32A-004 (7) 1
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F 0 R T E MEMBER REPORT n Level,DBL BEAM OPTION PASSED
2 piece(s) 13/4 x 117/8 1.9E Microllam® LVL
Overall Length:15'
o
I
15,
0
All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.;Drawing is Conceptual
Msi n Results Actual 0 Locatiat AllowBd Result LDF Load;Combination(Pattern) System:Roof
Member Reaction(Ibs) 1505 @ 2 1/2" 5950(4.00") Passed(25%) 1.0 D+1.0 S(All Spans) Member Type:Drop Beam
Shear(Ibs) 1463 @ 1'3 7/8" 9081 Passed(16%) 1.15 1.0 D+1.0 S(All Spans) Building Use:Residential
Moment(Ft-Ibs) 10086 @ 7'6" 20525 Passed(49%) 1.15 1.0 D+1.0 S(All Spans) Building Code:IBC
Live Load Defl.(in) 0.220 @ 7'6" 0.486 Passed(L/795) 1.0 D+1.0 S(All Spans) Design Methodology:ASO
Total Load Defl.(in) 0.369 @ 7'6" 0.729 Passed(L/474) 1.0 D+1.0 S(All Spans) Member Pitch:0/12
•Deflection criteria:LL(L/360)and TL(1-1240).
•Bracing(Lu):All compression edges(top and bottom)must be braced at 14'6 15/16"o/c unless detailed otherwise.Proper attachment and positioning of
lateral bracing is required to achieve member stability.
Bear iv Loads to Supports cabs)
SUPPOF" Total Available Required Dead Roof Snow Total Accessories
Live
1 Stud wall-SPF 4.00" 4.00" 1.50" 665 300 840 1805 Blocking
2-Stud wall-SPF 4.00" 4.00" 1.50" 665 300 840 1805 Blacking
•Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed.
Tributary Dead Roof Litre Snow
LMds Location Wi Ith (0.90) (non-www:iaS) (1.15) Comments
1-Uniform(PSF) 0 to 15' 1'4" 15.0 30.0 - Roof
2-Point(Ib) 7'6" N/A 857 - 1680 Point Load from
Upper Ride
Weyerhaeuser NCtes 4 SUSTAINABLE FORESTRY INITIATIVE
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details.
(www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to
circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to
assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable
forestry standards.
The product application,input design loads,dimensions and support information have been provided by Forte Software Operator
Forte Software Operator .lob Notes 11/18/2014 4:20:01 PM
Robert Kuserk PETER HERONEMUS Forte v4.6,Design Engine:V6.1.1.5
Weyerhaeuser 14-16 WALNUT ST. 41962-PETER HERONEMUS.4te
(856)596-5555
kuserk@weyerhaeuser.com NORTHAMPTON,MA
Page 2 of 2
JOB®F 0 R T E® 41962 SUMMARY
PETER HERONEMUS.4te
Member Name Results Current Solution
DBL BEAM OPTION Passed 2 Pieces)1 3/4"x l 77/8"1.9E Microllamp LVL
11/18/2014 4:20:01 PM
Forte Software operator Job Notes
Forte v4.6,Design Engine:V6.1.1.5
Robert Kuserk PETER HERONEMUS 41962-PETER HERONEMUS.4te
Weyerhaeuser 14-16 WALNUT ST.
(856)596-5555 NORTHAMPTON,MA
bob.kuserk @weyerhaeuser.com Page 1 of 2
FORES TRY
7 FORESTRY
INRIATNE
A Weyerhaeuser
November 18,2014
Pete Van Buren
Cowls Building Supply
125 Sunderland Rd.
Amherst,MA 01002-1098
Re:Sealed Calculations
Tech Call#:41962
PETER HERONEMUS
14-16 WALNUT ST.
NORTHAMPTON,MA
Attached are Forte®calculations and a Job Summary Report for joist,beam,and/or column applications that have
been prepared for the above referenced project based on information provided by Pete Van Buren of Cowls
Building Supply.
The calculations have been identified in the job Summary Report and by the date and time in the lower right hand
corner of each sheet:
11/18/2014 4:20:01 PM
2 pages
Many uniformly loaded joist and beam calculations can be verified by referencing the applicable span charts within
the appropriate product literature.These common conditions covered by span chart literature may not have been
addressed via individual calculations within this package.
Each analysis reflects the Trus Joist®product,depth,and size that can structurally support the input loads shown.The
professional engineer's seal on this letter verifies that the analyses presented conform to accepted engineering
practices and use code-accepted product design values.Although I have not reviewed the project plans or visited the
jobsite,we guarantee that our products will meet the strength and deflection requirements as shown in the attached
calculations,provided the input model and loading are correct.
All notes and design load information shown on these calculations should be reviewed with the building
designer and/or the local code official to ensure that the loads,spans,and other conditions are correct and/or
acceptable for the specific application.Building inspectors and/or owners should identify the"TJI®","Microllam®
LVL","Parallam®PSV,or"TimberStrand®LSL"markings on Trus Joist®products to confirm that this letter is valid for
the products actually installed.
Please feel free to contact me if there are a ng the analyses,I can be reached at(856) 596-5555.
Sincerely,
i
Robert A.Kuserk,PE
Structural Frame Engineer
1000 Lincoln Dr.East,Suite 313 • Marlton,NJ 08053 • Phone 856-596-5555 Fax 856-985-9806
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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-contractors)name(s), address(es) and phone number(s) along with their certificate(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 LLP 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. 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
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07
Fax# 617-727-7749
www.mass.gov/dia
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
`' 600 Washington Street
Boston, MA 02111
?� 4 www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name (Business/Organization/Individual): / ✓Z fL �tf c t/� -���
Address:
City/State/Zip: .l�'�� i� -',�/9 Phone#: l`j 85 s_
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
loyees (full and/or part-time).* have hired the sub-contractors 6. ❑Femodeling construction
2. I am a sole proprietor or partner- listed on the attached sheet. 7.
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 10.0 Electrical repairs or additions
officers have exercised their 11. Plumbing repairs or additions
3.❑ I am a homeowner doing all work g P
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.
tHo meowners 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:
Policy#or Self-ins. Lic. M Expiration Date:
Job Site Address: City/State/Zip:
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 cer #ni
tify .1 er the aind penalties of perjury that the information provided above is true and correct.
f/ s
Signature- ` �'� Date: r 7 /V
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 ConstrucU2n Sueervis„gr: Not Applicable ❑
Name of License Holder: ��
License Number
Address Expiration Date
Signature Telephone
.Real Divvemeffl Contractor: Not Applicable ❑,(/c�
Comoany Name Registration Number
Address Expiration Date
Telephone
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....... Ef" 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 1083.53.
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 7oning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature —
Jan//
CIE)
ox
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement_windows Alteration(s) Roofing
or Doors Imo'
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[o] Other[p]
Brief De i ion of Pr
Work: ,
Alteration of existing bedroom Yes No Adding new bedroom Yes A- No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roil -Sheet
8a. K 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
!Al C ��le as Owner of the subject
property --- }}
hereby authorize
to act o yhalf, in aU matters reti)tiVe to work authoriz by this building permit application.
Signature of Owner+ Date
1, f 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.
Print::Name r'1
5L i
Signature of Owner/Ag4nt Date
Section 4. ZONING I All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to he filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L L:—__-- R:—_--
Rear
Building Height
Bldg.Square Footage %
Open Space Footage
(IAA area minus bldg&pmed
a kin )
#of Parking Spaces
Fill:
(volume&IAKation)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW er YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW (2511" YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO (01' DONT KNOW 0 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 O NO er"
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, grading,exc4vation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Depattrnent use only
City of Northampton Status of Permit:
wilding Department Curb Cut/Driveway Permit
I
212 Main Street Sewer/Septic Availability
L V ! 9 1 Room 100 water/Well Availability
( orthampton, MA 01060 Two Sets of Structural Plans
bin -�#ade 4 3-587-1240 Fax 413-587-1272 Plot/Site Plans
gc
r ctions Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1,1 Prooertv Address:
This section to be completed by office
Map Lot Unit
Zone Overlay District
Elm St.District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Pri t) Current Mailing Address:
Telephone
Signature
2.2 Authorized Aaent:
Name(Print) Current Mailing Address.
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by rmit applicant
1. Building (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) Check Number
This Section For Official Use Only
Building ermit Number: Date
g Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0394
APPLICANT/CONTACT PERSON PETER R HERONEMUS
o)(�
ADDRESS/PHONE 247 LONG PLAIN RD LEVERETT (413)549-8951
PROPERTY LOCATION 14 WALNUT ST
MAP 32A PARCEL 004 001 ZONE URC(106)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT ENCLOSED REQUIRED DATE
Fee Paid
Building Permit Filled out <
Fee Paid
Typeof Construction: RENO KITCHEN BATH NEW WINDOWS&ROOF amended 11/19/14 ADD EGRESS
CLOSET&ADD DORMER(BEDRM)
New Construction
Non Structural interior renovations
Addition to Existing
Accessoa Structure
Building Plans Included:
Owner/Statement or License 058899
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF MATION 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
D o " ay
Si re of Buildm Official
g 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.
14 WALNUT ST BP-2015-0394
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A-004 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-2015-0394
Proiect# JS-2015-000681
Est. Cost: $63500.00
Fee: $431.00 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: PETER R HERONEMUS 058899
Lot Size(sq. ft.): 12980.88 Owner: KOWALCZYK STEPHEN
Zoning: Applicant. PETER R HERONEMUS
AT. 14 WALNUT ST
Applicant Address: Phone: Insurance:
247 LONG PLAIN RD (413) 549-8951 O
LEVERETTMA01054 ISSUED ON:121412014 0:00:00
TO PERFO EW WINDOWS &1
ROOF,amende 11/19/14 - ADD EGRESS, CLOSET 7ADD DORMER (BEDRM)
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:
FeeTy>7e: Date Paid: Amount:
Building 12/4/2014 0:00:00 $431.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner