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22B-011 (5) GROW FOOD NORTHAMPTON PAVILION WITH METAL ROOF 1 \ t 4 13' 10" ' III r RATTLESNAKE GUTTER TIMIBER4 ORKS HANK SILVER 917-902-2998 hanksilver rgtimberworks.00m GROG! FOOD NORTHAMPTON APPROX 140 MEADOW ST, FLORENCE, MA 6:12 PITCH WEST ELEVATION, SHOWING RAFTERS k 9' 3 13/16" -� • F 12' 3 7/8" t f - e e r s a i 31 F RATTLESNAKE GUTTER TIMBERWORKS HANK SILVER 911 7-9 f �.���p},�2--2 8 }imberw/yft com }may} i i # • . i •i ' r • s-Mri • E F i i f i k memo i Grow Food Northampton Pavilion Rattlesnake Gutter Timberworks Approximate location: Hank Silver 140 Meadow MA CSL# CS-108530 Florence, ► 31 Rattlesnake Gutter Road Leverett, MA 01 054 Bird's-eye view of concrete piers, hanksilver @rgbmberworks.aom showing below-grade Bigfoot bps ° U(:UD NOTES: 4000 PSI concrete. Loured footings with ftfoot bases, 12-inch Sonotubes, embedded 4`6" below grade. Unsuitable material encountered during excavation will be removes and replaced with 16' suitable structural fill. 0 il` PAVILION FRAME GROW FOOD NORTHAMPTON APP APPROX 140 MEADO ORENCE • ELEVATION NORTH IJ -Ill 41t 11Y 8" r RATTLESNAKE HANK SILVER 917-902-2998 hanksilver@rgtimberworksoom PAVILION FRA.ME GROW FOOD NORTHAMPTON APPROX 140 MEADOW ST, FLORENCE, NIA 6:12 PITCH MEMBERS. WEST ELEVATION, RAFTERS NOT SHOWN 8X8 POSTS 8X10 TIE BEAMS 8X8 TOP PLATES 06 BRACES 8X8 KING POSTS 8X8 RIDGE BEAM f 6X8 STRUTS SX7 RAFTERS JOINERY NOTES; 3 — ALL TENONS FRAMED 2:2 FROM REFERENCE € ALL PEGS 1 INCH HAND-RIVED HARDWOOD P Ji 3' f{ ( TIE BEAMS HOUSED 1 INCH INTO POSTS 9' F W/ 6-INCH TENON TRIPLE PEGGED 2:2.5, 4:4.75, 21 POST TOP TENONS 4-INCH PEGGED 1,53.75 BRACES 3-INCH TENON PEGGED 1.5:2 STRUTS 3-INCH TENON PEGGED 1.5;2 KING POST 3-INCH STUB TENON COUNTER-WEDGED WITH HARDWOOD WEDGE 1£' ° RATTLESNAKE GUTTER TIMBER4VORKS HANK SILVER 917-902'2998 hanksiWr@argtlmterworks.eom text } PAVILION FRAME GROW!FOOD NORTHAMPTON APPROX 140 MEADOW ST, FLORENCE, MA 6,12 PiTCH MEMBERS; *iRAF#RS NOT SHOWN FOR CLARITY 8X8 POSTS 8X10 TIE BEAMS 8X8 TOP PLATES 06 BRACES 8X8 KING POSTS 8X8 RIDGE BEAM rrr 6X8 SMUTS x ,✓ 5X7 RAFTERS 30INERY NOTES; ALL TENONS FRAMED 2:2 FROM REFERENCE ALL PEGS 1 INCH f H AND-RIVEN HARDWOOD TIE BEAMS HOUSED 1 INCH INTO POSTS W/ 6-INCH TENON TRIPLE PEGGED 2,23, 4:4.75, 2,7 ` POST TOP TENONS 4-INCH PEGGED 1.53,75 BRACES 3-INCH TENON PEGGED 1.5.2 STRUT'S 3-INCH TENON PEGGED 1.5.2 KING POST 3-INCH STUB TENON COUNTER-WEDGED WITH HARDWOOD WEDGE RATTLIAKE GUTTER TIMBERW'ORKS HANK SILVER 917-9&-2998 hanksiteer@rgtimberworks.com text 42"20'19"7 72"41'25" 42020'19"a 72' 40'06 +! ., b TFV ID Mai � a t rrr i Field t, 1p 0 it ■ ., ,. f + a 42019'23"P 72041'2 " I t D _ .. 42"1923; 72040'06„ M N TN 0 1 /2 1 M ILE 1 V2° 1 000 0 1 000 2000 3000 4000 FEET Printed from TOPO! @1999 Wildflower Productions ( w.topo.coiu) Vreeland Design Associates An integrative approach to design engineering and site planning Date: August 6,2015 To: Hank Silver Rattlesnake Gutter Timberworks 1 Rattlesnake Gutter Road Leverett, MA 01054 From: David Vreeland, P.E. Vreeland Design Associates Re: Grow Food Northampton: Structural review for proposed 16'x 22' Pavilion and 12'x 16' Garden Shed. Dear Hank, I have completed a structural review of the proposed 16'x 22' Open-air Pavilion and 12'x 16' Garden Shed.The timber frames will be constructed of eastern white pine with 8x8 eastern white cedar posts for the Pavilion secured to the piers or slab with Simpson 8x8 post bases. White oak sills will be bolted down to a slab for the Garden Shed with the 7x7 posts attached to the sill with a stub tenon and tied down with Simpson Hurricane Straps. 1" hardwood pegs will be use to secure the mortise and tenon joinery in both structures. 8" TimberLok structural screws or similar will be used to secure the rafters to top plates and the Pavilion ridge beam. I have done the necessary engineering and certify that the proposed timber framed Pavilion and Garden Shed as shown in the plans provided by you, meet the structural requirements of the current MA State Building Code, including the anchorage and water-resistant construction requirements for a Flood-hazard Zone. Please contact me if you have any questions or need additional information. Sincerely, �SH OF A(4 DAVID A. yG VREELAND 0 CIVIL Cn David Vreeland, PE A9 Via•46317 Vreeland Design Associates IS' S SSlONAL EN 116 River Road, Leyden, MA 01337 Phone: (413) 624-0126 Email: dvreeland @verizon.net Fax: (413) 624-3282 Grow Food Northampton, 8/24/2015 This is not a Coastal Dune. T REYNOLDS ENGINEERING I CIVIL ENGINEERS I PLANNING,DESIGN,AND PERMITTING SERVICES 152 Maplewood Terrace, Florence,MA 01062 1 PHONE:413-387-8078 I FAX:413-727-3477 terry@treynoldsengineering.com www.treynoldsengineering.com 3 of 3 Grow Food Northampton, 8/24/2015 No human occupancy is proposed below the flood zone. 120.G.501.6 Repair or replacement of existing foundations in a flood-hazard zone: None proposed. 120.G.501.7 Protection of mechanical and electrical systems in a flood-hazard zone: No mechanical or electrical systems are proposed. 120.G.501.8 Construction materials, methods, and practices in a flood-hazard zone: Construction materials have been specified to be in compliance with Flood Damage-Resistant Materials Requirements for Building Located in Special Flood Hazard Areas in accordance with the National Flood Insurance Program, FEMA Technical Bulletin 2/August 2008. FEMA Technical Bulletin 2/August 2008— Flood Damage Resistant Materials Requirements All structural materials are of solid wood and the foundation will be of cast-in-place concrete, conforming to acceptable standards as listed on Table 2 of FEMA Technical Bulletin 2/August 2008. Structural members within the BFE are of White Cedar- a decay-resistant wood, described as "highly resistant to floodwater damage"in Table 1, FEMA Technical Bulletin 2/August 2008. This Technical Bulletin, consistent with ASCE 24 and the International Code Series, recommends that stainless steel or hot-dip galvanized fasteners and connectors be used below the BFE in both inland (noncorrosive) and coastal (corrosive) areas. All fasteners below the BFE will be hot-dipped galvanized or stainless steel, as per FEMA Technical Bulletin 2/August 2008. 2304.11.2.7 Posts or Columns: Posts or columns supporting permanent structures and supported by a concrete or masonry slab or footing that is indirect contact with the earth shall be of naturally durable material or preservative treated wood. Posts specified as 8x8 White Cedar—naturally resistant to decay. 120.G.601 Recreational vehicles in a flood-hazard zone: No recreational vehicles are proposed to be stored at this site. 120.G.501.10 Alterations, renovation and repairs in a flood-hazard zone: No alteration, renovations or repairs to existing buildings are proposed. 120.G.501.11 Certifications and Plans for construction in a flood-hazard zone: Certifications and plans will be provided as required. 120.G.501.12 As-built elevation certification for construction in a flood-hazard zone: As-built elevation certification will be provided following construction as required. 120.G.501.13 Documentation -Water resistant construction in a flood-hazard zone: The proposed building is not proposed to be constructed in accordance with 780 CMR 120.G501.5 since no human occupancy is proposed. 120.G.601 High Hazard Zones 120.G.601.1 Construction in high-hazard zones (V Zones): This is not a High Hazard Zone 120.G.701 Coastal Dunes 120.G.701.1 Determination of Coastal Dunes. T REYNOLDS ENGINEERING I CIVIL ENGINEERS I PLANNING,DESIGN,AND PERMITTING SERVICES 152 Maplewood Terrace,Florence,MA 01062 1 PHONE:413-387-8078 I FAX:413-727-3477 terry@treynoldsengineering.com lwww.treynoldsengineering.com 2of3 T REYNOLDS ENGINEERING I CIVIL ENGINEERS I PLANNING,DESIGN,AND PERMITTING SERVICES .� 152 MAPLEWOOD TERRACE,FLORENCE,MA 010621 PHONE:413-387-80781 FAX:413-727-3477 terr tre noldsen ineerin com www.tre noldsen ineerin com OF T.REYNOLDS Y@ Y 9 9� I Y 9� 9� TERRE CE R. REYNOLD NO, 62 W► IVI ` To: Grow Food Northampton V /ON From: E From: Terrence Reynolds, P.E. TT4 Subject: Floodplain Building Permit For Pavilion, Approximate Location 140 Meadow Street, Florence, MA Date: 8/24/15 Based on review of Flood Insurance Rate Map Panel 251067 0001A, Dated April 3,1978, the parcel at 140 Meadow Street Florence, MA is located in a A7 Flood zone with an estimated flood elevation of 243 feet. As a result the parcel is subject to Appendix "G" of the Massachusetts State Building Code. The following review of the building permit application package, dated August 2015 is for compliance with 780 CMR 120.G FLOOD-RESISTANT CONSTRUCTION AND CONSTRUCTION IN COASTAL DUNES (Appendix "G"). Each section has been reviewed for applicability and conformance. 120.G.401 Hazard Zones The site is in a Zone A flood-hazard zone and has a design flood-depth of 3 feet. 120.G.501 Flood Hazard Zones 120.G.501.1 Construction in flood-hazard zones (A Zones): 120.G.501.2 Elevation in a flood-hazard zone: Except as otherwise provided in 120.G.501, all buildings or structures, including new or replacement manufactured homes, erected or substantially improved within a flood-hazard zone shall be elevated so that the lowest floor is located at or above the base flood elevation. All basement/cellar floor surfaces shall be located at or above the base flood elevations. Exceptions: 1. Floors of occupancy in any use group, other than use group R, below the base flood elevation shall conform to 780 CMR 120.G.501.5.2. Floors of occupancies in any use group which are utilized solely for structure means of egress, incidental storage garages and parking, and which are located below the base flood elevation, shall conform to 780 CMR 120.G.501.4. This use is an open-air pavilion and is therefore except from needing to be located above the base flood elevation. 120.G.501.3 Anchorage in a flood-hazard zone: The proposed building is anchored concrete foundation piers with enlarged Bigfoot at bottom of each pier as appended to this submittal. The proposed structure is anchored to the foundation by Simpson ABU88Z post bases with 1-inch standoff, secured to the foundation with anchor bolts and into the posts with stainless steel structural screws. All fasteners will be stainless steel or hot-dipped galvanized in accordance with FEMA Technical Bulletin 2/August 2008. 120.G.501.4 Enclosures below base flood elevation in a flood-hazard zone: No enclosed space is proposed. 120.G.501.5 Water-resistant construction in a flood-hazard zone: 1 of 3 Rattlesnake Gutter Timberworks Hank Silver 1 Rattlesnake Gutter Road Leverett, MA 01054 Email: hanksilver @rgtimberworks.com Mobile: 917-902-2998 Unrestricted CSL# 108530 Proposed Structure at: Approximately 140 Meadow Street Florence, MA 01062 As required by FEMA Technical Bulletin 2/August 2008,this document provides a list of materials to be used in the proposed 16-foot by 22-foot open-air pavilion. FLOOR: Cast-in-place concrete - conforming FEMA TB-2,page 7 WALLS: 8x8 White Cedar posts - conforming FEMA TB-2,page 9 8x8 Eastern White Pine (EWP) top plates - conforming FEMA TB-2,page 9 8x10 EWP tie beams - conforming FEMA TB-2,page 9 1-inch Black Locust pegs - conforming FEMA TB-2,page 9 4x6 EWP & Black Cherry knee braces- conforming FEMA TB-2,page 9 ROOF: 5x7 EWP rafters - conforming FEMA TB-2, page 9 8x8 EWP king posts - conforming FEMA TB-2,page 9 6x8 EWP truss struts - conforming FEMA TB-2,page 9 1-inch EWP roof sheathing- conforming FEMA TB-2, page 9 29-gauge corrugated metal roofing- conforming FEMA TB-2,page 10 FASTENERS: All fasteners shall be of stainless steel or hot-dipped galvanized - conforming FEMA TB-2,page 12 monwalmommow APPROXIMATE SCALE 1000 0 1000 FEET NATIONAL FLOOD INSURANCE PROGRAM t V Z 90 qo FLOOD INSURANCE RATE MAP CITY OF ,� _ NORTHAMPTON, ZONE B MASSACHUSETTS " HAMPSHIRE COUNTY * COMMUNITY-PANEL NUMBER 250161 0001 A PAGE 1 OF 2 237 (SEE MAP INDEX FOR PAGES NOT PRINTED) ROAD Dam 227 EFFECTIVE APR I L 3,1978 p BLISS 215 ST A 214 ZONE A7 o Sr 4/3/78 STREET R Z P 0 s 4U m ffLR M 6 � 'NORT U.S.DEPARTMENT OF HOUSING MAPLE 3 \J� AA MAPLE AND URBAN DEVELOPMENT Q FEDERAL INSURANCE ADMINISTRATION This is an official copy of a portion of the above referenced flood map. It was extracted using F-MIT On-Line. This map does not reflect changes 206 or amendments which may have been made subsequent to the date on the 2�6 title block. For the latest product information about National Flood Insurance Program flood maps check the FEMA Flood Map Store at vvww.msc.fema.gov Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 182687 Type: DBA Expiration: 7/15/2017 Tr# 268479 RATTLESNAKE GUTTER TIMBERWORKS HANK SILVER 1 RATTLESNAKE GUTTER ROAD -- LEVERETT, MA 01054 - _-- Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment Lost Card SCA 1 .°• 20M-05/11 �f� -a/�irno/taacn�/ c �'7r'�uJJftc�t[�el/J _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation I egistration: 182687 Type: Expiration: 7/15/2017 DBA 10 Park Plaza-Suite 5170 �\J, Boston,MA 02116 RATTLESNAKE GUTTER TIMBERWORKS HANK SILVER 1 RATTLESNAKE GUTTER ROAD g - _ LEVERETT, MA 01054 Undersecretary Not valid without signature Massachusetts - Department of Public Sa°e+7 Board of Building Regulations and Standards C'onsiruction Sulper%isor _;cease. CS-108530 HANK SILVER , I RATTLESNAKE GUTTF4,ROAD Leverett MA 01054 J..�.... ��w :jxpj,•a*.iar �,ornmiss�onef 08/13/2018 Ing 08/24/2015 MON 15:59 FAX Z001/001 Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 78/24/2015 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). PRODUCER NAME: Susan Fleury, CIC, CISR King & Cushman Inc, PHONE o Ext.(413)584-5610_ AIC No:(413)584-9322 P.O. Box 447 ADDRESS:SFleury @KingCushman.com 176 King Street INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01061 INSURERA:Guard Insurance Grog INSURED INSURER 8: Hank Silver INSURER C: 1 Rattlesnake Gutter Road INSURER D: INSURER E: Leverett MA 01054 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1582401089 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR V _ - ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO I wVn POLICY NUMBER MMIDDIYYYY M ID fYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 .A CLAIMS-MADE LXJ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ RABP609127 7/12/2015 7/12/2016 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ GLN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 GENERAL AGGREGATE $ X POLICY u PRO- ❑LOC JECT PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION P R 07H- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE J" ©1988-2099 CORPORATION. All ri hts rese ed. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 77Lr'C.AJANZ- C GQ776�(' //(4*Q City/State/Zip: Z_e✓C(-,C— P 4- 01 G 6 t� Phone G1),72 9 9 Are you an employer? Check the appropriate box: 4 I general contractor and I Type of project (required): 1.[:1 .I am a employer with am a g 6. ❑New construction ,employees (full and/or part-time).* have hired the sub-contractors 2.Ef 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 m in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a 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.] 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. z 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 the policy and job site informat/on. 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. l do hereby certify under the pains and penalties of perjury that the information provided above is true and cornetctt. Signature: C�� 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 #: 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 © No Q SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Lf/ '� may- as Owner of the subject property hereby authorize '' —�'��"j' to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date 151,1-V& _ 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 u der the pains and penalties of perjury. A k >L v 1�- Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder, H�Nk, /LUF� t� " License Plumber �7 I IV�E GLrT _ oAD LE�er,-Z� 1V 01.0 Addre s f Expiration Date - 9oz-2298 Signature Telephone SECTION 13 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,$26C(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 bu' Ong 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 Name Area 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 Address Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning Pc�N This column to be filled in by 1 Building Department Lot Size /7. W_'fC4 S Frontage Setbacks Front Side L: R: L: R: Rear Building Height / tf Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved _ arkin #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding a er been issued for/on the site? NO Q DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW YES 0 IF YES: enter Book Page; nd/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 © , Date Issued: C. Do any signs exist on the property? YES (2r NO O 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,irn,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. Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 36,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Buil ing❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ Other Brief Description Enter a brief description/ her/e. F17tM3&F, r e AMG� O FEN - ) �2 Of Proposed Work: ' l b l� W t i1 1�p X 2.2 IT �&&-r Fez (,N7 SECTION 6-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 ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C 0 H High Hazard ❑ 3A ❑ 1 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: 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 BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so 1 St 1st 2nd 2nd rd 3� 3 _ 4tn 4tn Total Area(sf) Total Proposed New Construction(sf) 35� SF Total Height(ft) Total Height ft I y 1• t 7.Water S ply(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( Versionl.7 Commercial Building Permit May 15,2000 Northampton stiff of ���----- I Department Cfl Street eA y AUG 252015 om 100 e�A Northam pton, MA 01060 TV4 its o ftud .n too 4f3-58771240 Fax 413-587-1272 Plod! it P Othor APPLICATION TO 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 1.1 PrODertv Address: This section to be completed by office 5 : Map ,� J Lot 1 Unit NO MEADOW 572C-- AAA c/o G 2 Zone Overlay District I"i _ Elm St District cB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) G ���„( �;�fbrr� 1 Current Mailing Address: Signature _ Telephone 2.2 Authorized Aaent: }'1 7Ni iLY�i 1_ g.47T(� N S 'K—G Cv7TSt 4V Name(Print) � Current Mailing Address: Signature f Telephone 7 © 9 SECTION_;-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bypermit applicant 1. Building ,j (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-2016-0237 APPLICANT/CONTACT PERSON HANK SILVER ADDRESS/PHONE 1 RATTLESNAKE GUTTER RD LEVERETT01054(917)902-2998 PROPERTY LOCATION 140 MEADOW ST MAP 22B PARCEL 011 001 ZONE URA(103)/WSP(101)/WP(97)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid_ 1011 IOU Building Permit Filled out - Fee Paid Typeof Construction: CONSTRUCT 16 X 22 PAVIILION New Construction Non Structural interior renovations Addition to Existing Accessory Structure - Building Plans Included: — Owner/Statement or License 108530 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFqRMATION 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 Permit DPW Storm Water Management Demolition Delay 8 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. 140 MEADOW ST BP-2016-0237 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 22B-011 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: shed BUILDING PERMIT Permit# BP-2016-0237 Project# JS-2016-000394 Est. Cost: $14000.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HANK SILVER 108530 Lot Size(sq. ft.): 758161.80 Owner: TRUST FOR PUBLIC LAND THE C/O GROW FOOD NORTHAMPTON INC Zoning: URA(103)/WSP 101 /)WP(97)/ Applicant: HANK SILVER AT. 140 MEADOW ST Applicant Address: Phone: Insurance: 1 RATTLESNAKE GUTTER RD (917)902-2998 LEVERETTMA01054 ISSUED ON.91912015 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 16 X 22 PAVIILION 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 9/9/2015 0:00:00 $100.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner