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11C-027 FROM David Fortier Builders FAX NO. : Feb. 25 2002 08:47RM P2 FROM David Fortier Builders FAX N0. Feb. 25 2 002 08:46AM Pi F E B 2 5 2x02 `7d Ax(0 _ y ax p I,o(C y PG0 Co oz.F- C, t --�}` 1 CD 1234" 40" LVV f53 I_93D36 3 2�.01SF#W j--TV-5 !13SCr� I s r-� COP 1 D rI ,J c 1 V p v LB1812T L841]1$A a W + — m w I 5 ~J 524'" - t 1 4442' a e e9 o All dimensions sirs desienations given are This is an original desigit and roust uol be Cad D. .kit Designed t+'i 1/02 00 [.subject to tie,•ificatioa on job site and released or died unless applica3le,Cee has J:p t Printed: 161-W. adf asiment to fit job conditious, bem paid or jab c4dcr pJaDed. Drawing 1 ' — a Scale:0 3/S"= V I I 02%19/02 13:40 $1 413 665 7117 CL BETE CO 0 001 C11 9 Beth US � COM FAX COVER SHEET DATE: February 19, 2002 TO: Building Inspector FAX#: 413-587-1272 FROM: Donna Golec TOTAL PAGES INCLUDING THIS SHEET: 2 MESSAGE: The attached floor plan is for the new cabinets at our home on 126 Florence St. Leeds. if you have any questions please contact either Ron Altimarl, Dave Fortier or Curt Golec. Thank you. Donna Golec In case of an incomplete or illegible transmission,please contact: Name:Donna Golec Phonc No:413-665-6452 or contact us by fax at: ❑(800)499-6464 or ❑(413)665-7615 Accounting Services (413)665-2671 Customer Service El ra131 X5-6397 Human Qa==es ❑(413)W5-3339 Sales Support/Marketing ❑(413)665-3355 Publishing ®(800)329-2939 Inside S31es/Direct Sales Administration ❑(413)665-3496 Advertising ®(413)665-7117 Corporate Administration/ (413)665-5584 Production Services Finance and Support Services 0(413)774-5457 Distribution Center CONFIDENTIALITY NOME This facsimile transmission may contain confidential or privileged information.The information is intended for the individuul named on this transmittal cover sheet.Receipt,disclosure,copying,distribution or use of the contents of this transmission by anyone elsa is prohibited.if you haw received this fax in error,please notify us immediately by telephone:1-800-828-2827. One Community Place • South Deerfield, MA 01373-0200 413-665-7611 www.channing-bote.com 4t1P2 XL •�o�0 B _ �aSE$Ca IIECtt6 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building 'o Northampton, Mass. 01060 'V WORTCEIR'S COMPENSA`)TON INSURANCE + ' AV r f, -- (licenserlperinittec} with a principal place of business/residence at: (phone#) (strmucity/stalrhip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees worming on this job: (InsUrance Company) (Policy Number) (F�piration Date) I am a sole proprietor general contractor o homeowner (circle one) and have hired the contractors listed belo owing worker's compensation policies: (Name of Contractor) (Lastuance Company/Policy Number) (Expiration Date) If bo-\Xl- rm-�\1 1-f- _ (Name of Contractor) (Insurance Compauy/Poky Number) (Expiration Date) (Name of Contractor) (Inarr-ancc Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compaily/Policy Number) (Expiration Date) (attach additiomr short if neccz xy to in,�information pertaining to all ooatrad ) ( ) I am a sole proprietor and have no one Working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whim homcoatxra who employ persom to do msimm.,,c omst=on or repair work on a dwelling of not more than throo units in which the homoowncr mides or oa the g mn.&appurtcu n thendo aim oo(&coa-ally oomidcrcd to be employaa under the worktr s comp=satim Act(GL152,ss 1(5)),application by a homcowncr for a Grease cc permit may evidence the 1egd status of an employer under the Workcet eomp xmtion Act I undazt=d thst a copy of this rWzmcxd may be forwarded to the Depe tmcod of Tnduetrial Acci&a&Office of Imrrra°oe for the ooverage vrrification and that failimc to scc=coverage tinder soctioa 25A of MOL 152 can Lad to the iatpos On of--inal pcnakies oomi3tmg of a fine of up to S 1,500.00 and/or impruoamcnt of up to o=year and civiil penalties in the form of a Stop W oric Order and a firm of s 100.00 a day agnir>st m For d l uvo only permit Number T �L maid -LVt S2PJO�n,. fT ;r,--. m ;.s 8 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone (tegse e b em =�mprovrnentrontractorc. Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone :SECTION IO WORKERS' CO,MPENSATION'-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 of will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ om omE11 9 r W Wit The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)fan and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner 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 th 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 homeowne Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall 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 t Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for pers 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 c L —�e r- ��C c" �'---C- i 7r f:C IOTI -. C PM11 y O PROPOSED: IC =o ck 1 tea to r _� New House ❑ Addition ❑ Replacement Windows Alteration(s)9 Roofing [01 Or Doors ❑ Accessory Bldg. ❑ Demolition1W New Signs [ ] Decks [ ] Siding[ ] Other Brief Description of Proposed Work: IR P- " l ' f c,c% ` 1 C, ��f att v0.1 0� Shot`t wo. �; r�1S'<c�\ An e51%\Awe_c Q.O vN , Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑. Sheet❑ 6a�lf"iVew' ho se an"� r r -T— UoIo ddiVWfT dTe—Xist g ho—§iR ff1ee twin 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. Mascheck 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_ 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�a O "NERj, UTHOPIZATtON TO�BE COMPLETED YVHEN OWNERS GEf�T© CO (TRACTOR APP12-1ESfF"OR B�11 *DING PERMIT � . A�� , s ..., _ ._rs• E�_�. a .., as Owner of the subject prc hereby authorize to my behalf, in all matters relative to work authorized by this building permit application. "Signature ner Date X10. 7,, \e c— _, as Owner/Authorized Agen 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 Signature of Owner/Agent date ii Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: 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 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: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: � a City of Northampton Building Department r= r 2 Main Street -Se e Room 100 a pton, MA 01060 e n one 413; -1240 Fax 413-587.1272 e k PPLI ATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 41' SEC,,• 1 --S'JTE INFORMATION This sec#ions#o.be completedbyoffice 1.1 Property Address: _ � ¢ Map ' Lot Un�t� ¢ �N�'s x � Y1 Elm'St. District CB'.Disteict SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1�4) , D/G'S- 3 Name(Print) Current Mailin Address: . 11 62 C Telephone Sig taiiue-.° 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 ESTIMATED-CONSTRUCTION COSTS Item Estimated Cost(Dollars) to be Official Use`Only completed by ermit applicant 1. Building 0cc (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) 9.,5-00 . Check Number ThWtection For Official,Use""-J l -s' pd— "P t Date,llssued w , 3 Signature Bui}ff i 8 Corpmisslone0lnspector of Butltlings.. _ p to . keyBeam Vcrsion 4.03 02/19/02 11:48am 1 of 1 Member Data Description: Member Type: Beam Application: Floor Lateral Bracing: Continuous Deck Connection: Nailed Moisture Condition: Dry Building Code: Other Live Load: 40 plf Deflection Criteria: L/360 live, L/240 total 1.000" max. Dead Load: 10 plf Filename : beam12ft6in. DOL: 100% Member Weight: 13.0 plf Non-standard Loads Live Dead Type Begin End Start End Start End DOL Replacement Uniform(plf 0' .00" 12'6.00" 270. 120. 100% 12 6 0 12 6 0 Bearings and Reactions Worst Case Location Type Width Total a Dead Total 1 0' .00" Wall 3.50" 2431# 1629# 803# 2431# 2 12' .75" Wall 3.50" 2431# 1629# 803# 2431# Design spans 12' .75" Product: 9 1/2" 2 . 0E G-P LAM LVL 3 ply Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 73304 192484 38% 6.03' Total load 100% Shear 2431.# 9476.# 25% 12.06' Total load 100% Max. Reaction 2431.# 13781.# 17% 0' Dead load LL Deflection .1714" .4021" U844 6.03' Total load 100% TL Deflection .2559" .6031" U565 6.03' Total load 100% Control: LL Deflection NOTE:Consult Manufacturer's Installation Guide for multi-ply connection details and alternatives All product names are trademarks of their respective owners Bill Ingham Rugg Lumber Copyright(C)1989-2001 by Keymark Enterprises,L.L.C.All Rights Reserved. r File#BP-2002-0718 APPLICANT/CONTACT PERSON GOLEC CHESTER C&WARNER DONNA ADDRESS/PHONE 126 FLORENCE ST (413)586-8745 Q PROPERTY LOCATION 126 FLORENCE ST MAP 11 C PARCEL 027 001 ZONE URA 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: SHEETROCK,KITCHEN CABINETS,REM SHORT WALL&INSTALL ENGINEERED BEAM New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure B_ uilding Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Commissio Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. T 42#WRENCE ST BP-2002-0718 GIS#: COMMONWEALTH OF MASSACHUSETTS ;B1ock: 11C-027 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2002-0718 Project# JS-2002-0540 Est.Cost: $9500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Size(ss . ft.): 9278.28 Owner: GOLEC CHESTER C&WARNER DONNA Zoning.URA Applicant: GOLEC CHESTER C & WARNER DONNA AT. 126 FLORENCE ST Applicant Address: Phone: Insurance: 126 FLORENCE ST (413) 586-8745 O LEEDSMA01053 ISSUED ON:2125102 0:00:00 TO PERFORM THE FOLLOWING WORK:SHEETROCK, KITCHEN CABINETS, REM SHORT WALL & INSTALL ENGINEERED BEAM 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 Sienature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 2/25/02 0:00:00 7514 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo