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' „ r 'Y�: 1 ,�' �i - .. _.a ^17�„ -' 648727 194193 LONG TEt NOF: rHAMPTON LUM WO: 0107127 TI: T01 (iTis.^110 k DESIGN INFORMATION TOP CHORDS: 2x4 SPF 1650F -1.5C Concurrent Live load of 20 p.s.f. has Joint Locations This design is for an individual building BOT CHORDS: 2x4 SPF 1650F -1.5C been applied to the bottom chord per 1) 0- 0- 0 5) 28- 0- 0 9) 9- 9- 7 component and has been based on information WEBS: 2x4 SPF STUD (N) BOCA -96, 1606.2.3 2) 7- 3 -14 6) 28- 0- 0 10) 0- 0- 0 provided by the client. The designer disclaims All COMPRESSION Chords are assumed to be MULTIPLE LOADS -- This design is the 3) 14- 0- 0 7) 18- 2- 9 any responsibility for damages as a result of continuously braced unless otherwise. composite of multi le loads. 4) 20 8 2 8) 14 0 0 faulty or incorrect information, specifications }' race uness noted result p and /or designs furnished to the truss designer Wind analysis based on: ASCE Combined, V= 90 by the client and the correctness or accuracy PROVIDE UPLIFT CONNECTION PER SCHEDULE: MPH, I =1.00, Mean Hgt.=20.0 ft, Exp. Cat. C, TOTAL DESIGN LOADS of this information as it may relate to a spe Support 1 266# internal pressure coef. I, interior zone. Uniform PLF From PLF To cific project and accepts no responsibility or Support 2 266# Wind analysis chord dead load = 13.0 psf. . TC Vert L+D -100 -0 -10- 0 -100 28 -10- 0 exercises no control with regard to fabr ca MAX LIVE LOAD DEFLECTION: BC Vert L +D -20 0- 0- 0 -20 12- 7- 7 (ion, handling, shipment and installation of trusses. This truss has been designed as an L /999 BC Vert L +D - 12 - 7 - 7 - 15 - 4 - 9 individual building component in accordance with L= -0.33" D= -0.15" T= -0.48" BC Vert L +D -20 15- 4- 9 -20 28- 0- 0 ANSI/TPI 1 - 1995 and NDS - 97 to be incorporated MAX HORIZONTAL DEFLECTION: - - - -MAX. REACTIONS PER BEARING LOCATION as part of the building design by a Building T= 0.13" _ X - Loc Vert Horiz Uplift Y - Loc Type Designer (registered architect or professional ' 0 - 1 - 1818 0 - 266 BOT PIN engineer). When reviewed for approval by the RMB = 1.15 building designer, the design loadings shown 27 4 1818 0 - 266 BOT H - ROLL must be checked to be sure that the data shown are in agreement with the local building codes, local climatic records for wind or snow loads, project specifications or special applied loads. Unless shown, truss has not been designed for storage or occupancy loads. The design assumes compression chords (top or bottom) are continu- \ • ousty braced by sheathing unless otherwise - specified. Where bottom chords in tension are not fully braced laterally by a properly applied • rigid ceiling, they should be braced at a - , , , v .(1A pF e u a maximum spacing of 10' -0' o.c. Connector � 1I •' s ( .. plates shall be manufactured from 20 gauge hot dipped galvanized steel meeting ASTM A 653, 14 -0 -0 +i 14'0-0 0 �� � i Grade 40, unless otherwise shown. t BSI � 4 _ FABRICATION NOTES 1 2 — -4 Prior to fabrication, the fabricator shall review I 5.00 -5.00 I �pn to this drawing to verify that this drawing is in STRUCTURAL conformance with the fabricator's plans and to 4X4 - 0 realize a continuing responsibility for such veri- ett - - , > O r�J Gy9 ( Citation. Any discrepancies are m be put in / ? = writing before cutting or fabrication. F s C - T� - \ " Plates shall not be installed over knotholes, A V /Cf ry t �� i. + - knots or distorted grain. Members shall be cut u� - for tight fitting wood to wood bearing. Con- t nector plates shall be located on both faces of 6X6 6X6 the truss with nails fully imbedded and shall be sym. about the joint unless otherwise shown. A 0 'SS 6 -2 -1 5x4 plate is 5' wide x 4" long. A 6x8 plate is 6" 6 -5 -15 wide x 8' long. Slots (holes) run parallel to the plate length specified. Double cuts on web members shall meet at the centroid of the webs unless otherwise shown. Connector plate sizes 0 -4 -1 0 -4 -1 are minimum sizes based on the forces shown I and may need to be increased for certain hand - _ m ling and/or erection stresses. This truss is not t=om" - ES — - ly to be fabricated with fire retardant treated f 3X8 3X4 4X6 3X4 3X8 I lumber unless otherwise shown. For additional information on Quality Control refer to ANSI/TM 1 -1995 It 'L 0 2111 PRECAUTIONARY NOTES Pi ri All bracing and erection recommendations are to be followed in accordance with "Handling Installing & Bracing', HIB -91. Trusses are to I I I be handled with particular care during banding 10 9 8 7 6 and bundling, delivery and installation to avoid 1819# 3.50" 1819# 3.50" damage. Temporary and permanent bracing for holding trusses in a straight P os- 0 10 2$ -0-0 _ -_� 0 -10 -0 B ht and plumb ition and for resisting lateral forces shall be (R0- 10 -13) (R0- 10 -13) designed and installed by others. Careful hand- ling is essential and erection bracing is always EXCEPT AS SHOWN PLATES ARE TL20 GA TESTED PER ANSI /TPI 1 -1995 scale = 0.2258 required. Normal precautionary action for - _ trusses requires such temporary bracing during WARNING: Eng Job: 94193 WO 0107127 installation between trusses to avoid toppling READ ALI. NOTES ON THIS SHEET. i ' and dominoing. The supervision of erection of A COPY OF THIS DRAWING TO BE GIVEN TO ERECTING Q �\ Dwg: 648727 Truss ID: T01 trusses shall be under the control of persons CONTRACTOR. J `� experienced in the installation of trusses. C BRACING WARNING TEE -L ®K Dsgnr: T�iB Chk: 4 ^/ Date: 7 -19 -01 Professional advice shall be sought if needed. ....e.../ _ Concentration of construction loads greater Bracing shown on this d r a w i n g is nth erection bracing, wind bracing. portal Fj�u❑ j� i ��j TC Live 40.0 psf DurFac - Lbr: 1.15 than the design loads shall not be applied to bracing or similar bracing which is a Pan of the bugging design and which COMPONENT ENGINEERING DurFae - Plt• 1.15 trusses at any time. No loads other than the must he considered by the building designer. Bracing shown is for lateral TC Dead 10.0 pSf weight of the erectors shall be applied to suppnn of truss members only m reduce buckling length. Provisions must BY O.C. S acing: 24.0" ss trues until after all fastening and bracing f structure made m anchor lateral bracing at ends and specified Ioranons demm,ined BC Live 0.0 pSf P g• is completed. 1�000 I by the building designer. Additional bracing of the overall scture may TRUSS ENGINEERING CO. P Design Criteria: BOCA I he required. (See IIIB -91 of TPI). For specific truss bracing requirements. &IB SOUNDSIDE ROAD BC Dead 10.0 Sf UNIVERSAL FOREST PRODUCTS INC contact building de.igner. arms Plate mstimte, TPI is located at P. 0. BOX 515 Code Desc: BOCA (413) 323 -7247 Fax (413) 323 -5257 5g3 D on<,fr Dn.e, Madison, Wi.cnndn 57719). EDENTON. NC. 27932 TOTAL 60.0 psf V:06.29.00- 21521- 0 Design: Mnfrir Analysis 108 PA T( /: D :IWORKIZZI0107127.UFM ACS: 06.27.00 L O . , _ f rd--44 f `,. C7 , (IC Lte ;" 4r.,. CC-4f • / )1'1 . ' , i 4 ;-:', ' .: JUN 1 • 2001 1] , DEPT OF BUILDING INSPECTIONS 2 NORTHAMPTON, MA 01060 It -- - , . ! 6 ---- ':-. . ' • 1 , '1•1" ' 4,.. I 4 • „, 6-o -‘- , 2 ..-%. i _ - ..., -5`- . , • , , . ... • r V i ! \,' 1 ' ,f) I , , , . 1- 1 ..„. .. - , _ L , . ,,,, / - " 1... 2 i t l .0 x Q ga RE I t L fir" h 222 RIVER ROAD THOMAS HANLEY � P.O. Box 313 DIRECTOR OF HEALTH AND ELDER ° "u LEEDS, MA 01053 -0313 SERVICES 413.584.8458 May 31, 2001 City of Northampton Building Department 212 Main St., Room 100 Northampton, MA 01060 Dear Building Department, Hampshire Care is a 120 bed rehabilitation and skilled nursing facility located on 222 River Road, Leeds, MA. We are owned by the Hampshire Council of Governments, the successor unit to Hampshire County. We are a government owned, non - profit facility operated for the public good. I believe, therefore, that fees are waived. If there is any question about this please call me at the above number. We are requesting this permit in order to construct a small covered kiosk in the front of the current building in order to allow patients to enjoy the outdoors and to have a private space for families and patients to meet. Sinc ely, AreiAI c/Thomas an y Administrator • o4t pi, Nrfrillampfon ro rl� +`_ I( � +erase asdta • r DEPARTMENT OF BUILDING INSPECTIONS 4 111 ` 212 Main Street • Municipal Building =_ • Northampton, Mass. 01060 � '" r " � WORKER'S COMPENSATION INSURANCE AFFIDAVIT Noe, Pt4 N ✓ 3 F2 c a 2 c - (Iicensee/permittee) with a principal place of business/residence at: / %tea sf Arx.T ,r* �tzm A4.. o /v 4- v (phone #) 5</3 silt F (street/city /staleJrip) do hereby certify, under the pains and penalties of perjury, that: A ) I am an employer providing the following worker's compensation coverage for my employees working on this job: rw-ii a`&,u) e3 6c.)/352feZZ -- /1/ 31/6 ,zt ; (Insurance Co mpany) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: . i' (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) t ' *.. F Y I (Name of Contractor) (Insurance Company /Policy Number) (Expiration Date) • (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) >' x (atiath additional sheet if necessary to include information pertaining to ell coatranors) ( ) I am a sole proprietor and have no one working for me. ( ) X am a home owner performing all the work myself. NOTE: please be aware dist while homeowners who employ persons to do ma r++■xq COUStrUCtiOa �t or repair work on a dwelling of not more than throe units in which the homeowner resides or oa the grounds appurteaant thereto are not generally wandered to be employers under the wodoets caupcasatica Ad (GL152,ss 1(5)), application by a homeowner for a license or permit may evidence the legal statue of an employer under the Worker's Compensation Act. 1 understand that a copy of this sancescct may be forwarded to the Depertmc t of Industrial Accidents' Office of Iroursaw for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S1,300.00 and/or impsisoemeM of up to one year and civil penalties in the form of a Stop Work. Order and a fine of S100.00 a day against me. For dal use only Ac. 1� e a L / Per Lot # Number ��l�� Map*E Signature of Ltcensee/Permitiee Late Versionl.7 Commercial Building Permit May 15, 2000 - � I °'a 4� 3 v � a nj , x ��� ,'it0,1ON `0 STRUCT0:041,P EI RE: -i- Y *0 101ij ' " Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ 3SECTiON,11 OWNER AUTHORIZATION� r TO B COMPLETED WHEN OWNERS AGENT OR CONTRACTOR A''PL1>:S FOf2BU1LDIkG,PERMIT i, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, , 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 Nam " t ignature of Owner/ ent Date SECTION 42r CONSTRUCTION SERVICES �� 10.1 Licensed Construction Supervisor: Not Applicable ❑ ' Name of License Holder :6 1 ` C "/ re":4 J e- e License Number 25 j//j1$,4#t 5f Addres Expiration Date 5ky_fry,„ Si nature 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 `C). No ❑ w. ' Version 1.7 Commercial Building Permit May 15, 2000 SECT10N 9 tP Of,ESSIONAI. 'ES,IGNilAND CfJi4STRl1C'1"I0N SERVICES �F 2 INb STRUJGT J RES SUBJECT TO , . 904 co ,si#: T O IGONtAb1lkihiS`l1ANT tb sii R1 t (CONTAININGORE tiAl 38;0,(10 Cu t £NC1.OS1= $PACE)„ 9.1 Registered Architect: Not Applicable ❑ . Name (Registrant): Registration Number Address Expiration Date Signature Telephone 92 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number rk 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 , A( CEI 02 L C 3 3yoe., te_ Not Applicable ❑ - Company Name: SAM Responsible In Charge of Construction _ sA , - 0 7 R - pLIA5Alltt Addre .4 .0 1 Signature / Telephone ter, ` �.. 4. Version l .7 Commercial Building Permit May 15, 2000 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: ❑ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑ 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 /Findingpv been issued for /on the site? NO DON'T KNOW ,/% YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW ✓ YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are ere any proposed changes to or additions of signs intended for the property ?YES _ No IF YES, describe size, type and location: • 4 s, Versionl.7 Commercial Building Permit May 15, 2000 ( S C lON '��COi1S`fR4C?�ON01 ,0CES FOR d PR ECTS I: SS T 35 ,000 ewm"k k CCU }��r�OS D �, '�� �� Y l Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] _ ❑ Accessory Building [ ] Repairs [ ] No v1est(s _A ttL 1)VSCe-W -- 3 : , 51 c fi o o r o re.--e f x ill • tell *fib' ,* 5 t)sE a USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly 1 A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 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 A i Specify: cove. f t.1 A RCS Fa rZ W kC2l c A t.F. At A! -F$ COMPLETE THIS.SECTION IF EXISTING BUILDING :UNDERGOING:RENOVATIONS, . ADDITIONS: AND/OR CHANGE IN USE . Existing Use Group: Proposed Use Group: Existing Hazard Index CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION "v Y , , ' �� Floor f loor Area per Floor (sf) 1st li X 1.45 . 1st 5116 ON Cor�c`t, 2nd 0 ,41,,,,,,„,,10,0 4 11,-,,,,,,,,,„,,,,„,,,,:„.„-, . zW� 2nd 3rd s4 '"� a 4th MW y � ; 3' �" 4th x W�_.., ii Total Area (sf) 3 ?( Total Proposed New Construction (sf) '' : ' 4. $ _� f °66" 1.. M Total Height (ft) Total Height ft Version!.? Commercial Building Permit M 15, 20 00 City of Northampton ay j ��' Building Department 212 Main Street ' r � � ril — • - - i i �S �. � U : � J [ f Room 100 ��� � � ' Nth m ton M 01060 a €� j � � ,�,� �h�_; 41 58 1240 Fax 413- 587 -1272 ��` �� ,. APP T, R PAIR, RENOVATE, L ING INSPECTIONS OTHER THAN A ONE OR CHANGE TWO THE FAMILY USE OR DOCCUPANCY WELLING OF, OR DEMOLISH ANY BUILDING -� NORTHAMPTON, MA 01060 SECTION 1 SIT INFORMATION , 1.1 Property Address: �� hl e+ctt ;/ a e ta a a dt e- � . f 'C a M,ap La ,. - ' r f t' A Ira ,,' I tY , S I ,,> � ar = b '''' ' - g na , n,.a,W -f SECTION 2 PRO PERTY OWNERSHIP /AUTHORIZED AG, ENT 2.1 Owner of Record: // , �/►0P3mia . Co✓ O � C� ✓e lZ v 1.74-/I/r- °)�� v v /Z 1 LG �S © /CAS Name (Print Current Mailing Address: / Ill: A r' .1:, /d /Jn , N 5 � e �i 61---7 l� -`" Sign ure Telephone 2.2 Authorized Agent Mann; /J A/LCY Name (Print) Current Mailing Address: 94„.....4,,,,, T Signature Telephone SECTION., °.E CONST C OSTS . Item Estimated Cost (Dollarspermit app) to be � ` G ff i cial . U s e' O nly. completed by applicant 1. Building 3 �� ad (a) B udding Permit Fee o . 2. Electrical (b) E t o f N A Constructio T n from o (6) 3. Plumbing nn :Bulldmg Permit Fee 4. Mechanical (HVAC) 5. Fire Protection N 6. Total = (1 + 2 + 3 + 4 + 5) k�ec i t N t t nber , , P . ..ra :_________ girt �, . �"fh�s eft Far (�fftci�I � �e� nMy �..: �4 OF '3 8uit ''ti f 'fnit, t i er ! Da Is St tu Build cw# Bch[ # i1gs. . _ pat r File # BP- 2001 -1048 APPLICANT /CONTACT PERSON CHARLES PAQUETTE ADDRESS/PHONE 36 FAIRVIEW AVE (413) 586 -5431 PROPERTY LOCATION 222 RIVER RD - HAMPSHIRE CARE MAP 05 PARCEL 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled o 2 0 - 6 0 5 . - : . e ... Fee Paid // f Tvpeof Construction: CONSTRUCT ROOF OVER EXISTING SLAB New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 007900 3 sets of Plans / Plot Plan THE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: //Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w /ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w /ZONING BOARD OF APPEALS 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 Conservatio ission Permit from CB Architecture Committee 7// ---■4 0 e7 /--- ,./X7/ 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. 222 RIVER RD - HAMPSHIRE CARE BP- 2001 -1048 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 05 - 001 CITY OF NORTHAMPTON Lot: -001 Permit: Building • Category: Non structural interior renovations BUILDING PERMIT Permit # BP- 2001 -1048 Project# JS- 2001 -1857 Est. Cost: $3500.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHARLES PAQUETTE 007900 Lot Size(sq. ft.): 4626072.00 Owner: HAMPSHIRE COUNTY Zoning: RR Applicant: CHARLES PAQUETTE , AT: 222 RIVER RD - HAMPSHIRE CARE Applicant Address: Phone: Insurance: 36 FAIRVIEW AVE (413) 586 -5431 NORTHAMPTONMA01060 ISSUED ON:6 /18/01 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT ROOF OVER EXISTING SLAB POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: f) gS 15 I.C. 7-10- Final: Final: Rough Frame: Gas Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: V k 9 - 9 .0-0 1 �Q THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLAT OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy ' -% signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 6/18/01 0:00:00 2748 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo