38A-005 Job
Truss iTruss Type
oty P1 162 Laurel Northampton,MA
i14092885B DPOI DLAL PITCH
I I
Universal Fo_ly�ucts i ------ 7.520 Job Reference o bona]
S.
-S .42 2014 P�
s May 8 2014 MiTek Industries,Inc.Wed Sep 2-4 08:05:42 2014
ID:ECSduO 03EIyYHJSmya\_H-Gvjua8JsH1 IGPBEQvFKBLcGeeeXCEMeQAD?Y9XyaUx
4-0-0 10-0-0 5-0-8 5-10-8
:N—ONO 4-0-0 1-13 5-0-8
E 32'
YT,F
OCT — 8 ?n
Ef ric,
3/
41
T
rff
6
7
7-6-4
12-0-1-10p4t),L4:
LOADING(p
TCLL SPACING- 2-" CSL DEFL. in (loc) Ildefl Ud PLATES GRIP
0 Plates Increase
(6
40 P 1.15
(RoofSnow=40 TC 0.44 Vert(LL) -0.17 8 >9 MT20 1971144
TCDL rea 36 180
BCLL 0.0 Rep Stress Ina YES WB 0.55 Horz(TL) 0.32 6 n/a n/a
Code IRC2009frPI2007 (Matra-m) Wind(LL) 0.05 8 999 360
BCDL 10.0 Lumberinc se 1.15 0.64 Vert(TL) -0.28 8 6 99 240 Weight:66 lb FT=4%
16.0
LUMBER- BRACING-
TOP CHORD 2x4 SPF Not TOP CHORD Structural wood sheathing directly applied or 310-14 oc purfins.
T2:2x4 SPF 210OF 1.8E BOT CHORD Rigid ceiling directly applied or 10-"oc bracing.
SPF No.2 or 2x4 SPF Stud*Except*
BOT CHORD 26 SPF No-2 at Stabilizers and required cross bracing beinstalled
W2: MTe'recommends accordance with Stabilizer Installation
WEBS 2x4 S during -g!Ade.
2x4 SPF No.2
SLIDER Right 2x4 SPF Stud or Nc.2 2-4-0
REACTIONS. (Wsize) 2--986/0-58(req.-0-0-1),6=986/0.5.8 (heq.-0-0-1)
Max Hor7 2=142(LC 7)
Max Uplift2=37(LC 8),6=52(LC 9)
FORCES. (lb)-Max,Comp./Max.Ten.-AN forces 250(lb)or less except when shown.
TOP CHORD 2-15=-176&174,3-15---15751186.3-4=1353/83,4-16--2440/68,5-16--2539/56,5-6=3346J362
BOT CHORD 2-8=-78/1308,6$=.234/2986 234/2986
WEBS 3-8--358/182,4-8=-23/2258,5-8--710r354
NOTES
1)Wind:ASCE 7-05;100mph;TCDL=5.Opsf,,BCDL=5.Opsf,,h=24t.Cat.11;Exio B;erfdosed;IMWFRS(low-rise)and C-C Exterior(2)zone;cantilever left and
right exposed:C-C for members and forces&MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.33
2)TCLL:ASCE 7-05;Pf=40.0 psf(flat roof snow);Category II:Exp B-,Partially Exp.;Ct--1.1
3)Unbalanced snow bads have been considered for this design.
4)This truss has been designed for greater of min roof live load of 16.0 psf or 2.00 times flat roof load of 40.0 psf on overhangs non-concurrent with other live
loads.
As requested,plates have not been designed to provide for placement tolerances or rough handling and erection conditions. It is the responsibility of the
fabricator to increase plate sizes to account for these factors.
6)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads,
7)WARNING:Required bearing size at joinqs)2,6 greater than input bearing size.
8)Bearing atjoird(s)2,6 considers parallel to grain value using ANSI1TP1 1 angle to grain formula. Building designer should verify capacity of bearing surface.
9)Provide mechanical connection(by others)of truss to bearing plate capable of Wthstancling 37 lb uplift at joint 2 and 52 lb uplift at joint 6.
10)This truss is designed in accordance with the 2009 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSVTPI 1.
11)"Semi-rigid pitchloreaks including heels"Member end fixity model was used in the analysis and design of this truss.
LOAD CASE(S)Standard
If to Owners,to them at:
Eliza Byard
747 Union Street,Apt 4
Brooklyn,NY 11215
Email:eliza.byard@gmail.com
ARTICLE 23
TERMINATION
23.0 If the Contractor shall:
(a)be adjudged bankrupt,
(b)persistently or repeatedly refuse or fail,except in cases where extension oftime is
provided,to supply enough properly skilled workmen or proper materials to perform
the work,
(c)persistently disregard laws,ordinances,rules,regulations,conditions of any public
authorities having jurisdiction over the WORK,or
(d)be guilty of material violation of this Agreement,
then the Owner shall be entitled,upon seven(7)days prior notice,unless the Contractor shall cure
such violation during said seven(7)day period,to terminate this Agreement and take possession of the Site
and all materials and equipment thereon and finish the WORK by whatever method Owner may deem
expedient.
ARTICLE 24
GOVERNING LAW;EFFECT
This Contract shall be construed and enforced in accordance with the substantive law of the
Commonwealth of Massachusetts without giving effect to the conflicts or choice of law provisions thereof;
and shall have the effect of a sealed instrument_
This Agreement executed on the day and year first written above.
Contractor
CHAGNON BUILDIN &REMODELING LLC
By
7t s rtes;
Owner(s)
Contractor Initials: Owners Initial
P4F 9 or27 copAhta 2014 Chagnon suilding a Remodeling LLC
Camtad on 9i12l20t4 10:43.00 Aht
t7vYKl,9rnd AcmKlcling C11�*rAACT AGAESMATrr09 tS]4.docu
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work:
The debris will be transported by:
The debris will be received by: l/�
Building permit number:
Name of Permit ApplicantzU G� v�✓
Date Signature of Permit Applicant
Information and Instructions,
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and,if
necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their cettificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or L IY does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. ''I The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
Boston,MA 02114-2017
Tel. # 617-727-4900 ext 7406 or 1-877-MASSAFE
Revised 7-2013 Fax# 617-727-7749
www.mass.gov/dia
The Commonwealth of Massachusetts
Department of Industrial Accidents
Y 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): �'/�/ /l.�>,�� UJG(�i/�tj 4 > iLtO�n/ A!!�_
Address: J` $4c,�-aticj r rG -
City/State/Zip: /4 l Phone#: X13 "
Are you-an employer?Check the appropriate box: Type of project(required):
1.tic i am a employer with 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 g. [demolition
working for me in any capacity. employees and have workers' 9 ❑Building addition
[No workers' comp. insurance comp.insurance.t
required.] 5. ❑ We are a corporation and its 10.❑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.gKoof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
*Anv applicant that checks box 41 must also till 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 andjob site
information.
Insurance Company Name:
Policy#or Self-ins. Lic. #: �(}[)/ 7�() � Expiration Date:
Job Site Address: Ozeg— S/ City/State/Zip: A,161,1-74V
Attach a copy of the workers' compensation policy declaration page(showing the policy number aA 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
Sign afore: Dat e: /
Phone#: ,
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. :�/7'(171�/� Not Applicable ❑
Name of License Holder: CrAz y �� clTza/l C5-- 75:
License Number
91 5ka Ltd 010��
Addres Expiration Date
Signature Telephone
9 Renisterecl Home Improvement Contractor; Not Applicable ❑
,2 �-tc✓e/ r L� // }''5-/
ComDaht Nanie Registration Number
Add5 Q�d ' 1ore� ,rye o�rJ3S a,
ress �— Expiration Da4e
Telephone `�-�ol
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....... bl-' 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) �� Roofing �^
r � Or Doors ��
Accessory Bldg. ❑ Demolition a New Signs [O] Decks [C] Siding[alt-'Other[C]
Brief Description of Proposed
work:��`IOA,=C.INft'.ye%r1 �=,P�+,9�C c,�+S�ioi ��%�r� iyur��c> � s �eoy �it�cH �Lt'cv Pet
Alteration of existing bedroom Yes No Adding new bedroom Yes v- 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 t"'� Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? 10
d. Proposed Square footage of new construction. 416^ Dimensions
e. Number of stories? ,^ C7
f. Method of heating? JCNIA l Fireplaces or Woodstoves _Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? N
h. Type of construction (iJOVO
i. Is construction within 100 ft. of wetlands? Yes Zr No. Is construction within 100 yr. floodplain Yes No
/ if
j. Depth of basement or cellar floor below finished grade y'It
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer k"'— Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
,as Owner of the subject
property
hereby authorize �J�r 5 �wt �✓t/'< <�'''�'
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
644 as Owner/Authorized
Agent hereby declare Ahat 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.
IJ
Print Name
Sig tune f 0 er/ gent 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 /S ?00 /J. 1?d 0
Frontage ACX)
Setbacks Front
Side L: . I. R: L:J�__R:
Rear
Building Height
Bldg. Square Footage I� %
y a
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 YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 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 (D,*,- DONT 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 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
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.
E IT-,-D�j
Department use only
SEp 17 2014 y of Northampton Status of Permit:
4 B •Iding Department Curb Cut/Driveway Permit
plumbing S Gag in$ 12 Main Street Sewer/Septic Availability
Northam on,MA 010W Room 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,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
Map Lot Unit
NOP, �y Zone Overlay District
��
/ " "I,r •r � I V Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: (ZAC,4&1— E1 f?,&I ca
xA _ y,4P-pi yAliv`7f7
l 5TT %31���Elyv� ivy !IJlS
Name(Print) j Current Mailing Address:
cumz Telephone��
Signature
2.2 Authorized Agent:
`1'! �l �� �i"7l.CLt✓r✓ 91 c7✓/0 13P4(J'
Rd—, N 61ow a14
Name(Ph) Current Mailing Address:
ignature Z Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building / , `Ocj (a) Building Permit Fee
2. Electrical �� fSC1CZ °--� (b)Estimated Total Cost of
Construction from 6
3. Plumbing 16, 000 Building Permit Fee
—
4. Mechanical(HVAC) �/000
5. Fire Protection
6. Total=0 +2+3+4+5) D Check Number
This Section For Official Use Only
Building ermit Number: Date
g Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0314
APPLICANT/CONTACT PERSON GARY J CHAGNON
ADDRESS/PHONE 91 STOCKBRIDGE ST HADLEY (413)259-6785
PROPERTY LOCATION 62 LAUREL ST
MAP 38A PARCEL 005 001 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:_REMODEL INTERIORFINISHES,REPLACEMENT WINDOWS/DOORS,REPAIR
SIDING&NEW ROOF
New Construction
Non Structural interior renovations
Addition to Existing-
Accessory Structure
Building Plans Included:
Owner/Statement or License 060175
3 sets of Plans/Plot Plan �b �C
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9,RMATION 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
o lay
/4�-114111-145;01
Sig e of Buil ing 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.
62 LAUREL ST BP-2015-0314
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38A-005 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-2015-0314
Project# JS-2015-000587
Est. Cost: $234600.00
Fee: $1407.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: GARY J CHAGNON 060175
Lot Size(sq. ft.): 15899.40 Owner: BYARD ELIZA EVA KOLODNER,RACHEL EHRLICH,JILL
AUCKENTHALER
Zoning: URB000)/ Applicant: GARY J CHAGNON
AT. 62 LAUREL ST
Applicant Address: Phone: Insurance:
91 STOCKBRIDGE ST (413) 259-6785 WC
HADLEYMA01035 ISSUED ON.10/14/2014 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL INTERIOR,FINISHES,
REPLACEMENT WINDOWS/DOORS,REPAIR SIDING & NEW ROOF
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 10/14/2014 0:00:00 $1407.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner