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17D-055 (3) --------------------------------------------------- Official Raceipt for Rec:,r i;,,g in: Kni'llpshi I e Coun P") lleg i S lry of Dee"I's 33 King S[. Nib tlicm,tibuk, Issued To: KEN 1-YliD'S 584-9282 Recording Fees ------------------------- -- ------- Document P,2,-,0 r d i n y Description Number Book/page i m Imoun" ---------------------------------- ------------- NOT 00025885 9656 1�17 i $715-A0 A-2-7 CONTRACTORS Co I i orted Amount- --------------------------------------------- Payment Type Amount ---------------- Check 3825 0 0 Total Received V5.00 Less Total Recordings: $75.00 ----------- Chall(le, Due $,Do Thank You MARIANNE DONUHUE -- Register of feeds By: Kimberly M Receiptii Date Time 0199460 12/05/200"; 01:34p Reprinted By: Kimberly M Reprinted On: 1210512008 0IL341) (Ps to OT �Iur.�EOvJNS Nfl i`i6R4 l . � 4 NtVv c7f.. °d i 11 '� d-3 51vo ► 4 �q � ��•► �;'�:32�► tv�fr,;t/ S?�a��►1 N �j'�17:7 1 v S �' S l ,�S Sri► 5 o vid icoe 1 : I I ' I• :�711;T' a �'j Q,�/ ,��_ � ..I � i. I I _` I i ! • '2 j n' I rl�•TtiJe+9 Y I I ��, w,'p%� I I r� j I . 1 ' 9 T, .I,. y • yr !"� ! 6 j : I 1 � I s . � I Ij I : j ! ! i ,.� � � , ' �',,r • .��,,, ti,.a,�/�Eye ; �Z i ' ,�,-:'1 i ; I ; i I '�'I ,T a I I � ' I : l J o jP f4 L�d t i j I I I I j PO ? I 1 1 I j i ', i I I t �I i � I •i � �M ,.` H'� � � I I j �: j Y I i 01 I 2,ti I j I I Yy T S i J i y i i i S, t ! J i 1 i I ? i I � � I I , w,'ti 6Q j It I � � .4,Lp^� � I "'�r�'�'•� � ��s�}a +rte' o '� � I � I S� � or i I I I t* I I I I i. IIIIIIIVIIIIIIIII (IIIIIIIIIIIIIIIIII Lll�l2008 000885 November 26, 2008 Bk: 9656Pg: 127 Page: 1 of 1 Recorded: 12/05/2008 01:34 PM Tony Patillo, Building Commissioner Office of the Building Inspector Puchalski Municipal Building 212 Main Street Northampton, Mass. 01060 Dear Mr. Patillo: At this time we request you give our contractor, A-2-Z General Contractors a building permit for the third floor of our home at 116 Straw Ave. Florence. As we are looking to make at this time an open space for Family use, as children play area and husband office and storage. If we ever decide to change this area or rice bedrooms in this area we will do what needs to be done by Mass. State Code bt that time. P/ Signed, _>, ,�,% v 1-57 Cc 3 0� r� jAs& Mark Date p V;�� ti � tti�� Christine Mark Date t Cr� Gy�� (D ATTEST: HAMPSHIRE, �.A ,RHGISTER MARIANNE L. DONOHUE I ri J! i I i I ,, ti rp h7 tr ay -a as gi?, -Olo f cgf4s- no �'°2 70- -i /-Z a a v .A v rA Z- ► >L\ �, �*�► ��S jLS gat' ��Srj £ ,�Z M 0 Jo �` • • fig,... Keysuild strueturC-2.303r A2Z 116StrawAve-Level 10 10-27-08 ktnBeamEngine 4.503z2 Materials Database 857 4:07pm 1 of 1 Member Data Description: CalcG2 Member Type: Girder Application: Roof Comments: Lateral Bracing: Continuous Both Slope: 0.00/12 Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Dead Load: 0 PLF Deflection Criteria: L/360 live, L/240 total 0.400"max. LL Live Load: 0 PLF Deck Connection:Nailed Member Weight: 7.1 PLF Filename: UNKNOWN Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform(PLF) or 0.00" 34' 6.00" 68 1 Live Replacement Uniform PLF or 0.00" 34' 6.00" 0 200 Snow „ r y.v AT T 0 11 9 4 © 10 O 0 11 9 4 i 34 6 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 3.625" Wall N/A 1.500" 1417# - 2 12' 0.875" Wall N/A 1.500" 3283# - 3 22' 0.875" Wall N/A 1.500" 3283# - 4 33'10.125" Wall N/A 1.500" 1417# - Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Dead Live Snow 1 385# 3# 1032# 2 892# 7# 2391# 3 892# 7# 2391# 4 385# 3# 1032# Design spans 0' 3.625"(left cant) 11' 9.250" 10' 0.000" 11' 9.250" 0' 3.625"(right cant) Product:1 3/4x7114 Versa-Lam SP 2.0-3100 2 ply Component Member Design has Passed Design Checks.- Design assumes continuous lateral bracing for both chords. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 3218'# 9634.'# 33% 5.01' Total load D+S Negative Moment 3379'# 9634.'# 35% 12.07' Total load D+S Shear 1740.# 5544.# 31% 22.66' Total load D+S TL Deflection 0.3100" 0.5885" U455 5.6' Total load D+S LL Deflection 0.2257" 0.3924" U625 28.55' Total load S TL Defl.,Lt. -0.0282" 0.2000" 21J256 0' Total load D+S LL Defl.,Lt. -0.0206" 0.2000" 21J352 0' Total load S TL Defl.,Rt. -0.0282" 0.2000" 2U256 34.15' Total load D+S LL Defl.,Rt. -0.0206" 0.2000" 21J352 34.15' Total load S Control: LL Deflection DOLS: Live=100% Snow--115% Roof--125% Wind=133% Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives All product names are trademarks of their respective owners Copyright(C)1989-2005 by Keymark Enterprises,LLC.ALL RIGHTS RESERVED. "Passing is defined as when the member,Floor joist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The design must be reviewed by a qualified designer or design professional as r uired fora roval.This design assumes product installation according,to the manufacturers specifications. c. ATTIC RENOVATION PLAN NEW WALLS NFW ROOF STRLJC:TL1RA 9 /12+/- L RIDGE 1� 1,. �__`'`. EX T S T I NG ROOF------' G `\ EXISTING FLOOR i w BEARING POINTS FOR STRUC RAL RIDGE POSTED THROUGH TO BASEkENT r . k. Miles A-2-Z Genera] Contractors Job Name: 116 straw Av 8 le, 3/32^ _} ti Pilo-name: W:\A2Z1163tsc wAvePlawtew.Ue � � ^' I.r.:.rl hF•arf nn uat` .-,hnr:" -� flf'�"n ft , m:uxhesrer center [niddlebury williatustown All approx, „ rri, erurmi ®5111!iett to a IYi po box 1125 po baX 746 385 Cole avenue recto 1<r S fee.Ide, handisc,aur,red t u l ave Vermont 05255 venn or[t 05753 massacnsetrs 01267 SINCE 19 4 o beet 1,wAww,1 f v„ .k.MHLES ,uhn il).a p s tel 802 362 1952 tel 802 388 2721 Ct:l 413 458 8121 and roust be.in resalabie.com:hn,m.Pawl,il pt,,Jiac ,,requ. i d o.,all rewm Sp ,d- 'cio f:[x 802 362 6436 Eirx 802 388 2683 fat 4c3 458 5570 itcu,s its now tuinzt lc. Accouzm,,noc paid:then dne at subjn r to.) SERVICE CHARGE of L?!t prr awa,d,mail rk[nilcs.cont BUILDING MATERIAL S S U P P L I E R paid which i,ar,ANNUAL Rnrl Customer No. Job No. Purchase Order No. Reference Terms Clerk Date Time 90002 116 STRAW ST 5% 10th Net EOM DH 10/27/08 11:12 Sold To Ship To A-2—Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: I1/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 ************* 71 RESERVOIR ROAD * ESTIMATE LEEDS MA 01053 SLSPR: 01 Dave Satkowski ************* TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE/PER EXTENSION subject to variation due to construction practices and conditions. Prices subject to change due to market conditions. TAXABLE _ NON—TAXABLE ** ESTIMATE ** ESTIMATE ** ESTIMATE ** ESTIMATE ** SUBTOTAL (KEN LYNDS ) TAX AMOUNT TOTAL AMOUNT X Received By i:urchester center mliddlebury Williamstown All ipprox . i s ari2t K't drje'r ro a 15-'." o I?oX 1125 po box 746 385 Tole aVMnle rrvc k,»l.c.t{e, b ,Ih orned,my I:n•r crenoru 05255 VM11011t 05753 tnasiaC nstrts 01267 SINCE 19 4 o been i.xn .k.N 11 F,S +id v,i liyx el $02 362 1952 tCl Sot 383 2721 tel 413 458 3121 and must lu in resalable.coudivion.Prooi of ax 302 362 643fi fitX S02;S3 2633 fax 413 453 5570 pvrrhue is enquired on.&returns.Special orc!er hems are nourr.tu rnal le. rk MILES Acc.omtri nor paid i4•hcn due arc suh}ccc ro a SERVICE CHARC;E.of"I:Si`a per monr6 until rkmiics.ccun BUILDING MATERIAL S S U P P L I E R pall whirl,i,am ANNUAI..RA E of 1.8%. Customer No. Job No. Purchase Order No. Reference Terms Clerk Date Time 90002 116 STRAW ST 5% 10th Net EOM DH 10/27/08 11:12 Sold To Ship To A-2-Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: 11/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 ************* 71 RESERVOIR ROAD * ESTIMATE LEEDS MA 01053 SLSPR: 01 Dave Satkowski ************* TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE PER EXTENSION 1 EA IWS 36X65' ICE & WATER SHLD 2SQ RED SA-4 1 9 EA ES5W DRIP EDGE 5X10' WHITE STANDARD SA-5 9 100 EA 57ASF STEP FLASHING 5X7 ALUM EA SA-4 100 1 BX RT5 5# ROOF TINS---LARGE ! *HLD 1 19 EA CBWW IKO CAMB WEATHERED WOOD 30 YR SI 19 1 EA IKOSS LEADING EDGE STARTER STRIP 69 LF 2 1 SIDING MATERIAL 4 EA 1616PFJP 1X6X16 PRI FJ PINE S4S UCW 4 YOU MUST SEAL ALL CUTS AND NAIL HOLES--THIS MUST BE DONE TO PROTECT THIS PRODUCT OR ANY OTHER EXTERIOR WOOD PRODUCT 26 EA 16WCS2C WHITE CEDAR SHINGLES-2ND CLEAR C UCW 26 1 EA SONAILS SPECIAL ORDER NAILS 1 1 EA ESTIMATE ESTIMATE 1 This quotation is an estimate only based on interpretation of plans and/or specifications provided. Material quantities CONT'D Y :111 a. ,ro) t t)ati+ri Q�nirns.,subject to a m:utcltcster center tniddlebury willi:unstoivn !I po box 1125 po box 746 385 Bole avenue n-.5mtkv f t. Mewdrn 1. t tr im i tit l the vernu?ut 05255 vermonr o57S3 rnassachusetrs 01267 S I N C E I 4 0 brew putcbty i i,) t rl �tl }S ss idmi 10 lays and neat b:u,r.tidal.le c,,tulirion.Prot of tel 302 362 1952 tel $02 388 2721 tel 413 458 812.1 piardiase,i% Ei1s 802 362 6436 fits 802 388 2683 fax 413 458 5570 items arc IWn Yetu l{unLlc l:rento s. rk M1 LES Special er<ka Accouters nor paid when:iue tux,ub}ect 1:0.1 S&ItV ICH CHARGE of 1',:%per mend)unril rk,nilcs,co,n BUILDING MATERI A L S S U P P L I E R I paid M,id,rs a,)ANNUAL RATE.of 1.9SG. Customer No. I Job No. Purchase Order No. Reference Terms Clerk Date Time 90002 116 STRAW ST 5% 10th Net EOM DH 10/27/08 1 11:12 Sold To Ship To A-2—Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: 11/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 ************* 71 RESERVOIR ROAD * ESTIMATE LEEDS MA 01053 SLSPR: 01 Dave Satkowski ************* TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE PER EXTENSION 27 EA LSSU28 2X8/2X6 SKEW/SLOPEABLE HANGER *N/S 27 27 EA H2.5AZ RAFTER TIE (REVERSIBLE) Z—MAX 2 27 2 EA 2614 2X6X14 #2 &BTR KD SPF T1—A 2 4 EA 2616 2X6X16 #2 &BTR KD SPF T1—A 4 2 EA 16FUR 1X3X16 KD SPRUCE FURRING 91 2 1 EA TYVEK9100 9'X100' ROLL TYVEK HOUSEWRAP SA-6 1 ROOF TRIM 5 EA 1616PFJP 1X6X16 PRI FJ PINE S4S UCW 5 YOU MUST SEAL ALL CUTS AND NAIL HOLES--THIS MUST BE DONE TO PROTECT THIS PRODUCT OR ANY OTHER EXTERIOR WOOD PRODUCT 10 EA 2348UVM UNDEREAVE VENT 2-3/4X8' MILL FN SA-5 10 5 EA 1816PFJP 1XSX16' PRI FJ PINE S4S UCW 5 YOU MUST SEAL ALL CUTS AND NAIL HOLES--THIS MUST BE DONE TO PROTECT THIS PRODUCT OR ANY OTHER EXTERIOR WOOD PRODUCT ROOFING MATERIALS 2 1 EAj FELT 4 SQR ROLL #15 FELT MULTIPURPOSE SI 2 CONT'D X Received By manchestercenter middlebury wiflialnstown AII app roe*titY,r, Qrun,s cu6i-:tc tt55 po box 1125 po box 746 385 cote avenu SINCE z 9 4 o uxo::ku f t. �l rclia 1 a re unn l nuu bnc Vern)ont 05255 verEnont 05753 EnassacllltSMS 01267 been put bus f rom re. cl.liiio wniiin o Jays vrl must b u,r.'sal tl I.�. u..m a,.prnui'al. Eel $02 362 1952 Eel 802 388 2721 Eel 413 458 8121 porebase.is recluiced ou.all returns.Special Ortier flx 802 362 6436 fax 802 388 2683 fax 413 458 5570 tcenls are non-ceavnable. rk M I LE S Accomics not paid wlien due arr sw?jcct ro a SBRVICF CHARGE:Of'I Sa per month until rkEniles.co,n BUILDING M A T E R I A L S SUPPLIER paid tepid,k our ANNUAL.RATE of]8%. Customer No. Job No. Purchase Order No. Reference Term Clerk Date Time 90002 116 STRAW ST 5% 10th Net EOM DH 10/27/08 11:12 Sold To Ship To A-2-Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: 11/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 ************* 71 RESERVOIR ROAD * ESTIMATE LEEDS MA 01053 SLSPR: 01 Dave Satkowski ************* TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE/PER EXTENSION 2ND FLOOR WALLS 10 EA 2416 2X4X16 STANDARD & BTR SPF T1-A 10 8 EA 2416 2X4X16 STANDARD & BTR SPF T1-A 8 16 EA 2410 2X4X10 KD SPF STUD OR BETTER T1-A 16 3 EA 2416 2X4X16 STANDARD & BTR SPF T1-A 3 50 EA 2408 2X4X8 KD SPF STUD T1-A 50 10 EA 2416 2X4X16 STANDARD & BTR SPF T1-A 10 40 EA 2408 2X4X8 KD SPF STUD T1-A 40 2 EA 21012 2X10X12 #2 &BTR KD SPF T1-A 2 2 EA 21014 2X10X14 #2 &BTR KD SPF T1-A 2 2 EA 2614 2X6X14 #2 &BTR KD SPF T1-A 2 21 EA 12CDX 15/32 X4X8 CDX FIR PLYWOOD PLY 21 1 EA R19U15 6.25X15-39'FIBERGLASS 48.96'SF INSUL 1 ROLLS THIS PRODUCT IS A CONTINOUS ROLLS CEILINGS 28 EA 21216 2X12X16 #2 &BTR KD SPF T1.-B 28 3 EA 21212 2X12X12 #2 &BTR KD SPF T1-B 3 19 EA 12CDX 15/32 X4X8 CDX FIR PLYWOOD PLY 19 CONT'D X Received By ,nanchesrercenter rniddleburp williarnstown All;q±proX t: uri11 eUtm, - snbjecrr,)—iI !+ Po l)vx 1 x25 Po!)Ox 746 385 Tole avenue restock mg fee.Nlet b)ulisc t turned nu I the SINCE 19 4 0 been p u h sM f ,m:..N•H FS nifun a„l lays verunt05255 verntout05753 rnassad6usetts oi267 and rn e,rbresamlr cruu aon.Pno l tcl 302 362 1952 tel 802 388 2721 Ed 413 458 8,121 fclx 802 62 6 36 fax 802 388 2683 fax 413 458 5570 pu r.:hax¢is requ!red:ax alI reru rns.Speciuf order 3 +> > > rk itnus art•non-rennva.•Ic, Acwtmrs mn Paid mien duc art snb,'.crr ro a SNRVII:B CHARGE:of 1!�%per awnd,unril rkxnilcs.com BUILDING MATERIAL S S U P P L I E R paid whkh i,an ANNUAL RA'l'F„r•18%. Customer No. Job No. Purchase Order No. Reference Terms Clerk Date Time 90002 116 STRAW ST 5% 10th Net EOM DH 10/27/08 11:12 Sold To Ship To A-2—Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: 11/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 ************* 71 RESERVOIR ROAD * ESTIMATE LEEDS MA 01053 SLSPR: 01 Dave Satkowski ************* TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE/PER EXTENSION subject to variation due to construction practices and conditions. Prices subject to change due to market conditions. TAXABLE NON—TAXABLE ** ESTIMATE ** ESTIMATE ** ESTIMATE ** ESTIMATE ** SUBTOTAL (KEN LYNDS ) TAX AMOUNT TOTAL AMOUNT 4 Received By — All y pror ttr , Arurn,,, n l> 'r u r maticliester center inddlebury willlamstown 1i c po box t 125 po box 746 385 cOle avenue. SINCE 1940 been l>t„ h:is {ti•ourl. n:l!:FS wirhu, 0:la}, ver'norit'05255 verntOrit 05753 ni issadiuserts 01267 :u,d must.be.n,re.salil 1 'ondin 1 !'roof of tel $02 362 1952 tel 802 388 2721 Eel 413 458$121 pu rehaca is required ou.all ren,rns,Special seder fax 802 362 6436 fax 802 388 2683 tax 413 458 5570 rk uems arc mx,•ra m-nablc.Accom,rs nor paid when clue arc.u,bjea ro a SARVTCF CHARGE of 1',:Y pet monrh mitil rkmiles.com BUILDING MATERIALS SUPPLIER paid"•hid,isanANNUALRATE,418%. Customer No. Job No. Purchase Order No. Reference Terms Clerk Date Time 90002 116 STRAW ST 5� 10th Net EOM DH 10/27/08 11:12 Sold To Ship To A-2-Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: 11/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 ************* * ESTIMATE 71 RESERVOIR ROAD LEEDS MA 01053 SLSPR: 01 Dave Satkowski ************* TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE PER EXTENSION 1 EA IWS 36X65' ICE & WATER SHLD 2SQ RED SA-4 1 9 EA ES5W DRIP EDGE 5X10' WHITE STANDARD SA-5 9 100 EA 57ASF STEP FLASHING 5X7 ALUM EA SA-4 100 1 BX RT5 5# ROOF TINS---LARGE ! *HLD 1 19 EA CBWW IKO CAMB WEATHERED WOOD 30 YR SI 19 1 EA IKOSS LEADING EDGE STARTER STRIP 69 LF 2 1 SIDING MATERIAL 4 EA 1616PFJP 1X6X16 PRI FJ PINE S4S UCW 4 YOU MUST SEAL ALL CUTS AND NAIL HOLES--THIS MUST BE DONE TO PROTECT THIS PRODUCT OR ANY OTHER EXTERIOR WOOD PRODUCT 26 EA 16WCS2C WHITE CEDAR SHINGLES-2ND CLEAR C UCW 26 1 EA SONAILS SPECIAL ORDER NAILS 1 1 EA ESTIMATE ESTIMATE 1 This quotation is an estimate only based on interpretation of plans and/or specifications provided. Material quantities CONT'D X Received By --_ m pnrF �7n anchester center middle6nry williarnstown All ippr,)1e &,rig9e ,rr,.i wt6jexr ro a n re tt , fee.Vle, r : nc I liar. PO box 1125 po box 746 385 cOle avue S I N C E I 9 4 0 bcei pw oa \\ L E S within;( l y.s vermunt 05255 verntnnt 05753 tnassachusetts 01267 and nu a lie.io Eel $02 362 1952 tel 802 388 2721 Eel 413 458 8121 purchase-is required oaall reran>,5pedal erdr,r fax 802 362 6436 filx 802 388 2683 fax 413 458 5570 trmsarc uon-retura::ik. Accowm%not pail wli n ciue are subjrcr w a ShRVIC:E CHARGE of 1-,I%per mond)until rku,iles.cou, BUILDING M A T E R I A L S SUPPLIER paid u-hich i.an ANNUAL.RATE..of 1.8s'. Customer No. Job No. Purchase Order No. Reference Terms Clerk Date Time 90002 116 STRAW ST 5% 10th Net EOM DH 10/27/08 11:12 Sold To Ship To A-2-Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: 11/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 ************* 71 RESERVOIR ROAD * ESTIMATE LEEDS MA 01053 SLSPR: 01 Dave .Satkowski ************* TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE/PER EXTENSION 27 EA LSSU28 2X8/2X6 SKEW/SLOPEABLE HANGER *N/S 27 27 EA H2.5AZ RAFTER TIE (REVERSIBLE) Z-MAX 2 27 2 EA 2614 2X6X14 #2 &BTR KD SPF T1-A 2 4 EA 2616 2X6X16 #2 &BTR KD SPF TI-A 4 2 EA 16FUR 1X3X16 KD SPRUCE FURRING 91 2 1 EA TYVEK9100 9'X100' ROLL TYVEK HOUSEWRAP SA-6 1 ROOF TRIM 5 EA 1616PFJP 1X6X16 PRI FJ PINE S4S UCW 5 YOU MUST SEAL ALL CUTS AND NAIL HOLES--THIS MUST BE DONE TO PROTECT THIS PRODUCT OR ANY OTHER EXTERIOR WOOD PRODUCT 10 EA 2348UVM UNDEREAVE VENT,2-3/4X8' MILL FN SA-5 10 5 EA 1816PFJP 1X8X16 PRI FJ PINE S4S UCW 5 YOU MUST SEAL ALL CUTS AND NAIL HOLES--THIS MUST BE DONE TO PROTECT THIS PRODUCT OR ANY OTHER EXTERIOR WOOD PRODUCT ROOFING MATERIALS 2 1 EAl FELT 4 SQR ROLL #15 FELT MULTIPURPOSE SI 2 CONT'D X Received By M121cheswr center iniddlebury williallistown P0 box I L 2 5 bOx 746 385 Cole avenue fvsrocking f,!C.N10,1-0),Im1isa I-ewl-1w,l nu a lia- vennonu 05255 VM1,011t 05753 n1assachusetts o1267 SINCE 1940 been 1,111cteased "wl rk. Jay,, Eel Soz 362 1952 Eel $02 388 2721 Eel 413 458 8121 and must be in re".aUbt,coadi,i—.P—i M, Inirdiase is required on all iemrim.ipecial f-lx 802 362 6436 Calx$02 388 2683 tax 40 458 5570 rk M I LE S Accannics mic paid when due arc stib iv,r to a SERVICE CHARGE, jwr 111olub Imul BUILDING MATERIALS SUPPLIER # paid whi,b is as ANNUAL RA I'F. Customer No. Job No. I Purchase Order No. Reference Terms Clerk Date Time 90002 116 STRAW ST 5% 10th Net EOM DH 10/27/08 1 11:12 Sold To Ship To A-2-Z GENERAL CONTRACTORS 116 STRAW ST EXP. DATE: 11/ 3/08 DOC# 256106 P.O. BOX 448 FLORANCE TERM#530 71 RESERVOIR ROAD ESTIMATE LEEDS MA 01053 SLSPR: 01 Dave Satkowski TAX 001 MASS STATE TAX EST. 256106 SHIPPED ORDERED UM SKU DESCRIPTION LOCATION UNITS PRICE/PER EXTENSION 2ND FLOOR WALLS 10 EA 2416 2X4X16 STANDARD & BTR SPF TI-A 10 8 EA 2416 2X4X16 STANDARD & BTR SPF TI-A 8 16 EA 2410 2X4X10 KD SPF STUD OR BETTER T1-A 16 3 EA 2416 2X4X16 STANDARD & BTR SPF T1-A 3 50 EA 2408 2X4X8 KD SPF STUD T1-A 50 10 EA 2416 2X4X16 STANDARD & BTR SPF T1-A 10 40 EA 2408 2X4X8 KD SPF STUD T1-A 40 2 EA 21012 2XI0X12 #2 &BTR KD SPF T1-A 2 2 EA 21014 2X10X14 #2 &BTR KD SPF T1-A 2 2 EA 2614 2X6X14 42 &BTR KD SPF T1-A 2 21 EA 12CDX 15/32 X4X8 CDX FIR PLYWOOD PLY 21 1 EA R19U15 6.25X15-39'FIBERGLASS 48.96'SF INSUL I ROLLS THIS PRODUCT IS A CONTINOUS ROLLS CEILINGS 28 EA 21216 2X12X16 #2 &BTR KD SPF T1-B 28 3 EA 21212 2X12X12 42 &BTR KD SPF T1-B 3 1 1 19 1 EA, 12CDX 15/32 X4X8 CDX FIR PLYWOOD PLY 19 CONT'D X Received By i V _a 't I M i s . .,. f , y F' f ` 6615 Ak -. ♦ ' �'.` e,' �;� � . F - a � ✓. � w .+.x^ a•a .,.. a �aY-. io k I mow.. «� {j +A a, 1 t1 t ._ * p11 ply K ",i- ^✓'fi b 9 t. p YIrov$ A("�,y " „xkflFi F' MHh'1P dlp t > �� �„v*ti+",r�,`t�>1'•+�,�,.�;f^,��p'9k;5P'�% ,`j M"kj" r , c J .`, t T*• x �'- � �+,�„ at�n,- �, µ'r+-" �` "�"^:^'i�7�;� �� ,ri" �. .'� p �' a'Fr .�1� ��Fr P�sa,�,n 1@*-#1*�fx x� .p, ,.. erg '� 4�/'°•��'t"� ���£'"^4A``#i ,.?`qa`puf a�}Fo-sxt�v st'".�:, r � .`,�^»Cyt'4Ake gill y'� ��,�. a�-• y Irv+? F '✓t a,•.r }HIV ' ^.r. -+bx ry t p',3 I. •' t .,a 1, "�'7r'"*5x '!"^ *a 4,°a,u i,,F�'`-t r'�'' s. Q •^Y-^ ��"";$ x.}* !+ z; 1 x.,�3♦4F r?r?..' +-.,. �'-� �� x a i�. i3^ Fy.K \ eti, } �F � �` �t ', r s s � I � 4 •s"°, a r , N . {may {�„`a >- P �i. � V.�•"� � ,.+y��T�`s .� f � -*� �"�'�` _ S E ° .. r. z s � +d� now AM �N, t: L 4 R 3s ., W w e 44A .�, ' F ,_. 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 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 your), a rough builaing 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 d Department oflndustrialAccidents „= Y Office of fimestigations 600 Washinb on Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information / Please Print Legibly Name (Business/ rganization/Individual): Q X10 1'L X" � r Address: r D 01 y7 City/State/Zip: Ac OJ,0S 1 Phone #: 4//-7 �-- Are you an employer?Check the ap ropriate box: Type of project(required): 4. [] I am a general contractor and I 1.❑ I am a employer with 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. 1 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.: required.] 5• ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing aII work officers have exercised their 11.7 Plumbing repairs or additions myself. [_'Vo 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'I 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 the policy and job site information. Insurance Company Name: h Policy#or Self-ins.Lic.#: /`� �i �"� Expiration Date: Job Site Address:— (. f✓�' A� 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 certi der the pains and Pena ies of perjury that the information provided above is true and correct. Date: 1-d� e Siznature: �+ Phone#• ��" 7 Z Of use only. Do not write in this area,to be completed by city or town officiaL Citv or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. Cihl/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor, 4, 2- Z' Not Applicable ❑ Name of License Holder: �i►�V�M� " w�`r /w�lr'� GS �� License Number Address Expiration Date alie/. 4),7z�, r.� �- Si ure Telephone 9.Re is ered Home-Improvement Contractor: j Not Applicable ❑ ft.c G .✓✓� 1, z .. -✓ �- 13 (. G V 7 C an AName y'A Registration Number Add s Expiration Date Telephone 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...... ❑ i 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.t5.1. 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 homg 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 Sigpature f � SECTION 5-DESCRIPTION OF PROPOSED WORK(check alt applicable) New House ❑ Addition '� Replacement Windows Alteration(s) (�_ Roofing F7 Or Doors Tr Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [C] Siding [tom] Other[O] Brief Description of Proposed Work: �o(o /.to �Ni 0✓l+►[-v` Alteration of existing bedroom Yes k./ No Adding new bedroom Yes ✓ No :rd �'larr Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Shee sa If New house and or addition to existing housing, coin lete 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? - 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, ( as Owner of the subject property hereby authoriz �'^ �. �� �" w dl • 1. Z Qh J y'A to act on m Xeha , a I matte rmit relativ rk aut rued by this building pe application. i' O� Signature 0 Date 14� as Gumar/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. _ Ke &% &% e. 41 Print Name lzi��A �--- /v Signa f OwweziAgeni Date 3 Section 4. ZONING Alt 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 S eciat Permit/Variance/Finding ever been issued forfon the site? a NO , YDONTVKNOW YES , IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document#" B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the"Con rvation Commission? Needs to be obtained 0 Obtained 0 pate Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO '?, IF YES, then a Northampton Storm Water Management Permit from the DPW is required. r Department use only, City 6Morthampton Status of Permit: Building'Department Curb GutCDrtveway=Permit 212 Main Street sewer/SeptidAvaitability Room 100 Water#VUeil Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 PlotfSite plans Other;Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: e4// <��,��,//�J��-• Map Lot Unit ( 1r�" ,•�,t�. �� 144#'! Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Na (Print)'' Current Mailing Address: _ Telephone ign e 2.2 Authorized Agent: '�•Z. �J'w �'+'� Nam (Pri Current Mailing Address: sigAkip Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit a plicant 1. Building / �.5 (a)Building Permit Fee 2. Electrical (o .� (b)Estimated Total Cost of .S Construction from 6 3. Plumbing 76-0 , Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 2 �a Check Number This Section For Official Use Only Date' Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0489 APPLICANT/CONTACT PERSON KENNETH LYNDS ADDRESS/PHONE P O BOX 448 LEEDS (413)584-9282 PROPERTY LOCATION 116 STRAW AVE MAP 17D PARCEL 055 001 ZONE URB(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 4 Typeof Construction: SHED DORMER W/FULL OFFICE AREA TO 3RD FLR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 013668 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 Permit DPW Storm Water Management Demolition Delay CA" ck:: f G�FS Q Signature of Building 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. d 16 ,4VE r BP-2009-0489 GIs#: COMMONWEALTH OF MASSACHUSETTS I7I -055 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catep,ory: BUILDING PERMIT Permit# BP-2009-0489 Project# JS-2009-000669 Est.Cost: $21500.00 Fee: $129.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KENNETH LYNDS 013668 Lot Size(sg,ft.): 8145.72 Owner: MARK CHRISTINE Zoning:URB(100)/ Applicant: KENNETH LYNDS AT. 116 STRAW AVE Applicant Address: Phone: Insurance: P O BOX 448 (413) 584-9282 WC LEEDSMA01053 ISSUED ON:121812008 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SHED DORMER W/FULL OFFICE AREA TO 3RD FLR 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 12/8/2008 0:00:00 $129.003794 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 116 STRAW AVE BP-2009-0489 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17D-055 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: BUILDING PERMIT Permit# BP-2009-0489 Project# JS-2009-000669 Est. Cost: $21500.00 Fee: $129.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KENNETH LYNDS 013668 Lot Size(sg. ft.): 8145.72 Owner: MARK CHRISTINE 7nn;,,R: 1TRE?(100))% Applicant: KENNETH LYND AT. 116 STRAW AVE Applicant Address: _ P11011e: Insurance: P O BOX 448 _ (413) 584-9282 WC LEEDSMA01053 ISSUED ON.121'812008 0:00:00 TO PERFORM THE FOLLOWING 6VORK:CONSTRUCT SHED DORMER W/FULL OFFICE AREA TO 3RD FLR 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 Imo°]// House# Foundation: Driveway Final: Final: Final �I :y/I� Rough Frame:' k 75 —,(7 3 Gas: Fire Department Fireplace/Chimney: Rough: Oil: is:s!aia ior.: d ilk-- LJ_/ Final: Smoke: Final: 0� O( 06,1 69 LoH(S 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 12/8/2008 0:00:00 $129.003794 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner-Anthony Patillo