10B-015 (7) 50 RIVER RD BP-2016-1073
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: IOB -015 +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-2016-1073
Project# JS-2016-001828
Est. Cost: $21465.00
Fee: $139.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KIM RESCIA 022464
Lot Size(sq.ft.): 25134.12 Owner: LYONS PAUL J&JANE Y
Zoning: URA(100)/ Applicant: KIM RESCIA
AT. 50 RIVER RD
Applicant Address: Phone: Insurance:
311 Locust St (413) 320-18310
FLORENCEMA01062 ISSUED ON.-31812016 0:00:00
TOPERFORM THE FOLLOWING WORK.REPLACE KITCHEN CABINETS & NEW WINDOW
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 3/8/2016 0:00:00 $139.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2016-1073
APPLICANT/CONTACT PERSON KIM RESCIA
ADDRESS/PHONE 311 Locust St FLORENCE01062(413)320-1831 Q
PROPERTY LOCATION 50 RIVER RD
MAP 10B PARCEL 015 001 ZONE URA(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: REPLACE KITCHEN CABINETS&NEW WINDOW
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 022464
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
Sin uil in ficia 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.
*°� Fa
➢epartment vse:only t
City of Northampton
Building Department Ctri�Cu/�rirce�vaji Perms#' w ss i'' r` '
i 212 Main Street sewer/s
epic AuaitabElrty
/.
Room 100 alVater/t/ e7rRvall-abilityRE
14
Northampton, MA 01060 Twa,Sets~ofstructoral PFars
T.::-._.. _ - _
phone 413-587-1240 Fax 413-587-1272 PloflSite Plans � : � �s rL Fy
,
PLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE.INFORMATION
This secfiorrto be mpeletd by office.
1.1 Property Address: - - co_..._
-_ _
=,..-
...
.°•� (�1 (,t!' y' �� �Map. . Lot.. Unit
MCL S W e! , =Zone Overlay D�sfrict
ENm St:District --•_.: — rid,:-
SECTION 2.=PROPERTY OWNERSHIP/AUTHORIZED.AGENT'
2.1 Owner of Record: c
76"e- Lti 6n S \ 13co a)Q
Name(Print) Current Mailingdress:
Ili - 341 - 39ry-
Telephone
Signature
2.2 Authorized A ent:
Name(Print) PSC jv. _3 � JL(15 !O
( ) ' Current Mailing Address:
Signature Telephone
SECTION 3 -ESTIMATED CONSTRUCTION COSTS.
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building —a �,v (a) Building Permit Fee
S
2. Electrical w (b)Estimated Total Cost of
Constructicn`from6):*
3. Plumbing L4 Building Permit Fee
4. Mechanical(HVAC) �sv
5. Fire Protection J Ll 6
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
^ -
'
.~
Section 4. ZONING AU Information Must Be Completed. Permit Can Be Denied Due To Incomptete Information
Existing Proposed Required by Zoning
This colm=to be filled in by
Building Department
`
Lot Size
Frontage
Setbacks Front
Rear
Building Height
Bldg.Square To-otag--
Open Space Footage %
(Lot area minus bIdg&payed
#of Parldng Spaces
A. Hasa Special Permit/Variance/Finding ever been issued for/on the site?
NO '/71\ DONT KNOW 00YES
IF YES, date issued:!
IF YES: Was the permit recorded at the Registry of Deeds? /
�_% '
NO DONT KNOW ,c,
Y�y
IF YES: enter Book and/or Document#
B. Does the site contain a brook, body ofwater or*etbands |
� N ` DON'T KNOW 0 YES 0 �
IF YES, has permit been or need to be obtained from the Conservation Commission?
Needs tobeobtained0 Obtained «�� Date Issued:
C. Doany signs exist onthe pmperty �� NO� YES �~�
IF YES, describe size' type and location:
D. Are there any proposed changes tooradditions ofsigns intended for the property 7 YES NO
IF YES, describe size, type and location:
E. V0|/the construction activity disturb hng.grading,excavation,orfiUing)over 1 acre orisitpart ofocommon plan
�hotv�|/dis�udbover1aoe7 YES [ � NO �°�
, x=/ ��
|FYES,then oNorthampton Storm Water Management Permit from the DPW is required. �
}
'
{ �
/ y
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House F7 Addition Replacement Windows Alterations) Roofing
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [0) Decks [M Siding [O] Other[❑]
Brief DescriF�tion f Proposed / /
Work: K�nyi'Q 1.6
►OfW 4/6! ( (;,U7
Alteration of existing bedroom Yes-V No Adding new bedroom Yes �`
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa. 14< house and_or addlti:on to ezlst�nq housinct,.corn�ifet'e fhe fo�lowrnc:
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, -J lilt n ns as Owner of the subject
property Le
hereby authorize T I VA S L I 0!!�_
to act on my behalf in all matters relative to work authorized by this building permit application.
AU�&A //JA, 13 1
Signat re f Owner Date
V-\ 1 1'' X' ,�P �G ( �� , 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.
K I �c��L
Print Name
Signature-of 0 ner/ ent Date
i
SECTION 87 CONSTRUCTION SERVICES
8.1 Licensed ConstructionnSSupervisor: Noott Applicable £ t / /
Name of License Holder: T 1 I� e--!r Li C I�� ,� sib lC�
License Number 7
Z/
Address Exon D e
�1 3
Signatu Telephone
- --- —
Not Applicable £
9 'Registered Home Improvement::Contra'ctor
I q r?LQ �
Company Name Registration Number
Address Expirat on D to
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...... £
11 Home pwner_Ege�ptllon
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 fob 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•
• i
The Commonwealth oflMlassachusetts
Department of Industrial Accidents
Office of Investigations
x. 600 Washington.Street
i Boston,ltd 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): !n1 res C / a
,
Address: / .� -
City/State/Zip: '�,0 ti��i Phone#:
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6:, ❑New construction
2.L`J I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have g. F_j Demolition
working for me in any capacity. employees and have workers' 9 Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. We area corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.7 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 certify nxderAe' p ns and penalties ofperjury that the information provided above is true and correct.
SiLynmute: /l , �' l , Date:
Phone#: 1�C2 3
Official use only. Do not write in this area, to be completed by city or town of
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 .
k� Massachusetts Mfr
DEPARTMENT OF BUILDING INSPECTIONS ✓ x'
212 Main Street • Municipal Building .c
Northampton, MA 01060
\` .:X71.
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
F
ate of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
ction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which
resides or intends to be, a one or two family dwelling, attached or detached structures
ory to such use and/or farm structures. A person who constructs more than one home in a two-
riod 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/footinqs (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 occupancv 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
understand the above.
(Home owner/resident's signature requesting exemption)
will call to schedule all required building inspections necessary for the building permit issued to me.
)ate
address of work location
City of Northampton 212 Main Street, Northampton, MA 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: 5C) ,z,we r ;
The debris will be transported by: ke C ("At
The debris will be received by: �
,
Building permit number:
-� �C�N
Name of Permit Applicant I C
r
Date S] ature of Permit Applicant
CS Beam 4.21.0.1 3-7-16
lanBeamF.rtgtx 4.13.8.1
Materials Database 1530 12:11pm
IofI
Member Data
Description: Member Type:Beam Application:Floor
Top Lateral Bracing:Continuous
Bottom Lateral Bracing:Continuous
Standard Load: Moisture Condition:Dry Building Code:SBC
Live Load: 40 PLF Deflection Criteria: L/360 live,L/240 total
Dead Load: 10 PLF Deck Connection:Nailed Member Weight: 3.6 PLF
Filename:Beam1
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PSF) Top 0' 0.00" 6' 5.00" 11' 0.00" 40 10 Snow
Additional Uniform(PSF) Top 0' 0.00" 6' 5.00" 6' 0.00" 30 10 Live
6 5 O
G
6 5 O
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall SPF#2 Timbers End-Grain(715psi) 3.500" 1.526" 1909# --
2 6' 5.000" Wall SPF#2 Timbers End-Grain(715psi) 3.500" 1.526" 1909# -
Maximum Load Case Reactions
Used for applying point loads(or line loads)to waying members
Live Snow Dead
1 538# 1315# 519#
2 538# 1315# 519#
Design spans
5'11.750"
Product: 1-3/4x7-1/4 VERSA-LAM 2.0 3100 SP 1 ply PASSES DESIGN CHECKS
Design assumes continuous lateral bracing along the top chord'.
Design assumes continuous lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 2854.'# 4817.'# 59% 3.21' Total Load D+0.75(L+S)
Shear 15231 2772.# 54% 5.6' Total Load D+0.75(L+S)
Max. Reaction 19091 4379.# 43% 0' Total Load D+0.75(L+S)
TL Deflection 0.1652" 0.2990" U434 3.21' Total Load D+0.75(L+S)
LL Deflection 0.1203" 0.1993" U596 3.21' Total Load 0.75 L+S
Control: LL Deflection
DOLS: Live=100% Snavv=115% Roof=125% W ind=160°/a
All product names am trademarks of their respective owners
Copyright(C)2015 by Simpson Strong-Tie Company Inc ALL RIGHTS RESERVED.
"Passing is defined as when the member,goorjoist,beam or girde5 shown on this drawing meets applinble design Criteria for Loads,Loading Conditions,and Spans listed on this sheet.
The design must be reviewed by a qualified designer ordesign professional as required for approval.Thisdesign assumes product installation aavrding to the manufacturers
eaf.fons.
------- 158"
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All dimensions-size designations given are This is an original design and must not be Designed: 9/23/2015
subject to verification on job site and released or copied unless applicable fee Printed: 9/23/2015
adjustment to fit job conditions. REMhas been paid or job order placed.
Lyons Jane kitchen LS.kit All Drawing#: 1