31B-273 QSI - - - - - - - - - - - - - - - - - - - - -�
L- - -
�-1
OF50 50"-PIN PIER-(1 OF 3) — EXTG ROOF BEAM ABV
DPlS 50"-PIN PIER-(1 OF 1)
PIER LOADS
TOTAL LOAD AT PIER"A"=1312 L55
TOTAL LOAD AT PIER"B"=3753 LB5
TOTAL LOAD AT PIER"G"=969 LB5
TOTAL LOAD AT PIER"D"=1610 LB5 A B G D
PORCH FOUNDATION PLAN-1/4"-1'
(2)2x5 P7 IN BEAM POCKET-(1 OF 4)
NEW BEAM POCKET- (1 OF t II
2X5 PT-16"O.G. INSTAL_.1015T HANGERS UPSIDE DOWN
1(1
t
BOLTED BLOCKING-(1 OF 3) EXTG PORCH P057 ABV-(1 OP 3)
5'-5"
6"
PORCH FRAMING PLAN-1/4"-1'
Q DRAWINGS PROVIDED BY: SHEET TITLE: NO DESCRIPTION BY DATE
(/j U GAEL ORGH FOUNDATION AND FRAMIN
' rn rn BOURKE BUILDERS q CENTER COURT
rn o 77 LONG HILL ROAD
N a LEVERETT,MA(413)548-8214 NORTHAMPTON,MA
ii� psi � iwnii
i 1 N
-1� 9
DESIGN & CONSTRUCTION
9 CENTER COURT REMODEL DESCRIPTION OF WORK
Project Address
9 Center Court
Northampton, MA
September 10, 2014
77 Long Hill Road, Leverett, MA 01054 • 413.548.9214
DESCRIPTION:
The scope of the Projects consists of the following summary:
1. Remove and dispose of all siding and exterior trim, except roof trim; drill thru
sheathing and fill wall cavities with cellulose insulation; move all HVAC, plumbing and
electrical devices required; install 1 .5" thick foil-faced polyisocyanu rate high-R foam
board insulation with taped seams and exposed edges over all wall sheathing; remove
and dispose of existing vinyl replacement windows, and install 24 new Marvin
Integrity 2/2 SDL Wood/Ultrex Insert Replacement Windows,; install Aluminum
wrapped wood exterior trim (including house and porches roof trim); install 4"
exposure smooth finish Apex clapboard siding on all areas except for installation of
vinyl scallop shingles on the front and right side gables.
2. For 3rd Floor, protect stair and floor carpeting; demo and dispose of all wall and
ceiling finishes, and all existing insulation; remove and reinstall a/c unit with
necessary ductwork and install additional supply to second room; demo old
condensate lines on exterior of building and install a new in-wall condensate line;
move a/c line set into exterior wall cavity; install electric wiring and devices
according to Electric Estimate; install sprayed closed-cell urethane foam @ 5.5"
in rafters and 3" in gable walls; install 1" foil-faced polyisocyanurate high-R foam
board insulation with taped seams on inside face of rafters; install and paint drywall,
doors, windows and trim; clean up and remove carpet protection.
3. For Front Porch, remove railings and lattice in sections; temporarily support roof, and
remove posts; demo decking, steps, sLerk framinrt ceilin and piers; move porch roof
system, straighten and fasten to house wall; install new concrete piers and re-frame
floor deck and stairs with PT lumber; repair rotted bottoms of posts; install PVC
decking and stair treads with i en fasteners; install T&G beaded wood ceiling;
install Boral porch apron, stair risers and skirts; reinstall posts, railings and lattice;
install 8 new decorative post brackets; prep and paint all finished wood surfaces and
front door.
4. For Side Entry Porch, remove railings and Lattice in sections; temporarily support
roof, and remove posts and newels; demo decking, treads and risers; install
temporary safety railings, decking, treads and risers; repair rotted area of post;
install new PVC decking and treads, and Boral apron and risers; reinstall post, newels,
railings and lattice, and paint all finished wood surfaces and entry door; reinstall
storm door.
5. For basement, remove two closets and shelving, all fiberglass wall insulation and
loose paint off foundation walls; install on-demand gas-fired DHW heater; demo 4
basement windows and frames, and install 4 Marvin Integrity All Ultrex windows
with exterior trim; install 3" thick sprayed closed-cell urethane foam on above grade
foundation walls and band joists, and 2" foam on below grade foundation walls;
install sprayed Blazelok Thermal Barrier over sprayed foam.
C
NOTICE tl NOTICE
TO TOb )
r �
..1
EMPLOYEES r� .�4u EMPLOYEES
°aq bye
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
600 Washington Street, Boston, Massachusetts 02111
617-727-4900
As required by Massachusetts General Law, Chapter 152, Sections 21, 22, & 30, this will give you
notice that I (we) have provided payment to our inured employees under the above mentioned
chapter by insuring with:
Associated Employers Insurance Company
NAME OF INSURANCE COMPANY
P.O. Box 4070 Burlington, MA 01803-0970
ADDRESS OF INSURANCE COMPANY
WCC-500-5010599-2014A 02/01/2014-02/01/2015
POLICY NUMBER EFFECTIVE DATES
933 East Columbus Ave 413 205-2942
Axia Insurance Services Springfield, MA 01105
NAME OF INSURANCE AGENT ADDRESS PHONE
Bourke Builders LLC 77 Long Hill Road Leverett, MA 01054
EMPLOYER ADDRESS
12/10/2013
DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of
employment to furnish adequate and reasonable hospital and medical services in accordance with the
provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the
injured employee. The employee may select his or her own physician. The reasonable cost of the services
provided by the treating physician will be paid by the insurer, if the treatment is necessary and
reasonably connected to the work related injury. In cases requiring hospital attention, employees are
hereby notified that the insurer has arranged for such attention at the
NEAREST AND BEST MEDICAL FACILITY
EMPLOYER ADDRESS
TO BE POSTED BY EMPLOYER
t
�'��QUJ'SIf�rG�"DY�S
The Commonwealth of Massachusetts
Department of Industrial Accidents
a Office of Investigations
d 1 Congress Street, Suite 100
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): Bourke Builders, LLC
Address:77 Long Hill Road
City/State/Zip: Leverett, MA 01054 Phone#: 413-548-9214'
Are you an employer? Check the appropriate box: Type of project(required):
1.N I am a employer with 4 4. 0 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 S. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.F] Electrical repairs or additions
re
3.❑ I qu a homeowner doing all work officers have exercised their I I.E]Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL c. Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 131-1 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.
Insurance Company Name:Associated Employers Insurance Company _
Policy#or Self-ins. Lic.#:WCC5005010599-2014-A Expiration Date:2/1/15
Job Site Address: 9 Center Court City/State/Zip: Northampton, MA 01060
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 certify under the pains and penalties of perjury that the information provided above is true and correct.
Si mature: Date:
Phone#: 4135489214
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#:
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Lilly Gaev as Owner of the subject property
Paul A Bourke, Bourke Builders,LLC _ to
hereby authorize ... _
act on my behalf, i I m ers re to work authorized by this building permit application.
-1 Signature of Owner Dat
Paul A. Bourke asAuthorized
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
Sign re ofQw*R/Agent Dat
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:Taul A. Bourke CSFA055137
m _ .
License Number
77 Long Hill Road,Leverett,MA 01054 04/16/201
Add r Expiration Date
(413) 548-9214
Signa ure 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 No
Y +
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
_ Not Applicable El
s
Name(Registrant)
w. �,.. �.� �tt Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
i
Address Registration Number
Signature Telephone Expiration Date
..,.,.
i
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
!Bourke Builders,LLC Not Applicable
Company Name: _
°Paul A. Bourke
Responsible In Charge of Construction
...
_._....... ......... ..... ...... _ ._.... . _. . .. .,.
1,77 Long Hill Road,Leverett,MA 01054
Addre
(413) 348-0441
Signature Telephone
Versionl.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L-1-11-11. 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/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 Q 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: '3' x 2' Name of Offices + list of therapists
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 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Connnercial Building Permit May 15, 2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations Existing Wall Signs ❑ Demolition❑ Repairs ✓❑ Additions ❑ Accessory Building❑
Exterior Alteration ✓❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑
Brief Description ;Enter a brief description here. New siding, windows,exterior trim,insulation,remodel of 3rd
Of Proposed Work: (floor office,repair of front porch.
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business M11 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 ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: B Business Proposed Use Group: n/c
Existing Hazard Index 780 CMR 34): 2 Proposed Hazard Index 780 CMR 34): n/c
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
r
1 St
1 Sr
2nd . .. ... .�. ., 2nd .... ._ ..
3rd
3rd
4
m
Total Area (sf) Total Proposed New Construction (sf)
I
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑✓ Private E] Zone Outside Flood Zone❑✓ Municipal ✓❑ On site disposal system[]
Versionl.7 Connnercial Building Permit May 15,2000
Department use only
2
Q\pity rthampton Status of Permit;
SWp 8 Builds g s epartment Curb Cut/Driveway Permit -
a' Street Sewer/Septio Availability
Oom 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE INFORMATION 7
1.1 Property Address: This section to be completed by office
9 Center Court Map Lot Unit
'Northampton,MA 01060
Zone Overlay District
...., .. a.. ,..w. Elm St.District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
°Bennett and Lilly Gaev 1608 Westhampton Road,Florence,MA 01062
Name(Print) Current Mailing Address:
1(413) 586-7854
Signature Telephone
2.2 Authorized Agent:
,Paul A. Bourke 77 Long Hill Road,Leverett,MA 01054
Name(Print) - Current Mailing Address:
��(413) 548-9214
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building $68,200.00 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
$3,200.001 Construction from 6
3. Plumbing $5,200.00 Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection $2,100.001
6. Total = 0 +2+3 +4 + 5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0268
APPLICANT/CONTACT PERSON BOURKE BUILDERS 61ktc J
ADDRESS/PHONE 77 LONG HILL RD LEVERETT (413)548-9214
PROPERTY LOCATION 9 CENTER CT
MAP 31B PARCEL 273 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ;6y i0ptan
Fee Paid
Typeof Construction: INSTALL REPLACEMENT WINDOWS SIDING INSULATION REMODEL 3RD FLR
OFFICE&REPAIR FRONT PORCH
New Construction
Non Structural interior renovations
Addition to Existin
Accessory Structure
Building Plans Included:
Owner/Statement or License 055137
3 sets of Plans/Plot Plan
THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
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
e ti ela
re of i ding 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.
9 CENTER CT BP-2015-0268
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 B-273 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-2015-0268
Project# JS-2015-000507
Est.Cost: $78700.00
Fee: $472.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BOURKE BUILDERS 055137
Lot Size(sq. ft.): 1698.84 Owner: GAEV BENNETT N&LILLY
Zoning: CB(100) Applicant: BOURKE BUILDERS
AT: 9 CENTER CT
Applicant Address: Phone: Insurance:
77 LONG HILL RD (413) 548-9214 Workers Compensation
LEVERETTMA01054 ISSUED ON.•911 812 01 4 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS, SIDING,
INSULATION, REMODEL 3RD FLR OFFICE & REPAIR FRONT PORCH
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 9/18/2014 0:00:00 $472.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner