30B-127 (7)58 NORWOOD AVE
BP -2018-0268
GIs #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30B - 127 CITY OF NORTHAMPTON
Lot: - PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catesorv: New Sinale Familv House
Permit # BP -2018-0268
Proiect # JS -2018-000477
Est. Cost: $135000.00
Fee: $672.00
Const. Class:
Use Group:
Lot Size(sq. ft.):
Zoning:
BUILDING PERMIT
PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
GERALD G KELLOGG 032600
Owner: PULLAN GORDON L &
Applicant. GERALD G KELLOGG
AT. 58 NORWOOD AVE
Applicant Address: Phone: Insurance:
PO BOX 705 (413) 427-1794
WHATELYMA01093 ISSUED ON. 9/29/2017 0:00:00
TO PERFORM THE FOLLOWING WORK. -NEW SINGLE FAMILY
RESIDENCE***FOUNDATION ONLY***
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 9/29/2017 0:00:00 $672.00
212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272
Louis Hasbrouck — Building Commissioner
File # BP -2018-0268
APPLICANT/CONTACT PERSON GERALD G KELLOGG
ADDRESS/PHONE PO BOX 705 WHATELY (413) 427-1794
PROPERTY LOCATION 58 NORWOOD AVE
MAP 30B PARCEL 127 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
LOSED REQUIRED DATE
i1;
Non Structural interior renovations p
Addition to Existing k
Accessory Structure
Building Plans Included:
Owner/ Statement or License 032600
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN,QAMATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR
Major Project: Site Plan AND/OR
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit
Special Permit With Site Plan
Special Permit With Site Plan
Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW
Septic Approval Board of Health
Water Availability Sewer Availability
Permit from Conservation Commission
Well Water Potability Board of Health
Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
9/3,1
Signature o 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.
' City of Northampton
Building Department
I 212 Main Street
Room 100
Northampton, MA 01060
phone 413-587-1240 Fax 413-587-1272
Department use only
Status of Permit:
Curb Cut/Driveway Permit
Sewer/Septic Availability
Water/Well Availability
Two Sets of Structural Plans
Plot/Site Plans
Other Specify
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
5g Norwood
�nu_ .
Map �1� Lot Unit
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
NVenn
Current Mailing Address:
3
Telephone
Si ure
2.2 uthorized Agent:
N me (Print)
Current` Mailing Address:` 7
gnature
Telepho
SECTION 3 - ESTIMA D CKSTRUCTION
COSTS
Item
Estimated Cost (Dollars) to be
Official Use Only
com feted by permit applicant
1. Building
j /� -�---
l/�-
(a) Building Permit Fee
2. Electrical
,)
(b) Estimated Total Cost of
Construction from 6
3. Plumbing
�DD
Building Permit Fee
3 U 7Z
4. Mechanical (HVAC)
D�,
"/
5. Fire Protection
on
6. Total = (1 +2+3+4+5)
Check Number Q
This Section For Official Use Only
Building Permit Number:
Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings
Date
N
EMAIL ADORtESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING I All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW VV YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DON'T KNOW Q9 YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO W DON'T KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained ® , 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® NO
XV
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 Q NO Q)
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Existing
Proposed
Required by Zoning
This column to be filled in b_v
Building Department
Lot Size
nn
d��
Frontage
6--C?
Setbacks Front/
Side
L:/& -b R:li7��
L: R:
Rear
Building Height
Bldg. Square Footage
%
Open Space Footage
(Lot area minus bldg &paved
%
parking)
# of Parking Spaces
Fill:
(s of umc & Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW VV YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DON'T KNOW Q9 YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO W DON'T KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained ® , 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® NO
XV
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 Q NO Q)
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 Alteration(s) ❑ Roofing ❑
Or Doors 0
Accessory Bldg. ❑
Demolition ❑
New Signs [0] Decks [Q Siding [p] Other [p]
Brief Description of Proposed
Work: �� >
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
6a. If New house and or addition to existing housing, complete the following:
a. Use of building : One Family k"__ Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms 21
c. Is there a garage attached?
d. Proposed Square footage of new construction. Z�a2 Dimensions 310X4VX 2
e. Number of stories? ?I
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. V(2S Masscheck Energy Compliance form attached?
h. Type of construction —� v
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 Yt o"-- 4�r
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
J0 in 1, ( Ox el as Owner of the subject
property
hereby authorize
to my behalf. in all matt�e4 relative to work authorized by this building permit application.
Si ature of Owner Date
I, as Owner/Authorized
Agafit fi ereby declar6 hat thoWtements 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.
Prdit Name
ature of er/A nt Date
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Su ervisor:
Not Applicable 0
Name of License Holder :
ep`3?e i
1
License Number
n
'
Expiration ate
Address /
4
-7
ure , elephone
9. Registered Home Im rovement Contractor:
Not Applicable ❑
&9 Z7/
Co n Name
Registration Number
Expiration Date
Address
BOG �Pi
7
Telephone l�
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 .... ...;k No...... ❑ 1
City of Northampton
cts..>•� Srr
Massachusetts
c
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
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.G.L. Chapter 142A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition, or construction of an 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.
YP t 1f—i�Ta�m
T e of Work: edaa19$ U� 4 0;7 Est. Cost:
Address of Work:
Date of Permit Application:
1 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 RESPONSIBILITES FOR ALL WORK
PERFORMED TINDER THE BUILDING PERMIT. SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
I hereby apply for a building permit as the agent of the owner:
, 4Z7 CL,0�d �� 11,,927�
Contractor N
M•
HIC Registration No.
Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
Massachusetts
" DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
Massachusetts Residential Building Code
Section 110.R5.1.2
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.
Section 110.R5.1.3.1
Any homeowner performing work for which a building permit is required shall be exempt from
the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s)
for hire to do such work, then such homeowner shall act as supervisor.
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.
_ City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
M Northampton, MA 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:
�UC7.'/' A"c� 4ra�-
(Please print house nub
mer and street name)
Is to be disposed of at:
R�yc, llw3,
int name and loc Won of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
ar
(Company me and dress)
ignature of Permit A Owner Date
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.
A
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Aicant Information _ Please Print Legibl,
Narne (Bus iness/Organization/lrid ividual):
Address:
City/State/Zip:
epl0-5)_3 Phone #:
Are you an employer? Check the appropriate box:
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
2. X] I am a sole proprietor or partner-
listed on the attached sheet..
ship and have no employees
These sub -contractors have
working for nye in any capacity.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. ❑ I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.]
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. 50 New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
1 I .❑ Plumbing repairs or additions
12.❑ Roof repairs
13.❑ Other
*Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information.
7 llomeowners 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 their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policv # or Self -ins. Lic. #:
Job Site
Expiration Date:
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
tine 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 tine
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 undy�*p p—gins ant( pen0ts of perjury that the information provided above is jrue and correct.
Of use only. Do not write in this area, to be completed by city or town offrcitil.
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 #:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. 'The Department has provided a space at the bottom
of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to till in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple per►nit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax # 617-727-7749
www.niass.gov/dia
CONSKi IRREVOCABLE TRUST
BOOK 95G6 PACE 88
BOCK -38.3 PAGE 10
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BOOK 10221 PAGE 11
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NOTE:
FOR REFERENCE TO ENCLOSED PERIMETER SEE FOOK 4658 PACE 100
AND BOOK 383 PACE J!,
THIS SURVEY AND PLAN WERE PREPARE[) IN AC,.'C)RDANCE WITH THE
RULES AND REGULATIONS OF THE REGISTERS OF DEEDS, AND THE
PROCEDURAL AND TFHNAL STANDARDS FOR THE PRACTICE OF LAND
'UPVEYING IN THE COMMONWEALTH OF MASSAL-iiii"ETITS.
DATE RE(DSTEREO LAND SURVEYOR
NORTHAMPTON PLANNING BOARD REGISTRY OF DEEDS
NORTHAMPTON, MASSACHUSETTS HAMPSHIRE COUNTY
PLANNINC, &MAD ENDORSEMENT i NUT
A DETYWNAIJON THAT 10T'
'3"ONN ARE 130LDABLE I
PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS
SuAIVEYED FOR
GORDON L. PULLAN & MARI—JON ADAMS—PULLAN
0 io 20 30 AQ so
SCALL: 1 20'
DATE JULY 29, 20 16
IIERITAGE SURVFYS, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
COLLEGE HIGTliV1A,' & CLARX STREET
POST OFFICE BOX I
SOUTHAMPTON, MASSACHLISETTS
(4 1) 527-3600
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NOTE:
FOR REFERENCE TO ENCLOSED PERIMETER SEE FOOK 4658 PACE 100
AND BOOK 383 PACE J!,
THIS SURVEY AND PLAN WERE PREPARE[) IN AC,.'C)RDANCE WITH THE
RULES AND REGULATIONS OF THE REGISTERS OF DEEDS, AND THE
PROCEDURAL AND TFHNAL STANDARDS FOR THE PRACTICE OF LAND
'UPVEYING IN THE COMMONWEALTH OF MASSAL-iiii"ETITS.
DATE RE(DSTEREO LAND SURVEYOR
NORTHAMPTON PLANNING BOARD REGISTRY OF DEEDS
NORTHAMPTON, MASSACHUSETTS HAMPSHIRE COUNTY
PLANNINC, &MAD ENDORSEMENT i NUT
A DETYWNAIJON THAT 10T'
'3"ONN ARE 130LDABLE I
PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS
SuAIVEYED FOR
GORDON L. PULLAN & MARI—JON ADAMS—PULLAN
0 io 20 30 AQ so
SCALL: 1 20'
DATE JULY 29, 20 16
IIERITAGE SURVFYS, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
COLLEGE HIGTliV1A,' & CLARX STREET
POST OFFICE BOX I
SOUTHAMPTON, MASSACHLISETTS
(4 1) 527-3600
7482-- 1605t6 hn . 7482puO I 1482— 10(l'ZV
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NOTE:
FOR REFERENCE TO ENCLOSED PERIMETER SEE FOOK 4658 PACE 100
AND BOOK 383 PACE J!,
THIS SURVEY AND PLAN WERE PREPARE[) IN AC,.'C)RDANCE WITH THE
RULES AND REGULATIONS OF THE REGISTERS OF DEEDS, AND THE
PROCEDURAL AND TFHNAL STANDARDS FOR THE PRACTICE OF LAND
'UPVEYING IN THE COMMONWEALTH OF MASSAL-iiii"ETITS.
DATE RE(DSTEREO LAND SURVEYOR
NORTHAMPTON PLANNING BOARD REGISTRY OF DEEDS
NORTHAMPTON, MASSACHUSETTS HAMPSHIRE COUNTY
PLANNINC, &MAD ENDORSEMENT i NUT
A DETYWNAIJON THAT 10T'
'3"ONN ARE 130LDABLE I
PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS
SuAIVEYED FOR
GORDON L. PULLAN & MARI—JON ADAMS—PULLAN
0 io 20 30 AQ so
SCALL: 1 20'
DATE JULY 29, 20 16
IIERITAGE SURVFYS, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
COLLEGE HIGTliV1A,' & CLARX STREET
POST OFFICE BOX I
SOUTHAMPTON, MASSACHLISETTS
(4 1) 527-3600
7482-- 1605t6 hn . 7482puO I 1482— 10(l'ZV
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NOTES
1. NEW SEWER LATERAL SHALL BE INSULATED
AS SHOWN IN DETAIL FOR LOCATIONS
WHERE COVER IS LESS THAN 48".
EXISTING 8" VC SAINTARY SEWER
--- - The 20 Norwood Ave
Berkshire Northampton, Massachusetts
Design
Group, Inc. — --_-- —
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SANITARY SEWER CONNECTION
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Corp-- 2-7-14 - 5-0-4 -+ ---
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Truss EngineeringCor . fndlan Orchard, MA 011 El B 100 s Mar 21 2017 MiTek Industries, Inc Tue Apr 25 09-21 14 2017 PaEe 1
cRGr TVIfQJ2xZ3vbHSibmczN G
1-0-02-7-14 2 4 6 4-11-12 4-11-12 2 4 6 2-7-14 1-0-0
4x6 Scale = 1:48.6;
5
I
8.00 "1220 �21
4x9 18 194
22
23Ivs
�
4 i W4 W4
4x6 6
_ ___�- _
I oq i ---- _ 4x6
3W yo — — ----- W 17
4x6 1� 14 13 12 24
4x6
ao
�12 5 5x12 M18SHS ; 4x9 5x12 M18SHS� 11 8 9
5x6 -i 5x6
C i
o
8.00 1_2
10
16 3x4 I
0-5-ftW1}14) 0-5-8(0-1-14)
1187#]-295# 1187#/-295#
2-7-14 5 0 4 10-0-0 14-11-12 17-4-2 20-M
2� 7-14 2-4-6 4-11-12 -� 4-11-12 T 2-4-6 2-7-14 _
_Plate Offsets (X,Y)- [2:0-3-00-1-12j. [4 0-4-8,0-1-121, (6:0-4-5.0-1-12j, [8.0-3-0.0-1-12], [12:0-6-0,0-3-0], [13:0-4-8,0-1-12], H4:0-6-0.0-3-01__
LOADING (psf) — -- -
TCLL (roof) 35.0 SPACING- 2-0-0 CSI. DEFL. in (loc) I/deft L/d PLATES GRIP
Plate Grip DOL 1 15 TC 0.63 Vert(LL) -0.40 12-13 >587 240 MT20 1971144
Snow (Pf/Pg) 30.8/40.0 Lumber DOL 1.15 BC 0.90 Vert(TL) -0.77 12-13 >308 180 M18SHS 197/144
BCDL 10.00.0 * Rep Stress Incr YES WB 0.62 Horz(TL) 1.07 10 n/a n/a
Ftcni inn Code IRC20097TP12007 Matrix-SH Weight: 88 lb FT = 10%
LUMBER -
TOP CHORD 2x4 SPF No.2
BOT CHORD 2x4 SPF No.2 *Except*
62: 2x4 SPF 165OF 1.5E
WEBS 2x4 SPF No.2
BRACING -
TOP CHORD
Structural wood sheathing directly applied or 2-2-0 oc pudins, except end verticals.
BOT CHORD
Rigid ceiling directly applied or 6-10-7 oc bracing.
WEBS
1 Row at midpt 6-13,4-13
MiTek recommends that Stabilizers and required cross bracing be installed during
truss erection, in accordance with Stabilizer Installation guide.
REACTIONS. (Ib/size)
16 = 1095/0-5-8 (min.0-1-14)
10 = 1095/0-5-8 (min. 0-1-14)
Max Horz
16 = 192(LC 10)
Max Uplift
16 =-295(LC 11)
10 =-295(LC 12)
Max Grav
16 = 1187(LC 2)
10 = 1187(LC 2)
FORCES. (Ib) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD
2-16=-1202!352, 2-17=-3166!702, 3-17=-3059/705,
TOP CHORD
2-16=-1202!352,2-17=-3166!702,3-17=-3059!705,
3-4=-5257/1041,4-18=-1666/317,18-19=-1618/321,
19-20=-1598/323,5-20=-1583/337,5-21=-1583/337,
21-22=-1598/323,22-23=-1618/321,6-23=-1666/317,
6-7=-5257/909, 7-24=-3059/591. 8-24=-3166/581,
8-10=-1202/319
BOTCHORD
15-16=-264/250,14-15=-739/3048,13-14=-785/4019,
12-13=-572/4019,11-12=-481/3048
WEBS
5-13=-194/1270,6-13=-2756/570,6-12=-287/2248,
7-12=-229/1882,7-1 1=-778/157, 8-11=-401/2538,
4-13=-27561705, 4-14=-436/2248, 3-14=-246/1882,
3-15=-778/190, 2-15=1198/2538
NOTES- (13)
1) This truss has been checked for uniform roof live load only, except as noted.
2) Wind: ASCE 7-05: 100mph, TCDL=4.2psf; BCDL=5.Opsf: h=19ft; Cat. II; Exp B,
partially; MWFRS (low-rise) gable end zone and C -C Extenor(2) -1-0-0 to 2-0-0,
Interior(1) 2-0-0 to 7-0-0, Exterior(2) 7-0-0 to 10-0-0, Interior(1) 13-0-0 to 18-0-0 zone,
cantilever left and right exposed ;C -C for members and forces & MWFRS for reactions
shown; Lumber DOL=1.60 plate grip DOL=1.60
3) TCLL: ASCE 7-05'Pr--35 0 psf (roof live load: Lumber DOL=1.15 Plate DOL=1.15);
Pg=40.0 psf (ground snow); Pf=30.8 psf (flat roof snow: Lumber DOL=1.15 Plate
DOL=1.15); Category II; Exp B; Partially Exp.; Ct=1.1
4) Unbalanced snow loads have been considered for this design.
5) This truss has been designed for greater of min roof live load of 12.0 psf or 1.00 times
flat roof load of 30.8 psf on overhangs non -concurrent with other live loads.
6) This truss has been designed for basic load combinations, which include cases with
reductions for multiple concurrent live loads.
7) All plates are MT20 plates unless otherwise indicated.
8) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with
any other live loads.
9) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all
areas where a rectangle 3-6-0 tall by 1-0-0 wide will fit between the bottom chord and
any other members.
10) Bearing at joint(s) 16, 10 considers parallel to grain value using ANSI!TPI 1 angle to
grain formula. Building designer should verify capacity of bearing surface
11) Provide mechanical connection (by others) of truss to bearing plate capable of
withstanding 295 Ib uplift at joint 16 and 295 Ib uplift at joint 10.
12) This truss is designed in accordance with the 2009 International Residential Code
sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1.
13) All Plates 20 Gauge Unless Noted
LOAD CASE(S)
Standard
imai3mepun Moto VVVjk13IVHM
ClU UBAW 98Z
900113WE) GIV830
0007113A *0 GIV83E)
61.0Ztel.190 Uz6t L
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pnpimpul :3dAI
U010VNIN03 INSWBAOtIcIW13 WOH
uopIn698 sssulqng ij sneer/ jmnsuoo io 9*190
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS -032600 AM",
Construction Supervisor
GERALD G KELLOGG
PO BOX 706
WHATELY MA 01093
P,IZUZ- b'-- Expiration:
Commissioner 04/1012018
( City
O f
J NorOK n ptbn
58 Norwood Ave
1 message
Louis Hasbrouck <Iasbrouck@northamptonma.gov>
To: budkellogg1@gmail.com
Cc: David Roberts <drobe rts@northamptonma. gov>
Bud,
Louis Hasbrouck <Iasbrouck@northamptonma.gov>
Thu, Sep 21, 2017 at 5:45 PM
I reviewed the permit application. We'll need a few more things before we can issue a permit:
We need a copy of the recorded ANR plan. It should be available at the registry of deeds.
We need sewer, water and driveway approvals from the DPW before we issue any kind of permit. The owner may have
started that process. The plans show a connection to the existing sewer line. I'm not sure if that would be allowed.
We need a preliminary HERS rating for the house. We could issue the foundation permit without the HERS information
but sometimes the rater calls for foam under the slab or outside the foundation.
If you have an electronic copy of the plans, please email them to me. The ones I have are from April.
Let me know if you have questions.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
511112017 City at Northampton Mal - 58NorwoorlAve FO rL, ,
tic p6gal(
CWY Of
'N Louis Hasbrouck <lhasbrouck@northamptonma.goV>
- - - - -------
58 Norwood Ave
Louis Hasbrouck <Ihasbrouck@northamptonma-gov> Thu, May 11, 2017 at 12:37 PM
Draft To: gordonpullan@msn.com
Cc: Carolyn Misch <cmisch@northamptonma.gov>
Mr. Pullan,
The lot at 58 Norwood Avenue is a legal building lot. You have not provided details about a proposed house,- it will need
to meet the URB zoning district requirements (setbacks, lot coverage, design standards, etc). You will need to provide a
plan showing house location and setbacks if you intend to use Zero Lot Line development.
You should contact Carolyn Misch for information about Zero Lot Line development (350-10.14) as soon as possible.
I have attached a copy of the URB regulations.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
Ls
CAW
40
N022K26-350g Table of Use and Dim Regs URB.pdf rAO Do -r
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File # MP -2017-0059
APPLICANT/CONTACT PERSON PULLAN GORDON L &
ADDRESS/PHONE 60 NORWOOD AVE
PROPERTY LOCATION 58 NORWOOD AVE
MAP 30B PARCEL 127 ZONE
rt P�� to�S
S� tI£M ,
THIS SECTION FOR OFFICIAL USE ONLY,
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Paid
TyWof Construction: Z.PA - NEW SINGLE FAMILY HOUSE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION PRESENTER:
Approved Additional permits required (see below) U1 / co'.)li I i mt)s
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR
Major Project: Site Plan AND/OR
ZONING BOARD PERMIT REQUIRED UNDER:
Finding Special Permit
Special Permit with Site Plan
_Special Permit with Site Plan
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 Elm Street Commission
f" ;�- I L'I�J
Sign re of Building Official
Permit from CB Architecture Committee
Permit DPW Storm Water Management
- re
h -�
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 the Office of
Planning & Development for more information.
C'c'r 2cf-917
Fite
430
X7-61
ZONING PERMITAPPLICATION 010.2
lease type or print all information and return this form to the Building
44 I>rzspiector's Office with the X30 filing fee (check or money order) payable to the
i_
V City of NorthamptonM !, , V7, 7
Qll
if}
1. Name of Applicant: o r d n F" u an
134&ress: L L L Tt e +2.Telephone: 413
�)
caner of Property: t j ` UC-yn RAI In- n
9qZZ3Address: Z LGcnarp �6f e I J 01.301 Telephone: 1 6- 3zc —9q7-2-
3.
. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: S 8 Nares ccct A Je-
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/ Property: I awn
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
r
7- Attached Plans: Sketch Plan Site Plan Engineered/ Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
1F YES: enter Book
Page andlor Document #
9.Does the site contain a brook, body of water or wetlands? NO —X— DONT KNOW
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
YES
(Form continues On Other Side
W d)ucumcnis`.FflRMS onginaLBuilding-lnaWoor 7oning-Pcrmi[-Application-pas,ivedoc SA 20(}1
10. Do any signs exist on the property? YES NO �X_
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES -
NO -,X -
IF YES, describe size, type and location:
11. Wilt the construction activity disturb (clearing, grading, excavation, or filling)Aver 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO X
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF iNFORMATION
This column reserved
for use by the Building
Denartmenr
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
-� r
Date: -Y� i7 Applicant's Signature 2�=
NOTE: Issuance of a zoning permit does not relieve n applicant's bu to comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
fib ...Documents' OR NIS oribina!'Bttildinb lnspc;ctorZoning-Pc:nnit-Application-passivr.doc 8 42043
g0t"CA011 Pu(I(Xn# �0' �LSt� �ry1
J
EXISTING
i PROPOSED REQUIRED BY
ZONING
Lot size
S
Frontage
Setbacks Front
1
Side
L: ( R: IS 10
L: R: L: R.
Rear
2
Building Height
Building Square Footage
% Open Spate: (lot area
minus building & paved
parkin
# of Parking Spaces
# of Loading Docks
Fill:
(volume ft location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
-� r
Date: -Y� i7 Applicant's Signature 2�=
NOTE: Issuance of a zoning permit does not relieve n applicant's bu to comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
fib ...Documents' OR NIS oribina!'Bttildinb lnspc;ctorZoning-Pc:nnit-Application-passivr.doc 8 42043
g0t"CA011 Pu(I(Xn# �0' �LSt� �ry1
J
n
CONSKI )PREWICAdIl IRUSf
000K 9508 PACE 88
SDOK 363 PACE io
Ufa
0
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HOUSE
PARCEL A
AREA=
20.753± S.F. .. it _j
1140 RECORD OF
7JZARFTH ,AU.REN ATKjN5
BOOK To;,)�",RrAl�'O
Fll
LDO;� 38
ry
Lj
PARCEL 8
AREA=
In
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1140 RECORD OF
7JZARFTH ,AU.REN ATKjN5
BOOK To;,)�",RrAl�'O
Fll
LDO;� 38
WrE.
FOR REFERENCE TO Fr,,�NOSf.D Pf-h,mlTf.R FF PrOK 46E8 PACE lin
AND BOOK J63 PAGE 10,
THIS SURVEY AND PLAN WERE PREPARED iN A?'CORC,4N(,F WiTh THF
RM.FS ANO REGV!AT)O.V.5 OF 711E RFGlc,7FLqS or AND THF,
PROCEDURAL 4NV )*ECHMCAL SiANVARDS IoH 1HE PRACf!CL C+ LAND
SURVEYING IN THE COMMONWEALTH GF MASSACHUSETTS.
DATE REGfSTERED LAND SURVEYOR
V)P)HAUPION PLAKNMK� HGAkW
.NORTHAMPTON, t4ASSACHUSE,7S
FWOiKEOTM IS Fpr
DATE
REGISTRY OF DEEDS
HAMPSHIRF C(,'Ujl,'rY
PLAN OF (,AMC IN
NORTHAMPTON, MASSACHUSETTS
9IRVFtFc FOR
GORDON L. PULLAN & MARI-JON ADAMS-PULLAN
I)ATC: JULY 2.9, 2016
HERITACE Sf!RVFYS, INC,
REGISTERED PROFESSIONAL LAND l.;l.lHVLYuRL
.!'OUr,^r HLC!-IWAY & CJ,APK rTPEET
pos r orricc Ray I
S,',OTNAMP70N, MASSA'H05rrT.3
(411,' 527 366f,
nF 74137-1605, 1P h _ , 74820 01 w. . 7482-15072,
ry
Lj
S
BOUND rouw
Fcvw
•
WrE.
FOR REFERENCE TO Fr,,�NOSf.D Pf-h,mlTf.R FF PrOK 46E8 PACE lin
AND BOOK J63 PAGE 10,
THIS SURVEY AND PLAN WERE PREPARED iN A?'CORC,4N(,F WiTh THF
RM.FS ANO REGV!AT)O.V.5 OF 711E RFGlc,7FLqS or AND THF,
PROCEDURAL 4NV )*ECHMCAL SiANVARDS IoH 1HE PRACf!CL C+ LAND
SURVEYING IN THE COMMONWEALTH GF MASSACHUSETTS.
DATE REGfSTERED LAND SURVEYOR
V)P)HAUPION PLAKNMK� HGAkW
.NORTHAMPTON, t4ASSACHUSE,7S
FWOiKEOTM IS Fpr
DATE
REGISTRY OF DEEDS
HAMPSHIRF C(,'Ujl,'rY
PLAN OF (,AMC IN
NORTHAMPTON, MASSACHUSETTS
9IRVFtFc FOR
GORDON L. PULLAN & MARI-JON ADAMS-PULLAN
I)ATC: JULY 2.9, 2016
HERITACE Sf!RVFYS, INC,
REGISTERED PROFESSIONAL LAND l.;l.lHVLYuRL
.!'OUr,^r HLC!-IWAY & CJ,APK rTPEET
pos r orricc Ray I
S,',OTNAMP70N, MASSA'H05rrT.3
(411,' 527 366f,
nF 74137-1605, 1P h _ , 74820 01 w. . 7482-15072,
ry
BOUND rouw
Fcvw
•
31-N "
TV A.
W LOI
oT
_07a�
WrE.
FOR REFERENCE TO Fr,,�NOSf.D Pf-h,mlTf.R FF PrOK 46E8 PACE lin
AND BOOK J63 PAGE 10,
THIS SURVEY AND PLAN WERE PREPARED iN A?'CORC,4N(,F WiTh THF
RM.FS ANO REGV!AT)O.V.5 OF 711E RFGlc,7FLqS or AND THF,
PROCEDURAL 4NV )*ECHMCAL SiANVARDS IoH 1HE PRACf!CL C+ LAND
SURVEYING IN THE COMMONWEALTH GF MASSACHUSETTS.
DATE REGfSTERED LAND SURVEYOR
V)P)HAUPION PLAKNMK� HGAkW
.NORTHAMPTON, t4ASSACHUSE,7S
FWOiKEOTM IS Fpr
DATE
REGISTRY OF DEEDS
HAMPSHIRF C(,'Ujl,'rY
PLAN OF (,AMC IN
NORTHAMPTON, MASSACHUSETTS
9IRVFtFc FOR
GORDON L. PULLAN & MARI-JON ADAMS-PULLAN
I)ATC: JULY 2.9, 2016
HERITACE Sf!RVFYS, INC,
REGISTERED PROFESSIONAL LAND l.;l.lHVLYuRL
.!'OUr,^r HLC!-IWAY & CJ,APK rTPEET
pos r orricc Ray I
S,',OTNAMP70N, MASSA'H05rrT.3
(411,' 527 366f,
nF 74137-1605, 1P h _ , 74820 01 w. . 7482-15072,
8/21/2017
1`
1 City of
NorOwrnpfon
58 Norwood
1 message
City of Northampton Mail - 58 Norwood
Louis Hasbrouck <Ihasbrouck@northamptonma.gov>
To: Gordon Pullan <gordonpullan@msn.com>
Gordon,
Louis Hasbrouck <Ihasbrouck@northamptonma.gov>
Mon, Aug 21, 2017 at 1:05 PM
The house will work as indicated. The next step is a building permit application. I've taken a quick look at the plans; you'll
need to provide a preliminary HERS rating, make sure the plans match the HERS specifications, mark the plans with
smoke and CO detector locations and add some other details showing code compliance.
I'll do a comprehensive review when you submit a building permit.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
https://mail.google.com/mail/ca/u/0/?ui=2&ik=ec5fl9a57e&jsver=RKK5Ah87d4U.en.&view=pt&search=sent&th=15eO5cl b94368839&siml=15e05c1 b9... 1/1