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' ... -- Ix City of Northampton r � Building Department r Plan Review 5, 212 Main Street w- Northampton, MA Oi 060 Ps x: f ' 4 r r � m Y 3 s. �4 ; yp a S v 'x r iu F e t i z ___,.._par....•-w..,...a...i.+wrwe w.snm+r�-.• rw.rar+ :K«�n+..vrw++.,.ww.+a +rI U .er �!ac..wwrww»a.�.+.,-«_ ,..a...._........r..,..,-... a.s.r•-.. _.....s.+....._.w......_.+..a..- .:..rFa,..x, _ _ yx rpy. y r f w: CC _ a I` t � ' -; WP'EER REPORT Level,2 ply Option PASSED r�It F 0 R T 2 piece(s)13/4"x 9 1/2"2.0E MicrollarrlO LVL Overall Length: 11'6" + + 11'6" All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. i Design Actual®Location I Allowed Result --{I—LOF Load:Combination(Vattern) System:PIWr Ma miner Reaction tibs) __1592 @ 11'7 8181(S 50") Passed(19%) 1.0 D + 1.0 Lr(All Spans) I member type'Drop Lk-am Shear(Ibs) 1248 @ 10'3 7891 Passed(16%) �1 2, 1.0 D t 1.0 Lr(Ail Spans) - Bu,Khriq use.Renkle"dial Moment(Ft Ibs) 4076 @ S 9 5/16 14719 }Passed(28%) 1 75 1-0 D* 1.0 Lr(Ali Spans) Buikhng Code:113C Live Load DcFl (In)_ 1 0 091 @ 51 9 0.361 - Passed(t/999i IA D 1 U Lr(All Spins) - Design Methodology:Aso total Load Defl (in) 0 186 @ S'9 0,542 Passed(L/698) 1.0 D t 1.0 Lr(Ali Spans) - Deflection criteria:I1,(1-1360)and TL(L/240). •Bracing(Lu):All compression edges Rap and bottom)must be braced at 11'6"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Baanng Length j Loads tq Supports(Ibs)—'-"- -- --— Supports -Total.. Available Required Dead floor Roof Live Live Snow Total Accessories i Stud wall-SPF 5 50" 5.50" l SO' 785 13 805 604 2207 Blocking 2 Stud wail-SPF 5 50" S 50" 1.50" 787 17 80S 601 2213 Blocking .Blocking Panels are assumed to carry no loads applied directly above them and the full Dead is applied to the member being designed. -T Tributary I Dead Floor Live Roof Live snow -- Loads Location I Width (090) moo) Comments � Undarm(PSI) 0 to 11 6 3 I 18./ - 35.0 Roof Loads I 2 Unifor .n(I'SF) 0 to 11'6 I --_ 10,0 20.0 .-- -__ Att Storage i_oad a - - - ((11b) _ 6'b" WA � is 30 - POlrl t oad from)OiSC 3 Pont - --- - �_ L abo e Weyerhaeuser Notes I l^utll roF<<.RI r.0 lt!v;.: Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for instailauon details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the treed for a design professional as determined by the authority having junsdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project Products manufactured at Weyerhaeuser facilities are third party cemFled to susuinabie for,Ktry standards. fhe product application,input design loads,dimensions and support information have been provided by Forte Software Operator y O %WSnug-a-Bug Solar Homes P.O. Box 446, Palmer, MA 01069 (413) 283-2192 www.snug-a-bug.com Carlson 1 July 29,2015 PROPOSAL PROPOSAL SUBMITTED TO: Paul Carlson STREET: 55 Whittier Street CITY, STATE, ZIP CODE: Northampton, MA 01062 PHONE: 413-584-1006 ALTERNATE PHONE: NUMBER OF PAGES IN THIS CONTRACT: 5 WE PROPOSE hereby to furnish material and labor - complete in accordance with specifications below: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from specifications below involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents or delays beyond our control. Home owner is to carry fire, tornado, and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within thirty days. We hereby submit specifications and estimates for: Bathroom Hip Dormer Addition Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined. Signature also authorizes Leonard Minnie to act as your agent in obtaining building permit. Date of acceptance: 7/3D S- Si//g'�nature: _ Signature: The Commonwealth of 4V=achusetts Department of Industriol rledtiients O.free oflnmdgadons 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers'Compensation Insuimnce Affidavit:Builders/Contmetors/Electricians/Plumbers Apph cant Information Please Print LMEbli Name 67Q1'?c S Aa �� � 90X_ YV& City/State/Zip: t M&L #A 01010 Phone"#: `�/� `2,r,'-?.2- t R. 2 Are an=yer yer?Check appropriate bom Type of project(required): II am a with 4. 0 i am a general cofactor and I S. New construction(full and/or part-time).; have hired the 2.❑ 1 am a'able proprie or partner- listed on tlse attached sheet: " 7. Remodeling ship and have no employees T have 8. ❑Demolition working for me in any capacity. employees 9. ❑Building addition s !No wozim 'comp.insurance comp.matuance• t. -1 S. Q We are a cagxm m and its I0.[]I?lecbical repairs or additions 3.❑ I ant a homeowner doing all work of wA=have exercised their 1 I.0 Phmidng repairs or additions right 6f exemption per MOL Roof repairs � [No �• c.152,§1(4),and we have no �� . fi ma>� ')t 13.rl Oder eavloyees•(No warps' comp.kisinance required.] •Any applicant mac checlocbox#t mac also fix ou t t e section below shaartng 9,&,or1,is'moo policy mf«matioo. t Flomeow�nas�iibo submit mis affidavit iadi t they we doing alt work and men hue outride contractors mural submit anew affidavit indicating such. SCwwacw tbat check dds box inn -aundwd an aditiood sheet d ovum fl.=m'a ofine and state w w6wornot nose entities bm aMtoyew ffme sub-conua am have a*ioyar they mnu provide dwk wa&nn'campy policy mantic Iamaxmvl4ywfAudispvviAWgwoAmlmwpmm&x&mmmmformymwgwaL Bdow 1s dwpolicy wrd job site information. Insurav,,xGoa>PanyName• y�l �LGJvL� Policy#or Self Iim I.ic.#: 6 s/(o 0 U3 sd P6 C? ^ -IY Eapi>ation Date l— d Job Site Address-, 5s- W h At,( S''t (fty/sta p: s l/oa � / A//� Attach a of the wormers're tioa declaration the policy number and on daft). ©`�6 °� copy Po�T P�(tea Im cY ) Fad=to sedan coverage as required under Section 25A of MGL c 152 can lead to the imposition of cximhW penalties of a fine up to 51,500.00 and/or one-year hopriso maent,as well as civil penalties in the fora►of a STOP WORK ORDER and a fine Of up to$250.00 a day agaian tip violatur. Be advised dM a copy ofd&statement may be forwarded to de Office of Im►esttwatlons of the PIA for klmmM coverage ver#caii on. I do hereby eM&wader die Awpmnwar Pa+l�tbattke b#b pmvfded above istrue and cgmwt P �d ,/J-�- Phone : ct 13 2 V,3 -2[ " use only. Do not write in tleis area,tb be conipleW by W or town official City or Town: PermMoicense# Issuing Autbority(drele one): I.Board of Health 2.Building Delwrtment 3.ChylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector ti.Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ (y Name of License Holder: z-49 h f v1 h -� © L/0 9 L/ / License Number Pd �Oy- P&/wxVL 1� � t� � � 1/ - 14 -/t Address Expiration Date Signature Telephone 9.Realstered Home Improvement Contractor: Not Applicable ❑ Company Name // W)l1eilz Registration Number �c� -30 Address ( Expiration Date 2 tr✓l '�!Z 1Cf ///�/�C//� ©/ 0 l0 Telephone (YI-7 )Z,'s_2 I SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be respobsible 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 ❑ 1 �t Accessory Bldg. ❑ Demolition ❑ New Signs [o] Decks [Q Siding[Oj Other[a Brief Description of Proposed Work x 2 J ( �/ c{ �l 2 �i l G�, D VL wl t V2 '�/IIGS r'�.(' A'7(� ►2co i'h Alteration of existing bedroom Yes r No Adding new bedroom Yes r No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition t* existina housing, complete the following: 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? (2 d. Proposed Square footage of new construction. S Dimensions /Z e. Number of stories? // f. Method of heating? 6,5)�"�5 kvt 49l l2 Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction W Uyck 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, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, /✓A�2 7��� � - vi u L9 ,( / 09/4 S 4 � � ' `c as Owner/Authorized Agent hereby declare that the statements and information on the foregoing 4pplicatiol 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 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front 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 o DONT KNOW Q� YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,ex avation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only j I City of Northampton Status of Permit: 00ilding Department Curb Cut/Driveway Permit J�.. 3 0 20t5 12 Main Street Sewer/Septic Availability Room 100 Water/Well Availability, �-- - -- C-'a ampton, MA 01060 Two Sets of Structural Plans Electric. PIu Y u r; &•,�. Insp N"r,r, P1 7-1240 Fax 413-587-1272 PlotlSite Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office J 4.oh ////e it -v-r Map Lot Unit V 1 o✓lf tl;'MI,� n(]4 © t o Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ��u� C'►�n.�sual� s,�. ©,�S s� ��f}�ti s'7T j11 o r�hz Nar�(Print) Current Mailing Address: r(J Y Telephone �/ Signature S� / —� 2.2 Authorized Ascent: // Name(Print) Current Mailing Address: 211 Signature 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 Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =0 +2+3+4+5) Z3 7 y Check Number -Ap 19 6 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File# BP-2016-0128 APPLICANT/CONTACT PERSON LEONARD MINNIE ADDRESS/PHONE P O BOX 446 PALMER01069(413)283-221192 q PROPERTY LOCATION 55 WHITTIER ST( Id/ MAP 43 PARCEL 095 001 ZONE 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: CONSTRUCT HIP DORMER TO EXISTING BATHROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 040449 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: :roved 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 emoliti Delay 47-Z ——4-7 Signature of Building Of icial 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. 55 WHITTIER ST BP-2016-0128 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 43 -095 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-2016-0128 Project# JS-2016-000217 Est. Cost: $39374.00 Fee: $255.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: LEONARD MINNIE 040449 Lot Size(sq. ft.): 64904.40 Owner: CARLSON PAUL R&JEAN S AKA JEAN E SIMMONS Zonim,;: Applicant: LEONARD MINNIE AT. 55 WHITTIER ST Applicant Address: Phone: Insurance: P O BOX 446 (413) 283-2192 WC PALMERMA01069 ISSUED ON.81312015 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT HIP DORMER TO EXISTING BATHROOM 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 8/3/2015 0:00:00 $255.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner