArIiitIOI4IiIIOZ a I...T.e',II:=::"/ktItZII.Iel,e, t; I , .';e.,..I . e.. , V , AZt'I IItThaI•S:e.tft .,•I‘ •'''I:• 1300 (2) P .. i , 1300 , . Bearings and Reactions Location Type input n Required Gravity Reaction Gravity Uplift 0" Wag 3.500" 1.954" 5130# - • 2 12' 6.750" Wag 3.500" 1.954" 5130# - Maximum Load Case Reactions Used ter apptying. peel bads her inn Inaele) In carrying meters Dead Live 1 16441 3486# i 2 1644# 3486# Design spans 176750" Product 1 3/4x11 7/8 VessreLam 2.04100 SP 2 ply Component Member Design has Passed Design Checks."' t I Design asstavres =Mimeos lateral bracing Moira the to chord. Design assumes no lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 16111.'1 212/b."1 75% 628' Total load D-t-L Shear 43221 78971 54% 0.01' Total load D+L Max. Reaction 51301 9188.# 55% 0' Total load D+L TL Deflection 0,4685' 0.6281" L1321 6.28' Total load D+L LL Deflection 0 0_4187" 1I473 628' Total load L Control: LL Deflection '. OOLs: Live.100% Snow115% Roof=126% Wino160% Manufacturer's installation guide MUST be consulted for mufti-ply connection detags end edem ores — - _ _ ----- - ------ - - -- -- - - -- - -- - -- - - -- - - .. . al arork.ot rooms we traatoorks of Mott re a p a c t r . a oozers • 4,N • .,±* ,...•0 ..,,•.• • ' ' r '2 X X ' ' - ' ' '''' = . ,,, . af196321:05by ;farm* 51arisOseo. WI. AEI MGM'S RESUMED "Passing Is defined es Men the matter, dew imsf... tem or oinks. shwa on this *mob; roeots zoolicaltta assCorr atom for toalft. Laming Gwadar's. and Spas teed iNtZtia sheet The design must he revie.edty a gadded dososor or droop posaroasoal as aalaosa kr alkaraaaL This &sato =was aluibra netelaban aasarlaO ta taa amarbratrea speciticatons •- s • - • __--.. Ps vaa ' 0.L. vim+ „rl P oo h „9 ,c.1 X cl W"l „a /w "l /(. J 011 „ zr 7f "l \ 1Noc+r' 25 Hinckley St 12 -31 -09 1 . �'.� Northampton Ma. 3:01pm loft KeyBeame 4.535a I I }anBeamEngine 4.50Th 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: L1360 live, 1/240 total 1.500" max. LL Live Load: 40 PLF Deck Connection: Nailed Member Weight: 11.7 PLF Filename: 13 ft beam 1 Other Loads I • Type Trib. Dead Other (Description) Begin End Width Start End Start End Category I Replacement Uniform (PSF) 0' 0-00" 4' 0.00" 10' 6.00" 10 30 Live I Replacement Uniform (PSF) 4' 0.00" 13' 0.00" 9' 0.00" 10 30 Live Additional Uniform (PLF) 0' 0.00" 13' 0.00" 56 142 Live Additional Uniform (PSF) 0' 0.00" 13' 0.00" 10' 6.00" 10 0 Live . fir •::.rvnv- tl .. .:: :. ,M... > } }: ".:Y..Y.'.... ;:;i2 .:v : ;:. Lev :. is , ' . }, .•. `. ':>. ., :: �: : ?:::::x�;::, < +.., v . : r > •,r }: , n .}}si �: ' , .,i.'.�v>- ,. I .yi�`oer .`` k •. ; , 1i.�f.00,'fX . °. , t .:�,.:t•f 46 .0 :•t isr'<e?CY..3 to / 13 0 0 / I s 4 9 / / 13 0 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.688" 4431# 2 12' 6.750" Wall 3.500" 1.627" 42720 — Maximum Load Case Reactions Used for applying point loads for foe bads) to carrying members Dead Live 1 16980 27321 2 16591 26130 Design spans 12' 6.750" Product: 1 314x11718 Versa -Lam 2.0 -3100 SP 2 ply Component Member Design has Passed Design Checks.** . Design assumes continuous lateral bracing along the top chord. Design assumes no lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 13524.'1 21275.'1 63% 6.28' Total Toad 0+1 Shear 3704.1 7897.1 46% 0.01' Total load 0 +1 Max. Reaction 4431.1 9188.1 48% 0' Total load D+L TL Deflection 0.3941" 0.6281" L/382 6.28' Total bad D +L LL Deflection 0.2416" 0.4187" 1/623 6.28' Total load L Control: Positive Moment DOLs: Live =100% Snowy = 115% Roof - -125% 1Ninth160% Manufacturer's installation guide MUST be consulted for mufti -ply connection details and alternatives ph.Q' : 4' ` fr, ` Al product names are trademarks of their b respective owners > �aV "..:•a'Copynght (C)t939.2005 by IGeyn®ek Enterprises, LLC. ALL HPGFfTS RESERVED. "Passing is defined as when the member. :boil is!, beam or girder, shown on Cris drawing meets apprcabte design criteria for Loads, tearing Conditions, and Spans islet on this sheet. The design must be reviewed by a wagged deyioser or design professional as reaired for approval. Das design assumes proton installation according to the manufacturer s specihcatoee. er GA o Cher. -,b.. 1 '1 , { °Co4 ckcor a a \N L . \/, \- X 1 . 1 t t k �7 t 1 �c S � a X kt e ___ A___L (wti,` T„ be , ,�.e.� vnatf M) L_1-- -1 I 1 \ i 1 1. � `"� 7 72- i - -__. � x,►n� r.� �' yr 1-1 �-- f HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two -year period shall not be considered a home owner." The building department for the City of Northampton wants person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations The inspection p ce 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 --- - - -- -- pests- in-conjunction.to_the buildingpermitissued,_ 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 .....e..—, Department of Industrial Accidents 1„= Office of Investigations lc 600 Washington Street � � °=- Boston, MA 02111 s.• www.massgov /dui -Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): 0 eci t Re) Yw ^� 'Stt' ct'. S - Thvief 0 P '1 Y6( Address: J c cy c. S rr e cfi t v 11 t'k,.., s. h u c 1 Yh S( G 9 City /State /Zip: Phone. #: %/ __ c?-/ c' - /V 7 6 Are you an employer? Check the appropriate box: Type of project (required): / 1. El I am a employer with 4. 0 I am a general contractor and I 6. 0 New constriction employees (full and/or part- time).* have hired the sub- contractors 2. ILI I am a sole proprietor or partner- listed on the attached sheet. 7_ Remodelinz ship and have no employees These sub - contractors have. 8_ Demol .on working for me in any capacity. employees and have workers' 9. E addition [No workers' comp insurance comp. insurance.: required:] 5. 0 We are a corporation and its 10_ - Electrical repairs or additions 3. E J am a homeowner- tiering - all -work — 4 icers_zav ezc _hei.L_- - -L1 -- lambing 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. ❑ 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_ If the sub-contractors have employees, they must. provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: - Policy # or Self-ins. Lic. #: . Expiration Date: - Job Site Address: City /State /Zip:' Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,_500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK QRDER and a fne 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 Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and perrnities of perjury that the information provided above_istrue and_correct -_ __ Si OJ 4. P-,----- . Date: I i y i 3u i 0 • Phone #: c% /3 – Pie' /`/7`C,. - - -Official use only. Do not write in this ar`e`a, io be completed by city or town officiaL City or Town: Permit/License # Issuing Authority (circle one): --I. Board of Health 2. Building Department 3. City/Town CIerk 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 : Tel 0 ( 5rC License Number 1 tort Stra- IA",∎l'Icf/h hhySS aG`16 /?-11.011 Address 1 Expiration Date -� P v /3 - /v — /t/ Signature Telephone 9..'Registered.Home ImpoverneritGontracfor�..... ,.. , Not Applicable ❑ Qe4i ( Mti.,� m.; n V ,�t• CVA 0 etK t 1 - f Y9 7 Company Name Registration Number .1oC (24y24.. Sr7e ��I ,sb h'ik 3/i c /,c(3l/ Address Expiration Date CiOG i Telephone 9'/5 ? (f) SECTION 10 WORKERS' COMPENSATION, INSURANCE AFFIDAVIT (M G • L c 152 § 25C(6)) J 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 LI imometwwnerzmocempuon The_current_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 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. M acting Construction Supervisor your presence on the job site will be required from time to time, during and npnn 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 , o . . . tts- General L- aws- Annotated. - "oft ampton •t� mances, , .� - . _ � . � . i .. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition Replacement Windows Alteration(s) Roofing ED Or boors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other [0] Brief Description of Proposed [L tfi Work: ReQk•-r-t' vest ( iT1\ / j e— Dott ( 1I €t �n,�►hr�� -� �� s1" s ( '' ( bedroom / ‘Al Alteration of existing -chit g � Yes No Adding new bedroom Yes y No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a 1" .F± e : house.a�ld F.ailcl # or%to ex>IS nq hous�nq; coinplefe the f� ftl uirinq a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION Ta - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 , Ele 6(r '( I ".Z.tA , as Owner of the subject property hereby authorize Ta 0 Peg S to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, Till 0 fee; $& 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. •T o Pca, cc. Print Name c)i JOY / 4,,OI O 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 Frontage _. r _.._- _ _____ Setbacks Front Side L. ___ R :.___ L.__.__.. R:',„_ _____ Rear M I .._. .__. Building Height Bldg. Square Footage °'" Open Space Footage _ % - -- (Lot area minus bldg & paved parking) # of Parking Spaces _. "° Fill: 1 (volume & Location) ', .._.�_.�..._......_, _ _..,._._ ,_..._.. A. Has a 5 eclat Permit /Variance /Findi g ever been issued for /on the site? NO DONT KNOW YES IF YES, date issued:: I IF YES: Was the permit recorded at the R gistry of Deeds? NO 0 DONT KNOW YES IF YES: enter Book i Page,` 1 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 Obtained 0 , Date Issued C. Do ally signs exist on the property? YES 0 NO d IF YES, describe size, type and location: ri rP fierP Any -pions ?d' ng ?s ton - a = _ lt�nnc n signsl nfPn ail fnr tFiQ property 7 YFS 0 NO e IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, e avation, 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. • City of Northampton r , Building Department ;Cu 212 Main Street Room 100 - 2.0 Northampton, MA 01060 A phone 413-587-1240 Fax 413-587-1272 1 1#1144 ( - - 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 c; H ,F.1(16-1 S'rcet Map Lot Unit r10(11 flIAS 'Zone • • Overlay District Elm St District CB District SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: /4-% efvks 0/ 33 0 Name (Print) Current Mailing Address: / Et e-A--1 Telephone Signature 2.2 Authorized Agent: Tctkok 0 Pei i d.z;e; f tAr; Is'Arh r e. it Name (Print) Current Mailing Address: ,/c/ 're 4 -,72/4 - Signature Telephone SECTION 3 - ESTIMATED:CONSTRUCTION COSTS . . Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building aCi C'C'a :•:(a). Building Permit Fee 2. Electrical (b) Total Cost of .Construction from (6) 3. Plumbing Building Permit Fcc 4. Mechanical (HVAC) 5. Fire Protection 6. Total - (1 + 2 + 3 + 4 + 5) Check Number .99 • • • this Section Foitiffial1 Use only -- Date Building Permit Number: I ssue d : Signature: Building Commissioner/Inspector of Buitc:lings7 - - .. Date _ _ File # BP- 2010 -0638 APPLICANT /CONTACT PERSON TODD D PEASE ADDRESS/PHONE 1200 CAPE ST WILLIAMSBURG (413) 210 -1476 PROPERTY LOCATION 25 HINCKLEY ST MAP 3013 PARCEL 045 001 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 /�� 91 Fee Paid Typeof Construction: REMODEL BATH/KITCHEN,DRYWALL & INSULATION FROM WATER DAMAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 101384 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQ IATION 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 ot toedio 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. 25 HINCKLEY ST BP- 2010 -0638 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30B - 045 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2010 -0638 Project # JS- 2010 - 000910 Est. Cost: $35000.00 . Fee: $210.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TODD D PEASE 101384 Lot Size(sq. ft.): 8712.00 Owner: LAZARUS ELEANOR Zoning' IJRB(1OO)/ Applicant: TODD D PEASE AT: 25 HINCKLEY I ST Applicant Address: Phone: Insurance: 1200 CAPE ST (413) 210 - 1476 W ILLIAMSBURGMA01096 ISSUED ON:1 /5/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: REMODEL BATH /KITCHEN,DRYWALL & INSULATION FROM WATER DAMAGE 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: 4T Rough:. / /�fO House # Foundation: / Driveway Final: Final: `"/6 Final: •✓ -' I / _ ,11,- . � ,f o �3 a ,�,J Rough Frame: Gas: / Fire Department Fireplace /Chimney: _ Rough g ` Oil: ...st : »ti_ a � ( u � Final�� 10J �� Smoke: Final: OK 51ll/(d THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupanc i lid Signature: FeeType: Date Paid: Amount: Building 1/5/2010 0:00:00 $210.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo