31A-298 9 -20 -10 •
Key 9:05am
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KeyBeam® 4.506a
kmBeamEngine 4.508e
Materials Database 1197 '
Member Data
Description: Member Type: Beam Application: Floor
Top Lateral Bracing: Continuous
Bottom Lateral Bracing: None
Standard Load: Moisture Condition: Dry Building Code: SBC
Dead Load: 10 PLF Deflection Criteria: U360 live, 0240 total
Live Load: 40 PLF Deck Connection: Nailed Member Weight 13.8 PLF
Filename: KYB1
' Other Loads
Type Trib. Dead Other
(Description) Begin End Width Start End Start End Category
Additional Uniform (PSF) 0' 0.00" 11' 6.00" 12' 0.00" 10 30 Live
Additional Uniform (PSF) 0' 0.00" 11' 6.00" 12' 0.00" 10 30 Live
' Additional Uniform (PSF) 0' 0.00" 11' 6.00" 12' 0.00" 10 50 Live
Replacement Uniform (PSF) 0' 0.00" 11' 6.00" 3' 0.00" . 10 50 Live .
:
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Bearings and Reactions
Location Type Input Length Min Required Gravity Reaction Gravity Uplift
1 0' 3.500" Wall 4.000" 4.118" 10811# --
2 11' 2.875" Wall 4.000" 3.907" 10256# --
' Maximum Load Case Reactions
Used for applying pant loads (or line bads) to carrying members
' Dead Live
1 2330# 8481#
2 2209# 8047#
Design spans
0' 3.500" (left cant) 10' 11.375"
Product: 1 3/4x14 Versa -Lam 2.0-3100 SP 2 ply
Component Member Design has Passed Design Checks.**
Minimum 4.12" bearing required at bearing # 1
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 28065.'# 29035.'# 96% 5.77' Even Spans D +L
Negative Moment 80.'# 29035.'# 0% 0.29' Total load D +L
' Negative Unbrcd 80.'# 29502.'# 0% 0.29' Cants Only D +L
Shear 8078.# 9310.# 86% 0.3' Total load D +L
Max. Reaction 10256.# 10500.# 97% 11.24' Even Spans D +L
TL Deflection 0.3782" 0.5474" L/347 5.77 Even Spans D +L
LL Deflection 0.2968" 0.3649" L/442 5.77' Even Spans L
TL Defl., Lt. - 0.0322" 0.2000" 2U217 0' Even Spans D +L
LL Defl., Lt. - 0.0253" 0.2000" 2L/276 0' Even Spans L
Control: Max. Reaction
DOLs: Live =100% Snood =115% Roof =125% Wind =160%
Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives
All product names are trademarks of their respective owners
::+ iR+S%i4:' "k- %- •8'•'it` ?ii'a •Cop (C)1989 -2005 by Keymark 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 listed 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.
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
7.
www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual): 71 �/ Lt/ / (, ' ?p1,dt1- (Gin>
Address: (- PO, 42,t „V■7 Chia3tt°2. ,
City /State /Zip: Mei• OM/ Z Pone #c G jr — ) Z 4 / - 297f/6y
Are you an employer? Check the appropriate box: Type of project (required): Iti%1
1. 1 am a employer with 4. El am a general contractor and I
/ have hired the sub - contractors 6. ❑ N w construction
employees (full and/or part- time). *
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub - contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5• ❑ We are a corporation and its 10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.E 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.
*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: A+ /6 //t , 1' & _/
Cn
Policy # or Self -ins. Lic. #: 0/4 2 -3 /s- 362/9-4- D/7 Expiration Date: 5- 2 / 6 - 2� /�
Job Site Address: 33 � ,911f iP.l City /State /Zip: /V 7g/%Arf04 f /,. onP60
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 fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigationsof the DIA for insurance coverage verification,
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
5ianature: �� - = %r /rf4S t a� Datc. s .20 , t /o
Phone #: 9 /_" 2 9 f - 7 - 3 1/ �/
Official use only. .Do not write in this area, to be completed by city or town official
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, A. 'e � ,E Gc vie i - / =5 t as Owner of the subject property
hereby authorize ° d /
• .. to
act on b alf in , atters,rel • ' e work authorized by this building permit application
Signature of Owner (` Date
I,h� .... ,�.,/QA_A/_... _ f ?.� .w. ..._...._. ..... , 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 enalties of perjury. n
.. ..
Print Nam�j
44- atiOZ , 20- 10 .„ _.. .....- .._ , , _.
Signature of Owner /Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
3/ 241)/ ... , n _.
License Number
R ,y�
O., .. Box 021:2_ ._ .... ,�2. zi rd fie/ I . , Z. ... . I . . _ ,9.... _ ..c9 0 /1. _
Address Expiration Date
�, °� 077144-- ..,4&(......1._________ � / / ..3 . X97 - b t l .
Signature Telephone
SECTION 13 = 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- deniaa -0fthe issuance- o € -the -bu -- i g permit. - - - - - -- -- __ -- -_ -_ -- ---- _------- -_ - - -- -
Signed Affidavit Attached Yes No 0
,
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name (Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
� Area of Responsibility
Name
p ility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
7 )C2A . /- 1 ?.... � DID- _ . __..__ Not Applicable ❑
Company Name:
6 Construction
Responsible 13 Charge
p 04 CL otP i /e /l N fYoia
Address
.... ..... ....... . . e_
Signature Telephone
Version1.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L. _._._,._.. R:......,, _. L.,,.,..._....... R.'._.._..
Rear
Building Height .
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 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 (3 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a comf11611 pl8n
that will disturb over 1 acre? YES (:) NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
Version1.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations. xisting Wall Signs 0 Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑
F ' i a g Sign Signs g' Change of Use ❑ Other ❑
Exterior Alteration °❑ Existing Ground Si n ❑ New Si ns ❑ Roofing
Brief Description Enter a brief description here. /'e 7Zn0r= Poiz 4i
Of Proposed Work: x pp, n ,/ ,Liv„n R on rip aof , 5d',v?ogJ, A/v "dr p ea $ )JL)/ # UI 26,0„,, ,lam o,� _ 1C4iioit4.7 .. 1 0A' - a l09 : 1..
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE iV eAt e te.
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B - ( ❑
F Factory ❑ F -1 0 F -2 ❑ 2C ❑
H High Hazard ❑ ' 3A ❑
1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ i 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S -2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify
.
S Special Use ❑ Specify.,_ .
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: . __...... Proposed Use Group::_..
Existing Hazard Index 780 CMR 34):. _. _.._ .. _, ___ ,._.,,__ _., Proposed Hazard Index 780 CMR 34). `,_ _._:_.._ .___,,..,. . ,_ _:..
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1 sr
__
1 st
2..d .. .. ._ ... .. ..... ..._.._.. ...... „.._,., 2nd
3rd 3rd .. _
th
4th
Total Area (sf) Total Proposed New Construction (sf) ,
Total Height (ft)
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood, Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone0 Municipal ❑ On site disposal system
Versionl.7 Commercial Building Permit May 15, 2000
epat#rraen#.ise..0 .y.. . ..]
City of Northampton stafus of P it 7 � w " } p$$ i q
Building Department Curb CutiDnuew P irrr ,, N;,-,
212 Main Street Sewer /Septic Avatia ¢ilk ' , ': t : I t 3
Room 100 Waterell Avallah "EP I rf
Northampton, MA 01060 Two Sets of Struct L ral Plans `
phone 413 -587 -1240 Fax 413 - 587 -1272 Plot/Site plans'_
Other Spe O-« e tr 4€?,°#, P D C l
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
Address:
33 gyp, IM 4g 14Ve Map Lot Unit
/� �
Zone Overlay District
POR l'hayv - ON Ala 0 1 0 . 6 Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
i h s5 .titre. I t s . .iz - -., . * . _ 4 . _ � h v
Name (Print) Current Mailing Address:
_. .. 1- 0 ._...__.
Signature Telephone
2.2 Authorized Agent:
7,- in/rlos .4 ill .._ ?0,..�,Z.a 29.? .. _G, ielr / / if.
Name (Print) Current Mailing Address: 0/02
Signature C,<O1Rm /4..." O Telephone e el/
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building d° {a} Building Permit Fee
2. Electrical --- _ w_ :.. (b) Estimated Total Cost of
1200 Construction from (6) _ ... _..._ ...._
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) __�.. _ ,„ _... _____ _.., .... _,
5. Fire Protection
6. Total= (1 +2 +3 +4 +5) 1 t9 COO Check Number 4'79 1 ®7
This- Section For Official Use Only
Building Permit Number Date
Issued
Signature'
Building Commissioner /Inspector of Buildings Date
File # BP- 2011 -0260
APPLICANT /CONTACT PERSON THOMAS DOLAN
ADDRESS/PHONE P 0 BOX 297 CHESTERFIELD (413) 585 -0612 0
PROPERTY LOCATION 33 JAMES AVE
MAP 31A PARCEL 298 001 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 / 790 0
Fee Paid CCOo
Tvpeof Construction: CONVERT ENCLOSED PORCH TO LIVING RM/MUDROOM,INSTALL
REPLACEMENT WINDOWS & REPLACE PORCH ROOF
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 039281
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION 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
V23 /,0
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
33 JAMES AVE BP- 2011 -0260
GIS #: COMMONWEALTH OF MASSACHUSETTS
fap :Block: 31A - 298 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 -0260
Project # JS- 2011- 000431
Est. Cost: $19500.00
Fee: $117.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS DOLAN 039281
Lot Size(sq. ft.): 4791.60 Owner: GARRETT - PRESTON MELISSA
Zoning: URB(100)/ Applicant: THOMAS DOLAN
AT: 33 JAMES AVE
Applicant Address: Phone: Insurance:
P O BOX 297 (413) 585 -0612 () Workers
Compensation
CHESTERFIELDMA01012 ISSUED ON:9/23/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT ENCLOSED PORCH TO LIVING
RM /MUDROOM,INSTALL REPLACEMENT WINDOWS & REPLACE PORCH ROOF
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 9/23/2010 0:00:00 $117.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner