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23B-025 v Q CO cc Ci eel CO pv " 4J eta x3 a� 'g . Iwo { w w 6 ` -' b t - Aril, R MS" # , nl Nagle 4-4-14 ey e , Northampton 10:56am 1 of 1 KeyBeam00 4.600d kmBeamEngine 4,6026 Materials Database 1472 Member Data Description: Member Type: Girder Application: Roof 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: 11.7 PLF Filename:KYB1 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PSF) Top 0' 0.00" 12' 3.00" 9' 1.50" 35 17 Snow 3 Mm�u k� 12 30 10 m 12 3 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" 2872# -- 2 12' 3.000" Wall SPF#3/Stud 2x or 4x End-Grain(650 psi) 3.500" 1.500" 2872# Maximum Load Case Reactions Used for applying point loads(or line bads)to carrying members Snow Dead 1 1886# 985# 2 1886# 985# Design spans 11' 9.750" 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 8480.'# 24466.'# 34% 6.12' Total Load D+S Shear 2390.# 9081.# 26% 0.23' Total Load D+S Max.Reaction 2872.# 7962.# 36% 12.25' Total Load D+S TL Deflection 0.2180" 0.7875" U650 6.12' Total Load D+S LL Deflection 0.1432" 0.5906" U989 6.12' Total Load S Control: Max.Reaction DOLS: Live=100% Snow=115% Roof=125% Wind=160% All product names are trademarks of their respective owners Copyright(C)2013 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. "Passing is defined as when the member,floorjoist,beam orgirder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The deli n must be reviewed b a qualified desi neror design professional as required forapproval.This des n assumes roduct installation according to the manufacturer's s ecifi.allons. SIGNATURES By signing below,you agree to items A, B and C. DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES. A. Alternative Dispute Settlement(Arbitration Clause):The Seller and the Buyer hereby mutually agree,in advance,that in the event of a dispute concerning this Agreement,the parties shall submit such dispute to a professional,state-approved arbitration service(cost,if any,to be paid by the submitter)prior to either party proceeding to legal action in the courts. B. By signing this agreement,you,as the owner of record,are hereby authorizing Barron&Jacobs Associates Inc.to act as your authorized agent in all matters pertaining to the building permit application. C. This is a binding Agreement. You may not cancel it except as stated. This Agreement covers and supersedes all conversations,statements and agreements,expressed or implied,between the parties,their agents or representatives. AIL, C." 611 zzi You,the Buyer,may cancel this transaction uyer to at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form Buyer Date for an explanation of this right. 01 l Seller retains an equal right to cancel. /A; Barron&Jacobs Representative Dat ********************************************************************************************* Desi irk er Registration Numbers ❑x Andy Vecellio MA HIC 100809 ❑ Christopher R.Jacobs MA HIC 100809 CT HIC 0556380 CT HIS 0554397 Barron and Jacobs-Key Personnel Contact Information: Office Cell Home Office Manager: Sandy Scavotto 413.586.8998,x100 Vice President and General Manager: 413.586.8998,x103 413.250.6677 413.665.9113 Chris Jacobs President:Cecil R.Jacobs(Jake) 413.586.8998,x101 413.250.2327 413.584.4447 Purchase Agreement Page 15 of 15 F F one I T In the provi-slons C) 4-, §54, 1 ack-InovviEdge, as a corldItion of the Buil.-Jing permit, ail fel ris ressulting Ccmstruc�li goveuied by tNs Buil Iin, 0 .0 i Ion act1wry -,)I g Perrniffshafl be d i s p os e.d of 2 t E a- (NUUVIE OF FAC@LITFYI a FFOL-)elrly lfic�.nsed sohd vvaste fa�ifi-'FY 2cz d--fin`ed 1150, L/ P R J N T D f-R 11 Y-tr--- o ra C- C' w 6 4) fs D 6WIF A.PPY-(CA--.j'l J"! 6cf-AF-PAL. Ca6-TAucT-joH PrflRIS '3T Al Ay—OK WAM M---N-VM-Olpk L-d 0,74w'Ll?L The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 h_ 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): Barron & Jacobs Associates, Inc. Address: 70 Old South Street City/State/Zip: Northampton, MA 01060 Phone #: (413) 586-8998 Are you an employer? Check the appropriate box: Type of project(required): 1.19 I am a employer with 11 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.F-1 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' 13F] 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. Webber & Grinnell Insurance Agency, Inc. Insurance Company Name: Policy#or Self-ins. Lic.#: WMZ boo 6o'3(0 5 01201-5/)4,-f 9, Expiration Date: 3/1 /2015 Job Site Address: ';c VA' ST City/State/Zip: NvQ-IHWVT60., MIS 00(co qW 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 certift under the pains and Eenalties o er'u that the in ormation provided above is true and correct Signature: Date `1` '1 Phone 4: (4)"0, 5$6 8991)0 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: __ Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable Name of License Holder: C41PR15-ToPHEP P— -3F)c['85 CS' 00.475 License Number 70 CLD Sl ,, rtT l ST 1`IOZ'fi1f1MfT,* 1 MA o)C(C II. Ic-2-014 Address Expiration Date Signature Telephone 9.Registered Home improvement Contractor: Not Applicable [- 54MONI A- -Ahcclts fl5s0r1R1f:5. I14C IccF0y Company Name I Registration Number '?0 c7LD Set1T+i Sr, NGRTtiAMETyM MA Oi0GC Le.23• I4 Address Expiration Date Telephone�-4 S$-T,)C 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.......X No...... i 11. Home Owner Exe mWon The current exemption far"homeowners"was extended to include Owner-occupied Dwellings ofone(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 ofthe 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)ofthe 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 ofMassachusetts General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) 7 New House ❑ Addition �Kl Replacement Windows Alteration(s) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[0] Other[ ] Brief Description of Proposed/ l Work: SC73r_f►S fteCN RDbiTioN To V-XISTihla GARMAa Alteration of existing bedroom Yes K No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes a No Plans Attached Roll -Sheet 6a. ff New house and or addition to existing housing,complete the following: 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 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 'Sf-f- PVNTPACKb PlAct r of AC tAMT,_PEt iS o F i5 as Owner of the subject property hereby authorize ASxC%1aT-sl [NC to act on my behalf, in all matters relative to work authorized by this building permit application. `siEc f\Tyk1&9 IpPOf +-V or- K a ature of Owner Date I, 49101DO 424-►rt151.O M -Ac'D62 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. S o . JP�Ct`gS. Print 7Name l Signature of Owner/Agent ate 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 0('45 AD A,2 Frontage 2--) :2�)t Setbacks Front 2qi 2M' Side L: 6'51 R: G,"1� L: (0'5� R: �yl Rear 0 ' 47 Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #offarking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DON'T KNOW C) YES k IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW C) 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 0 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 0 NO 0 IF YES, describe size, type and location: &'NE lAhOICAP �'16d4 rift' To pcpo (QhfK14&) D. Are there any proposed changes to or additions of signs intended for the property? YES ® 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 O NO • IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: II �� " Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability 8 ��� Room 100 WaterMell Availability L " ' rthampton, MA 01060 Two Sets of Structural Plans FleCfric r --, -- hoe 3-587-1240 Fax 413-587-1272 Plot/Site Plans 'r rr„'"ectj Other Specify ons APPLICATION TO STRUCT,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 '30 DAW4\ `.,T• Map Lot Unit Noi�?.Yt~,for4; MA 010 c Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 21.OIANS p NACALE -50 PAN•A `�T. Nct2THRMMN0I-AA [?10&C' Name(Print) Current Mailing Address: &41t3) Ste- g$•75 PLF-wic '3Et ATTACtlEV X3ygrEmEAT Ae IS of 15 Telephone Signature 2.2 Authorized Accent: i f1Q.RCN .1t ZBS /Y;5CaAws, tNC: 110 CLD S00*TH NOfZRhjAj 0hj, MP, 01CV1 Name(Print) Current Mailing Address: VwA'5F `3Ei frtrRcn a i 41aeE r�T 1 ,IS aF IS (41 � 58�-gy98 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 0 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total= (1 +2+3+4+5) 0ruC), CIO Check Number lay This Section For Official Use Only Building Permit Number: IIsssued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-1031 5 �' APPLICANT/CONTACT PERSON BARRON&JACOBS ADDRESS/PHONE 70 OLD SOUTH ST NORTHAMPTON (413) 586-8998 PROPERTY LOCATION 30 DANA ST P � MAP 23B PARCEL 025 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 12 X 18 SCREEN ADDITION TO DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 60475 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: _L/pproved 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 ion ela 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. 30 DANA ST BP-2014-1031 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B-025 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2014-1031 Project# JS-2014-001781 Est. Cost: $43000.00 Fee: $124.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BARRON & JACOBS 60475 Lot Size(sq.ft.): 20516.76 Owner: NAGLE THOMAS P&MARION E Zoning.URB(100) Applicant: BARRON & JACOBS AT. 30 DANA ST Applicant Address: Phone: Insurance: 70 OLD SOUTH ST (413) 586-8998 Workers Compensation NORTHAMPTON MAO 1060 ISSUED ON:411112014 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12 X 18 SCREEN ADDITION TO DET GARAGE 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 4/11/2014 0:00:00 $124.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner