32C-140 (2) • RYAN S. HELLWI 'G, PE • STRUCTURAL ENGINEER •
September 17, 2009
Peter Frothingham, Registered Architect
181 Main Street, Suite One
Northampton MA 01060 Epti� O�
o RYAN S. c y c
Re: New Stair HELLWIG r i
c.) STRUCTURAL
Ostberg & Associates No. moo s
351 Pleasant Street ,oi
Northampton, MA `� ` ✓/ r
Beam Schedule
Design Criteria: Floor Live Load = 50 psf Offices
Live Load Deflection < L/360
Joist Sisters: 10' 6" Span
24" o/c Spacing
(2) 1-%" x 5- LVL
New Beam: 11' 0" Span
5' - 6" Tributary Width
(2) 1-3/4" x 9 - LVL (depth may be increased for convenience of framing)
Posts: 5 x 5 #2 Red Oak
3- x 3 - PSL
Hardware: ACE4 Post Cap (Simpson Strong -Tie) or equal
(2) LedgerLOK Screws @ Ea. Sister w/ LVL Ledger on ex'g beam
LVL (Laminated Veneer Lumber) Specification:
E = 1,900,000 psi (Modulus of Elasticity)
Fb = 2600 psi (Allowable Bending Stress - Base/Unadjusted)
#2 Red Oak (grade may be increased for appearance):
E = 1,000,000 psi (Modulus of Elasticity)
F = 350 psi (Allowable Compression Stress Parallel to Grain- Base/Unadjusted)
PSL (Parallel Strand Lumber) (Glulam w/ equal design values may be substituted):
E = 1,800,000 psi (Modulus of Elasticity)
F = 2500 psi (Allowable Compression Stress Parallel to Grain- Base/Unadjusted)
• 28 ALDRICH STREET • NORTHAMPTON, MA 01060 •
• VOICE 413 - 584 -HLWG (4594) • FAX 413 - 584 - HLWFax (4593) •
Jp
The Commonwealth of Massachusetts
--. - , Department of Industrial Accidents
--- Office of Investigations
S t� i ' 600 Washington Street
Boston, MA 02111
www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/PIumbers
Applicant Information Please Print Legibly
r
Name ( Business /Organization/Individual): TIS . ,r ''
NMI
Address: l5''//1'' (:)y_
City /State /Zip: ! �°` itee_ GLIB'" 0(4 Phone #: E A' Are you an employer? Check the appropriate box: Type of project (required):
1. ❑ I am a employer with 4. ❑ I am a general contractor and I
pIoyees (full and/or part - time).* have hired the sub - contractors 6. V const ruction
2. I am a sole proprietor or partner- listed on the attached sheet. 7. modeling
ship and have no employees These sub contractors have g_ ❑ Demolition
capacity. employees and have workers'
working for me in any ap ty 9. ❑ Building addition
[No workers' comp. insurance comp. msurance.$
required.] 5. ❑ We are a corporation and its 10. ❑ Electrical repairs or additions
officers have exercised their 11. Plumbing repairs or additions
3. ❑ I am a homeowner doing all work
myself. [No workers' comp. right of exemption per MGL 12. ❑ 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.
r 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: _
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 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
Investigations of the DIA for insurance coverage verification.
I do hereby certi un er the pains and penalties o ; . rjury that the information provided above is true and correct.
Signature: /1/� - / / Date: l /14/10
Phone #: 5 Icily
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permi`ui.icerse #
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 #:
al ,
IC.
$ I
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
/
I, Reberr i0,74err , as Owner of the subject propertYto
hereby authorize e‘rtr /W"
act on my b- alf ' all m- , -rs rr- ative to wor authorized by this building permit application.
. /
v je /a i y 9% /
ivy
Signat . of • er Date
, _ , as Owner/Authorized
Agent hereby declare that the statem nts and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed he pain and penalties pe 'Li
d
. _. „ ... , . .
Print N e c
Signature of Own /Agent
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable El
Name of License Holder .5 .... .S ....
License Number
Ad r , Expirati n Date
I/4
n e 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 denial of the issuance of the building permit.
Signed Affidavit Attached Yes ga No 0
Version1.7 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
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
_._. — .._..__. _.__.._.__ ,._ Not Applicable ❑
Company Name:
Responsible In Charge of Construction
A ririrac c
Signature Telephone
Versionl.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
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 YES
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 DONT KNOW (") YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained , Date Issued:
C. Do any signs exist on the property? YES NO 0
IF YES, describe size, type and location: r V 7 , ,i f it
D. Are there any proposed changes to or additions of signs intended for the property ? YES ( 3 NO
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 common plan
that will disturb over 1 acre? YES (3 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
a
Version 1.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations Et Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑
Exterior Alteration 0 Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑
Brief Description Enter a brief description here.
Of Proposed Work: t r Sf
(3v!ld LvG / % #0,-- s ``s.. .f. _. !''z . „ t/s ' `7 I! ,*e4/
•
, H
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE ` / day
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I El
A -4 ❑ A -5 ❑ 1B ❑
B Business 2 2A ❑
E Educational ❑ 2B - ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 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:
Existing Hazard Index 780 CMR 34): _.. _ , .. ....., ,__.....w 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 st
1
2 n d
2 nd
3`d 3
4 m
4t"
Total Area (sf) Total Proposed New Construction (sf)__„
Total Height (ft)
Tntnl Haight 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
•
1 ,
Versionl.7 Commercial Building Permit May 15, 20O
Department use only,
City of Northampton Statusof Pwri#:-,
Building Department CUrb`CutfOriVewa.y Perthit
212 Main Street SeWer/SeptiCAvailabill#Y
"f \\C) Room 100 WaterMieltAvatlability
- Northampton, MA 01060 4 I PCns
'Dv° Sets of Structura a
„ phone 413-587-1240 Fax 413-587-1272 Plot/Site pa
Other Specify : - •
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
This section to be completed by office
1.1 Property Address:
351 Plat - S+. Map Lot Unit
On; -1- C..
Zone Overlay District
Ei m st. Di CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: ., $T(
3s 1 571 _Onf_ 60
_ ,
PP'e 6:7----177 Current Mailing Addre?s:
Name (Print) AWOrMael0/770,/, L.
1 Signature . ("164.4fft iii.A.u.-L Telephone
2.2 Authorized Apent:
Name ( nnt) Current Mailin
Signature .,,, „er Afr " Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building — -- -z.., --- — '- - -- - ----- ---, (a) Building Permit Fee
/11P .2C/ 000 • 00 ._ :: ,
2. Electrical ' --1---- :I-- (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
' -
4. Mechanical (HVAC)
5. Fire Protection
6. Total - ?4- 3 +4 + 5) Check Number
. ern 's/ 3 l'Al
uilding Permit Nu m' i ' This Section For Official Use Only
Datc
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File # BP- 2010 -0667
0
APPLICANT /CONTACT PERSON C & T CONSTRUCTION
ADDRESS /PHONE 15 Fairway Drive FLORENCE (413) 586 -4965
PROPERTY LOCATION 351 PLEASANT ST - UNIT C - OSTBERG
MAP 32C PARCEL 140 000 ZONE GB/URC /WP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 9bi 5 r0/V Q
Typeof Construction: CONSTRUCT NEW STAIRS 1ST FLR TO BASEMENT & ADD NEW WALLS &
DOORS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 062884 Ag
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IINFRMATION 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* 471=4
AA,ci4 /f
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required: 5 7 4 7M4;
Curb Cut from DPW Water Availability Sewer Acwat4ifyc
Septic Approval Board of Health Well Water Potability Board of Health (_SL
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission _ Permit DPW Storm Water Management
Demolition Dela
/4/9'0
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.
351 PLEASANT ST - UNIT C - OSTBERG 1 BP- 2010 -0667
GIS #: COMMONWEALTH OF MASSACHUSETTS
4p :B :` 32C - 140 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0667
Project # JS- 2010- 000970
Est. Cost: $30000.00
Fee: $180.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: C & T CONSTRUCTION 062884
Lot Size(sq. ft.): Owner: OSTBERG ROBERT K
Zoning: GB /URC /WP Applicant: C & T CONSTRUCTION
AT: 351 PLEASANT ST - UNIT C - OSTBERG
Applicant Address: Phone: Insurance:
15 Fairway Drive (413) 586 -4965
FLORENCEMA01062 ISSUED ON :1/26/2010 0:00:00
TO PERFORM THE FOLLOWING WORK :CONSTRUCT NEW STAIRS 1ST FLR TO
BASEMENT & ADD NEW WALLS & DOORS
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 1/26/2010 0:00:00 $180.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo