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17A-099 (4) Sol"Cascade Double 1-3/4" x 9-1/2" VERSA-LAM@ 2.0 3100 SP Floor BeamtF1301 Dry 1 span No cantilevers 10/12 slope June 1,2015 09:55:41 BC CALL®Design Report MnE Build 4064 File Name: 15 S43 JLS Job Name: O'Connei Description:Designs1FB01 Address: Specifier: City, State,Zip:Northampton, MA Designer: Tanya Favorite Customer: Fleury Lumber Company: Boise Cascade-Westfield Code reports: ESR-1040 Misc: Dave Connection Diagram Disclosure n d Completeness and accuracy input must a be verified by anyone who would rely on output as evidence of suitability for —• _k• • particular application.Output here based C on building code-accepted design • • • properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum= 1-1/2"c=6-1/2" (800)232-0788 before installation. b minimum=6" d=24" e minimum= 1" BC CALC®,BC FRAMER®,AJS'"', ALLJOISTO,BC RIM BOARD-,BCI®, Install Screws with screw heads in the loaded ply. BOISE GLULAM"",SIMPLE FRAMING Member has no side loads. SYSTEM®,VERSA-LAM®,VERSA-RIM Connectors are:SDW22338 PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Cascade Wood Products L.L.C. PDF created with pdfFactory trial version www.2dffactory.com ®Bol"Caw*& Triple 1-3/4" x 14" VERSA-LAM®2.0 3100 SP Floor Beam\F1302 Dry 1 span No cantilevers 10/12 slope June 1, 2015 09:55:41 BC CALC®Design Report Build 4064 File Name: 15_S43_JLS Job Name: O'Connel Description: Designs\FB02 Address: Specifier: City,State,Zip:Northampton,MA Designer: Tanya Favorite Customer: Fleury Lumber Company: Boise Cascade-Westfield Code reports: ESR-1040 Misc: Dave Connection Diagram Disclosure Completeness and accuracy of input must b }-. d — be verified by anyone who would rely on a particular application.Output r here based • • • on building code-accepted design C properties and analysis methods. • 1-• • Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum= 1-1/2"c= 11" (800)232-0788 before installation. b minimum=6" d=24" BC CALC®,BC FRAMER®,AJS-, e minimum= 1' ALLJOISTO,BC RIM BOARD-,BCI®, Connection design assumes point load is top-loaded. For connection design of side-loaded BOISE GLULAM- SIMPLE FRAMING point loads, please consult a technical representative or professional of Record. SYSTEM®,VERSA-LAM(E),VERSA-RIM Install Screws with screw heads in the loaded ply. PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are Member has no side loads. trademarks of Boise Cascade Wood Connectors are: SDW22500 Products L.L.C. PDF created with pdfFactory trial version www.Ddffactorv.com M%Wecascade Triple 1-3/4" x 14" VERSA LAM®2.0 3100 SP Floor Beam1F1302 BC CALL®Design Report Dry 1 span No cantilevers 0/12 slope June 1,2015 09:55:41 Build 4064 File Name: 15 S43 JLS Job Name: O'Connell Description:Designs\FB02 Address: Specifier: City,State,Zip:Northampton,MA Designer: Tanya Favorite Customer: Fleury Lumber Company: Boise Cascade-Westfield Code reports: ESR-1040 Misc: Dave d 3 5 4 1 BO 15-0"0 B1 Total of Horizontal Design Spans=15-08-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO 5,773/0 3,762/0 1,34510 B1 2,326/0 2,224/0 1,445/0 Live Dead Snow VNInd Roof Live Trib. Load Summary Taj Description Load Type Ref. Start End 100°x6 90% 115% 160% 125% 1 2nd floor Unf.Area(lb/ft^2) L 00-00-00 09-00-00 40 20 06-00-00 2 Reaction fromFB01... Conc. Pt. (Ibs) L 09-00-00 09-00-00 988 675 n/a 3 Unf. Lin. (Ib/ft) L 00-00-00 09-00-00 0 80 n/a 4 Attic Unf.Area(lb/ft^2) L 00-00-00 09-00-00 20 10 06-00-00 5 Roof-Existing Unf.Area(lb/ft^2) L 00-00-00 09-00-00 45 15 12-00-00 6 New roof Unf.Area(lb/f A2) L 00-00-00 15-08-00 15 45 03-00-00 Controls Summary value %ANowabie Duration case Location Pos. Moment 32,327 ft-Ibs 74.2% 100% 1 06-09-13 End Shear 7,792 Ibs 55.8% 100% 1 01-02-14 Total Load Defl. U331 (0.568") 72.5% n/a 3 07-06-08 Live Load Defl. 0585(0.321") 61.6% n/a 6 07-06-08 Max Defl. 0.568" 90.8% n/a 3 07-06-08 Span/Depth 13.4 n/a n/a 0 00-00-00 Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(0.625")Maximum total load deflection criteria. Minimum bearing length for BO is 2-7/16". Minimum bearing length for B1 is 1-1/2". Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min.end bearing+ 112 intermediate bearing Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: Simpson Strong-Tie, Inc. Page 1 of 2 PDF created with pdfFactory trial version www.pdffactory.com solseCascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 BC CALL®Design Report r= Dry 1 span I No cantilevers 10/12 slope June 1,2015 09:55:41 Build 4064 File Name: 15_S43_JLS Job Name: O'Connel Description:Designs\FBO1 Address: Specifier: City,State,Zip:Northampton,MA Designer: Tanya Favorite Customer: Fleury Lumber Company: Boise Cascade-Westfield Code reports: ESR-1040 Misc: Dave 3 q 2 r a r e 1 s 09-00-00 BO B1 Total of Horizontal Design Spans=09-00-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO 988/0 675/0 131 988/0 675/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 180% 125% 1 New Roof Unf.Area(lb/f A2) L 00-00-00 09-00-00 15 45 03-04-00 2 wall Unf. Lin.(Ib/ft) L 00-00-00 09-00-00 0 80 n/a 3 Gable end wall Unf.Lin. (lb/ft) L 00-00-00 09-00-00 0 80 n/a Controls Summary value %Allowable Duration Case Location Pos. Moment 3,742 ft-Ibs 23.3% 115% 1 04-06-00 End Shear 1,344 Ibs 18.5% 115% 1 00-10-06 Total Load Defl. U999(0.109") n/a n/a 1 04-06-00 Live Load Defl. U999(0.044") n/a n/a 2 04-06-00 Max Defl. 0.109" n/a n/a 1 04-06-00 Span/Depth 11.4 n/a n/a 0 00-00-00 Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(0.5")Maximum total load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 1-1/2". Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min.end bearing+ 112 intermediate bearing Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: Simpson Strong-Tie, Inc. Page 1 of 2 PDF created with pdfFactory trial version www.)dffactory.com 27 NORTHAMPTON,ST City of Northampton NORTHAMPTON, MA Building Department O'CONNELL CONSTRUCTION LLC Plan Review CHRIS O'CONNELL 212 Main Street 413-539-1521 Northampton, MA 01060 EXISTING ADDITION GARAGE ROOF ONLY 15 8 SPAN INSTALL TRIPLE 13/4' X 14" LVL ALL NEW BEAMS SUPPORTED DOWN TO REMOVE WALLS IN FOUNDATION WALLS THIS BOX j 9' SPAN INSTALL DOUBLE 13/4" X 9" LVL W/SIMPSON HANGER ORIGINAL KITCHEN 2ND FLOOR AND ROOF ABOVE T ® DAI'E(MMIDIYYYYY) ACORN) CERTIFICATE OF LIABILITY INSURANCE 6/15/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 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. IMPORTANT: If the certificate holder 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). CONWT PRODUCER NAME:ME: Banas and Fickert a Na adie 413 527-2700 �`X NO). (413) 527-0e49 Insurance Agency '8066: mb @banasinsurance.com 63 Main Street INSURE 5 AFFORDING COVERAGE NAICIE Easthampton, MA 01027 INSURERA:Union Mutual INSURED INSURER 5: O'CONNELL CONSTRUCTION, LLC INSURER C; 24 Pleasant View Drive INSURER D: Hatfield, Ida 01038 INSURER INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 H POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ PQOLICY EFF LIMITS LTR TYPE OF INSURANCE A L POLICY NUMBER 9)A MMA?tYYYYY A GENERALUABIUTY BOP0005285-02 9/1/14 9/1/1s EACH OCCURRENCE a 1A)00.000 COMMERCIAL GENERALLIABILITY DAMAGE PREMISES(Es ED $ 50,000 CIAW41AAM ❑occUR IEDEXP IArV onaperecn) $ 5 000 PERSONAL BADVINJURY $ 1,000'.000 GENERAL AGGREGATE $ 2 1000,000 GEN'LAGGREGATELIAITAPPUESPER PRODUCTS-COMPIOPAGO $ 2,000,000 POLICY VFT LOC $ O NOLIELIMIT AUTOMOBILE LIABILITY a eoraden $ ANY AUTO BODILY INJURY(Per person) $ ALLOWWD SCHEDULED BODILY INJURY(Per accident) $ AUTOS NON--OWNED PROPERTY DAM4GE $ HIRED AUTOS AUTOS eraccident UMBRELLA LIAS OCCUR EACHOCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION 1 $ WORKERS COMPENSATION WC STATU- (TRR- AND EMPLOYERS'LIABILITY YIN PNYPROPRIETORIPARTNERIE'-UTNE NIA E.L.EACH ACCIDENT $ _ O tC WMEnBEREXCLUDED? E.L.DISEASE-EA EMPLOYE If Yes descrlba nder E.L.DISEASE-POLICY LIMIT $ DESCRIPTION u On OPERATIONSbelow DESCRIP'nONOFOPERATIONSILMT10NS1VBiCLES (Atlach ACORD 101,AdenionalRe naftSchedule,if mom spsceIsngdred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF 111E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED I CITY OF NORTHAMPTON ACCORDANCE Wilts THE POLICY PROVISIONS. BUILDING DEPT. 212 MAIN ST #100 AUTHOR sEa vB G 11 %� NORTHAMPTON, MA 01060 / 111 C�?A8_8'170 10 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: City of Northampton *' ' 'r i Massachusetts t �y DEPARTMENT OF BUILDING INSPECTIONS , s 212 Main Street • Municipal Building yJj fib~ Northampton, MA 01060 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLribly Name (Business/Organization/Individual): U-L^1nv-eAI (_U_t _ACt 1Jz X L L C Address: Ll LA ez,3.� \J,em� e.� A A 010 39 City/State/Zip: Phone#: 41-3 —5 kcl-- H(;� So Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. f_1 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. F-1 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. Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. F We area corporation and its 10. Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerizfy der the pains and penalties of perjury that the information provided above is true and correct. 0 Si ature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: City of Northampton 212 Main Street, Northampton, Na 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 3L CYO' j � T The debris will be transported by: 0�(.OWVW-M 1.—IC.- The debris will be received by: Vc1�g=, ec�,rCr�►�s Building permit number: Name of Permit Applicant CIA--'L vlJ � [�`C -•Ke l� Date Signature of Permit Applicant SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable £ Name of License Holder: �p r,, ` J��e` `�-E�'r�V`�� + L V([.)-eJ 0 F, License Number Address Expiration Dallb t3 X39 - t5- - aI Signature Telephone 9 Repisfered Home Improvement Contractor !.. Not Applicable £ Company Name Registration Number Address V Expiration Date Telephone 1 , SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c..162,§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 es.. ... £ No...... £ 11. Ho-me 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. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [lam] Decks Siding [!]] Other[0] Brief Descripption of Proposed t Work: 6061 yo ti tAf1�/� 1`�1 k�@✓l� �r.S �t 1JLvN Alteration of existing bedroom Yes /\ No Adding new bedroom Yes X _No Attached Narrative Renovating unfinished basement Yes _ X_No Plans Attached Roll -Sheet sa. If Newhouse and oradditiort toFexisting housing complete the followinc€: a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, N�r� �I QQ` as Owner of the subject property hereby authorize vile C V�rQ L to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date kei\ 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. 'r 4 Print Name Signature of Owner/Agent Date NNW . , Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning TIiis column to be filled in by Building Department Lot Size Frontage Setbacks Front Rear Building Height Bldg.Square Footage 011'0 Open Space Footage 0yo (Lot area minus bldg&paved #of Parking Spaces (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? �� NO «�� DON7KNOW (�� YES IF YES, dateissued� � ' IF YES: Was the permit recorded nt the Registry ofDeeds? NO K ) DONTK O\� YES �� IF YES: enter Book PageL and/or Document#1 �� B. Does the site contain a brook, body of water or*ednnds7 NO ��y DON7KNOVV «�� YES �~� IF YES, has permit been or need to be obtained from the Conservation Commission? Needs tnbeobtained «~� Ob�ained �~� Date |ysued. ' �-� �~� ' �� C. Do any signs e�ston the pnoper�? 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 � )F YES, describe size, type and location: E Will the construction activity disturb(clearing,gradingexcavation,or filling)over 1 acre orinit part ofo common plan ' that will disturb over 1acre? YES K ) NO K�0 x� �� IF YE3, then a Northampton Storm Water Management Permit from the DPW io required. ity of Northampton StatusxofPerrndE 3? uilding Department Ct�rGUtlDrfrteuvay Pertrttf$ y u { i .nl1U 2 � 212 Main Street Seya t .91fleAvaila6)lsty �� " X k E h Room 100 1NaterlflCfeilAvailati ty` r ElectrL.P N rthampton, MA 01060 Two Sefs clf 5t�tteiisFal Plaltis � 1' nor phortalii4 -587-1240 Fax 413-587-1272 F'[oUSite Plans ��rr 1, �� APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE.INFORMA TION This section fo be completed by office 1.1 Property Address: y - �lGn�dr L4'14/ f/� !lUPf 7 Zrµ.��e��✓ /t��' C�/0.6� Map � Lot Urnt ,.� i1� Zone Ouerlay Disfr�ctr F - .Elm St District -: =:CB Distract -:= , SECTION 2.-PROPERTY OWNERS HIPIAUTHORIZED AGENT 2.1 Owner of Record: Nil)i k 0 W Na ( rint) Current Mailing Address: L1 13- cici�,- x.33`3 Telephone Signature 2.2 Authorized Agent: L1\tZ-� Pd V�01 11G y�1_�Fa1 � 010S. -b Name(Print) Current Mailing Address: LA k is it Sign ure Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building -� (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of S OCR Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Comm issioner/Inspector'of Buildings Date File#BP-2015-1339 APPLICANT/CONTACT PERSON CHRISTOPHER O'CONNELL ADDRESS/PHONE P O BOX 176 HUNTINGTON01050(413)539-1521 PROPERTY LOCATION 27 GRANDVIEW ST MAP 17A PARCEL 099 001 ZONE RIO 00VURA(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: REMODEL KITCHEN&REMOVE 2 WALLS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 108508 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 sPermit DPW Storm Water Management i Dela Sig o uil 'ng 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. 27 GRANDVIEW ST BP-2015-1339 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-099 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-2015-1339 Project# JS-2015-002441 Est. Cost: $13200.00 Fee: $79.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: CHRISTOPHER O'CONNELL108508 Lot Size(sq. ft.): 9365.40 Owner: ALPER NEIL Zoning RI(100)/URA(100) Applicant: CHRISTOPHER O'CONNELL AT. 27 GRANDVIEW ST Applicant Address: Phone: Insurance: P O BOX 176 (413) 539-1521 HUNTINGTONMA01050 ISSUED ON.612312015 0:00:00 TO PERFORM THE FOLLOWING WORK.REMODEL KITCHEN & REMOVE 2 WALLS 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 6/23/2015 0:00:00 $79.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner