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16C-025 (9) Jeff Gougeon 5-29-13 , KeyBeam 8:26am 1 of 1 KeyBeam®4.600d kmBeamEngine 4.600y Materials Database 1415 Member Data Description: Member Type: Beam 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 Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 11.7 PLF Filename: KYB2 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PSF) Top 0' 0.00" 12' 8.00" 2' 0.00" 40 10 Roof Additional Uniform(PSF) Top 0' 0.00" 12' 8.00" 1' 4.00" 40 10 Live Point(LBS) Top 6' 4.00" 0 4750 Live 1 La ,,si, t , a``x-y = V 1 � ,;r I Tsx 7 {. m;hs t' T E, 4 a + F °'x II 12 8 0 �O 12 8 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) 3.500" 2.193" 3262# -- 2 12' 8.000" Wall SPF Plate(425psi) 3.500" 2.193" 3262# -- Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Roof Dead 1 326# 489# 2650# 2 326# 489# 2650# Design spans 12' 2.750" Product: 1-3/4x11-7/8 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc 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 15364.'# 19147.'# 80% 6.33' Total Load D Shear 2606.# 7107.# 36% 0.23' Total Load D Max. Reaction 3262.# 5206.# 62% 0' Total Load D+0.75(L+Lr) TL Deflection 0.3948" 0.6115" L/371 6.33' Total Load D+0.75(L+Lr) LL Deflection 0.0515" 0.4076" L/999+ 6.33' Total Load 0.75(L+Lr) Control: Positive Moment DOLs: Live=100% Snow=115% Roof=125% Wind=160% J 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 "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. City of Northampton t" " ` Massachusetts �5` '{ (4. * , � � -� , DEPARTMENT OF BUILDING INSPECTIONS ¢ %!. 212 Main Street • Municipal Building Jb,, '^ Northampton, MA 01060 srih 1~� INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner 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 any 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. The inspection process requires that the building department 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 secure these 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 to the building 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. Date Address of work location The Commonwealth of Massachusetts _ Department of Industrial Accidents fia _` ' Office of Investigations - arm. 600 Washington Street 111'" ° r Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C-ie©C•-T�t' Address: 5 , C L.(2_ r City/State/Zip: LO'M p „ . /AkCLO/a%Phone #: 1(3 " (�" t ? 35 Are you an employer? Check the appropx to box: Type of project(required): 1.❑ I am a employer with 4. f] I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. n New construction 2. i I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. n Demolition working for me in any capacity. employees and have workers' g Y p ty. 9. n Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. n We are a corporation and its 10.❑ Electrical repairs or additions 3.n I am a homeowner doing all work officers have exercised their 11.0 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. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Cpsice-Gempany Na me: C.tk4.t I 1/4.J U ' A S, Co elf-ins. Lic.#: � (A -3(S 3 R 3 9 88 0 1 k Expiration Date: 7' ID -3 .c S Job Site Address: 2 b 2111. 1 14 kO 0%-o's---City/State/Zip: o\ 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. Ido hereby certify u der the ains a penalties of perjury that the information provided above is true and correct. Signature: u Date: Phone#: �t(3 ►e_ c-(3 3-4, . -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 ID Name of License Holder: ()e0cce C-2 cecifo 0q�/1C/ License dumber ( 3 S EVQ1Ci. r� ( r hit (k 0(07(z, -`2-. -20 (q Addres �, Expiration Date Signature • 1 Telephone 9:'-Registered 1-ome Improvement Contractor:_ _ _ Not Applicable ❑ ` C�r'Vk Ef3-C f'4,\ r 15"3 2 (J Company'IVame ( Registration Number t�\ioa,. S�or c� r �� ri�4 /- /(( - Ad ress V Expiration Date Telephone t f 3- (01'5 '/-335- 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 41. 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 ❑ Replacemen endows Alteration(s) Ai Roofing n Or Doors Accessory Bldg. n Demolition ❑ New Signs [D] Decks (p Siding[D] Other[D] Brief Description of Proposed � �ti —k o La© / _ \ �I l / 1 el'�gr'' eij Work: f kc kj as r l S/ Ce cAey (�ccti 3 Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet house and or addition to existing housing, complete the follow .., , sa. If,New h � wing: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each ' g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes 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 lar2 OWNER AUTHORIZATION-TO BE,COMPLETED WHEN - OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT f/ I, (,Pvik YflOV''Y'i1Tl/l ,as Owner of the subject 1( property ,\ hereby authorize G T c-k- (-i--)0•-) 0 4.-\to act on my behalf, in all matters relativeA �to work au orized by this building pe mit a lication. j:.i„,.... 5 2' 13 11117 Vie of Owner Date T----(42)90 Cs t �7N..)oe,e \ , as Owner/Authorized Agent hereby declare that th4 w statement lend information on the foregoing application are true and accurate,to the best of my knowledge and belief. Sig thunder the pains and penalties of perjury. Sig l (- v A9c)/-1 Print Na 5 Z) -L3 Signatur of 0 /1/•7 G Date • • .. . Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by'i'oning This column to be filled in by Building Department Lot Size Frontage Setbacks Front r---1 1 , , Side L: R.: . . Rear ..______.- Building Height . 1 I----1 1 • . ! Bldg. Square Footage Open Space Footage _____ % - - -------- - .------: (Lot area minus bldg&paved i , I 1 , parking) #of Parking Spaces Fill: I I (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO C DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES (0 IF YES: enter Book I Page; I and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO tal DON'T KNOW (3 'YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO ill IF YES, describe size, type and location: 1 1 D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO e) 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 0 NO M IF YES, then a Northampton Storm Water Management Permit from the DPW is required. , . RECEIVED City of No i a pton St4us'Of Permit Building Desert e(4AY .= 1 2013 Cu4 Cut/Driveway Permit 212 Main Str et • l Room 00 DEPT OF BUILDING 1NSF EO'ciONS Vi/a 4/Well Availability - AmPTON,MA 0060 , ••-,• Northampton, I 'h? W0'861S:,of phone 413-587-1240 Fax 413-587-1272 Other • APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION 1 t&bedoMpleted bY.1 Property Address: office 22' Lot Unit ul O (0-2__ • EInStDisti1ct- - CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED _ : •- 2.1 Owner of Record: V4fiff 11A,frr{tryl 2b1 (-;filck3 Po=ct., cri 0/0 2_ Na e(Pri Current Mailing_ ddres • 114 - 6217- 50)- 62, 2-io fade,. dia Telephone Signature 2.2 Authorized Agent: C Le54< GLk) Q.,v0S 7C. Name(Print) I Current Mailing Address _.111 • Signature Telephone -1111! SECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only •. • :' .• - completed by permit applicant :71r 1. Building 75-06 2 - (a) Building Permit Fee 2. Electrical '•(0)•EatirriateifjOaj Cost of -- - - - Constriction from 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) • '.••,700--..-7,-.•••:,.2.••,, , - -- •-• • 5. Fire Protection 6. Total=(1 +2+3+4+5) CheckNumber Tnis Section For Official Use Only 2.2[7 L.•.", •• Building :•77717 777:77 7:77 7 7 7_7E'E. 77 .7:7 7: , , • , . . •, • • • , ' .7 7 IT.EE:77777E7,:7'77-:177 7 7 .•"2 .;:. •.1": :":"' '7: •; : _•• •11--• • • _, • •:• 1 Issued Signature • _ ComrhiSsionerlInspector of 7.17 • File#BP-2013-1156 APPLICANT/CONTACT PERSON GEOFFERY GOUGEON ADDRESS/PHONE 13 S CHESTERFIELD RD WILLIAMSBURG (413)695-1335 PROPERTY LOCATION 209 SPRING ST MAP 16C PARCEL 025 001 ZONE URA(92)/WSP(91)/WP(54)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /4/9 9 Fee Paid Typeof Construction: REMODEL KITCHEN,BATHROOM&REMOVE 2 WALLS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 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 De s s • ':! elay Signature of Buil I ing ficial 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. 209 SPRING ST BP-2013-1156 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16C-025 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# BP-2013-1156 Project# JS-2013-001899 Est. Cost: $7500.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GEOFFERY GOUGEON Lot Size(sq. ft.): 33236.28 Owner: MORRISON LISA A Zoning:URA(92)/WSP(91)/WP(54)/ Applicant: GEOFFERY GOUGEON AT: 209 SPRING ST Applicant Address: Phone: Insurance: 13 S CHESTERFIELD RD (413) 695-1335 WILLIAMSBURGMA01096 ISSUED ON:6/7/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN, BATHROOM & REMOVE 2 WALLS 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 6/7/2013 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Louis Hasbrouck—Building Commissioner V -- >, S c ft _i.- o ...)\ , _ - ."-:•:_. ----_. • _..... _ .. ...-- - -......_ .....„ li.,.. -- \ \,. , cc 1, . ..._ -.._., C.,,,,,•21,,,••:., , 2_" 1 .\. , ‘,t,_-••• sj,-, 1, , cl7 2, s,C) 9 , t ' ■ I — / 1' .,..., - ,-- '.... \''''' L-•.:3 ' '. ,- -1--------- ,_.__. ,, 1 ,, .,...i- /- , . : -----.1 . . . ' . . . t •,. v..,,:,,,) , irs L 0 \,. 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