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06-005 (8) Sep 08 2OO8 ,1.: 39PM HP LRSERJET FAX 413-562-1681 p. 4 33-0-0 �•� Underground supply t Bearing wall for stick framing. e.e.o r Stick Frame MUM i 5Y•0-0 Sep 09 2008 , 1 : 39PM HP LASERJET FAX 413-562-1681 p. 3 fuss Truss Type <AV my elyraund 5ply T0OOO7 TO2 COMMON 132 1 Job Releronos a Ion_al 1.020 s Nov 91007 MiTSk Irld UWNW I no. TUG u Pop 1 11-24 198-0 Z1.9•a 27-1-0 33-0-0 34.0- 1-0-0 611.9 63.8 6.9-5 5-3-e 646 5-11-0 1-0-0 5we r 1:462 05= sx4 y 5x4 a 7 5214 r 17 is 3x4 vV l 1,WM\4 9 1,5x4 S Wa vw6 a 1 2 10 1+1 5x7= 16 19 20 13 14 13 21 22 12 azy= 3X4 44" 34= 4x5 R 3x4_ I 6-6.12 te-e-o I 24-a� I 321-0-0 6 5.12 7-11.4 7.11.4 5-11-12 s e LOADIIG(po SPACING 2.0-0 Cal DerL in paq ut}cf1 Ud PLATES GRIP TOLL 38.13 Plates Increase 1.16 TC 0,93 Vert(LL) -0.34 14-18 x999 380 MT20 1971144 (around Snow=30.0) Lumber Increase 1.16 BC 0,91 Vert(TL) -0.8212-14 s533 240 TCDL BOLL 10,0 • Rep Stress Ina YES WS 0.35 Horz(TW 0.20 10 n/a NO L Code ISC2O03ITP12002 (Matrix) NAnd(LL) 0.18 14 x999 240 Weight;124)b BCD 1010 LUMBER BRACING TOP CHORD 2 X 4 SPF No.2 TOP CHORD BOT CHORD 2 X 4 SPF 165oF 1.3E"Except' Installation 1 6t6blllz4g6)4t 9.4-5(msx)00. 932 X 4 SPF No.2 Permanent Struftral wood sheathing directly applied. WEBS 2 X 4 SPF Stud•Except' BOT CHORD W3 2 X 4 SPF 00.2,W4 2 X 4 SPF No,2,W6 2 X 4 SPF No.2 Inetellptlen 1 6001llzer(4)at 15-0-C(max)00. Permanent Rigid calling directly applied or 2-2-0 0o bracing. WEBS 1 row(&)of 1 Stabipzer(S)sit 112 pts. A-14,7-14 RL'ACTIONS OWaax Hors) 2-0-207110-6-8,10=207110-5-a Max U01112w-561)(LC 8,10--4Q0(LC 7) Max Gravaa227ti(I_C Z),10x2275(LC 3) FORCES (lb)-Maximum Comprealor Maximum Tension TOP CHORD 1.2=0145,24=42180964,5.4-.37041615,4-171-46411527,b 17=3683/839,6-8■-28541808,5-721-28641908, 7.18 -3683/830,8-18-3841827,S-0-37041817,9-10-430411954,10-1 INW46 BOT CHORD 2.19w46113884,15.10■-53713082,19.20 -133713452,15.20■-53713052,1415.-537!3002,19.14■A9213082, 18.21-482/3062,21.22u-452!3002,12.22=-462/3052,10-12■-76213894 WEBS 3.15m495f33O,5.18■-138880,5-14■-1304/341,8.14=-28511442,7.14=-1304/341,7.12--l38250,9-12=4931329 NOTES 1)Wind:ASCE 7.02;110mph;h111112lift;TCDL■B.Dpef,BCDL■B4Opaf;Category 11;Expp C;enclosed;MWFRS(law-rise)Wbieand zone; antlisver left and right saposed;and vertical left and r1oht ea Lumber DOL=1.33 plate grip D000.53. 2 TOLL;ASCE 7.02;P g'60.0 pat(ground srow)•PW6.6 pat(flat roof en*;Cabgary 11;Exp C;Partially Exp.;CM.1 3�Unbolanaed anew loads have been considered forth Is design, 4)This truss has bean designed for greater of min roof live load of 10.0 pof or 1.0O 14nee flat roof load of 35.5 pef on overhangs non-0011cu rant with Ottwr Ave Ioeda. 5)-TWI OW hoe been 004119ne1 for a live load Of 20.00f On the oottom onerd In all areas where a rectangle 8.5.0 toll by 1-0-D wide will At between the botmrn chord and any other members. B)Provide mallftrocal connection(by others)of truss to beertng plate capable Of withstanding 55D lb UpIIR at Jo1nt 2 6114 600 lb Uplift et Jolnt 10, 71 This Inns Is designed In n000mdance wkh the 2043 Internatlonel Building Code nation 2300,1 and rohnonced standard ANSI/TPI 1, 5)Foetekac4 ng[Geld.C�MITOR St8bIl4W(tm)Truss Bracing$yam(or Equivalent),attached per The Stabitlser Truss Bracing System g required at each and and at these speatngs;Webs:20.0-0;TC;Inst,20-0-0;BC;;Inst.20.0-0. 9)More diaphragm blocking Is roqutred at Itch brooks,9ta0illeOra may be MOISCed With wood blocking. 10)Warning:Addldonel permanent and etat I1ty bracing for truss system(not part of this component design)is 8WOO required, LOAD CASE(B)StSndara Sep 09 2008 , 1 : 39PM HP LRSERJET FAX 413-562-1681 p. 2 ESTIMATE DATE 07/29 PAGE 1 CONTACT Bkl QUOTE # TDO007 JUEgREN°"E# TedDavte Western Mara Trtalas 100 Apremont Way "20 Yews to Buslnees" JOB NAME: Underground Weatfleld, Ma. 01086 Phone 413.662-3661 Fax 4113-asz-1681 MODEL: New Roof Goocirldge,Skip LOT O SUSEW JOB CATEGORY: P.O.Bc)x 104 DELIVERY IRITKMIONS: v Whately,MA ° (413)684-6 Underground Supply SPECIAL INSTRUCTIONS, 674 Haydenvllls Road Leads,MA ROOF TRUSSES Chock Tiuss DrBwincrs for Snecfflc 7M klibmietion ROOF TRUE11 SPACING:24.0 IN,O.C.CM) PROFILE QT'f P N 7YP9 BASE OIA L BER OVERHANG TH ID I SPAN SPAN TOP I DOTI LEFT I gI r LFFT I R10HT LEFT I RIOFIT OARLE 7 e.OD 0,00 OBL91 L01 3$40-00 $8.00-00 P X 4 2 X 4 01-00-00 41-94-00 HIP a.OD 0,00 HD1 58.09-00 $$-00•QD 2 X 4 2%4 01.00-00 01.00-00 HIP 6.00 0.00 H02 3A-00.00 33 xa 00 7 X k R X 4 01 DO-00 91.00-DO _-_ qw COMMON 39 6.00 0A T'02 33-00.00 1 59 40.00 2 X 4 2%4101-OD-00 01-00-00 SUB TOTAL $3,047.62 Pieaea read the following carefully then please sign and date below, it is Ore eutamem fesponsibiiilylo provide deer SUB-TOTAL $3 047.82 nowss to the jobeite.The delivery truck needs to get In,deliver the.praduct,and gat back on the rood with no damage to the truck All detiverles have a window of one hour to unload the product.If more time Is needed due to problems created by some one other then Western Maas Truss the customer will be billed accordingly,By slgning this document the customer conllrme that the trusses shown on this quote are correct In Span,Loading,Pitch,Quantities,Profiles, DELIVERY $44.00 and Overhangs,Prices shown may be subject to change without notice.Prices include trusses,truss to truss hangers SUS-TOTAL 63,092.02 and delivery.Balonon due subject to 1,5%per month finance charge,All oast due to collection for overdue balances SALES TAX 6.00056 $162.31 are the maponslbilty of the customer,Trusses ere coneldered to be a special Order product therefore there are no mtums.Weetem Mass Trues adheres to the Standard Ptespnnsfbilltles as defined in"Commentary to GRAND TOTAL $3,240,0 Standard Responsibilities In the Design Proms involving Metal Plate Connected Wood Trusses"s copy of which can be supplied to you and/or also can be viewed at sbdndustry.com. ACCEPTED 9Y: DATE: Sep 09 200811 : 39PM HP LRSERJET FAX 418-562-1681 p, l Western Mass Truss 100 Apremont Way TPI QC Certified W889 Westfield, Ma 01086 Voice (413) 562-3861 Fax (413) 562-1681 MEMBER rax Wood Truss Council of America The Underground Supply From r Ted Davis (860)817-5489 Altn t Skip Qoodridge Pages: 4 Total Phom: (413)584-5255 Dater Ju Fax: (413)554-9783 Rot Roof Truss quote ❑Urgent m For Review ❑Please Comment Q Please Reply Hello Skip, Fallgwing please find your updated quote for the roof trusses for your warehouse. t Kindly review and call me with any questions or comments. C?f-rf CA r Slncere -�-`` kIt f 90 s�ltTS � Teddy Davis www.wmasstrues.com tddYrJ�� etacaca.cc.nn Please read the following carefully,then please elfin and data below. It Is the customers responslbli ty to provide clear access to the jobsite. The delivery truck needs to 90 in,deliver the product,and got back on the road with no damage to the truck. Ali deliveries hove a window of one hour to unload the product. If more time Is needed due to problems created by someone other than Weeem Mass Truss,the customer will be billed aocordlngly. By signtr►g this document the customer confirms that the trusses shown on this quote are correct in Span,Loading,Pitch, Quantltlds,Profiles,and Overhangs, Prlom shaven may W subject to change without notice. Prices Include trusses,truss to truss hangers,and delivery. Balances due are subject to 1.5%per month fin anoo charge. All costs due to calliamlon for overdue balanass are the responelblllly of the customer. Thissee are conaidened to be a special order product;therefore,there are no returns. Wsstem Mass Truss adheres to tttia Standard Responsibilities as defined in"Commentary to Standard Responsibilities In the Design Process Inv&Ing Metal Plate Connected Wood Trusses", a copy of which can be supplied to you andlor also can be vowed at abclndustry,com, UPLIFT TRUSS TO PLATE CONNECTIONS ARE THE RESPONSIBILITY OF OTHERS AND ARE No INCLUDED IN THIS QUOTE,UNLESS OTHERWISE NOTED, ACCEPTED BY, DATE: lvlassachusets General Laws chapter 152 requires all emplovers to provide workers' compensation for their employees. P-m-suant to this statute,an employee is def=ined as"...eve;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 nnore 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 )caner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the i welling house of another who employs persons to do maintenance,construction or repair work on such dwell c,house )r on the rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." IGL chapter 1-52, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or mewal of a license or permit to operate a business or to construct buildings in the commonwealth for any :)piicant who has not produced acceptable evidence of compliance with the insurance coverage required." dditionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall .ter into any contract for the performance of public work until acceptable evidence of compliance with the insurance Iuirements of this chapter have been presented to the contracting authority." �plicants ase fill out the workers'compensation affidavit completely, by checking the boxes that apply to your situation and,if essary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of =ce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the nbers or partners,are not required to carry workers'compensation insurance. If an LL�C or LLP does have Ioyees,a policy is required. Be advised that this affidavit may be submitted to the Departzitent of Industrial idents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. ''The affidavit should .turned to the city or town that the application for the permit or license is being requested,not the Department of strial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' )ensation policy,please call the Department at the mrmber listed below. Self-insured companies should enter their nsurance license nu=mber on the appropriate line. or Town Officials be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant ust submit multiple permit/license applications in any given year,need only submit one affidavit indicating current informat ion.(if necessary)and under"lob Site Address"the applicant should write"all locations in (city or A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the nt as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each here a home owner or citizen is obtaining a license or permit not related to any business or commercial venture og license or permit to bum Ieaves etc.)said person is NOT required to complete this affidavit. -ice of Investigations would like to thank you in advance for your cooperation and should you have any questions, o not hesitate to give us a cal. artment's address,telephone and fax number. The Co=onwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 t%'ashin--ton Street Boston. 1AA 0211 IL 1 Tel. - 6 7-7 2 7--4 900 e -'PC or 1-8 77-NLkSSA-FEr F ax 6 17 -U7 _ The Cornrr_or wealth of!IIassachacse s Deoarz e zt of lndastrial Accidei as ©fjrce oy nvesti;aiions ` 600 i)'ashhgz on Street w Boston, ?!S 02III www.rnass g oti/rlr'a Workers' Compensation insurance -A-Midayit: Build ers"Co n tra ctors/E I ectrician s/Pl am bers ADDHCant Information n PIease Print Legibly ?Vaint (Business/Orzanization/Individual;: ��`n'��5 �• 1` ' Address: -:po y City/State/Zip: ,U�' /'Ft�, A j O G Phone = 37y �9� Are you an employer? Check the appropriate boo: Type of project(required): I 1.❑ I art.a employer with 4. 7 I am a general contractor and I 6 ❑New construction employees(full and/or par-time}.* have hired the sub-contractors 2.�<am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no'employees These sub-cont:-actors have 8. 7 Demolition works- for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance.* 9. Building addition required.] 5. F1 We are a corporation and its 10.❑Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [INTO workers' comp. right of exemption per MGL L__ Roofse alts insurance required.]' c. I52, §1(4), and we have no p, ❑ Other employees. [No workers' I3. Comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavii indicating they are doing all work and then hire outside contractors:rust subrrrit a new a;73davit indicative such. :Contras-ors that check this box must attached an additional sheet showing the name of the sub-contractors and sate whether or not those entities have errmloyees_ If the sub-conmctcrs have employees,they must provide their worke s'comp.policy number. I am an employer that isprovidin,,-workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. r: 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 fze up to$1;500.00 andi`or one-year imprisonment, as well as civil penalties in the form of a STOP WGRK ORDER and a fIn or up to .5250.00 a day against the violator. Be advised that a copy oft!,-4s statement may be forwarded to the Office of Invest gadors of DLA for insurance coverage verification. I do izerebv ce. I n the pains n penalties of perjury that the information provided above is true and correct. Ci^]aLl r?: 1 D"atz) —AD 7000 37 y- 799.3 i v�j:ci I use orzly. Do not,Write i.n this area, to be compiered by city or town o;jzciaL j j City or Town: Per-mit:'License I iIssuing Authoriia(circle one): I.I0and �d _.Lll l Qi:a DeplrL-n ent Ciii 1 Ow n Cieri -.EIeCL= C3 l lasp eCLOr - t.`u: Dlng 1IlS7eCI0r 6. OL ter Conta:. Person' Phone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes Q No SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ff /� _ 9DvGz�11 4:e , as Owner of the subject property hereby authorize i}'��� to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 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 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder., M 5 S 7K License umber i4-�-tfc-(-D IMA C)IY,(, 29120 Addres Expiration Date L,> (1--- .37 - -5 Signatur Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the uilding permit. Signed Affidavit Attached Yes No 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant) Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Tea ea of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction �{ tie rce-cam, OA . Address <� 37 3 Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONIWG 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 U DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T 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 DON'T KNOW YES 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 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version l.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ RoofingI96 Change of Use❑ Other❑ Brief Description Enter a brief description here. Of Proposed Work: f j6"vsJ�! mss✓ r Si�.. �t�ict/�,5.]f S4eglA- c-1a/ Sh. It!- SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 56 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify. S Special Use ❑ Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34)' SECTION 6 BUILDING HEIGHT AND AREA OFFICE USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(so 1 sc 1st 2nd 2nd 3rd 3d 4tn 4th Total Area(so Total Proposed New Construction (so Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑ Version 1.7 Commercial Building Permit May 15,2000 Department use only, City of Northampton Status of Permit: Building Department Curb CuttDriveway Permit.., . ?12 Mein Street Sewer/SepticAvallability Roo,un 100 Water/ eH Availabtlity North af'ipton, MA 01060 Two Sefs of Str,tcturat`i>l ans. . phone 413-587-1240 Fax 413-587-1272 Plot/Site flans , Oth6r Specify APPLICATIONJO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: l?fG�t-�R. -�. ��+ ,����<.. �•3ox Ley W�tujeIy 0Ip1 Name(Print) Current Mailing Address: 413 �A-1 13-5$4-sa55 Signature Fs"1 ,i &Z� i lI Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address 41-3 0 3 7C/- `r83 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 4 ©,UOC (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=0 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0505 APPLICANT/CONTACT PERSON JDR BUILDERS ADDRESS/PHONE P O BOX 66 WHATELY (413)665-7587 PROPERTY LOCATION 574 HAYDENVILLE RD MAP 06 PARCEL 005 001 ZONE SI(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: EXPOSE WALLS UNDER FLAT ROOF,STAND TRUSSES,SHEATH&SHINGLE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 074105 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFtMATION PRESENTED: t 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 /lloby Signature of Buildmg 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-2009-0505 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0505 Project# JS-2009-000697 Est. Cost: $10000.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JDR BUILDERS 074105 Lot Size(sg. ft.): 148104.00 Owner: GOODRIDGE GEORGE L II&MARTHA F GOODRIDGE Zoning: SI(100) Applicant: JDR BUILDERS AT. 574 HAYDENVILLE RD Applicant Address: Phone: Insurance: P O BOX 66 (413) 665-7587 WHATELYMA01093-0066 ISSUED ON.1111012008 0:00:00 TO PERFORM THE FOLLOWING WORK.-EXPOSE WALLS UNDER FLAT ROOF,STAND TRUSSES,SHEATH & SHINGLE 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 11/10/2008 0:00:00 $60.00470 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo