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22B-042 (2) -) C cc) c v- c -A Ile d s4 I o o 0 r r 4m 4a Am 21, 3 2o ,o Aft I1 , '3 4,ft 4ft A% AM AM Am 4M a Lally Column, Basement Pole Columns-Lally Lock Uoiumn aystems oy "umi wiwin, ... jL ar,,, ph w Ok �Gp.,iMC. The leader in concrete-tilied w �J� steel Lally columns since 1929 `Q Dean Column Co. Inc. iw ¢ 1-800-442-3155 Mon - Fri SAM to SPIA � AA► Herne About Lls Lade Coiumns 4 AAh Lally Columns ft • Lally Lock S sv tem • Column SSDecs • Building Codes • Plates • Column Wray oft • Column Cutter ;f • Detail Drawincis eiw • Installation Instructions � • Warranty • Lally_Column History M. " Home I About Us I Lally Columns I Retailers I Installers I Recent Projects I Contact o meet 40 Dean Column Co., Inc. The leader in concrete-filled steel columns since 1929 Shipping Address: 22 Park Rd I Queensbury NY, 12804 Mailing Address: PO Box 4179 1 Queensbury, NY 12804 Phone: (800)442-3455 1 Fax: (240) 209-5860 Am davidca,deancolumn.com 4w © 2012 All Rights Reserved Web Site Layout&Maintenance by Nolee-O Web Design t� 4w Am Aft 4ft Am Oft AM hnp://www.deancolumn.com/products.htinl 6/5/2015 ak Aft 4w 4ft 4ft 17 4m g, 5f- CL V) -- 7 ( 40 Auk Ak 16 Aft 44 Aft 00 Am 40k am 4M w Des I n nT gip, # P--7 28 1 M Don t M 9 .1.1 oft 04 oft /I e\ 4m 6 cy Aft 40^ (o ci 4m 40 oft 4w Aft 4w Am L4 a 2- 0 # rn nt CD 0 70 ILI, rr- I L -yI 6 Alm Am 4ft toll 4Mk Am v I" 4ft Aft A10% 40k AM 4m AM 41M An OP LVL I C- \J L 15) A (Al Jr, 5, 3,5 0 gql-1,-3 0 -'5' 3 (n (5� 7 9 0 se r 22 q,Ll ,z4) AM duk AM 1 -+ 41 'ZL4 $Am 5 2 4M Company Frederick J. Dzialo&Company Inc. June 9, 2015 Designer Owner 3:18 PM ft Job Number : microlams Checked By: w> _Reactions, By Combination LC Joint Label X Force Y Force Z Force X Moment Y Moment Z Moment - (k) - (k) - - (k) (k-ft) (k-ft1 =1 - N2 - ---0 -- - 7.9 - - a -0 0 _— �_ 1 N3 - -_ 0 _ 14 909 - 0 0 - 1 - - 0 - 0- 1 - N4 - - - 0 -- 14.909 _- -0- 0 0 - 0 -- a 1 N5 0 7.9 0 0 - - -- -0 1 Totals: 0 45.617 1 0 1e' 1 COG (ft): I X: 15.75 Y: 0 1 Z: 0 ,ern AM Auk 04 ow oft AA 4w 4M >t on RISA-3D Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] Page 1 Ilk Member: M1 in Dy Shape: HEMFRNOI_2XI2 Length: 12.5 ft in I Joint: N1 Dz J Joint: N3 WX Max Code Check: 0.446 Min: -.01 at 9.896 ft Max: .717 at 6.25 ft Vz k k k Vy A Min: -.693 at 6.12 ft Max: .883 at 6.25 ft oft My k-ft, k-ft T Mz k-ft "Y Min: -.511 at 10.156 ft Max: .335 at 6.25 ft ft ksi TTV fa ksi AL fc ksi Min: -.3 35 at 6.25 ft NDS (1991) Code Check AM Check 0.680 (y) Max Code Check 0.446 Max Shear Location 6.25 ft Location 6.25 ft Equation 3.9-3 Max DO Ratio L/I 0000 CL .77 AM CD 1 RB 27.386 CH I CP .033 Cr I Cfu 1.2 Cf I Y-Y Z_Z (ksi) Cm Ct CF 12.5 ft 12.5 ft - __ _ I - - 1 1 Lb Fc' .-045- 13.333 le/d 100 Ft' __.-625 Sway No No Fbl' .751 I I Le-Bending 12.5 ft Fb2' 1.17 .075 Fv' AW4 F -1-500 Aft 4ft oft 0 Company Frederick J. Dzialo& Company Inc. June 9, 2015 Designer Owner 7:16 PM " Job Number : Beyond Builders Checked By: Member Stresses, By Combination LC Member Label Section Axial Shear y-y Shear z-z Bending;y-top Bending y-bot Bending z-top Bending z-bot w - M1 - 7- (ksi�- (ksi) Lsi) (ksi),- - ksi)---- (ksi)_ -- -(ksi) 1 - 0— - .031 0 - - 0 — 0 - -- --� 0 -- 2 0 -.01 0 173 -.173 _1____0 0 4 0 t 0 335 - 335 0 ---� 0 tls, - - - 051 _ t 0 t 01 1 .173 -.173 - 0 -� 0 5 0- - 031 - 0 0 0 - - 0 _ 0 Nk Member Deflections, By Combination LC Member Label Section x-Translation y-Translation z-Transtation x-Rotation (n)Uy Ratio (n)Uz Ratio 1 _ M1 1 -i - - i (in) (radians) - - 0 NC NC - 2 0 01 0 0 j NC NC + 3 0 0 0 0 NC NC 4 0 1 -.01 0 0 NC NC 5 _ -_ 0 - Q - -0 - 0 - _ NC L NC Reactions, By Combination LC Joint Label X Force Y Force Z Force X Moment Y Moment Z Moment - --- (k)- (k) _ (k) - (k-ft) -- - -(k-ft)- r - �k-ft) 1 N1 -- - 0 .434 0 -- - 0 _ -- 0.-- 0 0 0 - - 0- N2_ 0 1.433 0 1 - N3 0 .434 0 0 - - 0 - 0 1 Totals: 0 1 2.301 0 1 1 COG ft : I X: 6.25 1 Y: 0 Z: 0 a 4W Mk a"k oft AM 4M 4M ak a^ Aft aW ate► aft a AAA, Ak am RISA-3D Version 4.5 [C:\RISA\PMP,FLORENCE ,MA..r3d] Page 4 we, 1 1 1 1 ! 1 1 1 1 1 I 1 1 1 1 1 1 1 I I 1 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 ft WA sk Company Frederick J. Dzialo S Company Inc. June 9, 2015 Designer Owner 7:16 PM NK Job Number : Beyond Builders Checked By: Global jSteel Code j ASD: AISC 9th, AISI 99 ,Allowable Stress Increase Factor(ASIF) ; 1.333 Include Shear Deformation 1 Yes Include Warping j Yes No. of Sections for Member Calcs 5 !Redesign Sections Yes P-Delta Analysis Tolerance 0.50% Vertical Axis Y Member NDS Code Details, By Combination LC Member Label Fc' Ft' Fbl' Fb2' Fv' RB CL CID (ksi) (ksi)_ _(ksi) (ksi) (ksi) 1 M 1 - - .045 .625 - 1 _..751 - i 1.17 j .075 � .__27.386 1 .77 1 .033 J oft Sections w Section Database Material Area SA(yy) SA(zz) I y-y I z-z J(Torsion) T/C Label _ Shape - Label _ T (inr2 r -r (m^4) in^4) (in^4) Only -- - - - SEC1 - iHEMFRN01_2X121 - W1 16.875 _i 1.2 1.2 3.164 177.979 11.593 Joint Coordinates sou► Joint Label X Coordinate Y Coordinate Z Coordinate Joint Temperature Detach from -(ft) - --(ft) - - (ft) - (F) -- Diaphragm_ *'* N 1 1 0 0 0 0 No I N2 1 6.25 j 0 0 0 No „ N3 12.5 -0 0 - 0 - -N0 a0k - - - _ - - Member Data X-Axis Shape/ Material Phyl.O.M. End Releases End Offsets InactivNember Member Label I Joint J Joint K Joint Rotate Section Set Memb I-End J-End [-End J-End Code Length (degrees Set xyz xyz v z xyz - (in) -T Vin) (ft) _ M1 N1 N3 1 ,HEMFRN , W1 Y i ' - 12.5- - - ' ' Boundary Conditions Joint Label X Translation Y Translation Z Translation MX Rotation MY Rotation MZ Rotation - (k/in) _ (k/in) -- r jk/in) - - (k-ft/rad) _ t-ft/rad)_ _ (k-ft/rad) N_1 , Reaction Reaction Reaction Reaction Reaction { Reaction - t - - — t - - 1 N3 Reaction Reaction Reaction Reaction - Reaction - - - - ,,u„R Member Direct Distributed Loads, Cate-gory: 00, BLC 1 : loads Member Label Direction Start Magnitude End Magnitude Start Location End Location (k/ft, F) (k/ft, F) ft or- (ft or%) - -- or%) M 1 Y - -.18 -.18 Member Section Forces, By Combination LC Member Label Section Axial Shear y-y Shear z-z Torque Moment y-y Moment z-z 1 M1 1 -- 0 - - - 434 - 0 -- - (-) - (-) �-) 2 0 -.141 j 0 0 0 -.457 3 0 717 0 0 0 .883 yaw 4 0 141 0 0 0 -.457 5 0 -.434 0 0 0 0 ► RISA-3D Version 4.5 [C:\RISA\PMP,FLORENCE ,MA..r3d] Page 3 ly a__X A i 'I �Oad8.BLG i loads ResuHS(or 1,s Reaction units 1. k are k and I ' Frederick J. Dzialo & Company Inc. Beyond Builders June 3, 2015 Owner 4:58 PM PMP,FLORENCE,MA..r3d Company Frederick J. Dzialo&Company Inc. June 9, 2015 Designer Owner 3:24 PM Job Number : microlams Checked By: Member Deflections, By Combination, (continued) LC Member Label Section x-Translation y-Translation z-Translation x-Rotation (n)Uy Ratio (n)Uz Ratio -T---�n-1-- -_ �- —---- in -- iradians) - ------ 4 I 0 -02 0 0 9046.731 T NC 0 NC - NC--- RISA-3D Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] Page 4 Company Frederick J. Dzialo&Company Inc. June 9, 2015 Designer Owner 3:24 PM Job Number : microlams Checked By: Basic Load Case Data Load Type Totals BLC No. Basic Load Case Category Category Gravity Direct Descp tion - Code X Y Z Joint Point Dist. Area Surf. loads _Description-_-ther Load 1 - _1 None - -- - _ . Member Direct Distributed Loads, Cate-gory: 00, BLC 1 : loads Member Label Direction Start Magnitude End Magnitude Start Location End Location _ __ - -- �k/ft, --�k/ft,_F� _-- -(ft or%) -fit or°/�- - M1 Y_ --1.433 -1.433 - - ---- 0 --- _Afember Direct Distributed Loads,Category : None, BLC 2 : Member Label Direc#on Start Magnitude End Magnitude Start Location End Location FZ- - --Akfft,F?----------(ft --lft or°/�--- -1.433 -1.433 0 0 Member Section Forces, By Combination LC Member Label Section Axial Shear y-y Shear z-z Torque Moment y-y Moment z-z --� -- M 1 --- 1 ----0 --- --- =0 - - ). _oft)_ _(�) -- OtL---, 2 0 -3.505 0 0 0 -1.505 3 0 0 0 0 0 -7.274 =4 1 0 3.505 0 0 0 -1.505 5-----_ 0 - - 0 0-- -- --0 - - -- --- - --0--- Member Stresses, By Combination LC Member Label Section Axial Shear y-y Shear z-z Bending y-top Bending y-bot Bending z-top Bending z-bot (ks�-- ----Ls�_ Aksi- ___ -- �ksi)--- _Ck i — 1 - M 1-- 7-- 1 0 - -- - -- -- -0 - 0 20 --,0 67 - 0 - .146 -.146 0 — - 0 - -.-. 0 — - -0-- -:707- - -_707 --0 - 0 �- --- 4 i 0 _ 067— --0- --.146 -- - -_146 0 T -O-- ------- -5 1 0 0 -0- -! - ------� 0 - -�- Member Deflections, BV Combination LC Member Label Section x-Translation y-Translation z-Translation x-Rotation (n)Uy Ratio (n)Uz Ratio 1 --M 1 1 - D 022- --0-- - 0- - --NC ---- NC -- -' - -? --0 ---- 02 0- --�..-- +--9046.731 NC -- 3 0 -.964 1--- --- - -- ----4382_8.2.3 ! --NC_.- RISA-3D Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] Page 3 f I i I I I I I I I I I I I I I I I I I I I 1 4 1 1 1 1 1 1 1 1 4 1 ( I I 1 4 1 1 1 1 t Company Frederick J. Dzialo&Company Inc. June 9, 2015 Designer Owner 3:24 PM Job Number : microlams Checked By: Reactions, By Combination LC Joint Label X Force Y Force Z Force X Moment Y Moment Z Moment N2 -- -—�� - — -7 9 --- — --- (k�-- _( _ -(k — — —-- — + - ----- — --- _ _— — ----- _ p_ �0 0 14.909 0 1 N4 0 14.909 0 0 0 0 1 N5 �0 r 7.9 0 0 --- --- 0 0- - 1 1 Totals: 1 0 45.617 1 0 1 1 COG (ft): I X: 15.75 Y: 0 I Z: 0 Global Steel Code ASD: AISC 9th, AISI 99 Allowable Stress Increase Factor(ASIF __ 1_ - 3 Include Shear Deformation Yes LInclude Warpin Yes No. of Sections for Member Calcs 5 Redesign Sections ;Yes P-Delta Analysis Tolerance 0.50% Vertical Axis Y Materials (General) Material Label Young's Modulus Shear Modulus Poisson's Thermal Coef. Weight Density Yield Stress Mks -- -— — LkS --- Ratio per 10^5_F� -�k/ft^3j ----tks!L -MICR 2000 800 3 .65 035 0 Joint Coordinates Joint Label X Coordinate Y Coordinate Z Coordinate Joint Temperature Detach from (ftj — —-- —— --- -- DiWhragm — - ---- N 1 - 0 -- - -- -- -- _-0 - 0 — - No -- --- N3 _ -- 10.5 - — ---- —— 0 — --- 0 .. ----No — _ - _—N5 2915 --- -- ---0 ---- .—_ _0 — -- No �— N6 r 31.5 — -- 0- —_----0 — —N -- — N°-- Member Data X-Axis Shape/ Material PhyT.O.M. End Releases End Offsets InactivWember Member Label I Joint J Joint K Joint Rotate Section Set Memb 1-End J-End I-End J-End Code Length M1 N1- N6 ----�degreesZSEC1 _MICR _ Y - _ z _ z z-- Vin?- 1—�in� - , .5 -- - - — -- -, � 31.5 RISA-3D Version 4.5 [C:\RISA\PMP MICROLAMS .NORTH hAMPTO Nmodified.r3d] Page 2 .Y .2- _X i R.ds a«, Ids Results r LO+sol . Reac1i0n units are k antl loft Frederick J. Dzialo & Company Inc. microlams June 9, 2015 Owner 3:19 PM - - PMP MICROLAMS.NORTH hAMPTO Nmodifie...', I i ZlXv " y J� � ! r s ` 7 A h. a y — _ I� �b ,� Nk Wk ow oft olk ek M1 Fret:ler-ick .1. D ialo & (_'o., Inc. Consulting �** Design of Framing and Foundation structural PMP Incorporated Engineers Northampton, Massachusetts ., F.J. Dzialo & Company Hatfield, Massachusetts June 9, 2015 +� N Of V4ss� o c� FREDERICK '��A w, u° J Registration DZIALO No. 17657 tvlassa rus ns °qaf*41STE ��� Ccnner.6c�r f$$/ORAI EN�,� New 400 New;Urx New Jersey Pennsvlvan is Colorado AM AM 4M Am AM M 4M 19 Pleasant View Drive, Hatfield, MA 01038 413-247-5740 -4�°® CERTIFICATE OF LIABILITY INSURANCE 172ESMry115' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF/INF6O/RMATION Edward J. Evangelista ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 60 Lancaster Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O.Box 33 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tewksbury, MA 01876-0033 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Co. Frederick J. Dzialo & Co. , Inc. INSURER B: 19 Pleasant View Drive INSURER C: Hatfield, MA 01038 INSURER D: 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 DD' POLICY EFFECTIVE POLICY EXPIRATION LTR IN SIR P F INSURANCE POLICY NUMBER DATE MMIDD/YYYY DATE MM DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO-- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N T Y T ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1 $ OTHER $ , 000, 000 Each Claim A Professional. 105535661 12/8/14 12/8/15 $2, 000, 000 Annual Aggregat. Liability ( laims made polic ) $0 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Engineering Firm CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION SPECIMEN COPY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUJWIZED REPRESENT TIVE ACORD 25(2009/01) ©1988-2 9 A ORD C P RATION. All rights reserved. The ACORD name and logo are registered marks df ACORD I — ` CERTIFICA TE OF LIABILITY INSURANCE i DATEIMtNDD/YWY, 01/23/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T— H—1 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A. CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certificate hoider is an ADDITIONAL INSURED, the(policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). i PRODUCER x NAM .137817075 4137817076 E:°T ERIC FROEBEL I Fred c Froebei Ins Inc (AC.NNO.,=, -_ FAX ,: 41 7817075 tAlc_No 4137817076 321 Park Street E-MAIL S_S:EFROEBEL_@_ COMCAST.NET _- - S asf Springfield, Ma 01089 r INSURER(S)AFFORDINGCOVERAGE NAICit INSURER A:Nautilus Ins Co.. INSURED INSURER B:Travelers Indemnity Co_. Eugene Borowski DBA Beyond Builders INSURER C: 117 Sunny Meade Ave INSURER D Chicopee, Ma 01020 LLNSUREE E _- I I I INSURER F: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST ED 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 j 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - - - (AODLSU8R -- --- - POLIC"EFF POLICYEXP LTR TYPE OF INSURANCE I D. WD! POLICY NUMBER I PAMlDD%YYYYI I(R7M(DOIYYYY• LIMITS I COMMERCIAL GENERAL LIABILITY _v EACH OCCURRENCE - a 1.000,000 _ - —y A 1— I � - DHUIP. _TO—RENTED CLAIMS-MADE -- OCCUR ! PREMISES(E2 occu(re _S 50,000 —1 _. 21514 01/23/2015 01/23/2016 MEDEXP(sryoneperson) S 5,000 PERSONA_&ADV INJURY S 1,000,000 _ I -GENERALAGGREGATE S 2.000,000 I GEN'L AGGREGATE LIMIT APPLIES PEI:: : i POLICY JE� .I LOG -- PRODUCTS-COMP/OP AGC s 2,000,000_ OTHER: -- - j AUTOMOBILE LIABILITY j ;COMBINED SINGLE LIMIT S i I I (Ea acciden). j ANY AUTO I BODILY!NJURY(Per personi 5 ALL DINNED SCI-!EDULEO 1300!LV;NJURY iPer accident)15 -- --- AUTOS - [AUTOS - NON-OWNED - PROPERTY DAMAGE HIRED AUTOS AUTOS _Per accidents 5 UMBRELLA LIAB _OCCUR EACH OCCURRENCE _- a EXCESS LIAB CLAIMS-MADE ! AGGREGATE S I DED I 'RETENTIONS i ' I S .WORKERSCOMPENSA11ON - %ER !CTH- iAND EMPLOYERS'LIABILITY STA!U_TE ER_.., Y 1 PI 01 i23/2015 01/23/201 E — - :.Ably PP,OPRIETORIPAP.TNER/EXECUTIVE f�„f—I!N/A 1 07F6}16 E._EACH ACC!DEN-r S '1 00.000-__ I B OFFICER/MEMBER EXCLUDED? I p I(Mand atory inNH) E.!.DISEA OL: SE EMPLOYEE S 100_.000 L yes,describe under -_—�— -- DESCRIPTION OF OPERATIONS below ! 1E DISEASE-PCY UMIT I s 560,600 I � I i i DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is reouiredl Drywall Demolition,Contruction; Carpentry, Additional lnsured:GlI/MF LOAN HOLDING LLC, 1290 AVE OF AMERICASMY NY 10104 �SILVERBRICK GROUP 250 PARK AVE NY NY 10177 I 1 CERTIFICATE HOLDER CANCELLATION 15 T AYLOR,LLC-C/O SILVERBRICK GROUP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 250 PARK AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE 1011TH THE POLICY PROVISIONS. NEW YORK, NY 10177 1" � 'AUTHORIZED REPRESENT.ATI,VE j 01988-2094 ACORD CORPORATION_ All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD -^r ocation: 1 CORTICELLI ST Neigborhood: 402 Land: 93,510 Living Units: 0 Deed Book: 4315 Building: 222,890 lass: I400 Deed Page: 271 Total: 316,400 ailding Information Building Sketch ldg #: 1 9a Descrioforlr�. ear Built: 1900 6 0 1sMTL41 sBR: Of Units: 0 2: 151 Z gft 90` B DDCK ►uality Grade C- L� � qc -.Efficiencies - . . 0 I�/ea 9920_sgft' 98` 1-Bedroom 0 3892,sgft 2-Bedroom: O ISM 7- 98 6$. E 1sBR> 3-Bedroom: 0sa .overed Parking:' 0 1sBR 20 uncovered Parking: 0 9 $a - 24 'otal Unadj.RCN` 399,850 'otal Unadj RCNLD: 220,390 -< s 14. 42. grade Factor: .92 DOCK36 1'SBR ` 36 Ident Units: 1 5oa t512 unc/Econ Factor: 1 2C NCLD: 220,390 Detail Information: kttached Improvements Cype Meas-1 Meas-2 Meas-3 #Units Levels Use Ext Walls Heat AC % Good Unadj RCN 3S2 17078 -B1 84 F 109,420 �L3 1500 150 1 5617 44 Brick Stone ll /Steam F 67,250 :)D1 100 -01 82 Brick Stone IiW/Steam��� 93,620 DD 1] 120 -02 ®Frame HW/Steam�� 70,830 LD1 504 L—�l�—JL—� - Metal-Light HW/Steam�© 58,730 and Data Outbuilding Info Square it Type 7 `. Type SQ Feet Value tilities Prime 510 All Public Descr Width Length Quan Yr Phys Func % Valw Site 27,544 93, or Size Built Cond Util Good no Acreage Type information Type Acres Value Street/Road Other Improvements: Total Value: L 71 T.-.. 7 E �f �Qkja:nry flnnsrtrneI1t Plan Review in Street Northamp o 2 " MA 01060 left TL I t f 4 f 0 P e i � 4 1 I V T- 1 t ., The Commonwealth of Massachusetts -x== Department of Industrial Accidents ,QP Office of Investigations 600 Washington Street 4 Boston,MA 02111 "^ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibl Name(Business/Organizadon/Individual): r Address: //7 5 C1 ,Q City/State/Zip: /t c e e—a O/D o Phone#: L , 3 77 Are you an employer? r Check t e appr ate ox: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Fj Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp.insurance.t required.] 5. We are a corporation and its 10.[1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.F-1 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. l Insurance Company Name:' % {i'L., /e--5 6-n , Policy#or Self--ins.Lic.#: 7 4 y `� Expiration Date: Job Site Address: / 6,_f 1 Ce//. f City/State/Zip:..llEm{,l4e A.'r O O g' 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 certify un er the pans a penalties o perjury that the information provided above eiis true a d correct. Sienature: �-�-t � �Ey� Date: W/ �� Phone#: /yy 3 -` 7— 3 7-7-7 Of use oarly. Do not write in this area,to be completed by city or town offzciaL - - r own:-Cit o T - y- - _ _ 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#: 9 f Version 1.7 Commercial Building Permit May 15,2000 J SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes No 0 SECTION 11 -OWNER AUTHORIZATION'-TOBE COMRLETEDi;:WHEN,! OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILD ING!PERMIT _ as Owner of the subject property �EIVL: l. .2C�tp.>,��/ �, .. . .. .,� ,.5 hereby authorize __ _.._._. _.._ ___ 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 oflDerlury„ x _y,o,_ Print Name __... _ _........-------- ..... ; 3 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION:SERVICES 10.1 Licensed Construction Supervisor: - Not Applicable ❑ Name of License Holder. License Number Address ; Expiration Date 772 �{ G /71/�73 Signature Telephone SECTION 13-WORKE RS'COMP_ENSATIOK INSURANCE AFFIDAVIT(MG L. 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 a 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 EKLOSED SPACE) 9.1 Registered Architect: ,,,.,__. ,,...._..._.._..._.._,.,_._..�____...._.._._._,.._.__._.._�....._........._...�..�...,_�,._..,.__�.,.,._._...__..�,_�, Not Applicable 13 ot,._ _.._... _ .___.... Name(Registrant): _ Registration Number t � Address Expiration Date Signature _ YTelephone� 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number q13 6- Sigrfature Telephone Expiration Date Name Area of Responsibility i AddressRegistration Number Signature Telephone Expiration Date f ? Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date j .. 3 f Name Area of Responsibility r Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Comppaan ame Responsible In Charge of Construction Address Yi3 X7 3 7 Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING ' Existing Proposed Required by Zoning This column t6re filled in by Building Department Lot Size .__ __ Frontage _,.._.... °. __._. "..:. _..:::. _ s Setbacks Front Side L R F_- L I " ...a R Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved 1 parking) #of Parking Spaces -- ,_.................._... .," _.,__ _.... Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES 0 IF,YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW C) YES Q IF YES: enter Book Page !; and/or Document#; B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued:u C. Do any signs exist on the property? YES 0 NO 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 X) 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 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 , s CUBIC FEET OF ENCLOSED SPACE Interior Alterations Existing.Wall Signs ❑ Demolition 2f Repairs❑ Additions ❑ Accessory Flding❑ Exterior Alteration ( Existing Ground Sign El New Signs❑ Roofing❑ Change of Use❑ Other Brief Description Enter a brief description here. Re sic/ /1,41' Of Proposed Work:€ 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 ❑ 113 ❑ B Business 2A ❑ E Educational ❑ 213 ❑ 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 ❑ 5B ❑ U Utility ❑ Specify:l M Mixed Use ❑ Specify SSpecial Use ❑ Specify:��...�......,-...�...�.d ,�,......M,-......�,.w�...._v�..... ..�.,_�.�.�. ,»..__..__.._....�..,.. ...�_..� .�,.,..., COMPLETETHIS SECTION IF EXISTING'BUIL'DING UNDERGOING.RENOVATIO.NS,.ADDITIONSAND/OR CHANGE IN USE _. Existing Use Group: a" s Proposed Use Group. Existing Hazard Index 780 CMR 34) ,...__. .. _... ......w—__,_ Proposed Hazard Index 780 CMR 34):'­1_1 SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE'USE ONLY Floor Area per Floor(s>7 S 1StE3/ � _ t �_. 6 C � S�� ..___ nd 2nd !// C 5 i l 3rd i 3 rd th r �7 5�9 33f4/ Total Area(s17 Total Proposed New Construction(sf) Z_ Total Height(ft) f.. _._...., — Total Height ft /_ .. 7.Wate upply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewag Disposal System: Public Private [] Zone Outside Flood Zone❑ Municipal On site disposal system❑ Versionl.7 Commercial Building.Permit May 15,2000 �� �` ©epartrrle t on Y. City of Northampton Status of Permlt 3 tski Building Department l g JUN 122015 212 Main Street sewer/septic aua,ra6llrty£ Room 100 WaterMlell 4vallab`ilty lz'.. :' tectric, Piumbing& Orthampton, MA 01060 Two'�Setsofr5tructiiralPlaris` Northam tan,MA 0 3-587-1240 Fax 413-587-1272 PIa5►te Plans Other Specify ,; APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY Y BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION' 1.1 Property Address: This section to.be completed by office fi a Map Lot Unit / Zone' Overlay District EIm:St.District` CB District SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address Signature /— Telephone 2.2 Authorized Agent: I f17 ��n ��" Name(Print) e /��ar Current Main Address µ Cr G O yy, Signature Telephone S// 8 SECTION 3 ESTIMATED: NSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use;Only completed by ermit applicant 1. Building (a)Buiiding`Permit Fee coo 2. Electrical (b)'Estimated Total;Costof 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-2015-1283 APPLICANT/CONTACT PERSON GENE BOROWSKI ADDRESS/PHONE 117 SUNNYMEADE AVE CHICOPEE01020-1780(413)687-3777 PROPERTY LOCATION 1 CORTICELLI ST MAP 22B PARCEL 042 001 ZONE SIQ00V 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: REPLACE 32'LF EXTERIOR WALL NEW FOOTIGS,COLUMNS,FLR JOIST&SUB FLOOR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106527 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: proved 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 \ iti Si re of Buil mg 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. I CORTICELLI ST BP-2015-1283 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-042 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-2015-1283 Project# JS-2015-002361 Est. Cost: $35000.00 Fee: $210.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GENE BOROWSKI 106527 Lot Size(sq. ft.): 27529.92 Owner: PHILLIPS WILLIAM L Zoning: SI(100)/ Applicant: GENE BOROWSKI AT: 1 CORTICELLI ST Applicant Address: Phone: Insurance: 117 SUNNYMEADE AVE (413) 687-3777 CHICOPEEMA01020-1780 ISSUED ON.611512015 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 32'LF EXTERIOR WALL,NEW FOOTIGS,COLUMNS,FLR JOIST & SUB FLOOR 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 Siznature: FeeType: Date Paid: Amount: Building 6/15/2015 0:00:00 $210.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner