24C-055 61 WOODLAWN AVE BP-2017-0947
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24C-055 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-2017-0947
Project# JS-2017-001632
Est.Cost: $60000.00
Fee:$390.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ROGER CLARK 021310
Lot Size(sq. ft.): 13416.48 Owner: ANTONUCCI MARILYN
Zoning: URA(100)/ Applicant ROGER CLARK
AT: 61 WOODLAWN AVE
Applicant Address: Phone: Insurance:
P O Box 34 (413) 586-1491 0
LEEDSMA01053 ISSUED ON:2/16/2017 0:00:00
TO PERFORM THE FOLLOWING WORK REMODEL KITCHEN & TURN SUNROOM INTO
LIVING SPACE
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 2/16/2017 0:00:00 $390.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0947
APPLICANT/CONTACT PERSON ROGER CLARK
ADDRESS/PHONE P O Box 34 LEEDS (413)586-1491 ()
PROPERTY LOCATION 61 WOODLAWN AVE
MAP 24C PARCEL 055 001 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; REMODEL KITCHEN&TURN SUNROOM INTO LIVING SPACE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 021310
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOXVIATION 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
St_ature of Bmldi,•fficial 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.
/ P De S bent ,ii ,'e z
O1 City of Northampton t1`�YYrTa ra - t ,�
`fir Building Department r[cka Agys g y:G� x.- �'
� 212 Main Street x7^z-r'f-{Y1"t..[�I r5tK .. ---h-_4,2,____.n.,-_,..,„.„7.44,,.-
4e3
i Room 100 i'l -Yl tt1 Si71l1PLs'' , -..a.
Northampton, MA 01060 ffB�:, sv7OCt
r�O1t dti n "
phone 413-587-1240 Fax 413-587-1272 'iL .L -
a.�
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APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address ,1 This section to be completed by office
(, i weaor /4.04 /7Ve. Map Lot Unit
Zone _ Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 firer of,cord:
cord: AA n ' `/ L•
7n& /7/1 forrta[� / &'a Sea,/& ,C/ ///if�/�171
Name(Print)Mari/In Cu?"Maging tlress' S,y
TT (Pby7;44f
i/ C/C'•eilod Telephone y
ignawre �m Gr'f: 0ilanf0 / coniCas/ . /7et
2.2 Authorizedr� t:
Agent
R/! e,r- CIarf f,D,Bax3y Leek; .4'1.9 603-2
Name(Pnn) Current Mailing Address:
r Me')
ler ea w3-34Y-6.4a '11.));eC_larkS/ Q
Signature Telephone CtyrC4.5t 'net
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
5-3,(
6. Total =(1 +2+3+q+5) g(p QI 6 oo,o0 Check Number � V � �
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4. ZONING Alt Information Must Be Completed. Perm¢Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Ocpartnent
Lot Size ._ .__ __.—__..._ J I .✓
Frontage II 1 L.
Setbacks Front I I r 1
Side L: I R:I 1 L:I I R:— I__
Rear f 7 I ! I
Building Height r
Bldg.Square Footage r—._' [ % r-I r- I
Open Space Footage % ��
(Lot area minus bldg&paved 1 1 i 3 � I n I
parking)
a of Parking Spaces L I--I l
Fill: —I
(volume&Location) � J
A. Has a Special Permit/Variance/Finding ever been Issued for/on the site?
NO O DON'T KNOW Q YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW O YES 0
IF YES: enter Book I Pagel I and/or Document#i L 1
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW O YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained , Date issued: 1 I
C. Do any signs exist on the property? YES 0 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 0 NO O
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 O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House n Addition ❑ Replacement Windows Alteration(s) [✓ Roofing ❑
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs ICI Decks [p Siding[CO Other[O]
Brief Description of RRro os d LL x 1
Work: fee o 4 r / G�.-c'rt 't' 'iv ;VA Oen rh 10 JhIinf Splice
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
@a..If New house ander addition to existing housing;combletethe 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?
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
7/0 11 //t An k y7 Lt cL/ , as Owner of the subject
property /
hereby authorize Ke5 4 e l Marl\,(
to n my behalf, in all matters relative to work authorized by this building permit application.
rob en /7
Signature of Owner / Date
I, b4 ec `- )4 k , as Ower/Authorized
Agent he eby fteclare 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.
gnjer citric
Print Name
(14k. allCh
Signature of wner gent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor (!
jNot Applicable
Name of License Holder' ani e1` j L-M k C- —QatjSiO
License Number
P, o,Box act Leak M..A moxa
Address 1 Expiration Date
gi „ 9,13- ab Y-CSI ek
Signature Telephone
Ema,'/' v1:ex.cLQrK 51 Q CTDMCetSt • not
9.Registered Home Improvement Contractor: , Not A.pplicable ❑
206er PC. Gr
_(-14.renerc,) C-0nhdo )YvZair 9
Companame Registration Number
. 3 6 A) Al? k St flnre9%ce /'1,¢ oiObA 09 be)
Address Expiration Date
...._Telephone `Ji3 -W1-0/a_
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 162,§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. - HomeaOwner 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
as supervisor.CMR 786, Sixth Edition Section 148.3.51.
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 aced/able 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
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: (o/ (od1l4ton ,4✓e.
The debris will be transported by: &kers+ fruit.;Ai
The debris will be received by: Valle}/ 3-z'ecns6r Sfcfin
Building permit number:
Name of Permit Applicant Kay e r Clark
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department ofIndustrial Accidents
Ip.
=-` t Office of Investigations
1 Congress Street,Suite 100
er Boston,IIIA 02114-2017
4.� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:
City/State/Zip: Phone#:
Are you an employer? Cheek the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(fullandtor part-time).' have hired the sub-contractors 6. ❑New construction
2.17 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑J Remodeling
ship and have no employees These sub-contractors have g_ ❑Demolition
workingfor me in anycapacity. employees and have workers'
P ty 9. [' Building addition
[No workers' comp,insurance comp.insurance?
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
1.❑ 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
12.9 Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.0Other ..
comp, insurance required.]
"Any applicant that checks box 41 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 sob-contractars 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 polite'and job site
information,
Insurance Company Name:
Policy#or Self-ins. Lia#: 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$250010 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 eertifit under the pains
{and
�penalties of perjury that the information provided above is true7and correct.
'moi nature: (',tiGr..l-"a., Date: 8
/331
Phone#: II) 3— 34,Y —6 DI a�
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):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other_ ,
Contact Person: Phone#:
DATE: 6/16/2016
ANTONUCCI RESIDENCE
61 NOODLANN DR. BY. ETC
AVENUE
MA E
GHEK'D BY: DC, PC
SCALE: AS NOTED
Ca
COTTON DESIGN ASSOCIATES LLC
P.O. BOX 310 — 598 VT ROUTE 30
NENFANE, VT 05345
802-365-7277
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Mascots Database
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Member Data
Description: Member Type:Beam Application:Floor
beam in dining/living Top Lateral Bracing:Continuous
Bottom Lateral Bracing:Continuous
Standard Load: Moisture Condition:Dry Building Code:IBC/IRC
Live Load: 40 PLF Deflection Criteria: L1360 live,L240 total
Dead Load: 10 PLF Deck Connection:Nailed Member Weight: 14.4 PLF
Filename:6 ft header
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PSF) Top 0' 0.00" 11' 7.00" 11' 8.00" 40 10 Live
Tf ft'
n 7 C
O m
11 7 C
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0DOT Wall SPF Plate(425psi) 3500" 1.500" 33314 --
2 it 7.000" Wall SPF Plate(425psi) 3.500" 1.500" 3331# --
Maximum Load Case Reactions
Mnd 1mapp„ omni
es soneloads Is ossn s
Live Dead
1 2601# 730r
2 2601* 736#
Design spans
1r 1.750
Product: 1314x9-112 VERSA-LAM 2.0 3100 SP 3 ply PASSES DESIGN CHECKS
Connect members with 2 rows of 16d common nails at 12.0"oc
NOTE:Nails must be applied from both sides
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 9282.'# 21774.W 42% 5.79' Total Load D+L
Shear 2858# 94764 30% 0.23' Total Load D+L
Max Reaction 3331# 78094 42% 0' Total Load D+L
TL Deflection 0.2767" 0.5573" L/483 579' Total Load D+L
LL Deflection 0.2160" 0.3715" L/619 5.7g Total Load L
Contra. LL Deflection
DOLS Uve=100% Snwrll5% Roel=125% Winds16o%
Design assumes a repetitive member use Increase In barging stress 4%
All=dud Rama.sr ind€madks of rhe,'emedee.ers Doug-(origins
Copynght 1E12315
231e by Emmen Simon-Tia company i„e ALL RIGHTS RESERVED.. r k Miles Inc.
—Pamnnin defines as vnen the menthe..osros.Team or wee{Mown en Ms eramng men%applimEle aeHnn slime for Math.loncimg Conditions and Spans imed on M
Thad®rid em.�d on p"mdedesesamess"pmie�onai. ,�.,aoler app, ory
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