30B-078 (5) 144 FEDERAL ST BP-2018-1358
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map,-.Block:30B-078 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category:GARAGE BUILDING PERMIT
Permit# BP-2018-1358
Protect# JS-2018-002417
Est.Cost: $180000.00
Fee' $506.60 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JASON GRAVER 103229
Lot Size(sq.ft.): 15812.28 Owner: RICH ALICE L
Zoning:URB(100)/ Applicant. JASON GRAVER
AT. 144 FEDERAL ST
Applicant Address: Phone: Insurance:
118 HAWLEY ST (413) 320-6427 WC
NORTHAMPTONMA01060 ISSUED ON:7/6/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE EXISTING GARAGE AND ADD NEW
1 BX24 GARAGE
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 7/6/2018 0:00:00 $506.60
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2018-1358 p
APPLICANT/CONTACT PERSON JASON GRAVER 1
ADDRESS/PHONE 118 HAWLEY ST NORTHAMPTON (413)320-6427
PROPERTY LOCATION 144 FEDERAL ST
MAP 30B PARCEL 078 001 ZONE URBOOOV
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
CLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction REMOVE EXISTING GA ADD NEW 18X24 GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 103229
3 sets of Plans/Plot Plan
THE E9LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN. FQRMATION PRESENTED:
V 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 D/elay�.
��!✓ '� " 7S 18
Signa 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.
RECEIVED
JUN 19 2018 Department use only
- "— City fNo hampton Is
of Pamlik
Buil ng partment CuVDPveway Permit
21 Mal@ ItDING INSPECTIONS rlSeptcAvatldtiiliry THAMPTONMA m1afi0tlWBl AVdlldbi ity
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Ploosite Plans
OtherSpscify
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
M/ Fedeml Map ' Lot 07 __ Unit
Zone Overlay District
��Orf�u MH 0f04J- Elm St.District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
LP AacePTIY� �i b d
Name(Print) 1 Gu14 f ent Mail g Adtlress
X
IV. Lh6y �i1 '2 a.Q7�(,Cie � I Tele
Signature
2.2 Authorized Agent:
JQSd4 fIYRP�� �/p
b
HirN�rya10�A
Name(Print) Current Malling Adtlress. 1 /
3a0. 6 S P27
Slg ure Telephone
S TION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permitapplicant
1. Building /77 000 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
000 Construction from 6
3. Plumbing 300b Building Pco"5T /.441 �0
4. Mechanical(HVAC) 47 0 U
5. Fire Protection V-(W IUID00 (Vko Babb/;iloo 65
6. Total=(1 +2+3+4+5) QUO Check Number 3 5L GO
This Section For Official Use Only
Date
Building Permit Number: Issued
Signature'
Building GommissioneninsPactor of Buildings Date
elpmatklurpm+yy @ gmail . c0m
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
/ h` this�elmmn m be r�u.d is ny
((73(161 !r/ aaoeia,ne,mracil
WtSiie /• qf acn5 /' YT arm
Fronla a I&1 •y _ _ I d1 .y
Setbacks From W
Sidc L: .30 R.. 9$ t.: /d' R: 95..
Rea aSt) Lao
Building Height 41.
Bldg.Square Footage bl
Open Space Footage
l lut amu ni hldg&paved
ounce)
k of Parking Spaces .3'Y
Fill:
(volume&l.ocmion)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO )a DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ,13 DON'T KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O 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' YEP O NO
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 Addition ❑ Replacement Windows I Alterations) 0 Roofing
( Or Doors 0
Accessory Bldg mayL
Demolition LCNew Signs r3i Decks M Siding 1_3] Other[M]
Brief Description of Proposedy M,6 v rax
Work. Renwe wSHng Jii4Ad1,ee An) add nru /8 IX Nq bale /ro �M1-�r%nf.
v
Alteration of existing bedroom_Yes X No Adding new bedroom Yes X NoY
Attached Narrative Renovating unfinished basement Yes 1=No
Plans Attached Roll -Sheet
So, If Newhouse and or addition to exlstina housing,complete 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 Weodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
Is construction within 100 ftof wetlands? Yes _No. Is construction within 100 yr. floodplain Yes No
I. 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, 4 f je Lewis P Aim Lewis ,as Owner of the subject
property J �
hereby authorize Ja3eA Gya UG'
to act o y behalf,in all matters relative to work authorized by this building permit application.
SiInature of Owner
I, s 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.
.Sano
Print Name
SgnaNre OwnerlAgent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Conaltuctlon Supervisor: // Not Applicable ❑
Name of License Holeer `. "n Ufnv6( /03dag
License Number
!IF �IPNI(Y S�. Nrkan Gln �A G/a�� (4
Address r Expiration Date
3Po. Gan
Signatur Telephone
9.R,c1aLr,rl Nom,lmomver lContractor: Not Applicable ❑
EeArdal (qg,,z f J rantk d4y,, , Ln /77980
Company Name Registration Number
/l6 Nauhu Sf. 3f'T
Address Expiratio D to
�l/o�r (00, 01066 Telephone%f3. 30o.6Yd�
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,4 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___ ❑
City of Northampton
Massas
chuetts
t .
I� DEPAATeor OF BUILDING INSPECTIONS
212 Mein Street • Municipal Building 1
Northampton, ex 010s
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes. Prior to
performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC").
M.C.L.Chapter 142A requires that the`reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition, or construction of so addition to any pre-existing owner-occupied building containing
at least one but not more than four dwelling units or to structures which are adjacent to such residence or building' be
done by registered contractors.
Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered.
Type of Work: �oo5� '4(tbn 4Y NplAAe Est.Cost: ._ 1r0( 00L9
J
Address of Work: fdPrAi S�. /o , _ t _MA /naa
Date of Permit Application: 6"t
I hereby certify that:
Registration is not required for the following reason(s):
__Work excluded by law(explain):____
Job under$1,000.00
_Owner obtaining own permit(explain):
_Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK.ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILIT ES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PACE FOR MORE INFORMATION.
Signed under the penalties of perjury:
I hereby apply for a building permit as the agent ofthe owner:
Date Contractor Name CURfF*xn.l-tBa HIC Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a building permit as the ownet ofthe above property:
Date Owner Name and Signature
City of Northampton
�.•' Massachusetts
I� DEPARTMENT OF BUILDING INSPECTIONS
212 Main Sweet •Municipal 9vilding S Dw
Northa tan, ea. 01060
Debris 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.
The debris from construction work being performed at:
IY[( F<dcro! A Flfir/ace /'7r OydGd
(Please print house number and street name)
Is to be disposed of at:
Ua1/tN [luC�rn4 ' a- EayfM PIsM Kd , NOr16anP{�n , (ha
(ply
print n m d location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
Amhest- I r",,,, - Samf FS
(Company Name an ddress)
61 41
Sig ature of Perm plicant or Owner ate
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
The Commonwealth of Massachusetts
Department of Industrial Accidents
— 7 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contraetors/Electricians/Plumbers.
TO BE FILED WITH 1'HE PERM]TPING ALL H IRITI'.
Applicant Information Please Print LegiblL
Name(Business/Organizatiowindividuap: Alelhen+g� And [MSfrarfin�, .FK.
Address: //f hiltdlt't/
City/State/Zip: 4ti m I MA 01060 Phone k: 4113. 390. 6lii
Am you an empbyer^Check the spiritual box: Ty Be of projeet(required):
IfEllsonaemployerwirh 3 employees(fall andior partuchi ." 7-_E�Nmv coast...tio.
2nemesole pmPhemror pvnnershipand have no e...overs working ldrmeia R ❑ Remodeling
any catcall INoworkers comp insurance required.]
an I am a homeowner doing an work cri soworkea compinsurance required.Is 9' ❑Demolition
4,❑ am aM1omcmvncrenc will be hiring ronuanors mconductallwoolonaw propcny. I will 10 El Huilding addition
ensure that all contractors either have workers compensation insurance or are sole II.❑Electrical repairs or additions
propneton. ah no employees. 12❑Plumbing repai rs or addi tions
5F1 l am arousal stumnmr had l have hired nemb-eoovactoa]fisted on lheaaaebed he. 130Ronf repairs
These sub-wntmaors have cmployccs end have woke¢
may Inst
h�Wcereeeorpoation and Its oReers have exerciwdthcir right ofcxcmption par MCLc 14.❑Other
IS,51(4),and we have no employees. Nowokrasromp insurancereguiredI
'Adv app mannan checks box d I must also fill out the section below showing their worker]compensation polies information.
"Homeowners who submit this affidavit nationalities,are doing ell wok and then or,ou¢ide,col ectors mast submit a nav:affidavit inhuming such.
aeon actors that check this box most attached an additional sheet showing the name of the sub contractors and state whether or not those coural have
emp]avees. If the subcomraoma have employees,too,must provide their workers cramp polies number.
I am an employer that is providing workers'campensation insurance far my employees. Below is are policy atrdlob.site
information.
Insurance Company Name: Oticl_
Policy 4 or Self-ins.Lic.d: y T h i N853 (JB 1 spiradon Date:
Job Sit.Address: lyy fediand ,(f. _ _ _Cies/State;Zip: ��OlML! t /lid 0106)
Attach a copy of the workers'compensation policy declaration page(showing the policy number and eapirafirm date).
failure to suvre coverage as required under MGL c. 152. §25A is a criminal violation punishable by a tine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of s'fOP WORK ORDER and a fine of up 10$250.00 a
day against the violator.A copy of this statement may be alanded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby cerci]/y under the p 'ns andpearalties oteperjury that the information provided above is true anti correct.
Sivnatere' � 14 Date: ii��fC/l�
pawner: 4111. 7.)b-116401 1
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License ti
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 h:
:412
74'.:3 `70
13 13118-077 3 5
303 - CM za2 30 097
s
ios au ��-
,�'"
zoo 3OB-098
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i I L�0 R T G MEMBER REPORT Level,GARAGE CENTER GIRDER PASSED
r 1 G 2 piece(s) 13/4"x 14" 2.0E Microllam® LVL
Overall Length:28'
4 1, t4'
0 0 0
All Ionanons are measured fmm the outside race of left support(or left tantilerer entl).All dimensions are hodaontal.;DrawJdg Is Canreptual
De91 II ReSYae Arb:al®luatfon NloweC i(uul[ LOF lutl:ConiGlnatlon(Faun) SYstem:Flcw
Member Reaction(lbs) 10494 114 14438(5.50.) Pasud Q3%) - 1.0 0+3.0 L(NI Spans) Mema Type:prop eeam
Shear(Ibs) 4390 @ 15'4 3/4" 9310 Passetl(9)%) 1.W 1.0 D+LO L(NI Spans) Building Use:Residential
Mometrt(FFlbs) -14342 @ 14' 24258 Passed(59%) 1.00 1.0 D+L0 L(NI Spans) Building Came:SIC 2015
flue 1na0 ce0.(In) 0.192 @ 6.91/2" 0.456 Passed(Linc 1.0 D+1.0 L(NL Spans) 13eslgn 6eModdogy:Aso
Total Load Deft.(In) 0.226 @ 6'8 3/16" 0.6(G _ Passed(V726) 1.0D+1.0 L(Nt Spans)
W..,mien.:1(V360)and TL(V240).
Top Wide urging(W):Top mmpTSLpn M¢must be Gang at 16'9"No unless hIaIM omenvlse.
eotmm fd3e i acing(lu):eothem mmpmensin edge must by,M1al at ll'o/C unless ceuam oNerwiu.
LINrIrq Im.bwPw.a 06F)
SYPPerts TotY .awilebla Rqulrep eyd Fmur Tobi Mvfprin
I,SWtl wall-SPF 5.50" 5.50' 257" 733 3410, 3263/<10 game
'2-Column Cap-strel 5.50' 550' 4.00' 22" 8200 10494 elorlarg
3-SWd wall-SPf 5.50' 550" 2.53" 133 3031,0' 1)63/-410 Horne
•6lorky ParMs are ascan N b carry meads appllcE directly aWse tlem and Ne(WI Iead'eepaiN to the memher oeirg detigrgt,
Tlbubry call Flmr ure
Leads labtbn(SI wWM m.9B) (l.pp7 Cwnmq:ts
I. sax weigm lPLf) Ob2e' M11 14.3
1 UMorm(Psf( Om 28'(Top) I2' 10.0 4D.D la pal-Dong
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wryMueuser waranls Mat the sul orlts prWucls will se in ruccmance win weremaeuser product design cn4na and puaighN damad values. vY
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i TO O R T E MEMBER REPORT Level,GARAGE DOOR RT SINGLE SPAN RIBBON PASSED
1 piece(s) 1 3/4"x 14" 2.0E Microllam@ LVL
Overall Length:9'9"
9'
0 0
All locations are measured from the outside face of left support(or len cantilever end).AII dimensions are honzontl.;Drawing Is Consptual
DCSI IIRMY)FS 4dal m lactim Alls It WE bfd:CanM:utlm(ralbtn) System'.Wall
Member Reactlon(Tod) 5610@3" 5709(4.50") Pasead(98%) 1.0 D+0.25 L+0.75 S(All Spans) Member Type Hander
'Shur(lbs) M36@1'61/2" 5353 Passed(72%) 1.15 1.00+OJ5L+0JSS(AIISpans) Boeing I. Prod,rall
Moment(Ft-lbe) 1237 @ 4'10 1/2" 13949 Passed(88%) 1.15 1.0 D+OJpans)5 L+0 75 5(All SBuilding code IBC 2015
Uve load Del(in) 0.158@4'101/2" 0.308 Pamsn(V>05) LAD+DJ5 L+OJ5 S(Al Spans) Donor Methodology:AA)
Total Load Def.(In) _0.295 @ 4'10 1/2" 0.463 Passed(4372) 1.0 D+0J5 L+OJ5 5(NI Spans)
0.W..crik:ia:LL(V360)and TL(V240).
Top dri Brack,(W)'.To,comproo on Cge must ba braced at 3o/c unless asci oulvwlse.
Bottom Ectad&Ming(an Sound compe55gn cEge must to di at 9'9 o/c unless coal ollnwise.
WrisO _ loWf bBu I
PPub(pF)
'Supporta
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1-Trimmer-SPF 4.50' 9.50' 4p2" 2612 1463 2535 6610 N ad
j2-Trimmer-SPF 450' 4.50' 4.42" 2612 1463 2535 661; Naof
TOMMry paid Flaw LYe Snow
Loads Lmtlon(skin) Mason (0.90) (1.01 (1.15) Cmmmalb
0-Sell Weiglll(PLF) 0.9'9" N/A 72
1Unllolm(PSP) 0.9'9" 6' 10.0 40.0 _ iessential-Luing
2-un0mm(PLF) oro9'9" N/A 50.0
a dransrm(PSI) 0.99' 13' 18.0 - 40.0 Redden; GMng i
Am
I4-Um.(PSF) 0.9'9" 12' On so ResidacBaL Awn,
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O R T C MEMBER REPORT Level,STRUCTURAL RIDGE ABOVE CATHEDRAL VANBAY PASSED
f 1 G 2 pieDe(s) 13/4" x 16" 2.0E Microllam® LVL
Overall Length:18'
10'
0 0
At locations are measured from the outside race M left support(or left of nolever me).all elmeessai are bonzontal.;orawinq is Conceptual
-Design Iti,sultB /cme(6Lmkhn ubwM I Rpuk WE I tam:Canbimkm(Pslmrnl sMem:awf
Member Reaction(Ins) 67M @ 4" 8181(5,W) Passetl(83%J 1.0 D+1.0 S(All Spans) mamma a3:flush aeam
Shear(lbs) 54131)1'9 11 12236 Passel(41%) 1.15 1.0 D+1.0 S(All Spans) sulYg use:Pbide'Idal
Moment(R-lbs) 28200@9' 35781 1 Passed(N%) 1.15 Lln D+1.0 S(All Spans) 9uildirg Code:IBC 2015
Use Load DO,(in) 0.445 @ 9' 0.5)8 Passed(4467) 1.0 D+1.0 S(All Spans) Ceslgn methodology:Ase
Total Lead per.(In) 0.69fi @ 9' 0.867 Passed(4299) 1.0 D+1.0 S(All Spans) memher each 0/12
m
benececrena'.u(V360l and n(V2a0)..
•Top teas Brading(Lu):TCP compression Cge must he brach at 54'o/c unless detwided,onervdse.
eotrom Ede erasing(W)'.9oetom mmissean ttye must W reach at 18'"h unless detailed oche ise.
_...__-esrlw bndem5uppnrt4(had
$w earta rad Awtmde R i-fr <1W snowI Total Assessor-
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ssemr-1-sWd wall-sPf s.W^ 5.50^ 1 4.54• 243e 149z0 67se elrcltiig
2-SWd won 5.50" 1 550' j 41st 2438 L 4320 1 6758 1 Blcckig
•sect,Panels are a'wmrd b sary m Wits applied directly aWre tlam and Ne full Mad is apolM to the memCsr how designed
mewe, rhea snow
Loads lawawr hill wxNn (o.aB) O.as) eOrmenu
0-SeftionpM(PLF) 0.18' NIP 16.3 �',
1-unnmm(PSF) om IS'emne) 1r 21.z 4a.a N"nr
Weyerhaeuser Notes suemumwe radar- "ni
wim"ah,ser nari6 Mat Me siarg or its pWuc6 will ce In aaoNarce wind Werethasmar product des,crena and puesM1M reogn valves.
Weserlueme xpresdy disclaims any oMw warrantl¢Mated m the software.Ilse of Iles software Is not intended ar clrtumrent the ri for a design
professional as Eetem nal W Me author"ming 3.1edlctlpn.IDe caterer of record,bolder or framer I5 resyn9de 0 aswre that tivs ralculawn Is
comlotide with Me oyamll IPraw.armornnes 1...0,Bws,Panes and Sguazb yl are rot deigned by Nis sni Prcduc6 manufxWrtE at
Wereraeuur faclli0a are tivrd-laded
2"red M sosdinade assay standards.WryMueuser Engin Bred W mM PrNuar now Rm esaluaded by ICC ES
under kchnlcal masa ESR-1153 and E50.-138>arvyor tested in accpdance with applicable ASTM standard,Fw currtnt codes evaluaE"n repor6,
wephacuser gust loarrore andInstalla0on readyMer m www.svze utt,comlwWPmmWdcumenbllbary.
The product ap,2licadon,Input sal loads,dimmwns and suppprt Inform9wn have Ism provided by Forte So ware eµrzmr
F u 6 of rnr"r, _ -�.J N .. ., - f 'n
FM,v5.J. re 9 F C 5
n
.IFORTE MEMBER REPORT Leve1, GARAGE DOOR LEFT SIDE RIBBON PASSED
1 piece(s) 13/4" x 117/8" 2.0E Microllam@ LVL
Overall Length'. Ill
m
At locations are measur lthemthe outsme face of left suppM(or left cantilever ena).NI dimensions are nonzontal,;Dminng is Conceptual
Desi nRasoltn Acdele-3 .A, arae IDF lgne:can0 SSears) � Show. wall
Member Reaction(lbs) 2661 @ 3" 5)09(4.50") Passed(4I%) - 1.0 D+1.0 5(Al(AI Spans) Member ryes:Header
Shear(lbs) 1986 In V4 3/8" 4591 Passed(M%) 1 1.15 1 1D D+1.0 5(AI Spans) Building Use:Resideneal
Moment(R-lbs) 6503 @ 5'91/2" 10263 Passed(63%) 1.15 LO D+1.0 S(AI Spans) Buildirlicode:lac 2215
U,,,lned Den.(,a) 0.1]9 5'91/2" 0.392 Passed(4105) 1.0 D+1.0 S(AI Spans) Inew,Raphael a5l)
!Total two Deft.(in) 0.288 @ 5 4112" 0.512 Passed(t/927)_ - 1.0 D+1.0 5(AI Stens)
cellttbon offers,LL(V360)and T-(V340).
Top Edge Bairg(W):Top compexsron amw must he tacttl at 6'E"WC YnIp's tlepAM otleiwlse.
Bottum E63e Bitting(W):Botbm wmaeubn coal most he.aced at lo'T o/c Ynlgs totaled otme iso.
BSX"P 1pWeb SupPorb(lbs)
S ..lift, Tool aeW smw toga Y2oain
1-Trimmer-SPF 5.sp^ 45o^ 210" lw9 1613 2662
n
12-Tnmm -SPF Oso" 450' r 2.10" 1049 1613 I 2662INone
TXW[ary peN 9rW
L09A5 butlm(Site) WWM (p.Wl) (1.15) tfal
2-Un.-(PSF) 0.10'9' 2'6' 21.2 900 GWg
Weyepfiaeuser Notes f�} 1u1-11hA lE F-111-"Ir
Wesrrmse,warrants that the owig of Its Proaucls will he In accONar2e with werermanoer product desgn comma and publi9lM design waves.
weyMyeuser expressly dlscialms airy other warranties Maw.the software.the or Nb mM1ware Is not amended W formal the nttN on a design
pmfessloial as determined oy Me auMwlty new Resorts.The designer record,holder or frzmcr Is respnvble m faire Nat MK calculation Is
omp tide wit the cow all protect acca¢ries(Rim Ward,Bla4rg Panels and Sawsh Back')are not deagned by tors mflwaR,products manumoncrad at
Wetertamuett facilities are third partycertified.suebiral errs.?sM..h WerMaeuser Ergmeared Wmti r Products haw Men e2WatM by ICC FS
Mother4ehneal hem.III..53antiE%1387 aM/or Ronald!In accomame wit impa eASTM sareard,Por cunmMWe e21YaMn roars,
WetNhMYser goduct literature aM mwalWtpn III refer m www.wes Naeuse.comlw'�P"cducts/documenFlierary.
The smooch alisnamn,Inwt desgn bads,dlmmslohe and wPpan mbrmaenn have Rhe pmided to rate SAwim oporamr
VIVA, -v 'N:1 Fortev53. gl
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