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17A-291 (6) 78 HILLCREST DR BP-2017-0270 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-291 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit BP-2017-0270 Proiect# JS-2017-000460 Est.Cost: $15925.00 Fee:$104.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEPHEN D ROSS 079160 Lot Size(sq. ft.): 21257.28 Owner: KIRCHNER BARBARA K&RUTHERFORD H PLATT TRUSTEE Zoning: URA(100)/ Applicant: STEPHEN D ROSS AT: 78 HILLCREST DR Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584-1224 O WC NORTHAMPTONMA01060 ISSUED ON:9/6/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:BEDROOM BUMPOUT 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: FeeTvpe: Date Paid: Amount: Building 9/6/2016 0:00:00 $104.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File f BP-2017-0270 APPLICANT/CONTACT PERSON STEPHEN D ROSS &Jf ©K ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413)584-12240 p,,,�pr,t7 PROPERTY LOCATION 78 HILLCREST DR ��" MAP 17A PARCEL 291 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid C/G 3qe /Qy— Building Permit Filled out Fee Paid Tvpeof Construction: BEDROOM BL'MPOUT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 079160 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: L./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* __he___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 molitiop I day ,_7d Signature o '.1. ng OR) 1 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. a ailtliseo City of Northampton Sus ofkeMill 6 Building Department Curb Cuuxs"gl� DriveP &Ly�„„(3 t '163 �� 212 Main Street Srwer1$g(1hcAvadablI y + 4M" Room 100 Watet7 ienA febility a^mss orthampton, MA 01060 Two Sets of Plus porTorYY°e�vios'""phone 413-587-1240 Fax 413-587-1272 p ' hens eOg Ospee `. 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 `t 8 Oil t-L EE c5T Del V E. Map Lot Unit Zone Overlay District Elm SL District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 'SA22t,kRls, >r-te /Qt2 78 k1luLet4jv b )C. Name(Print) Current Mailing Address: it-)n\(v\--)a*.t'z 0-7 )-4 Y\ `L,M Telephone Signature $,2 Authorized Agent: Roe' c eNL. ca'-'2, 3(0 4.'cevtc-E-- cal ) ii e POA1) Name(Poop Current Mailing Address: - 41 3 • 12ZLE-- gnat Telephone SECTION 3 ESTIMATED CONSTRUCTION COST Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building rte' (a) Building Permit Fee 2. Electrical J` 2r UV (b)Estimated Total Cost of Gt Construction from(C) 3. Plumbing + Building Permit Fee / y/ 4, Mechanical(HVAC) d t CG) J C' 5.Fire Protection ( ,y� 6. Total= 1 +2+3+4+5 / g zS� r''� Sd! 7 ( ) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date SECTION S.DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition 71 Replacement Windows Alteration(s) I ' Roofing ' i Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [C I1 Decks [0 Siding (Cl Other[0] Brief Description of Proposed Work: 5wgc M it-`fthTtjtC WMP'6QT Alteration of existing bedroom K Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes $' No Plans Attached Roll -Sheet St If New hause and or addition existing housing,complete the following: a. Use of building :One Family Two Family Other b. Number of rooms in each family unit t7 Number of Bathrooms c. Is there a garage attached? 1 j,�5 6 ,,/ d. Proposed Square footage of/n/eew construction. yU Dimensions ;x I 6--- e. ' e. Number of stories? /'� t / // f, Method of heating? -torr✓-tL. 'a elle 7 Fireplaces or Woodstovesl Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 7220 Cc- r/A^--" ,„/ I. Is construction within 100 ft.of wetlands? Yes 1.--" Is instruction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade —<-X t $ v— k. Will building conform to the Building andZoningregulations? Yes No. I. Septic Tank City Sewer -"' Private well City water Supply "�� SECTION la-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. $ 42.ae,21c Yc1?c}lpEia .as Owner of the subject Property hereby authorize STa?+ tL) D. EOrt, to act on my behalf, in all matters relative ett�o/work authorized by this building pile afplication. Flt7�f ;/1r l� tri Signature of Owner \ pp Crate I, Qj�L�. -y� I> 1'� 5-'c ,as OwnertAuthorized Agent hereby re that the statements and information on the foregoing application are true and accurate.to the best of my knowledge and belief. Signed u er the pairf}s and penalties of perjury. Sf LK 3_ .- Print Nam- 1131. "�- . Sb':ture 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 7.75 No C6V.az.E _.. . Frontage I 2-F2 Setbacks Front 'a7'�Gn 301,1, Co" Side L:. 21' R: 29 L: Zl t R: 7 Rear Building Height 7At No ct+An+✓E Bldg.Square Footage 11 % 218(c Open Space Footage / ' (o (Lot area minus bldg&paved (t 'L parking) #of Parking Spaces NI& . NIA_ .. Fill: Noy_2p NONE _ .... (volume&Location) --- , A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O 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 Q 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 © 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,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO Cl IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S-CONSTRUCTION SERVICES §.1 Licensed Construction Supervisor: Not Applicable 0 Hama of License Holder: 'STEP*\tN b 90247 '"7 ? 7 9 /4 0 ?umber / '7 3C, '��Rvtc E LE.N nER F-oJ D No2TglAMQToP y 2,8// Address ) Expir tion Date 184 t22 cc sere /J Telephone t'� "Si- :• teredibleime Improvement Contractor. Not Applicable 0 'T€,pfa, D. P0s4 4e&.,te-ht c0)-)'TRACTOR /5—U o e/ -7 Company Name r Registratioq Num/er 36 hERv )tct~ c�krEE� ec ,ricn t NO9TAAMPTca.0 Address Expiration Dat Telephone GB" 12 et- SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I.c,152,§25C(0)) 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 0 No 0 11. "filitite Owner-Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 $s supervisor.CMR 780- Sixth Edition Section 108.8,5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/she shall be responsible for all such work performed under the building permit As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 4111 170 . 17 b 1i1 43 . 6 125 , .-,. 17A-2 . 1 :: 7, itfi / 1, 2F-5: 25 , , , 100 o � I of i� s / 170 . 26 = �'; s, U `J f J The Commonwealth ofMassachusetts ---- Department of Industrial Accidents grzffmrdd _ �a I Office of Investigations l' 24.1. •rx.�— .l 600 Washington Street of Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): //_-__U 17\ Address: �}---l�Jt Cr----- y�-t�--r>`2i�_ City/State/Zip: fr/ 1 /1/79- C4ei-gllihone#: ifl'i / Z z i Are you an e oyer? Chec the appropriate box: Type of project (required): 1.❑ I am employer with 4. ❑ I am a general contractor and I e loyees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2. am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 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.D Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 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. tContractors that check this box must attached an additional sheet showing the panic of the sub-contractors and stale whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers camp.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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify n er the •r'. _a, t . . __ that the information provided ah r e is ue a /d correct. Si• azure: ler - Date: " Phone#: `�/ - <-5/1 l z 'zy t Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: :. City of Northampton yy Massachusetts JO--; LA , r. DEPARTMENT OF BUILDING INSPECTIONS . } 212 Main Street • Municipal Building ~. Northampton, MA 01060 ,Li TO" INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assislant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 784CMR 108.3.4 to act as hisfher construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages,which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection jbefore 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 occupants'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 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: JGI //c v A7" The debris will be transported by: 77-7iii The debris will be received by: an��. �, /5-Ds74.--7; i Building permit number: Name of Permit Applicant /7 •— �� C /4 Date Signature of Permit Applicant CS Beam 0)165014 Rutherford o_ xma...al 22‘5229-_ 16 Materials Decease.5;55 78 Htllert Drive I1:46am Florence Ma. I of I Member Data Description: Member Type: Beam Application: Floor Top Lateral Bracing:Continuous Bottom Lateral Bracing: 0.00 Standard Load: Moisture Condition: Dry Building Code: IBC/IBC Live Load: 40 PIE Deflection Criteria: 1/360 live. 11240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.0 PLF Filename: 12 ft Beam1. Other Loads Type Trib. Other Dead (Description) Side Begin End Width Stan End Start End Category Replacement Uniform(PSF) Top 0' 0.00" 12' 0.00' 6' 0.00" 30 10 Live Additional Uniform (PSF) Top 0' 0,00" 12 0.00" 14' 0.00" 31 17 Snow Addtional Uniform(PLP) Tap 4' 000" 12 0.00" 0 70 Live Additional Uniform(PSF) Top o' 000!! 12' 0.00" 3' 0.00" 31 17 Snow T r "-- 1200 m 12 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift I 0' 0000' Wall SPF Plate(425osi) WA 3.765' 5600# -- 2 12' 0.000" Wall SPF Plate(4250.51) NIA 3892' 5750# — Maximum Load Case Reactions seemly amine Peel..mu et e,«mama ease members Live Snow Dead 1 1033# 3200# 23393# 2 10934 32X1# 2570* Design spans 17 1350' Product: 1-3/4x11-7/8 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12,0"oc Minimum 3.76"bearing required at bearing#1 Minimum 3.89"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes maximum unbraced length of 0.01'along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 17436.# 24466;# 71% o Total Load 6+0.75(1..5) Shear 44331# 9081.# 53% 11.4# Total Load D+075(L+S) TL Deflection 0.4731" 06073" 1..'308 5 Total Load 0+075(1.+3) LL Deflection 0.2658' 0.4049' V548 6' Total Load 0.75(L+S) Conlrd- TL Deflection DOts: UvenlC0% Sny5*115% R25b92S% WT.i d% _ All prams » namesa „aemmmem ea.vmeemi .a ane Doug Hodgins wpvatnu:I ms nsm�swag0eCersea„r Be-BC RIGHTS lsr+rveo. rkMiles Inc %'A"l is when New near aa.beam this maws meets appacare den en.en .nation a Spanse mm. r .��i al.moe,� m�luaoa acme ori Na 0)1400 melon 00)3,0�'A:"6°0;0635 none ee ever m�.�m, 06001400 mep;alau men,l na �,q.r,emea.,"p I CSeezm M165.314 Rutherford 9 -16 mg4r ivne,[D,3 78 Thitcrest Dive ILSUam k leambwe21 r6a Florence Ma. 1 of t Member Data Description: Member Type: Beam Application: Roof Top Lateral Bracing: Continuous Slope: 0.00/ 12 Bottom Lateral Bracing: 0.00 Standard Load: Moisture Condition: Dry Building Code'. IBC/IRC Snow Load: 35 PLF Deflection Criteria: L/240 live, L/180 total Dead Load'. 15 PLF Deck Connection: Nailed Member Weight: 4.4 PLF Filename: 12 ft Beamt. Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PSF) Top 6 0.00" T 0.00" 3' 8.25" 35 17 Snow 700 0 --- om— i 700 Bearings and Reactions Input AM Gravity Gravity Location Type Material Length Required Reaction Uplift I 0' 0.000" Wall SPF Plate(425psi) WA 1.500' 701# -- 2 T 0.000" Wall SPF Plate(425osi) N/A 1.500' 701# -- Maximum Load Case Reactions pan arawrmaTeta aa oars baare..arnro"e Snow Dead 1 431# 240# 2 4614 240# Design spans T 1.75p" Product: Spruce-Pine-Fir#2 2 x 8 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 120"oc M4nimum 1.50"bearing required at bearing#1 Mlnunum 1ST bearing required at bearing*2 Design assumes continuous lateral bracing along the top chord. Design assumes maximum unbraced length of 0.00'along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment t252.tt 2645'# 47% 3.5' Tara!Load D+S Shear 582.# 2251.# 25% -006' Total Load D+S LL Deflection 0.0568" 0,3573" 0999+ 3.5 Total Load S TL Deflection 0.0863" 0.4784" L/993 3.5 Total Load D+S (ora. Podded Women DOLE Lrva.1m'6 Snac115% Hoof.125% WiXi 166% Tha member has Inendeslgned in accordance with NOS 2095 npbdocner e“eaadernsome mrxm.e oomm Doug Hodgins _..... 7 gm Camaq s,, asmnpAee��m b.:ALL atO tsx—veeveo. r k Miles Inc. "Peen examen me membbee°m r rola male or a sd nn three...are threa meeuazoneaiedeg'.cmenator wwaLoath ed mndmfled d sSearle �e e LiaiM (m i.thee(nc n dopier mla.amamby¢Oita ar ed dee beer orm«an Nores3 on m as required flasaee nse ne mural a onnacwd to lire mono=vyee�nccL allna. e