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36-211 /Ac /,/ L ,4 Table 1: Garage Front Bracing Solutions Anchor Em meat Dep ot, i Applicafion Wall Model Rod inimurrl< Coat a Strength (P • [am eter . 00 pst :' pst . 350G psi AT SET AT SET AT SET ! - SINGLE STORY SSW12x9 3/4" 16 16 16 16 16 16 -^- - SSW15x9 In 12 12 12 12 12 12 s SSW12at10 3/4" 20 20 20 20 16 16 SSW1xti i" 16 12 12 12 12 12 µ SSW15x11 1" 16 16 16 16 12 12 SSW18x11 1" 12 12 12 12 12 12 is `: :C <titi:�±�i• ...v..;; ...::.nom .. ;..:.. v. �. ij:.+,: l:t?'?? �:: �:t?:;::: ? ?•::::�::i`iii:�: {:::i`L•`.ii: vviii };.y;;;. ; . yv , ..;.; ::v. :;:.',: �,, v<: i»: j;:^>:}: is ::?ui� ?:' ?ti�r:�:: ?y:`:.!':i�r� :::`iii:�::iiij: ?: ?riiii:L�: C:i<•::•:::;;Lin:O:v:v;; Lin ::.:{; {. }':::.:�:. ?'.,�:::::... : \•:,::ti .. Q ..: ...................:.... n... ....................: ... ...................:...........:: . SSW18x9 1" 20 20 20 16 16 16 SSW21x9 1" 16 16 16 16 16 16 SSW1$x10' 1" NS NS 20 i 20 20 20 __ SSW21x1 �" 16 16 16 16 16 16 SSW21x11 1" 20 20 20 20 16 16 SSW24x11 1" 16 16 16 16 16 16 ............. .:::.:..... SSW15x9 1" 20 20 16 16 16 16 _ - "-- SSW18x9 1" 16 16 12 12 12 12 SWt6 its 1" 16 ` 16 16 16 16 16 SS2 ix i(3 1 12 12 12 12 12 12 SSW21x11 1'' 16 16 16 12 12 12 SSW24x11 1" 12 12 12 12 12 12 FIRST STORY OF A TWO -STORY ...................................................... ............................... ?'�:F::iRt:i`•�'::. .,., �i4fi�:?: �:::: �::'?:::<:: s�::` 2:: i:::` � j; j: 2%> �:: ���q .� ?::`::::`�: _.,__ --- SSW18x9 1" 16 16 16 16 12 ism uS W 18xt!) 1" 16 16 16 16 16 16 SSW21x4 1" 16 16 12 12 12 12 L SSW18x11 1" 20 20 16 16 16 16 SSW21 x11 1" 16 16 16 16 16 12 SSW21 x9 1" 20 20 16 16 16 16 SSW24x9 1" 16 16 16 16 16 16 SSW21x €" NS 20 20 <. 20 20 20 SSW24x i 1" 20 16 . 16 16 16 16 SSW24x11 1" 20 20 20 20 16 16 1. Required quantity of Braced Wall Panels shall be determined from IRC Section R602.10 and adjusted in accordance with • Section R301.3 for story heights. 2. Anchor rods shall be ASTM F1554 Grade 36 or ASTM A36 minimum and must be installed with Simpson Strong AT Acrylic-Tie adhesive or SET High Strength Epoxy. 3. Minimum concrete temperature at time of installation is 0 °F for AT and 40 °F for SET. 4. Maximum allowable axial gravity load acting concurrently with in -plane shear is 4,000 pounds for "single story" applications and 7500 pounds for "first story of a two- story" applications. 5. NS = No Solution. Page 2 of 2 L- SSWSTEMTALLGF Co„ ` if:. 5956 West Las Positas Boulevard Pleasanton, California, 94588 Phone - 800 . 999.5099 vAvw. stronyhe cad �2 s D i lima 0\0 \\ ■ft- 1\ IBM x - al /UI�1 ,1_ — 78' ZkfS ' 2 Co,J iT/U// • I Job Truss [Truss Type Qty Ply STOCK2009 5245 MA SCISSORS 1 1 STOCK SCISSOR 5/12 Job Reference (optional) Truss Engineering Corp., Indian Orchard MA 011 1 7.100 s Sep 25 2008 MiTek Industries, Inc. Mon Jun 01 08:47:53 2009 Page 1 1 -1-4-0 1-4-0 0-0-0 6-8-9 6-8-9 53-7 12-0-0 53-7 17-3-7 63-0 24-0-0 25-4-0 ■ 1 -4-0 Scale = 1:334 5x6 = 4 — i 13 14 5.00 12 3x4 � 3x4 J 3 5 12 f ! t � �� ` 15 M a. 7 x8 = rill 16 Y 11 10 8 N q� 1.5x4 II 1.5x4 I I 6 c� 2 i b ` 7 '.1 2.50 12 j j 4x9 = 4x9 = 0-0-0 6-8-9 12-0-0 173-7 24 -0-0 6-8-9 53-7 53-7 638.9 1.4-0 I 24-0-0 , 1-4-0 LOADING (psf) TCLL 38.5 SPACING 2 -0-0 CSI DEFL in (loc) /deft L/d PLATES GRIP (Ground Snow 50.0) Plates Increase 1.15 TC 0.83 Vert(LL) -0 44 8 -9 >649 240 MT20 197/144 Lumber Increase 1.15 BC 0.73 Vert(TL) -0.79 8 -9 >359 180 B LL 10.0 i Rep Stress lncr YES WB 0.93 1 Horz(TL) 0.49 6 n/a n/a BCDL 10 0 Code IRC2003/TP12002 (Matrix) Weight 78 lb LUMBER TOP CHORD 2 X 4 SPF 2100F 1.8E 6) * This truss has been designed for a live load of 20.0psf on the bottom chord in all BOT CHORD 2 X 4 SPF 2100F 1.8E TOP CHO D areas where a rectangle 3-6 -0 tall by 1 -0-0 wide will fit between the bottom chord and WEBS 2 X 4 SPF Stud 2 -11 = 11 -12 = 0 3 -12 = -1572 BRACING 3 -13 = 4 -13 = -1145 4 -14 = 0 any other members TOP CHORD 5 -14 = 5 -15 = 0 15 -16 = 0 7) Bearing at joint(s) 2, 6 considers parallel to grain value using ANSI/IPI 1 angle to grain formula. Building designer should verify capacity of bearing surface. Structural wood sheathing directly applied or 2 -2-0 oc purlins 6 -16 = 6 -7 = 45 BOT CHORD BOT CHO D 8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 649 lb uplift at joint 2 and 649 lb uplift at joint 6. Rigid ceiling directly applied or 6 -4 -2 oc bracing. 2 -10 = 1507 9 -10 = 1507 8 -9 = 1507 9) This truss is designed in accordance with the 2003 International Residential Code WEBS 6-8 = 1507 sections R502.11.1 and R802.10 2 and r es -./xn 7 ri d:33 :'i l34 1 Row at midpt 3 -9, 5 -9 WEBS 10) All Plates 20 Gauge Unless Noted 3 -10 = 110 3 -9 = -387 4 -9 = 782 11) Max Uplift at 110 MPH: -510 (LC 8) REACTIONS (Ib/size) 5 -9 = -387 5 -8 = 110 12) Max Uplift at 100 MPH -381 (LC 8) 2 = 1530/0 -2 -2 (input 0 -3-8) 6 = 1530/0 -2 -2 (input 0 -3-8) NOTES (10 -12) : Max Horz 1) Wind: ASCE 7 -02; 120mph; TCDL= 4.2psf; BCDL= 5.Opsf; h =25ft; Cat. II; Exp C; 2 = -88(LC 9) enclosed; MWFRS (low -rise) gable end zone and C-C Extenor(2) -1 -4-0 to 1 -8 -0, Max Uplift Interior(1) 1-8-0 to 9 -0-0, Exterior(2) 9 -0-0 to 12 -0-0, Interior(1) 15 -0-0 to 22-4-0 zone; 2 = - 649(LC 8) cantilever left and right exposed CO ;- for members and forces & MWFRS for reactions 1 6 = - 649(LC 9) shown; Lumber DOL =1.33 plate grip DOL =1.33 Max Gray 2) TCLL ASCE 7 -02; Pg= 50 0 psf (ground snow); Pf =38.5 psf (flat roof snow); Category 2 = 1707(LC 2) II; Exp C; Partially Exp.; Ct =1 1 16 = 1707(LC 3) 3) Unbalanced snow loads have been considered for this design. 4) This truss has been designed for greater of min roof live load of 16 0 psf or 1.00 times I c FORCES (lb) - First Load Case Only flat roof load of 38.5 psf on overhangs non-concurrent with other live loads. *. < [ [ TOP CHORD 5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent 1 -2 = 45 with any other live loads. i IJob ITruss ITruss Type (Qty I Ply i I STOCKGE2009 1524SGE I GABLE 1 1 i STOCK SCISSOR 5/12 I I I I Job Reference (optional) 1 Truss Engineering Corp., Indian Orchard, MA 01151 7.100 s Sep 25 2008 MiTek Industries, Inc. Mon Jun 01 12:53:17 2009 Page 1 I -1-4.0 0-0-0 12-0.0 24-0-0 25-4-0 , 1 -4-0 , 12-0-0 12 -0-0 1 -4-0 , j Scale = 1:33.41 4x4 = 6 5 : i 1 21 5.00 FIT 4 • P II II 111 3 9 P NOM II 16 5x6 = 14 1 19 = 17 13 II 22 1. 18 12 C ' 10 2 11 Iy 3x6 3x6 0-0-0 12-0-0 24-0-0 12-0-0 12-0-0 1 1-4-0 I 24 -0-0 1 - 4 - 0 LOADING (psf) SPACING 2 -0-0 CSI DEFL in (loc) I /deft L/d PLATES GRIP TOLL 38.5 Plates Increase 1.15 TC 0.53 Vert(LL) -0.02 11 n/r 120 MT20 197/144 (Ground Snow 50.0) Lumber Increase 1.15 BC 0.22 Vert(TL) 0.01 11 n/r 90 TCDL 10.0 Rep Stress !nor YES WB 0.17 Horz(TL) 0.00 10 n/a n/a BCLL 0.0 ' Code IRC2003/TP12002 (Matrix) Weight: 75 lb BCDL 10.0 LUMBER TOP CHORD 2X4SPF2100F1.8E BOT CHORD 2 X 4 SPF 2100F 1.8E Max Uplift TOP CHORD OTHERS 2 X 4 SPF Stud 16 = - 115(LC 8) 8 -9 = -6 9 -22 = 0 10 -22 = 0 BRACING 17 = -45(LC 2) 10 -11 = 42 TOP CHORD 18 = - 388(LC 8) BOT CHORD Structural wood sheathing directly applied or 6 -0 -0 oc purlins. 14 = - 114(LC 9) 2 -18 = 15 17 -18 = -0 16 -17 = 8 BOT CHORD 13 = -45(LC 3) 15 -16 = 5 14 -15 = 5 13 -14 = 8 Rigid ceiling directly applied or 10 -0 -0 oc bracing, Except: 12 = - 387(LC 9) 12 -13 = -0 10 -12 = 15 6 -0-0 oc bracing: 17- 18,12 -13. Max Gray WEBS 2 = 584(LC 2) 6 -15 = -35 5 -16 = -49 4 -17 = -4 REACTIONS (Ib/size) 15 = 199(LC 1) 3 -18 = -111 7 -14 = -49 8 -13 = -4 2 = 433/04-13 (input 24 -0 -0) 10 = 584(LC 3) 9 -12 = -111 15 = 199/0 -4 -13 (input 24 -0 -0) 16 = 413(LC 2) 10 = 433/04-13 (input 24 -0 -0) 17 = 63(LC 8) NOTES (14 -16) 16 = 304/0 -4 -13 (input: 24 -0 -0) 18 = 970(LC 2) 1) Wind ASCE 7 -02; 120mph; TCDL= 4.2psf; BCDL= 5.Opsf; h =25ft, Cat. II; Exp C; 17 = - 35/04-13 (input 24 -0 -0) 14 = 413(LC 3) enclosed; MWFRS (low -rise) gable end zone and C-C Exterior(2) -1 -4 -0 to 1-8 -0, 18 = 732/04-13 (input. 240-0) 13 = 63(LC 9) Interior(1) 1-8-0 to 9 -0-0, Exterior(2) 9 -0-0 to 12 -0 -0, Interior(1) 15 -0-0 to 224-0 zone; 14 = 304/0 -4 -13 (input 24 -0 -0) 12 = 970(LC 3) cantilever left and right exposed ;C -C for members and forces & MWFRS for reactions • 13 = - 35/0 -4 -13 (input: 24 -0-0) < 51 shown; Lumber DOL =1.33 plate grip DOL =1.33 I 112 = 732/04-13 (input 24 -0 -0) FORCES (lb) - First Load Case Only 2) Truss designed for wind loads in the plane of the truss only For studs exposed to y. Max Horz . 2 = -87(LC 9) 1 -2 . TOP CHORD 4 29 = 0 3 -29 = 8 I) wind TO Partially -02 50.0 psf (ground snow); Pf=38.5 psf (flat roof snow); Category' Max Uplift 3 4 2 = - 281(LC 8) 5-6 = 5 6 -7 = 5 7 -21 = 8 4) Unbalanced snow loads have been considered for this design. 10 = - 307(LC 9) 8 -21 = 0 5) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times Continued on page 2 flat roof load of 38 .5 psf on overhangs non - concurrent with other live loads. • KeyBuild Structure'. 2.3052 RossJDLenkowski - Level 6 9 -10 -09 ' kmBeamEngate 4.506u Materials Database 1023 8:20am 1 of 1 Member Data Description: CaIcG1 Member Type: Girder Application: Floor Comments: Lateral Bracing: Continuous Both Standard Load: Moisture Condition: Dry Building Code: IBC / IRC Dead Load: 0 PLF Deflection Criteria: L/360 live, L/240 total 1.000" max. LL Live Load: 0 PLF Deck Connection: Nailed Member Weight: 13.8 PLF Filename: UNKNOWN Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform (PLF) 0' 0.00" 24' 0.00" -13 -53 Live Replacement Uniform (PLF) 0' 0.00" 24' 0.00" 1 3 Live Replacement Uniform (PLF) 0' 0.00" 24' 0.00" 7 27 Live Replacement Uniform (PLF) 0' 0.00" 24' 0.00" 13 40 Live Replacement Uniform (PLF) 0' 0.00" 24' 0.00" 19 50 Live Replacement Uniform (PLF) 0' 0.00" 24' 0.00" 106 43 Snow Point (LBS) 0' 2.75" 15 40 Live Point (LBS) 0' 2.75" 707 943 Snow Point (LBS) 23' 9.25" 15 40 Live Point (LBS) 23' 9.25" 707 943 Snow .............................................................................................................................................................................................................. ............................... ........... ........................... .............................................................................................................................................................................................................. ............................... ; / / / / 2 0 0 2 0 0 16 0 0 4 0 0 0 0 0 / / 24 0 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 4' 0.000" Wall N/A 1.677 4403# -- 2 20' 0.000" Wall N/A 1.677" 4403# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Dead Live Snow 1 2467# 878# 1703# 2 2467# 878# 1703# Design spans 4' 0.000" (left cant) 16' 0.000" 4' 0.000" (right cant) Product: 1 3/4x14 Versa -Lam 2.0 -3100 SP 2 ply Component Member Design has Passed Design Checks.** Design assumes continuous lateral bracing for both chords. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 3392.'# 33390.'# 10% 12' Even Spans D +0.75(L +S) Negative Moment 7786.'# 33390.'# 23% 4' Total load D +S Shear 2199.# 10706.# 20% 3' Total load D +S TL Deflection - 0.1350" 0.8000" L/999+ 12' Cants Only D +S LL Deflection - 0.1348" 0.5333" L/999+ 12' Cants Only S TL Defl., Lt. 0.2033" 0.4000" 2L/472 0' Cants Only D +S LL Defl., Lt. 0.1561" 0.2667" 2L/615 0' Cants Only S TL Defl., Rt. 0.2033" 0.4000" 2L/472 24' Cants Only D +S LL Defl., Rt. 0.1561" 0.2667" 2L/615 24' Cants Only S Control: LL Defl., Lt. DOLs: Live =100% Snow =115% Roof =125% Wind =133% Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives All product names are trademarks of their respective owners �• :1: ' ' ++ Copyright (C)1989 -2005 by Keyin rk Entery rises , LLC. ALL RIGHTS RESERVED. g. " :::::; "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. KeyBuild Structure °° 2.305z RossJDLenkowski - Level 6 9 -10 -09 kmBeamEngute 4.506u Materials Database 1023 8:20am loft Member Data Description: CalcA1 Member Type: Joist Application: Floor Comments: Lateral Bracing: Continuous Both Standard Load: Moisture Condition: Dry Building Code: IBC / IRC Dead Load: 10 PSF Deflection Criteria: L/360 live, L/240 total 1.000" max. LL Live Load: 40 PSF Deck Connection: Glued & Nailed Filename: UNKNOWN Other Loads Type Dead Other (Description) Begin End Start End Start End Category Replacement Uniform (PSF) 0' 0.00" 24' 0.00" 10 30 Live Point (PLF) 0' 2.75" 341 455 Snow Point (PLF) 23' 9.25" 341 455 Snow .............. E' ?,',{ "::E`:`: t1?' � 'M'e33 ?si:ii<r'::: M , {'iii:; {' ' >; <.' <, ?# : '; ? #` <: %sniM % #:; €`'::: <t5N::::; / / / 2 0 0 20 0 0 2 0 0 0 0 / / 24 0 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 2' 0.000" Wall N/A 3.500" 1473# -- 2 22' 0.000" Wall N/A 3.500" 1473# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Dead Live Snow 1 615#(461 plf) 484#(363p1f) 660#(495p1f) 2 615#(461 plf) 484#(363p1f) 6604t(495p1f) Design spans 2' 0.000" (left cant) 20' 0.000" 2' 0.000" (right cant) Product: 14" AJS 20 MSR 16.0" O.C. Component Member Design has Passed Design Checks.** NOTE: Web stiffeners are required at point loads > 1000 #. Design assumes continuous lateral bracing for both chords. Lateral support is required at each bearing. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 1835.'# 5297.'# 34% 12' Even Spans D +L Negative Moment 1906.'# 6092.'# 31% 2' Total load D +S Shear 537.# 1792.# 29% 2' Adjacent 1 D +L Cant. Shear, Lt 1088.# 2061.# 52% 1.99' Total load D +S Cant. Shear, Rt 1088.# 2061.# 52% 22' Total load D +S Int. Reaction 1473.# 3368.# 43% 2' Adjacent 1 D +0.75(L +S) TL Deflection 0.2045" 1.0000" L/999+ 12' Even Spans D +L LL Deflection 0.2451" 0.6667' L1979 12' Even Spans L TL Defl., Lt. 0.0836" 0.2000" 2L/574 0' Odd Spans D +S LL Defl., Lt. - 0.0706" 0.2000" 2L/680 0' Even Spans L TL Defl., Rt. 0.0836" 0.2000" 211574 24' Total load D +S LL Defl., Rt. - 0.0706" 0.2000" 21/680 24' Even Spans L Control: Max Int. React. DOLs: Live =100% Snow = 115% Roof = 125% Wind = 133% Left cantilever allowable shear is for joist only Right cantilever allowable shear is for joist only Manufacturer's installation guide MUST be consulted to determine if web stiffeners are required at point loads NI product names are trademarks of their respective owners • • ,. y po iti +,gar•" ;'7 i;. Copyright (C)1989 -2005 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. "Passing is defned 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. e, Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property Record New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map- Block -Lot: 36 - 211 - 001 Zoning: Assessment: Location: 21 BIRCH LANE Neigborhood: 17 Land: #Living Units: 1 Deed Book: 4956 Building: Class: R -101 Deed Page: 08 Total: Dwelling Information I Building Sketch Style: Contemporary 2c) fi Year Built: 1986 29 Story Height: 1 Attic: None 22 Basement: Full 26 \--- Total Rooms: 7 1 Fr /B 4 Bedrooms: 3 CD 14 ci:. Z Full Baths: 1 4 Half Baths: 1 20 4 4 Exterior Walls: Frame 14 8 7 Unfinished Area: 0 29 Ground Floor Area: 1472 21 Total Living Area: 1472 FG 20 Finished Basement Living Area: 0 X 0 Basement Recreation Area: 0 X 0 , IN Zoc % Woodburning Fireplace 1 / 1 Addition Information: Stacks /Openings: Metal Fireplace Lower 1st Story 2nd Story 3rd Stor) Stacks /Openings: 0 / 0 Basement One Story Frame Heat /Central A /C: Basic Frame Garage Heating System: Hot Water I Wood Deck Fuel Type: Gas 11 I1 1 lo II I Quality Grade: B+ " 0 ti I II „ P I II 11 I 0 1 I Physical Condition: Good 11 I http: / /www.northamptonassessor.us/ noho /propertydetail.php ?map_no =36 - 211- 001 &pagec... 9/15/2009 �e eanvinancvea V ../ aaaacizeoe 6 Board of Building Regulatiods and Standards Construction Supervisor License Licer: CS 74105 EXl?o1E.J9 /2010 Tr# 22636 Ration: 04`' JAMES D ROSS 177.STATE RD 1NH TEOf SO DEERFIELD, MA 01373 Commissioner , val --V 0.17g \4_,Loos. ilailaillinim - .1 r 2 94'64,9 9N151X3 C:" M-41 (-1 S.c370C33 • ___L, P5017 qt AL '.1 1 _l_c•Af 0,1 al a 1 1 Ei o Ei 1._.... .. 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V• ________ 1 I i 1 i s 0 -f-rt ci t_Fu A- A3 _....PNWEALTH OF MASSACHUSETTS FEE % ( ' BOARD OF HEALTH or C1 r/ OF il 6irr/r //' /-.7 ,/1; L 32? APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair (Upgrade ( ) Abandon ( ) - ❑ Complete System individual Components 2 / $ /4C he Z/Mr /3,4"Z ZeX 0 Location Owner's Name Ref 31.i / p Lo 2ii 2 f , /�< /c/- /. 1r Map /Parcel it Address c 11 0 Lot #• Tele hone.# alley's N e I 2 CLlDYleri I �9 , Pii n ki- / e O LTC ddress 2 3i-- - 0 11 Address Telephone it Telephone # Lot Size € Type of Building: y ' /�tl�° F71 �t /��;lfi`C`iF`'° 7.. 76 -� feet Dwelling — No. of Bedrooms 747// Garbage Garbage Grinder ( ' ,/rz—we ' Other — Type of Building No. of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow (min. required) 3 3C gpd Calculated design flow gpd Design flow provided gpd Plan: Date '21/1V;%'dJ Z, c/t:4 Number of sheets 4; Revision Date Title5t'35tk re )/t5 5- 5 =f7 4 1 , &-37e--1./ it: ' 2/ l3' /x 4 ,vicei; Description of Soil(s) Z4 '/ .5/'/ - /7/1/2) F/4/1 _ 4' '7 /f Soil Evaluator Form No./V401 /2- Name of Soil Evaluator 1! s/ 4 `i' ate of Evaluation 4147 2 2 , 2 DESCRIPTION OF REPAIRS OR ALTERATIONS PL'Mf'' Ce00/f .01/ f? j/d''r Z--I' /57 / 5e f' /i- !a' /ft % 7/ ii- 52:Y T44/.( - , ("4/,,V,141--7.-- ?°c' i2/c�V /2 ' y ors l L 6 TiFzD The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed % Date Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. ' I ) L i "° /,.= T E CO „ ONWE • TH OF MASSACHUSETTS FEE / 3 tr „ i, - ` Or ° . s v -, if BOARD OF HEALTH :1----r,. � � 7,,,:::; " C TIFICATE OF COMPLIANCE Description of Work: Individual Component(s) ❑ Complete System The und gned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded ( ), Abandoned ( ) by: _di il eL / �, el _ - .2 1 at - ,( has been installed in actor nce with the rovisio s of 310 CMR 15.00 (Title 5) and the approved design plans /as -built plans relating to ap lication N V.. 1 dat 49)1.0 c . o)- 20 d y . Approved Design Flow 333 (gpd) Installer 46i "4".. till/ Designer: :f�` Inspector Date_ � f Z r The issuance of t s certificate shall not be construed as a guarantee that the system will function as designed. - FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 �� BARRY L. SEARLE, RS 2 Cudworth Road Worthington, MA 01098 a Massachusetts Soil Evaluations • Percolation Tests Registered Sa n i tarian # 1185 •Septic Designs Phone (413) 238 -0446 Email: BarrySearle @msn.com Ernest Mathieu, Health Agent Northampton Board Of Health Municipal Building, 210 Main Street Northampton, MA 01060 Re: Septic repair project 21 Birch Lane, Northampton Owner: Paul Lenkowski 584 -2924 January 22, 2004 Dear Mr. Mathieu; We seek a variance to the Northampton Board of Health regulation requiring that the sizing of on on -site subsurface disposal system be calculated to accommodate for the provision of a garbage disposal. The above - referenced single- family residence has one at present that the proponent of the upgrade to this failed system is willing to dismantle and remove. Mr. Lenkowski also is willing to place a deed restriction to the effect that such an appliance will not be installed in the future. The subject dwelling has, three bedrooms, and the proposed design for the repair to the soil absorption system will be for 331 gallons per day: slightly in excess of the 330 GPD as prescribed by the code. Since the site is extremely limited by the existing topography and the near (southern) property line in very close proximity, sizing the SAS an additional 50 per cent larger would not be possible and would represent a real hardship to the owners. As you will note from the enclosed design we can just fit the 12' by 46' leach field at the appropriate distances from the house foundation and the subject property line with no room to spare. Thank you for your consideration. If you have any questions on this matter please feel free to contact me at 238 - 0446. Sincerely, Ba ttey L. Searle, RS c.c. P. Lenkowski, owner PRINTED ON RECYCLED PAPER WITH VEGETABLE BASED INK ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO - FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: nES � , 1 <af, Site Address: -7, 3 i (2.0 N WE' print , 1 O � (� a �� Town: /V � ,rr� i�� Applicant Phone: ; ` - r 1 91 3 Applicant Signature: • Date of Application: q " I Z IF) C5 NEW CONSTRUCTION. (choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE - AND TWO - FAMILY BUILDINGS MAXIMUM ML�fIMUM Ceiling or Option 1: Slab Basement Fenestration exposed Wall Floor Wall Perimeter HSPF SEER U- factor floors R -Value R -Value R Value R -Value R -Value and Depth National Appliance Energy R-1 0, Conservation Act (NAECA) of .35 R -38 R -19 R -19 R-10 O ft 1987 as amended, minimums or greater as applicable Note: This form is not required if you choose either afthe two versions oT c zec it sffed - belw_ ❑ Option 2: ' REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck -Web which can be accessed at http: / /www.enerwcodes.sov /rescheck/ ADDIT ON, R, RATTON T'0 E ISTING B DINGS OVER 5 'EA.RS OL v ., *Buildings under 5 years old must use option 41 or #2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b - a) (ma SF 511 t4-1411 - 61ThiLea- LI� CfireOIL 100 J57G _ 1 =5,10S x % ofglazing (b) Glazing area equals .o SF b a .If: az ng s 40 %:use the .c ie ow .. ,_, x I a is > 40 ".a proceed •to,` UNROOM�.'_:section 780 CMR TABLE 61013 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTLNG LOW -RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM ❑' Fenestration Ceiling and Wall Floor Basement Wall Slab Perimeter U'-factor Exposed floors R -Value R -value R -Value R -Value R -Value and Depth 39 R -37 a R -13 R -19 R -10 R-1-0 4-feet a R -30 ceiling insulation may be used in place of R -37 if the insulation achieves the full R -value over the entire ceiling area (i.e. not compressed over exterior walls, and including any access openings). SUNROOM - An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. 1 Note: Owner to fill out Consumer Information Form (found in Appendix 120.P) (7(Y ''`s - LaGl5e Pack Cc 6 si ./Kv Aile Iy Illas FoarL — i� F/Iit/2CM55 34,75 12 -3Y vsSED 12 F / , " (� l /Jc'Se a r7` id / 4 0 ".^ / -3-5' c/J PAID ( c/C sj2, 1) S A))4to' 5 11,/,J f PV11-126 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 .inn i reprocess requires that the bu ildi n g d partment 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 secu 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 . tothe.. buil .din&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. Address of work location The Commonwealth of Massachusetts Department of Industrial Accidents = `'1= r Office of Investigations • k ,....... 600 Washington Street 4 Boston, MA 02111 —,-, www.mass.gov /dia - - Workers' Compensation Insurance Affidavit: Builders / Cont ractors /Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): . � Pt7neS p iL-� �5 Address: P, 7rok 6 to City /State/Zip: (J/ L7 ma , 0)00'3 Phone #: 319' Are you an employer? Check the appropriate box: Type of project (required): `,- 1.kI am a e to Y er with 1 4. El I am a general contractor and I 6. New construction employees 6nd/or part-time).* have hired the sub- contractors 2. El I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have. no eiloyees These sub - contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' b Yap tY 9. Building addition [No workers' comp: i�,v, compm 10. Electrical r airs or additions required.] 5. 0 We are a corporation and its ep 3- 0 -1 am a- homeowner- doin -all work office r have it —1-1:Q Plumbing 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 requited) *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affid 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: - Policy # or Self -ins. Lic: #: ' Expiration Date: - Job Site Address -2l 1gjRGH L9NC Cit /State/Zip:W!r ), +1. D/Dt,LG Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under:Section"25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one =year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250 -00 a day against the violator: Ile 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 *ce ' under the pi and penalties of perjury: that the informationn provided above_is true arir correct ___ . 3 DQ 9 Signature: - -- f P • _ - - -- -_ Date, - — Phone #: 71q-19S3 Official use only. Do not write ii this grin, to be completed by city or town official _ _City or Town: Permit/L #__ Issuing Authority (circle one): V I. Board of Health 2. Building Department 3. City/Town Clerk 4. E 5. Plumbing Inspector _ _ 6. Other - - r Contact Person: Phone #: AR WCIP Liberty ISSUING OFFICE 181 i ` Mutual,. Workers Compensation and INFORMATION PAGE Employers Liability Policy ACCOUNT NO. SUB ACCT NO. Liberty Mutual Insurance Group /Boston 1 - 371520 0000 LIBERTY MUTUAL FIRE INSURANCE CO 16586 POLICY NO. TD /CD SALES OFFICE CODE SALES CODE N/R 1ST WC2 -31S- 371520 -019 XX X WESTON 102 REPRESENTATIVE 3000 1 YEAR ASSIGNED 2009 Item 1. Name of JAMES D ROSS DBA JDR BUILDERS Insured FEIN 06- 1559981 Address PO BOX 66 RISK ID 147592 WHATELY, MA 01093 Status 01 - INDIVIDUAL Other workplaces not shown above: SEE ITEM 4 Mo. Day Year Mo. Day Year Item 2. Policy Period: From 01 -29 -2009 to 01 -29 -2010 12:01 AM standard time at the address of the insured as stated herein. Item 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident 100,000 each accident Bodily Injury by Disease 500,000 policy limit Bodily Injury by Disease 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE END WC 20 03 06A D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE Item 4. Premium - The premium for this policy will be determined by our Manuals of Rules Classifications Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rates LINE 110 Per $100 Estimated Code Estimated of RE- Annual Classifications No. Total Annual Premiums muneration Premiums SEE EXTENSION OF INFORMATION PAGE Minimum Premium $ 500 ( MA ) Total Estimated Annual Premium $ 3,462 Interim adjustment of premium shall be made: ANNUAL This policy, including all endorsements issued therewith, is hereby countersigned by Authorized Representative Date 02 - -09 Loc. Code Term. Oper. Audit Basis Periodic Payment Rating Basis Pol. H.G. Home State Dividend 02 -26 -09 NR MA NEW GPO 4030 R1 Copyright 1987 National Council on Compensation Insurance wC o0 00 01 A Insured Copy 7 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : .J A'iiy )45 License Number Taoox 4 Nb,hiea /nA, e11)& Addres Expiration Date l l 37q 7933 Sign re Telephone 9.: Registered. Home' knOioxidiriefitS0iitrittor2.1 Not Applicable ❑ 11R �v��� Q-S 13v39$7 Company Name Registration Number R . iCAC bt w thrray int bio9 3 3-.2 -az> 6 Address Expiration Date Telephone p. `S D 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 ❑ ItaRtirtiltinOcrniinM 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. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference'to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of `' o ampton • r • in : ces; Sree `' : - . s General- Laws-Annotated. Homeowner Signature P. , a SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition [a Replacement Windows Alteration(s) ❑ Roofing E Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [tom] Decks [C] Siding [0] Other [0] Brief Description of Proposed EUm�Wil-TA Work: `:WILD NEB) rnAsTvg. £.I,izeon1 i tIRCOI bttER- e)cts MA14, 2 cAR 604966 (I) 3-t. 0-DO M Alteration of existing bedroom X Yes No Adding new bedroom X Yes No Pa /J57 Attached Narrative Renovating unfinished basement Yes No OF 'kb RaDr1 Plans Attached Roll - Sheet sa : If.New house andf or additioatvto 6E4E1-n hq1.1S rkt,- complete if a fiillo iinq: a. Use of building : One Family A Two Family Other r] a _ A) jiii 1 t NALfoo b. Number of rooms in each family unit: II Number of Bathrooms c. Is there a garage attached? 465 r d. Proposed Square footage of new construction. 40 Dimensions '2,'' X 2 q e. Number of stories? Nft,) - 1- 0) a 4- A-5 A- 2nd cLOOvL 0J1 tic.iST)o(c 6A-QA6E f. Method of heating? �� WfrTE' - /6 # C Fireplaces or Woodstoves ( Number of each / A) G € g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes x No j. Depth of basement or cellar floor below finished grade Wft t_4 UO i R::.K s A i b E5125 1 5PO k. Will building conform to the Building and Zoning regulations? x Yes No . I. Septic Tank X City Sewer Private well City water Supply SECTION 7a OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I v I, L �,E� K0 - C-. 4 , as Owner of the subject property n _^ hereby authorize L� S 1 A PGtaI(...A to - = my behalf, in all - afters relative to work authorized by this building permit application. ) I � r c i 1 1 5 - ) 09 Sig ature of Owner Date I, 07;0M 'I. Ro 5 , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name' 3 i---2 _ q iS 20 07_ _ ___ _ Signature of 0 er/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 �, I CEff _�. 6 , 5 . Frontage ����' __....._._.. r_ .. m_,. __._.__ L____„ __ ._ _,... Setbacks Front 3 Side — R:! L:1.12 M R: l Rear r 3c7 Building Height ' { 1tol . . -- j�bJ RL t'v —1 t1 s� I" n1 t � Bldg. Square Footage Open Space Footage "� (Lot area minus bldg &paved t 571 71C v T`f (' ----.-- parking) � /CJ # of Parking Spaces -' 4- Fill: � f I 0 I (volume & Location) _--- ,- •- ---- -. 1 A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO (SD DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ID DONT KNOW 0 YES 0 IF YES: enter Book 1 Pa and /or Document # B. Does the site contain a brook, body of water or wetlands? NO `X) 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: re tfier"e any proposed Changes to or`additlons o signs inter ed t property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, xcavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water - Management Permit from the DPW is required. s n I jE� t f� D City of Northampton S i o �,Peirni n � , , Department G arb � ew ermrt ., r , -- 212 Main Street Seg a 1 6�'rt i� a ���� 1 n X03 Room 100 1mva vu 1 } Northamptoi, MA 01060 r 4 : :, e ��u s� � �tt ° 3 S h e phone 413-587 -1241 Fax 413 - 587 -1272 P.to tt ns � ; e � r 11 ,ate, = + . -,,,,,,7, APPL TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION l'-' SITE INFORMATION 1.1 Property Address: This section to be completed by office , gl(.CH LAAJF Map Lot Unit Zone ' Overlay District ' Elm°St'District CB District SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: PRA/ 1 - - -It. ft-mm 1. .eN , ) ___ -- -- - Name (Print) � C�uy, res�� Telephone Signature 2.2 Authorized Agent: 5 `1)d Pp 5 5 Po '3bx Nam (Print) Current Mailing Address: �.� �13- 3''7 -94 t C L3 Signat re Telephone SECTION 3 - :ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 4 9 cy,b (a) Building Permit Fee 2. Electrical 3 0/0(.0 (b) Estimated Total Cost of Construction from (6) 3. Plumbing 4 Cti c%' Building Permit Fee 4. Mechanical (HVAC) 3 f '1b 5. Fire Protection I a� / 31 0 5 Total (1 +2+3 +4 +5) q( Check Number ( 6 /Veil This Section For Of icial Use Only Date Building Permit Number. Issued: Signature: - BuHding Commissionerllnspector of Buildings °" - Date File # BP- 2010 -0293 APPLICANT /CONTACT PERSON JDR BUILDERS ADDRESS /PHONE P 0 BOX 66 WHATELY (413) 665 -7587 PROPERTY LOCATION 21 BIRCH LN MAP 36 PARCEL 211 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 341 f Typeof Construction: CONSTRUCT 2ND STORY ADDITION ABOVE GARAGE ( MSTR BEDRM /BATHROOM) CONVERT BEDROOM TO OFFICE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 074105 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § .) Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 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. 21 BIRCH LN BP- 2010 -0293 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 211 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- 2010 -0293 Project # JS- 2010 - 000381 Est. Cost: $60846.00 Fee: $144.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JDR BUILDERS 074105 Lot Size(sq. ft.): 77972.40 Owner: LENKOWSKI PAUL & ANN Zoning: SR(100)/ Applicant: JDR BUILDERS AT: 21 BIRCH LN Applicant Address: Phone: Insurance: P O BOX 66 (413) 665 -7587 W HATELYMA01093 -0066 ISSUED ON:9/23/2009 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2ND STORY ADDITION ABOVE GARAGE ( MSTR BEDRM /BATHROOM) CONVERT BEDROOM TO OFFICE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: ervice: Meter: Footings: Rough: f 1-u House # Foundation: / f Driveway Final: Final: /— ( �` ` / - /3 -) 0 �t P Vti, Rough Frame: VA / j 10 ' 0 7 - v, Gas: Fire Department Fireplace /Chimney: l Rough: Oil: Insulation: or / ! '° ' ';' ,. Final: Smoke: Final: OK 1 101 1° 1° tfrfA l f THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupanc signature: FeeType: Date aid: Amount: Building 9/23/2009 0:00:00 $144.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo