29-194 (2) t 4 `
-
JUL ( 2 �9a� �xsaRCfrnsrita
CAA 1 8-:rtn
DE JARTMENT OF BUILDING INSPECTIONS
2 2 Main Street ' Municipal Building
Northampton, Mass. 01060 '
WORKER'S CONITENSATION INSURA-NCE 'MAVIT
(li�serlpermittee)
,vith a principal place of bus' esslresidence
at
(Phone#) r;1n J
(str-cWcity/statd2n p)
do hereby certify, under the pains and penalties of pegury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
jn_surance Company) (Policy Number) (Expiration Daze)
( ) 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:
(Name of Contractor) (Insuranc-- Compauy/PoEq Numhcr) (Expiration Date)
(Name of Contractor) (lnsaranc,- Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insura=C Compary/PoEcy Number) (Expiration Date)
(Name of Contractor) (nurse Company/Policy Number) (Expiration Date)
(auach additional sheet if ntersssry to mdudc mfoctnifioa pertaining to all OO rt, 1 r3)
( ) I am a sole proprietor and have no one working for me.
M I am a home owner performing all the work myself.
NOTE:pleasc be aware that w}tilo hcmcoKVm wiry cmpioy Ixxwns to do gym+ wastvctioe ar repair worts on a dwelling of
not morn than three ttaiU in which the bonseowocr raid=or oo the VV.M6 appurteoaat tJxrdo arc as gcoavity ooasidcrcd to be
emploYatt under tba—kct's oompCssatica Act(GL152,ss 1(5)),application by a homcow=for a Gc=c cc Palaa may evidence the
legal ctahta of an cmployec under tho Workce&Compomaiiou Aat.
I undcniind tliA a oopy of thu ctztcmcat may bo focwarcled to tlw Dopnrtx ni of I.6ustrial A,,i&,-i'Offloo of laRaS for the
oovaxge venficatioo and that faihtro to scout:cov-ra gro under sodioa 25A of MGL 152 can!md to tbo imposition of cz-dW pcmkia
oomistiag of a fins of up to S 1,500.00 andror of tip to ono yar and oval pcna ttia in the form of a Stop W eras t?[dtr and a
fine of S 100.00 a day againA mt.
For t:ao�Y
mber_
i 9� hat#
Signahuo of LiccnscelPcmutt x
of 'Nart1laillptoll
Y
$ o ~ �u � ��aseacituaetta
2 19% DEPA1 TMENT OF BUILDI vTG INSPECTIONS
INSPECTOR X12 Main Street • Municipal Building
DE T 'Northampton, Mass. 01060 �^M
HOMEOWNER LICENSE EXEMPTION
( Please Print )
DATE:
JOB LOCATION:
(Map) (Parcel) ( Subdivision)
HOMEOWNER: /t>I&j !, a Jr•
'
(Name & Address )
��,1, --Af;z
(Home Phone ) (Work Phone )
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 . CMR780 Section 109. 1 . 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
BUILDING PERMIT #
i , 5
f > O
e
_ 3 ' Z m
r -. N =� -� o R � S
Z
>
7 r:
C a
ft
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. —19-27 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 'SSG Orc rl IV 1-2r Lot No.
2. Owner's name W(i- Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. AdditionL�
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost
The undersigned certifies that the above statements are we to the best of his, her
knowledgg and belief.
r
Signature of responslb appicanl
Remarks
0 . ,
STRESS ANALYSIS
CUSTOMER: BILL B HENDERSON
DATE: 06/25/98 REF: BBH24789
SALESMAN ## GINGER
-------------------------------------------------------
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
-------------------------------------------------------
JOISTS 2X10 DEFLECTION 66 PSF
16IN BENDING 72 PSF
SHEAR 93 PSF
COMPRESSION 128 PSF 66 PSF
BEAMS 2-2X10 DEFLECTION 173 PSF
BENDING 85 PSF
SHEAR 65 PSF
COMPRESSION 247 PSF 65 PSF
BOLTS 1/2IN SHEAR 1732 PSF 1732 PSF
POSTS 4X4 STABILITY 391 PSF 391 PSF
-----------------------------------
TOTAL LOAD 65 PSF
DEAD LOAD 10 PSF
LIVE LOAD 55 PSF
-------------------------------------------------------
STRINGER 2X12 DEFLECTION 1250 PSF
BENDING 716 PSF
SHEAR 385 PSF
COMPRESSION 1335 PSF
-----------------------------------
TOTAL LOAD 385 PSF
DEAD LOAD 10 PSF
LIVE LOAD 375 PSF
-------------------------------------------------------
s '
PLAN VIEW RUGG LUMBER CO
CUSTOMER -- BILL B HENDERSON 24 W. STREET
DATE 06/25/98 REF BBH24789 W. HATFIELD, MA
FFis
LOAD AND SUPPORT: Your deck will support a 55 PSF live load. Posts have 48" below-ground
post support.
DECK AND POST HEIGHT: You selected a height of 24" from the top of decking to level ground.
The top of the deck support posts will therefore be 13.25" above ground level. Your salesperson
can provide information for uneven or sloped ground.
JOISTS: Set joists on top of beams, 16" center to center.
NOTE. The design may require knee braces and bridging between joists. Your materials list includes
the necessary items. The suggested design is not a finished building plan. You are responsible for
all measurements being correct, for verifying that the design (and any substitutions or modifications
that you make) meets all local building codes and requirements. To verify that the suggested design,
and any substitutions or modifications, is consistent with conditions at the construction site,
review the design with your architect. Also consult your architect for proper construction and use
of materials in the structure.
Be sure to follow the deck construction detail available from your store salesperson.
BEAM LAYOUT RUGG LUMBER CO
CUSTOMER -- BILL B HENDERSON 24 W. STREET
DATE 06/25/98 REF BBH24789 W. HATFIELD, MA
15' 5 3/4"
6 1/4"
Y
i1
u JUL 1 2 19�
O 4
U �
Wwd
W J
W
LL
J f-
cs
N
0 co
2 p�
0)r
=V
LAI C-4
W m
=IL
M W
Q
J
J
W_ 110
CC C4
W
s30
O O
F-F-W
to G4 F'
>>t
000
f .. tea.... .m
JUL 1 2 1999 co
v
.3
10. Do any signs exist on the property? YES NO X'
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO_
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This COZY to be filled is
by the Baildiag Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks frnnt
- side L:C./(-IL R: Lt. R: -7'-
- rear / '3 C-)
Building height 3
Bldg Square footage
sl
%Open Space:
Lot area minus bldg
&Paved Parking%
# of Parking spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 0?-92 _ APPLICANT's SIGNATURE
NOTE: 1 uanoe of a zoning permit does not relieve an applioont'a burden to comp Itix all
Czoning requirements and obtain all required permits from the Board of Health, Conservation
ommission, Department of Publio Works and other applioable permit granting authorities.
FILE #
I? JUL 1 2 1999 i 5; Fi 1 e No. 0
��_.._.
�.
_...� �� 111
� ��7M0 ING PERMIT APPLIGATXON (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:__ �� /7/� J��rsa�elr
Address: ;14 [_ijlir�ce%J �r o��rr�G a Telephone: O-WZ
2. Owner of Property: S�n2
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map#_62q Parcel# /77 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if
� necsary):
o F 7 D /G X/G amcU Sa �o�
s
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/Finding ever 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#
9. Does the site contain a brook, body of water or wetlands? NO_,K 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:
(FORM CONTINUES ON OTHER SIDE)
File#BP-2000-0029
APPLICANT/CONTACT PERSON HENDERSON WILLIAM A JR&JANE `
ADDRESS/PHONE 46 OVERLOOK DR 586-2054
PROPERTY LOCATION 46 OVERLOOK DR
MAP 29 PARCEL 194 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid / —
T_ypeof Construction: CONSTRUCT 16 X 16 DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THEY010LOWING 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 Conservation Commission
—.A"n y 7 2
Signature of Building Rifficial 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.
z � � All
46 OVERLOOK DR BP-2000-0029
GIS#: COMMONWEALTH OF MASSACHUSETTS
MW.Block 19f 9* CITY OF NORTHAMPTON
Lot:-001
Permit. Building
BUILDING PERMIT
Category Deck Addition on
Permit# BP-2000-0029
Project# JS-2000-0049
Est.Cost: $2000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(sq.ft.): 15986.52 Owner:_.BENDERSON WILLIAM A JR&JANE
Zoning:URA Applicant.
Al.-_46 DVERLOQ v n, `
Applicant Address. Phone: Insurance:
ISSUED ON:7/22/I999 0:oo:oo
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 16 X 16 DECK
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:
Rough: Rough: house Footings:•
Foundation:
Final: Final: ?
Rough Frame.
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 6 K _
THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULAT S.
Certificate of Occupancy i nature:
Fee Tyne: Receipt No: Date Paid: Check No: Amount:
Building 7/22/1999 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo