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17C-086 (4) Olander 3.20-09 Florence,Ma 2:35pm I Of l KeyBeaanO 4.504a hiBednExgine 4.5034 Matetish Datitim 996 Member Data Description: Member Type:Beam Application: Floor Lateral Bracing:Continuous Top Standard Load: Moisture Condition: Dry Building Code:IBC/IRC Dead Load: 10 PLF Deflection Criteria: L/360 live,Lf240 total Live Load: 40 PLF Deck Connection:Nailed Member Weight: 15.8 PLF Filename: KYB1 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform(PSF) 0' 0.00" 16' 0.00" 7' 0.00" 10 50 Snow Additional Uniform(PSF) 0' 0.00" 16' 0.00" 7' 0.00" 10 0 Live Additional Uniform(PLF) 0' 0.00" 16' 0.00" 10 0 Live Additional Uniform(PSF) 0' 0.00" 16' 0.00" 2' 6.00" 10 50 Snow Additional Uniform(PSF) 0' 0.00" 16' 0.00" 2' 0.00" 10 0 Live Additional Uniform PSF 0' 0.00" 13' 0.00" 5' 6.00" 10 30 Live is00 1800 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 5.50(r 2.148" 56390 2 16 2.750" Wall 5.500" 2.00' 55090 -- Maximum Load Case Reactions tlaed►er applyiry Point bads(or line wade)to cWr*a mwtn6ers Dead Live snow 1 20129 12199 3617# 2 18920 6629 3617# Design spans 16 2.750" Product:1 3/4x16 Versa-Lam 2.0-SP 3100 2 ply Ma;ti Vim"` 40 CA*rtj -Ind AD)- rew djA61 4wd, Component Member Design has Passed Design Checks.— o Design assumes continuous lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 21382.# 42969.'# 49% 7.61' Total load D+S Shear 4644.0 122364 37% 0.76 Total load D+0.75(L+S) Max.Reaction 56394 14438.# 39% 0' Total load D+0.75(L+S) TL Deflection 0.3733" 0.7615" U489 7.61' Total load D+S LL Deflection 0.2406" 0.5076' U759 7.61' Total bad S Control: Positive Moment DOLS: Live=100% Snovr=llS% Roof--125% Wind-133% Manufacturers installation guide MUST be consulted for multi-ply connection details and alternatives r AN prodirat namse we tradsmar m o1 ensir respadrvs awrwa t CagsW(C)1964200 by K"Rnrk Etwpieee,LLC.ALL MGM RESERVED. ­sing,de6irod es wh8n the rtartihar,floor 'at beam or yxdsr.shown on this caw-ing meets apps—his design Criteria for Loads,Loading Conditions,and Spans fisted on this sheet.The design must be reviewed by a graKed designer o design le2jasional as required Ter 2MMXW.Th 9 desm asstoeas ProWd tndaeseon acowdina to the r aradaabwer•s specilleab oro. an er 3-20-09 KeyBeam FlotT:nLx,Ma 2:39prn 1 of 1 KeyBeal 4.504a tanBe=Eogae 4.5054 Materiel Datsbwe 936 Member Data Description: Member Type: Beam Application: Floor Lateral Bracing: Continuous Top Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Dead Load: . 10 PLF Deflection Criteria: L/360 live, L240 total Live Load: .40 PLF Deck Connection: Nailed Member Weight: 9.4 PLF Filename: KYB3 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Point(LBS) 1' 6.00" 1892 4479 Snow m a 1 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 5.500" 1.937" 5086# - 2 5' 3.750" Wan 5.500" 1.500" 1388# — Maximum Load Case Reactions , Used for applying pant bads(or be loads)to artyeg members Dead Live Snow 1 15479 1069 35390 2 4489 1069 9409 Design spans 5 3.750' Product:1 3/4x91/2 Versa-Lam SP 2.03100 2 ply ,qr hsweQtY obl Component Member Design has Passed Design Checks.- Design assumes continuous lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 56574 16051.'# 35% 1.11' Total load D+S Shear 50714 72651 69% 0.53' Total bad D+S Max.Reaction 50864 144384 35% Cr Total bad D+S TL Deflection 0.0422" 0.2656" L/999+ 2.39 Total bad D+S LL Deflection 0.0292" 0.1771" L/999+ 2.39 Total load S Control: Shear DOLS: Live-100% Snows115% Roofol Wind-133% Manufacturers installation guide MUST be consufted for multiply connection details and attematives i� 1•, - N ptoAad Artws are fradenrarb oTlhw reapWeye oisrr�e CepytlW(C)I9W2M5 by trsymra Btm,lwa,I.I.C.ALL RM S RESERVED. Y rT1RYi'vf3.4.L:Ii' "•Pe;nis deTmed as vAten the member.llocr joist,leant or yrder,shows en this dreWrg meats apptieable tleaipn criteria for Loads.Loadirq Conditions,and Spans istW on this sheet.The eesipn mist be reviewed by s*UMW daslybr or dit9n aionat as for .This deal assumes inQaasaon axordt to the masrfachaers cations. 8` wood frame 2nd floor exterior wall bearing directly on the LVL Existing 2x8 rafters 16" o.c. with a 13' span and a 1/12 roof pitch Existing 2x6 ceiling joists 16" o.c. with a 13' span Existing 2x8 floor joists 16" o.c. with a 13' span Existing 6"of bearing 6"of bearing New New 2x8 rafters 24" o.c. 48" span 3112 pitch New 2x4 ceiling joists 24" o.c. 48" span 16'9" overall span 17'3" --- ,E 6 ��......_.__71 Q -T-��F--- 3'5"--4 LVL beam bearing ____- ---_ + + Y + t 2x8 KD rafters_4"oc. on LVL header over _ - Atrium door r— ' + 2 ply LVL beam I i 1 312x8 KD Lam header I 3/2x6 KD Lam post supporting 16" LVLbeam and bearing on existing _7`10" foundation 5' $'2» South Wall Framing Elevation 20 0 KD floor framing 24"o.c. 3/2x10 PT Lam beam of ,� 10' round concrete pier Existing foundation + w/ 2#4 vert. rebar on '+ 28" round footing 48" below grade 172 f Outside edge of corner pier to existing foundation 1 in 12 roof pitch Rafters A 2/2x6 Lam, post bearing on PT floor beam B 2 ply 16" LVL Engineering document 1 g° Bedroom C 2x10 KD joists 24" o.c. bearing on floor beam and metal hangers 13' D 3 2x4 Lam. PT post in existing wall �t— 48 —�� bearing on existing foundation 2x8 KD 24"o.c. JI Existing rough c t.2x8 16" IIL..�. 2 ply 9" LVL Engineering document#2 5'5" Kitchen ' New 8'2" Constructio West Framing Elevation I _ 11'2" - Exiistir�g,rouah cut S,� r. 2x1 Q KD Concrete pier w/2#4 rebar on 28"round footing 48"below grade 17'3" 84" 84 3/2x10 syp PT Lam floor beam Floor beam pocketed into existin g foundatioh - c 1 c °' rl 3 1 CU � { °J � � � c �� r CU fo ! L) P $ M 1 0 .0 CL c r- c c� N J 6,7„ o X C14 I 3/2x6 KD Lam -Z - + - - - _ -- - - - _ -' - -_ _ N c o CL post bearing on ( - - -- -- - - - - CO o existing foundation Existing foundation I Existing foundation t � V J 1 f 2x1OPT wl2 1/2"x 4"lag 2 ply 16" LVL overhead beam screws 48°o.c, bearing second floor load I � I i ' in 1 f 1 Dotted lines represent Existing Kitchen area � ' existing walls f I i j f Floor framing Plan for new dining area f 1 17'3" -------- - 3 5 7 10 7 -4� New dining area 67 Existing wall to be removed LJ ITO" B A Existing door openings removed B 452" B New 36" door openings provided and dishwasher 54" Center Island with sink TT Kite-hen area 621/2" Cab face, 331/3, 24" 28" 16" (' 131.3' Asphalt Driveway 8.5' 18' Existing Out building _ »- 3 ' Existing House 29 20' 37' `') :New Construction 83,9' _ _ _ Existing - _ —_ - -concrete 56' _. _ r -- - Walk— 4-0 Plot Plan Cn 96 Chestnut Street 39 Florence, MA Stone Stone Boundary Marker Boundary Marker 9 33.6' i s Existing exterior wall 17� , B Existing foundation 3 _ + t 114"=1 ' �_ 3i m i �y ` F.w .t ., ';�' �" z ,� � _�� ?��^�� t� .... '� r �� '7' •-. ,. � �" `^,• :k F 'i, �. ` # � � �� & � t � K � 9 � �~y y��yi ��• t � i #4 n r r �Z 5 a , \�.. e d [[ S �i �; i -. 9 �. 1 � `� 4' __ �� 4 Yi j y ' t � t (� ;� R-„�__ ,.,,. �^ s° � ,a° +a �,f` ,a +t. ��`_ Y � rz ;�� `� �� ,.; . r �. �. �., � ,, .�� k ,ti �� �- "t �� r � w. r_� 5 ...:. .. � °' .. _ .. 6of6 Insulate fish tank room- Remove and reinstall necessary clapboards and blow approximately 450 sq.ft. $520.00 of 4"thick cellulose insulation from the exterior. Payment Schedule 1$t Contract signed $4000.00 2nd Concrete piers installed and deck framed. 9000.00 3rd Addition framed sheathed and closed to the weather 9000.00 4th Drywall complete including priming and exterior complete 9000.00 to contract specifications. 5th Interior complete excluding cabinet installations and finish flooring. 8000.00 6th Project completed to contract specifications. 5665.00 Addition/Kitchen renovation total $44,665.00 Chimney removal project to be paid upon completion. $2700.00 Walk removal to be paid upon completion. 150.00 Fish tank room insulation project to be paid upon completion. 520.00 Additional mist. project total $3370.00 Total project cost as per description $48,035.00 Rebecca Olander ( horne owner ) Jo athan Olander ( homeowner ) Steven Zucchino ( contractor ) 5of6 Olander Project Costs Steven Zucchino 70 Gleason Road Northampton, MA 01060 413-584-3878 steve.zucci(iDverizon.net Lic.# 21356 HIC# 100199 Jonathan and Rebecca Olander 96 Chestnut Street Florence, MA 01062 413-S86-2376 General building materials 7500.00 Labor 28,600.00 Doors and windows 3365.00 Drywall and priming 3800.00 Insulating 400.00 Permit 200.00 Debris removal 800.00 Total cost excluding owner obligations $44,665.00 Wood floor material cost for the eating area is allotted at $7.00 per sq. ft. Cost of chimney removal and associated repairs- Demolish existing chimney, replace siding with fiber cement clapboards from driveway corner board to inside corner and from the side of the bulk head to inside corner. Frame, sheath and roof opening;left by chimney removal. Cut soffit on lower roof back to second floor corner and trim as necessary. Rebuild and repair affected second story soffits. Dispose of all related debris except for the demolished masonry. Painting not included. Labor 50hrs.@ $50/hr= $2500.00 200.00 Materials Total cost $2700.00 Cost of walk removal from side porch landing back- Area where walk was to be left rake graded ready for seed. Any additional fill needed to level area where walk was to be provided by owner. Contractor to dispose of demolished concrete. $150.00 4of 6 Home owner obligations- Home owner to contract all electrical, heating, plumbing, gas piping and provide all of the related permitting needed to complete the project. All of the related materials to be provided by the home owner including any finish electrical and plumbing fixtures. Plumbing work to include moving the exterior spigot, providing adequate cast iron baseboard heat in the renovated area and providing rough drainage and water supply to the second floor. Home owner to provide the exterior steps leading from the two panel exterior door to grade. Home owner to be responsible for all painting, staining and clear coating. Contractor obligations- Contractor to supply all the labor and materials necessary to complete the project as detailed above. Contractor to provide general permitting and related inspections except for the sub permits and inspections needed for the plumbing and heating. Contractor to remove all debris related to the project. MW 3of6 Doors and windows- 3ea. 30" X 60"Pella double hung fiberglass windows with argon filled low-E glazing. lea. Marvin Integrity two panel full lite center swing door, with screen an Argon filled low-E glazing. lea. 4-0X6-8 flat two panel interior bypass closet door, primed with standard hardware. lea. 2-8X6-8 flat two panel interior passage closet door, primed with standard hardware. Custom millwork- Shelving, to be determined by owner, provided in new pantry closets. Shelves behind bypass doors to be made of solid poplar, 12" deep, adjustable and ready for painting. Shelves behind passage door to be fixed, approximately 16" deep, made of poplar and finish grade V ply ready for painting. Finish floor- Kitchen and pantry area will be ready to accept a finish floor, provided and installed the owner, that is approximately 1/8" thick. Dining area to have prefinished wood strip flooring provided and installed by the contractor. Kitchen cabinets and counters- Appliances provided and installed by the home owner except for the range hood which will be installed and vented to the outside by the contractor. The hood itself will be provided by the home owner. The cabinets will be provided by the owner and installed by the contractor. The contractor will provide drywall soffits above the upper cabinets. The counters will be provided and installed by the owner. 2of6 Insulation specifications- Floor to be insulated with 2" rigid foam and 2 layers of unfaced fiberglass batts. Total R-value= 40 Wall insulation to be blown cellulose and foam siding backer Total R-value= 20 Ceiling insulation to be blown cellulose. Total R-value= 40 Continuous soffit vents with min. 1" space maintained between insulation and roof sheathing. Exterior finish- Exterior trim to be extruded vinyl dimensionally matched to the existing exterior trim. Siding to be pre primed fiber cement horizontal clapboards with a 4 %" exposure. Crawl space to be fully enclosed with %z" PT ply faced with cement board that is ready for paint. Roofing — New roofing to be 15yr. torch down or self adhering roll roof. Interior finish- Interior walls and ceilings to be %2" drywall taped, sanded, and primed. Interior trim to closely match the existing interior trim style and be made of poplar, installed and ready for paint. Page 1 of 6 Jonathan and Rebecca Olander 96 Chestnut Street Florence, MA Addition and kitchen renovation specifications. Scope of work- Gut existing kitchen and pantry area to framing. Build 6'8"x ITT' addition on the south side of the house and remove the existing exterior wall between the existing kitchen and the new addition creating one large area. All new interior including cabinets, counters, floors, wall and ceiling surfaces. Build two closets in the pantry area, one with 12" deep adjustable shelves behind bi-pass flat panel doors and one with full depth custom shelves, exact details to be determined behind a side swing passage door. Demolition- perform all necessary demolition and dispose of all debris. Addition framing specifications- 10" round concrete piers with 2 #4 vert. rebar on a 28" round footing 48"below grade. 3/2x10 SYP PT lam. floor beam supported on and bolted to concrete piers. 2x10 KD floor joists 24" o.c. bearing on floor beam and metal hangers attached to 2x10 SYP PT bolted to existing sill and ribbon joist w/ 2 4"x %"galvanized lag screws with washers at 48" spacing. 3/" T+G ULCX subfloor glued and nailed to deck framing. 2x6 KD 16" o.c. wall framing with %" 5 ply CDX sheathing. 2x8 KD 24" ox. roof rafters with metal straps to wall plates and 5/8" CDX roof sheathing with H clips. 16'9" 2 ply LVL beam supporting 2nd story load bearing on 3/2x6KD lam. post bearing on existing foundation(east end) and a 2 ply 9" LVL door header bearing on posts to existing foundation and concrete pier(west end). Relocate two interior door openings as per plan. ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: �T v� ��ec, _;►�� Site Address: t.,.. 1eS4_ht 9 Applicant Address: �q_ c� S , '�• City/Town: ,zy ,��._�'�oy c� •t?7)G _ Use Group: e1i �•T'1. �/rf Date of Application: C ) Applicant Phone: 1113— s,_!I` Applicant Signature: Compliance Path (check one): /Iprescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.I b): Heating Degree Days (HDD,,) from Table J5.2.1 a: (For items d. through i.,fill in all values that apply from Table J5.2.Ib:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area'' sq.ft. g. Floor R-value R- c. Glazing IN(toox b a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Keating AFUE ❑ Component Performance: "Manual Trade-Oft' (Limited to wood or metal framed buildings only) Climate Zone (from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-(yf Worksheet from Appendix J, [and HVAC Trade-off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall +Ceiling Area 34_).._ sq.ft. b. Glazing Area 70 sq.ft. c. Glazing%(J0o x b a)oZD.5% ADDITION with Glazing%> (c•)up to 40% may use 780 CMR Table J 1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration` Ccilin 3 Wall Floor Basement Wall Slab Perimeter,Depth 0.39' R- q0 R- _ at) I R- R-10 R-10,4 ft t Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM"addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: �f�! �4a/ jXCl3 Official's Signature: Application Approved Denied ❑ Date of Approval/Denial: LIN Reason(s) for Denial: (provide additional details as needed on back side) A.CORDM CERTIFICATE OF LIABILITY INSURANCE 05TE /05/20 91 PRODUCER (413)527-5520 FAX (413)S27-5970 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fi nck & Perras Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 6 Campus Lane ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Easthampton, MA 01027 INSURERS AFFORDING COVERAGE NAIC# INSURED KIM RESCIA INSURERA: NGM Insurance Company 14788 311 LOCUST STREET INSURER B: FLORENCE, MA 01062 ` f INSURER C: Kim r s & Si&} rc�plr,c►r N•nJ�`` � INSURER D: i y0 e,_ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR C,13131 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY MPI59535 08/15/2008 08/15/2009 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500 000 CLAIMS MADE FR OCCUR MED EXP(Any one person) $ 10 000 A PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC ST MITT 0TH- WORKERS COMPENSATION AND ITORY EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Steven N Zuchi nno AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 -T 21 N!""m SL-tt" •tarnpLor, NLA C-1060 A/ ACV7%TnI TT -L A A ,12 , LEDGEIMENT Hk-.;-IY-LE OWNER 'EX 11"T 17"ne State o--- MassacjI-IUse-.zs allows thie ho ni ,-Owner the night under 780C--j,,LR 108.3--,Ir to I -- s — S) 1 act ;— hisiIer construction sup,�.- ::s-or. lht a4at-e d4aiF -Homeowner" asr, ersoa, ( inle who-o-,.,i2-, a parcel on which he/she resides or intends to be, a one or two family attached or detached. structur s accessory to such use and/or fa7--,,2 struct xes. A person_who contracts more than One home M* a Period sh'all not be corsid,tred a home ownen- Tne buildigi depaFt maeiat, for the City Of NOFZhau--MtOn rats any pe,-SOZ- (S)Who Seek to � - '' - - - tn J- nTM;a-P use the hon=e owner exemption, to act as L-Ie om contrLll � � that by dloLng so you become responsible for compliance with state buildin-codes and re-g-ilations. The inspection process requires that the builld.ing,departm, ent be called to inspect work at various stages, which include Foundation/footings ('before backs=(((. so-notabe holes (before uour). a rough building insDection:(before work is concezleda. fasulati" ins�egtian (if reguired) bu-ilding depa=ent requires these imspe-c-Lions before the work is cancelled, failure to secure these insuections can result in failure to obtaina certiBicate otoccu-Dancv until th-e-w-orik ta-abe-insp-ected- Ethe homeowner hires other -trades to perform work (electrical, plumbing&gas) the homeovir—., will be responsible to =-a,,--e sure that the trades hired secure their P rooer- permits M- cion37'Mction to the building permit and that they get their required inspections-Failure of the individual trades to seczze the permits and inzpections as required cam DEIAY the prole- until such time as the proper permits and inspections are made -nderrand the above. (Home owner/resident's signature requesting exemption) I vyiII call to schedule all required building iaspect ions necessary for the building permit issued to rne- Date location v2vC;�T'I�cl'�0 'li dlfsi:'tC'� _- Office of In a,estig ations 600 Jaslxingtoat 5' eet - Boston, -NL4 02111 34 ivw.mass.g oy'Idio- Work-ers' Compensation Insurance Affidavit: Builders/Con tractors/Electricians/Plurnbers Applic a tt Information Please PrintLeaiblti Name (Business;Oraanizanonilndividual): '� e,"_ M 2ocJ- zoL — /duress: 30 r7lect f', 1 Q,'4Jr.� City/State/Zip: as-all 4 6tt Phone #: 3-- PV Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with �.` 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. ❑ RemodeIing 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., ❑ We are a co required.] 5. oration and its 10.❑ Electrical repairs or additions �i ❑ I ant a homeowner doing ali work officers have exercised their 1 i.❑ Plumbing repairs or additions myself. [No workers' comp.k ' right of exemption per MGL y tl p 12.7 Roof repairs insurance required.] c. 152, §1(4), and we have no employees. [No workers' 13.7 Other comp. insurance required.] `Any applicant that checks box fl must also fill out[he section below showing their workers'compensation policy information. Ho meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Comractors 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. Lie. T: Expiration Date: Job Site Address: Ciry/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 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 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 undo,tlze-pains-ajtdpen-a?ties-of-perjit -that the information provided above is true and correct. Signature: �7� -., Date: Phone T- 39 V _-_l`O icial-use--only I)_g__ag.Lwlite_inlhis area,Ito be completed b city or_town offciaL ---- ------------ City or Town: Permit/License; Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk -1.Electrical inspector 5. Plurbing Inspector 6. Other f�,i Contact Person: Phone=�: � SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: �"Q�,l.� �� �6/C�CLY j Iva e—'s 1,I3 S4 / f n ] License`Kuumber 30 61le�:5dh 1°lc�c.��F' . kJjr�Y'a v , . kA 4 /h/ /,I tX?� Address T^ Expira ion Ddie S lure Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ ,eLe j=� zucc f. Yvo �J0I Gt�J Company Name Registration Number 1-11lb-olio Address �>� _E­xpirikon gate 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....... 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 s SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement Windows Alteration(s) Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding [0] Other[0] Brief Description of Proposed Work: ���-� � in, f -, e YF • Gid u C ' d tu T a1 Alteration of existing bedroom Yes ;!(_No Adding new bedroom Yes 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_X _ Two Family Other b. Number of rooms in each family unit: 77 _ Number of Bathrooms c. Is there a garage attached? )A 0— i d. Proposed Square footage of new construction. ! to Dimensions •S k J -7 e. Number of stories? /^ f. Method of heating? G `� Fireplaces or Woodstoves Pi qY1r!_ Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction etan1EL 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' Ke be CC C-- 0.V\ as Owner of the subject property hereby ythoriz act o y i all matters relative to work authorized by this building permit application. Sig ature of Owner Date �u x'c-a" , as Owner/Authorized Agent h reby dec a 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 Si ature of Owner/Agent ate i 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 Frontage .. Setbacks Front L ! 4,� Side L:,, ! R: ._.. L:,19 R:j$_ C Rear 3 7 .77 Building Height ��i°< 3s—r Bldg. Square Footage p �.. � % M?6 /t, Open Space Footage % ' (Lot area minus bldg&paved '77&/ 6�7. ( 765 parking) #of Parking Spaces ` Fill: (volume&Location) 11 A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW Q YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document#' B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES Q 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 NO 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 O NO IF YES, then-a- Northampton Storm Water N­anagement Permit from the DPW is required. Department use only City of Northampton Status of Permit: i` Building Department Curb CutlDriveway Permit 212 Main Street Sewer/Septic Availability Room 100 WaterNVell Availability LAortharrtpton, MA 01060 Two Sets of Structural Plans' phone 413-5�7-12 0 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 /A (��ss/ 6/6 lesf il-f Sfrelet Map Lot Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: FVOPJArOfd \e6f'_uo0. Oiander e(Pri t) Current pilinp Address: hone o6igbture 2.2 Authorized Agent: 7v g�<A!k tf k_X Name(P t Current Mailing Address: Signa r Tele6cne SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a),Building Permit Fee 51.1/ .00 2. Electrical (b)Estimated Total Cost of �S !�Q .V`u' Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total= (1 +2+3+4+5) J 4 Check Number 7. /Y 14kJ 7z 90 This Section For Official Use Only Building Permit Number: Issued: e- . sued: Signature: Building CommissioneFfIrspecto–F6fRO ings — Date File#BP-2009-0924 APPLICANT/CONTACT PERSON STEVEN ZUCCHINO ADDRESS/PHONE 70 Gleason Road NORTHAMPTON (413)584-3878 PROPERTY LOCATION 96 CHESTNUT ST MAP 17C PARCEL 086 001 ZONE URB 100 / THIS(SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiny Permit Filled out Fee Paid_ Typeof Construction: RENOVATE&ENLARGE KITCHEN(6.5 X 17 ADDITION) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 021356 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INATION 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 Demolition Delay Signature of Buil ' g fficial 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. �� BP-2009-0924 GIs# COMMONWEALTH OF MASSACHUSETTS i'M -�t,�c_k: 1 :w CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buil! i! A DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0924 Project# JS-2009-001345 Est.Cost: $61265.00 Fee: $367.20 PERMISSIONIS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEVEN ZUCCHINO 021356 Lot Size(sq. ft.): 11107.80 Owner: HART REBECCA F&JONATHAN OLANDER Zoning.URB(100)// Applicant: STEVEN ZUCCHINO AT: 96 CHESTNUT ST Applicant Address: Phone: Insurance: 70 Gleason Road (413)584-3878 NORTHAMPTONMA01060 ISSUED ON:511312009 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE & ENLARGE KITCHEN (6.5 X 17 ADDITION) 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 5/13/2009 0:00:00 $367.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo