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12C-002 (3) flow (convection) a vapor retarder or barrier is intended to stop molecular moisture transfer (diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99% of the moisture in a structure. This is evident every time one exposes fiberglass insulation and finds black insulation, which is dirt filter out of the air moving through the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 27. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 28. Deck ledgers and post must be appropriately attached, bolts or Zags. 780 CMR R502.2.2.1 Note: Thruloks are engineered for post attachment supporting a railing. 29. Smoke and CO detectors as required. 780 CMR R314 and R315. 30. Closets beneath stair which have doors must be drywalled with %2 ". 780 CMR R302.7 Relevant items must be submitted to the building department for approvals before inspections and or CO can be signed. Other items are intended to avoid costly issues at inspections. Feel free to call if you have any questions. My telephone number is 587 -1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email address is: cmiller(u�northamptonma.gov Thank you for our c. operati on these matters. di f � Chuck Mille City of Northampton Assistant Commissioner and Zoning Enforcement 11. Ceiling heights minimum 7' for habitable spaces, 6'8" for bathrooms includes tub /shower area if a shower head is used, 6'8" for basements, 6'4" at beams /ducts. 780 CMR R305.1. MA amended 12. Hazardous glazing locations, within 24" of a door, or within 60" of a stair, or across from hot tubs, spas, bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4 13. Windows over 72" above grade with the opening Tess than 24 above the finished floor shall meet the 4" sphere rule. Order restrictors. 780 CMR R612.2 14. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20 "x41" exception 5 sqft at 1 floor. Minimum clear opening 20 "x24" or 24 "x20 ". 780 CMR R310.1.1. c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees, one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36 ", maximum step 7 from the top of the threshold and only in- swinging doors. 780 CMR R311.3 15. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9 ", maximum riser 8 maximum overall variance for the run is 3/8 ", 4" sphere rule on risers except where the total rise is 30" or less 780 CMR R311.7.4.3 Exception, 4 3/8" on balustrade, 6" in the triangle. Graspable rail 1 'A" minimum and 2" maximum rail, height minimum 34" maximum 38 ", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. 780 CMR R311.7. 16. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36 ", 4" sphere rule. 780 CMR R312.1. 17. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40% of a stud no closer than 5/8 to the edge, In interior non - bearing studs holes not larger than 60% of a stud no closer than 5/8 to the edge, in bearing walls if more than 50% of a plate is cut or notched a 1 %" 16ga. strap must extend a minimum of 6" past the cut both directions and be nailed with 8 -10d per side, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom. Notches are different. 18. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3 19. Dryer duct maximum equivalent length is 25' including the transition section or per manufacturer's specs. 780 CMR M1502.4.4.1, no screwed connections. 20. Concealed dryer ducts are required to have a label within 6' of the dryer connection stating the equivalent length and risk of fire. See CMR 780 M1502.4.5 21. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 22. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work maintaining 1" clearance for 5' from the duct outlet for all fireplaces 23. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 24. Ignition barriers in place before final. 780 CMR R316. 25. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. Energy information including mechanical equipment posted on the electric panel. d. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Building Option Package. 26. Vapor retarders. Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier. An air barrier is intended to stop air Nip City of Northampton F Massachusetts ,Ly % t - DEPARTMENT OF BUILDING INSPECTIONS -> 212 Main Street • Municipal Building te . : � Northampton, MA 01060sSN INSPECTOR Robert Szklarz March 11, 2013 566 Amherst Road South Hadley, MA 01075 Subject Location: 61 North Farms Road, Florence Map Block: 12C -002 Mr. Szklarz, Your building permit application and plans dated 2 -27 -2013 have been approved as drawn and per this memo. All work must meet all applicable codes whether noted or not. Please follow up on the following items: These items will need to be accomplished as the project moves forward and before rough inspections; 1. All smokes and CO detectors must be interconnected throughout the structure. (See item #29) 2. The bath tub must be completely air sealed before the fixture is placed. 3. Insulation and air sealing must meet 2009 IECC. Air sealing 4. Front rafters must be upsized due to the connection with the ceiling ties. (See rafter tables Note a) 5. Load paths must be properly aligned t the basement bearing points. 6. Floor joist and rafters must have adequate bearing at the exterior bearing points. 7. Revised drawings showing corrected member sizing and details. As of August 4 2011 the eh Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not a substitute for purchasing and reading the MA codes. 1. Structures shall conform to 780 CMR 8 Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3. except those in group I soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4" slope 8 -16nd common are required at each connection. 780 CMR R802.3.1. 6. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1 / 3rd 780 CMR R802.3.1 7. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 8. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and number of jack studs required. 9. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. I -joist and or Floor Truss c. Roof truss 10. A braced wall plan identifying appropriate braced wall areas and braced wall method being used. 780 CMR 602.10. a. Garage corners and large corner window /door layout may require special solutions. b. All corners must be appropriately attached to the foundation. ✓m C A ®„ Colleen 2 -21 -13 r C,t -E;_ 6� North Farms Rd. , 7:42am ( Northampton 1 i 1 of 1 kmBeam ngine4600y 1 ' t 1 4 Materials Database 1411 L / °�` Member Data Description: Member Type: Joist Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC /IRC Live Load: 40 PSF Deflection Criteria: L/360 live, L/240 total 1.250" max. LL Dead Load: 10 PSF Deck Connection: Glued & Nailed Filename: KYB1 13 0 0 13 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF #3 /Stud 2x or 4x End -Grain (650psi) 3.500" 1.500" 628# -- 2 13' 0.000" Wall SPF #3 /Stud 2x or 4x End -Grain (650psi) 3.500" 1.500" 628# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to cabling members Live Dead 1 503#(251p1f) 126#(63p1f) 2 503#(251p1f) 126#(63p1f) Design spans 12' 6.750" Product: SPF #2 3 x 8 24.0" O.C. PASSES DESIGN CHECKS Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing alonq.the bottom chord. Allowable Stress Design Actual • Allowable Capacity Location Loading Positive Moment 1973.'# 2204.'# 89% 6.5' Total Load D +L Shear 568.# 1631.# 34% 0.23' Total Load D +L Max. Reaction 628.# 3719.# 16% 0' Total Load D +L LL Deflection 0.4033" 0.4187" L/373 6.5' Total Load L TL Deflection 0.5042" 0.6281" L/299 6.5' Total Load D +L Control: LL Deflection DOLs: Live =100% Snow = 115% Roof =125% Wind =160% Design assumes a repetitive member use increase in bending stress: 15 clo This member has been designed in accordance with NDS 2005 / All product names are trademarks 01 their respective owners ' Copyright (C)1987 -2012 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. K E Y M A R K ,Y - 1 '' �'' 142.14). Colleen _ 2-21-13 ; alkyl cSC. 6j North Farms Rd. 8:25am ''� Northampton - , 1 of 1 KevI 4.600d 3 �} 4' /k / j Q j , eamEngine 4.600}, 11 (� s : - - �.1,.. ,, - Materials Database 1411 6J 1 le--‘1‹: - ',i ■ ' _ „_ "”` (:) 1 -- -1\A e „. Member Data _ __ — '' � Description: Member__T_ype: Girder _______ ..... ___ __ ___Application:JR - 0d — Top Lateral Bracing: Continuous Slope: 11.00 / 12 Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC /IRC Snow Load: 31 PLF Deflection Criteria: L/240 live, L/180 total 1.250" max. LL Dead Load: 17 PLF Deck Connection: Nailed Member Weight: 8.4 PLF Filename: KYB4 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Point (LBS) Top 8' 6.00" 729 367 Snow Replacement Uniform (PSF) Top 0' 0.00" 8' 0.00" 4' 0.00" 31 17 Snow Replacement Tapered (PLF) Top 0' 0.00" 8' 0.00" 0 0 70 0 Live : tm i z�,. ., a, . £' n 4 m �v �`� to O / 13 U 0 Bearings ind Reactions 13 Pipit Min Gravity Gravity Location Type Material Length Required ..: - I Uplift 1 0' 0.000" Wall SPF #3 /Stud 2x or 4x End -Grain (650psi) 3.500" 1.500" 1942# -- 2 13' 0.000" Wall SPF #3 /Stud 2x or 4x End -Grain (650psi) 3.500" 1.500" 1597# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Snow Dead 1 943# 1000# 2 899# 698# Design spans 17' 0.500" Actual Length 18' 4.125" -- Pro ct SPF #2 2 x 10 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails /at 12.0" oc NOTE: Nails must be applied from both sides , Design assumes continuous lateral bracing along the top chord. Detigkessumes continuous late Lbracmg along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 6417.'# 6807.'# 94% 7.19' Total Load D +S Shear 1251.# 4308.# 29% 0.23' Total Load D+S Max. Reaction 1942.# 6694.# 29% 0' Total Load D +S LL Deflection 0.4344" 0.8521" U470 6.5' Total Load S TL Deflection 0.6155" 1.1361" L/332 6.5' Total Load 0.5D +S Control: Positive Moment DOLs: Live =100% Snow =115% Roof = 125% Wind = 160% Design assumes a repetitive member use increase in bending stress: 15 % This member has been designed in accordance with NDS 2005 All product names are trademarks of their respective owners \, .. Copyright (C)1987 -2012 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. K E Y M A R K Colleen 2 -21 -13 lit t '9 f a 1 ` Ca / C .1 L 61 North Farms Rd:. 7:58am Northampton 1 of 1 Key'leam® 4.600d 02 0 ,.�-( t l a 1 �y p � �v , ,s / Materials Database se 141 7 r' I d a " °��E.. (" c .,,,. 1) le"3 -g--- `/ D4atelials Database 1411 Y .O �t '" { " Member Data _ Description: Member Type: Girder - - -- -- g-a --- - • - - --Ap Ica ion QRoof Top Lateral Bracing: Continuous Slope: 0.00 / 12 Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC /IRC Snow Load: 35 PLF Deflection Criteria: L/240 live, L/180 total 1.250" max. LL Dead Load: 17 PLF Deck Connection: Nailed Member Weight: 5.6 PLF Filename: KYB3 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform (PSF) Top 0' 0 -00" 5' 1.00" 9' 0.00" 35 17 Snow y ; �r 2 w s t a , mr 't > r-x 2 . " r °�" � � � �t �' >";,�� .� r� ate,.. a yr �E "i' 1 Iu�, . .� �` k y �... � � ;� , w'^ �"�'�,� I "� 1 � x gt `' ,. _ "1 � > y � ,,a ' ter' T T © 5 1 0 0 5 1 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required R• ".n Uplift 1 0' 0.000" Wall N/A N/A 1.500" 1238 • -- 2 5' 1.000" Wall N/A N/A 1.500" 4E00 -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Snow Dead 1 824# 415# 2 824# 415# Design spans 5' 2.75¢".. P roduct: SPF #2 2 x 10 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at' 12.0" oc Minimum 1.50" bearing required at bearin ,.1 ' _..Minimum 1.50" bearing uireliatbea # 2 Desigifa lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 1619.'# 3946.'# 41% 2.54' Total Load D +S Shear 873.# 2872.# 30% 4.63' Total Load D +S LL Deflection 0.0191" 0.2615" U999+ 2.54' Total Load S TL Deflection 0.0288" 0.3486" L/999+ 2.54' Total Load D +S Control: Positive Moment DOLs: Live =100% Snow=115% Roof =125% Wind =160% This member has been designed in accordance with NDS 2005 7 All product names are trademarks of their respective owners v:. Copyright (C)1967 -2012 by Keyrnark Enterprises, LLC. ALL RIGHTS RESERVED. K E Y M A R K Je Colleen 2 -21 -13 z . JW .i .) e TIm e vt� C 61 North Farms Rd. - _ -- -.___, _._ — _ _` 7:50am Northampton` 1 of 1 Key?ream® 4.600d ] / /� 4 ` 1 ,•' ( ` " mBeamEngine 4.600y l 04 P /CC '+� ', 1: r p ` E . .. � , , Materials Database 1411 vV L.,ki ,. ' M ember Data _-- _..__. -- Description: Member Type: Girder Application: Floor ,_.__ - Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC /IRC Live Load: 40 PLF Deflection Criteria: L/360 live, L/240 total 1.250" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 10.7 PLF Filename: 13 ft floor Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform (PSF) Top 0' 0.00" 10' 0.00" 13' 0.00" 30 10 Live T 1` / 10 0 0 O 10 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall N/A N/A 1.500" 2692# -- 2 10' 0.000" Wall N/A N/A 1.500" 2692# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Live Dead 1 1978# 714# 2 1978# 714# Design spans 10' 1.750" ' Product: 1- 3/4x7 -1/4 VERSA -LAM 2.0 3100 SP ,.3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0,'..ot ' NOTE: Nails must be applied from both sides . .. .._- Minimum ,1,50 ",bearing required_at.bearing # 1 Minimum 1.50" bearing required at bearing # 2 Design assumes continuous lateral bracing along the top chord. • Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 6829.'# 13068.'# 52% 5' Total Load D +L Shear 2372.# 7232.# 32% -0.06' Total Load D +L TL Deflection 0.3795" 0.5073" L/320 5' Total Load D +L LL Deflection 0.2789" 0.3382" L/436 5' Total Load L Control: LL Deflection DOLs: Live = 100% Snow =115% Roof = 125% Wind = 160% Design assumes a repetitive member use increase in bending stress: 4 % / All product names are trademarks of their respective owners \14 Copyright (C)1987 -2012 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. K E Y M A R K '1 l':' ROOF- CEILING CONSTRUCTION II ' TABLE R602.5.1(9) j L RAFTER/CEILING JOIST HEEL JOINT CONNECTIONS a'' ",e, f,h GROUND SNOW LOAD (psf) 11 1, i 209 30 l 50 70 1 1 111,! ' RAFTER Roof span feet ' RAFTER SPACING 12 20 28 36 12 20 28 36 12 20 28 36 12 20 28 36 i I 1111'1 SLOPE (inches) Re. wired number of 16d common nails b per heel 'obit s.Iices`' a a, f 1 � I ' i 12 4 6 8 10 4 6 8 11 5 8 12 15 6 11 15 20 `i 3:12 16 5 8 10 13 5 8 11 14 6 11 15 20 8 14 20 26 1f,;� 24 7 11 15 - 19 7 11 16 21 9 16 23 30 12 21 30 39 Flr' 12 3 5 6 8 3 5 6 8 4 6 9 11 5 8 12 15 4:12 16 4 6 8 10 4 6 l�'�;,,' 24 5 8 12 15 5 8 11 5 8 12 15 6 11 15 20 0, 9 12 16 7 12 17 22 9 16 23 29 H I aI 12 3 4 5 6 3 4 5 7 3 5 7 9 4 7 9 12 �' 5:12 16 3 5 6 8 3 L L' ,'s 5 7 9 4 7' 9 12 5 9 12 16 I1i 31 24 4 7 9 12 4 7 10 13 6 10 14 18 7 13 18 23 12 3 4 4 5 3 3 4 5 3 4 5 7 3 5 7 9 Ili „'';;, 7:1 16 3 4 5 6 3 6 3 5 7 9 4 6 9 11 li h', 24 3 5 7 9 3 4 5 5 7 9 4 7 10 13 5 9 13 17 li i t 12 3 3 4 4 3 3 3 4 3 3 4 5 3 4 5 7 I�,k 9:12 24 3 4 6 7 3 3 4 5 3 4 5 7 3 5 7 9 I�I 4 6 7 3 6 8 10 4 7 10 13 i iil 12 3 3 3 3 3 3 f 12:12 16 3 3 4 4 3 3 3 3 3 3 3 4 3 3 4 5 i �� 24 3 4 4 5 3 3 4 3 3 4 5 3 4 5 7 ',' 3 4 6 3 4 6 8 3 6 8 10 ; j For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm, 1 pound per square foot = 0.0479kpa. { a. 40d box nails shall be permitted to be substituted for 16d common nails. f ' 1 11 b. Nailing requirements shall be permitted to be reduced 25 percent if nails are clinched. k i c. Heel joint connections are not required when the ridge is supported by a load - bearing wall, header or ridge beam. A I i d. When intermediate support of the rafter is provided by vertical struts or purlins to a loadbearin wall, the tabulated heel re shall be er- �'h; e. Equivalent nailing patterns are required to be reduced proportionally to the reduction in span. g j oint connection q uirements P I'I iliired for ceiling joist to ceiling l i' g joist lap splices. f. When rafter ties are substituted for ceiling joists, the heel joint connection requirement shall be taken as the tabulated heel joint connection requirement for l l ( two- thirds of the actual rafter-slope. i I' ' g. Applies to roof live load of 20 psf or less. I ' h. Tabulated heel joint connection requirements assume that ceiling joists or rafter ties are located at the bottom of the attic space. When ceiling joists or rafter ties are located higher in the attic, heel joint connection requirements shall be increased by the following factors: HdH Heel Joint Connection ! Adjustment Factor 1/3 1/4 1.5 111, ilrj . 1.33 '!I1i 1/5 1.25 i, 1/6 1.2 ld' 1 /10 or less �i i ∎. 1.11 I 1 1 II li l where: { I s li; H = Height of ceiling joists or rafter ties measured vertically above the top of the rafter support walls. 'll ;j! H = Height of roof ridge measured vertically above the top of the rafter support walls. d• This table contains requirements for the connection between roof rafters and ceiling joists to be used in areas with III up 1' II g round snow Toads of 20 psf ( 1.44 kPa ) p to 70 psf (3.35 kPa). The connection is essential to resist the thrust in the 11 roof rafter where the ridge board does not provide vertical support of the roof rafter. Section R802.3 requires a de- Ili] signed ridge beam if the roof slope is Tess than 3:12. The 20 psf (1.44 kPa) ground snow load connection must also {;; be used where the minimum roof live load is 20 psf (1.44 kPa) or less. See Note e of this table. ;i Adjustment factors for the heel joint connection in Note h are limited to cases where the ceiling joists or rafter ties i i ii are in the lower third of the attic space. When the ceiling joists or rafter ties are located higher in the attic space, lat- ' eral deflection of the rafter below the rafter ties can become excessive and require additional engineering analysis ; iE,, (see commentary, Section R802.3.1). ilo iil 8 -28 2009 INTERNATION , : 9 I. • • 2 ® • • ' Ac o ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) i lla...■ i 03/05/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Metras Insurance Agency, Inc. / AHO N N Fes) (413) 536 -1491 1 (A /c. Nor (413) 532 -8522 2030 Memorial Drive E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Chicopee MA 01020- INSURER A:Travelers INSURED INSURER B : Colonial Carpentry Innovations, Inc INSURERC: 566 Amherst Road INSURERD: INSURER E : South Hadley MA 01075- INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVf) POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) A GENERAL LIABILITY 6A032993 10/13/2012 10/13/2013 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY / / / / DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 CLAIMS -MADE ( X OCCUR / / / / MED EXP (Any one person) $ 5,000 / / / / PERSONAL & ADV INJURY $ 500,000 / / / / GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: / / / / PRODUCTS - COMP /OP AGG _ $ 1 , 000 , 000 n POLICY n 1 n LOC / / / / $ A AUTOMOBILE LIABILITY BA - 6A03385A 08/30/2012 08/30/2013 (Ea COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO / / / / BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED / / / / BODILY INJURY (Per accident) $ _ AUTOS AUTOS NON-OWNED / / / / PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) / / / / $ UMBRELLA LIAB _ OCCUR / / / / EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE / / / / AGGREGATE $ DED 1 1 RETENTION $ / / / / $ A WORKERS COMPENSATION 6A037988 10/13/201210/13 /2013 I TORY LIM WCSTAT 1 1 I 1OTH- AND EMPLOYERS' LIABILITY Y / N / / / / ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ 100,000 OFFICER /MEMBER EXCLUDED? Y N / A (Mandatory in NH) / / / / E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under _ DESCRIPTION OF OPERATIONS below / / / / E.L. DISEASE - POLICY LIMIT $ 500,000 / / / / / / / / DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Carpentry Exempt Officers:Jennifer Deforge, Susan Szklarz, Robert Szklarz CERTIFICATE HOLDER CANCELLATION ( ) - (413) 587 -1272 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Northampton 212 Main Street AUTHORIZED REPRESENTATIVE ,/Q Q/ Northampton MA 01060- 13i"uce P Pi jue t I ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts L Print Form I Department of Industrial Accidents Office of Investigations '' =_ mi I 1 Congress Street, Suite 100 "° s Boston, MA 02114 -2017 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): CG t4. /4'L ( / y 1 itmi 0 1/A 7;04 4 5 t k- Address: (,(v / M1J Si 'oAO City /State /Zip: Svl.'r,t 11,44t c /, ,AiA 0/c75 Phone #: y/3 - 374/ -6/76' Are y u an employer? Check the appropriate box: Type of project (required): 1. I am a employer with 3 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. ❑New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. VRemodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working ca employees and have workers' g for me in any capacity. ty 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. ❑ 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. f 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: Me-1 an S /NS ok Ade€ 14-7 E,, 1 0y /nJ(, 7(z_dq we ieA Policy # or Self -ins. Lic. #: 1'4/0/3 &A 0 3 7 5' - 9-- /.2- Expiration Date: / D/i 3//.3 Job Site Address: ro/ A 1/d,t ll/ Fit eel S )0 G'AiA City/State /Zip: F''Oe.%Cf , .1h aio 6 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 ce ; „, under the pains and penalties of perjury that the information provided above is true and correct Signature:1 f Date f J 1P Phone #:' l/j' ) ” tic' 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Rt, 6€»? '1S'6 , tq License Number tab /4 i' 15T tfl)tty f ,r,A 0/c75 ioftg /Jo/3 Addr. Expiration Date `A3 -39 y- 6,r7C" Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ c of Szip mZ. 1 3 7i( 4 /7 Company Name Registration Number 5 /1MNed?s r kom 1/13 1 Address Expiration Date a iw 7/ /MO f ..04 oft 75 Telephone 413 - .3?N/ -6/7,S 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 >FF No ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied 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 Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) 121 Roofing j Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [E] Siding [0] Other [0] Brief Description of Proposed Work: l�it n M,� �� Work: kC .'i�� O` 3e1.044 Five ° C/1 Q , S ffa �� l�lJ"i�`- 4,at Alteration of existing bedroom 1 Yes No Adding new bedroom Yes li No Attached Narrative Renovating unfinished basement Yes / No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family v Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? n. fc) d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? M T k i,,: 1,. , Fireplaces or Woodstoves d,) is Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction ST) c. iL is F i. Is construction within 100 ft. of wetlands? Yes 1° No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, C O 1 t .,i-- Sabel/6_ , as Owner of the subject property hereby authorize 7 Ope4..l �SZ K [L T (010 J# -( eur r7 :17„1,10 iovS) to act on my behalf, in all tters relative to work authorized by this building permit application. / X ( L 2 -6/17(1 1, / aAo�i Signature of Owner Date I, 43 1 .JVd & r' , 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. Sigr id Pkgr the pis d pepatties of perjury. _ i tYterT 3' 2 -Ma res Print in ' 5 I Signature of Owner /A t Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front ( Side L: R: L: GO R: 60 Rear 6a 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 er 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 ® DON'T KNOW er 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 e IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO CO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, ex vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. R -, Department use only City of Northampton Status of Permit: [MAR_ ! Building Department Curb Cut/Driveway Permit 4 2013 212 Main Street Sewer/Septic Availability i Room 100 Water/ ell Availability oI Pr. oFSU,�i, u,,� PE r,orvs Northampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON MA 070 4 13 -587 -1240 Fax 413 - 587 -1272 Piot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office 64 Nat// PAi(iMS 12644 Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: COU LG/0 6A 8E' -1.6" 6/ Noch i F4of5,o,j) Fi -cke.Nc , 44,4 oic t.- Name 'nt) Current Mailing Address: JD//A �///�� hli 3 - 5)3 y - 78/ 7 , C_e >rJ Telephone Signature 2.2 Authorized Agent: R e 8 0 . 1 5 z.t , e z - C'ir.c,.rrltt GA A6..4) ii2y /riAI0 ir.t , S .4 6^ AMlil.4 5 AGM ,, SOJ,Iii /fA,G‘ y /to- ' ro r5_ Nartr Current Mailing Address: `ll3 3 — /75 Si ature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of 0 Construction from (6) 3. Plumbing Q Building Permit Fee 4. Mechanical (HVAC) 0 5. Fire Protection 1 +2 +3 +4 +5 i�-=� 6. Total = /791"1 ._.,, Total=( 1+2+3+4+5) �� CC's Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0800 ?MI /1 ° I ( APPLICANT /CONTACT PERSON ROBERT SZKLARZ ADDRESS /PHONE 566 AMHERST RD SOUTH HADLEY (413) 374 -6175 f,.larzzir`' PROPERTY LOCATION 61 NORTH FARMS RD MAP 12C PARCEL 002 001 ZONE RR(100)/WSP(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 9 1 iy [l Fee Paid / `� W� pl`� Typeof Construction: EXPAND 2ND FLR (RENO 2 BEDROOMS & ADD FULL BATH) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 98619 3 sets of Plans / Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9I(MMATION 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 pre 1 . :/// 3 Signature of Building icial ' 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. 61 NORTH FARMS RD BP- 2013 -0800 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 12C - 002 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # B P- 2013 -0800 Project # JS- 2013- 001367 Est. Cost: $40000.00 Fee: $240.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT SZKLARZ 98619 Lot Size(sq. ft.): 67082.40 Owner: ISABELLE COLLEEN MARY Zoning: RR(100)/WSP(100)/ Applicant: ROBERT SZKLARZ AT: 61 NORTH FARMS RD Applicant Address: Phone: Insurance: 566 AMHERST RD (413) 374 -6175 WC SOUTH HADLEYMA01075 ISSUED ON:3/12/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: EXPAND 2ND FLR (RENO 2 BEDROOMS & ADD FULL BATH) 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 3/12/2013 0:00:00 $240.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner