23D-124 (21) 176 FEDERAL ST BP-2020-0313
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23D- 124 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: KITCHEN RENO BUILDING PERMIT
Permit# BP-2020-0313
Project# JS-2020-000527
Est. Cost: $20000.00
Fee: $130.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JAMES O'SULLIVAN 66335
Lot Size(sq. ft.): 20952.36 Owner: FLYNN STEVEN M &SUZANNE
Zoning: URB(100)/ Applicant: JAMES O'SULLIVAN
AT. 176 FEDERAL ST
Applicant Address: Phone: Insurance:
264 BUCK POND RD (413) 532-1312
WESTFIELDMA01085 ISSUED ON.9/12/2019 0:00.00
TO PERFORM THE FOLLOWING WORK.KITCHEN RENO
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 9/12/2019 0:00:00 $130.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2020-0313
APPLICANT/CONTACT PERSON JAMES O'SULLIVAN
ADDRESS/PHONE 264 BUCK POND RD WESTFIELD (413)532-1312
PROPERTY LOCATION 176 FEDERAL ST
MAP 23D PARCEL 124 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
EN REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: KITCHEN RENO
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 66335
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
&J ��90,PW c )
Si ature of Building Official W 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.
EQ
_ Department use only
`41ti�rrur�r� City of Northampton Status of Permit:
Building Department 1 0 219 CurbCut/Driveway Permit
a
212 Main Street ewes/Septic Availability
Roorkn 1061b��E�"N Tio ater,well Availability
_. ;�: Northampton, Mi�ic���nAo+ho -Two Sets of Structural Plans
.phone413-587-1240 Fa T A a� 2 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION 3 tQ':;;P 31
1.1 Property Address: This section to be completed by office
Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
ANivA 1+L rEfL
Name(Print) Current Mailing Address:
Ay � �y/���
k7-PL Telephone
Signature /7
�Z 7 �° Z.
2.2 Authorized A ent:
Name rint Current Mailing Address:
`� 3Z 7-
Signature
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building D (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
2 Ob Construction from 6
3. Plumbing 2-4 b G Building Permit Fee
4. Mechanical (HVAC) �O
5. Fire Protection
6. Total =(1 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
I .P V) q
Signature: TAM
.l
Building Commissioner/Inspector of Buildings Date
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
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DON'T KNOW �0 YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW Q YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO ® DON'T 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? YESO 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 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 Vindows Alterations) R Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition New Signs [p] Decks [0 Siding [ Other[M
Brief Descriptign of Pr posed .1 5�
Work: V, C t(', �.1 Q* N 6V f—r i 6 (,..1CGM(J l�-t`� &0-1 . SUE _:LQ-6 2i u
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 V, Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, 14 N as Owner of the subject
property
hereby authorize �f�(cS� C� Nc� ALT to N
to act on my behalf,in all matters relative to work authorized by this building permit application.
�
Signature of Owner Date
dS0)I k\,A4 v 1 Lmt�i \S$h+ Co NS I IZl1 t�1 Q as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed u er the pains and penalties of rjury.
Print Nam
L,___
Q 1
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supnervisor: Not Applicable ❑
Name of License Holder: `I t (� v (3 Le6Q 33:5
License Number
2 -J�o(J z �6 Nb 2� ln; Z L - --z1— z
Add`es Expiration Date
z—
Signature Telephone
9.Reviistered Home I R yement Contractor: Not Applicable ❑
T 2O Q ti ST au 16,.j Q
Company Name Registration Number
za4 B0cJZPa2) (zj Lk, �-3;rr=L'b /-a1- - Zr
AddressExpiration Date
Telephone 4'J//��
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... No...... ❑
City of Northampton
S
Massachusetts
r'
1k DEPARnMNT OF BUILDING INSPECTIONS y
212 Main Street • Municipal Building Jti cD
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 d
, a corporation or LLC,that entity must be registered.
Type of Work: V, �� N t� b Est. Cost:
Address of Work: 1 1��� Y(- ti-L_-
Date
i-Date of Permit Application:
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 RESPONSIBILITES FOR ALL WORK
PERFORMED UNDER 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:
N ca N51_&O(74d l y v
Date Contractor Name HIC Registration No.
OR:
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
SSS
Massachusetts
j DEPARTMENT OF BUILDING INSPECTIONS Z
42 - 212 Main Street •Municipal Building Jj Ca
-- Northampton, MA 01060 rst`Y 3ry,�4
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:
(Please print house number and street name)
Is to be disposed of at:
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(NJ . � - ��
(Company Name and Address)
Signature of Permit Applicant or 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.
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Aimlicant Information Please Print Legibly
Name (Business/Organization/Individual): P�f&6 tJ Cd N �j( lZV G�IO Ki
Address: _i�U Cj
City/State/Zip: W CF� f IC i-_1> MIN Phone#:
Are you an employer?Check the appropriate box:
Type of project(required):
1.Q I am a employer with employees(full and/or part-time).* 7. ❑ New construction
Ap1 am a sole proprietor or partnership and have no employees working for me in S. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
9. El Demolition
3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t
10❑Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs
These sub-contractors have employees and have workers'comp.insurance.*
6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
Any applicant that checks box#1 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 sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby c fy under the pains and penalties of perjury that the information provided abqrtme and correct.
Si nature: Date:
Phone#: 5 3 Z
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#:
Z- /Y/y", L-V L-
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EIGHT REMARKS
1. (2)u, Ul,d tWWa w-(1)cu..MM,(t)O1rd"
M' (2)UM:1 topelhr-(1)C.cam.nt..(t)O.en1aY
60• (J)UM.mUl:d tW=-(2)Cas—ms.(t)C30"lY Alm02
24' Awning
21' AwnlnB
a ro R T E • MEMBER REPORT PASSED
Level,Roof: Drop Beam
2 piece(s) 1 3/4" x 14" 2.0E Microllam@ LVL
C. Era;i Lerixh:_ "ct 1r22
..
t
1 r
20'41 1'Z
a o
All locations are measured from the outside face of eft support(or left cantilever end).All dimensions are horizontal
Design Results Actual @ Location Allowed Result LDF Load:Combination(Pattern) System:Roof
Member Reaction(lbs) 3676 @ 2' 8881 (3.50-) Passed(41 -- 1.0 D+ 1.0 S(Ail Spans) Member Type:Drop Beam
Shear(lbs) 3149 Building Use:Residential 1'5112` 10707 Passed{29 ) 1.15 1.0 D+ 1.0 S(All Spans) Building Code,IBC 2015
Moment(Ft-lbs) 18115 @ 10'2 114" 'L7897 Passed(65%) 1.15 t0 D+ 1.0 S(All Spans) Design Methodology:ASD
Live Load Dell.(in) 0.573 @ 10'2 114` 0.668 Passed(0420) -- 1.0 D+ 1.0 S(All Spans) Member Pita, 0/12
1 Total Load Defl.(in) 0.861 @ 10'2 114` 1 1.002 1 Passed(L/279) -• 1.0 D+1.0 S(Ail Spans)
•Deflection criteria:LL(U360)and TL(1.1240).
•Top Edge Bracing(Lu):Top compression edge must be braced at 6'1'o/c unless detailed otherwise,
• Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 20 5`o1c unless detailed otherwise.
Bearing Length Loads to Supports(lbs)
Supports 'Total Available Required Dead Snow Total Accessories
1-Column-SPF 3.50' 3.50- 1 1.50' 1231 2445 3676 Blocking
2-Column-SPF - 3.50' 3.50' 1.50" 1231 2445 3676 Blocking
•Blocking Panels are assumed to cant'no loads applied direc0y above them and the full load is applied to the member being designed.
Dead Snow
Vertical Loads Location(Side) Tributary Width (0.90) (1.15) Comments
0-Self Weight.(PLF) 0 to 20`4 1!2' f N/A 14.3
__-.___....__..__....._..._...__.._.........._........----.------
I Uniform(PLF) Q to 20-4 7r'2'(from) i NIA 53.3 ;20.0 Linked from:Roof.
.hist,Support 2
2-Uniform(PLF) 0 to 2D'4 1,12'(Back) N/A 53,3 120 0 Linked from:Roof,
Joist,Support 2
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.Weyerhaeuser expressly disclaims any other warranties
related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction,The designer of record,builder or framer is
responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Soussh Blocks)are not designed by this software.Products manufactured at
Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by IGC-ES under evaluation reports ESR-1153 and ESR-1387
andlor tested in accordance with applicable ASTM standards.For current code evaluation reports.Weyerhaeuser product literature and installation details refer to
www.weyerhaet*e.,.com/woodproducts/document-lib,a,rV.
The product application,input design loads,dimensions and support Information have been provided by ForteWEB Software Operator
a (d}J SUSTAINABUr FNE5TR!'INMA1rJE
)x1eyerhaeuser
ForteWEB Software Operator Job Notes
9111/2019 3:42:15 PM U7C
David Fagnand
Fleury Lumber Co,,Inc. ForteWEB v2.1,Engine:V7.3.2.309,Data:V7.2.0.2
(413)527-2693
fleurylumbercomoany@charter.net File Name: Madison S'tuctural Ridge
Page 1 1 1
ATORTEa PASSED
Level,Floor:Drop Beam
2 piece(s) 1 3/4" x 7 1/4' 2.0E MicrollamS,LVL
--ral, enxN 6'
All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.
Design Results Actual{¢>Location Allowed Result LDF Load:Combination(Pattern) System:Floor
Member Reaction(lbs) 3317 p 5'4 112" 4463(3,00")- Passed(74%) 1.0 D+1.0 S(All Spans) Member Type:Drop Beam
Building Use:Residential
Shear(lbs) 2170 @ 4'7 3/4" 5544 Passer!(39%) 1.15 1.0 D+1.0 S(.All Spans) Building Cade IBC 2015
Moment(Ft-lbs) 1795 @ 4'10" 8182 Passed 1,22%) 1.15 1.0 D+1.0 S(All Spans) Design Methodology:Aso
Live Load_Defl.(in) 0.021 0a 3'1 1/4" 0131 Passed(0999+) 1.0 D+1.0 S(All Spans)
Total Load Defi.(in) 0.033 CO 31 1/8" 0.262 Passed(L/999+) 1.0 0+1.0 S(Ali Spans)
•Deflection,criteria:LL(U480)and TL(1,1240).
• Top Edge Bracing(Lu):Top compression edge must be braced at S 6'o/c unless detailed otherwise.
•Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 5 6"o/c unless detailed otherwise.
l Bearing Length Loads to Supports(lbs)
,Supports Total Availoble Required Dead Snow Total Accessories
1-Stud wail-SF>F 3.00' 3.00" 1.50- 147 252 399 None
2-Stud wall-SPF 3.00° 3.00' 2.23" 1124 2193 3317 None
} Dead Snow
Vertical Loads Location(Side) !Tributary Width (D.90) (1,15) Comments
0-Self Weight(PLF) 0 to 56' j N/A 7:4
-- I Linked from:Root:
1-Point(lb) 4'10"(Top) N/A } 1231 2445 Drop Bean, -
Support 2
We erhaeuser Notes
`Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.Weyerhaeuser expressly disclaims any other warranties
i related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is
j responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board.Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at
i Weyerhaeuser facilities are third-party certified tc Sustainable forestry standards.Weyerhaeuser Engineered lumber Products have been evaluated by ICC-ES under evaluation reports ESR-1153 and ESR-1387
andior tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details reteT to
www,weyerhaeuser.com!woodproducts/document-nbrary.
The product application,input design ioadz,dimensi—s and support information Kava been provided by ForteWEB software Operator
A0 5U51AIN4W FORESM INITIATIVE
Weyerhaeuser
{ForteW� EB Software Operator Job Notes 9/1112019 3:51:06 PM UTC
David Fagnand
Fleury Lumber Co-,Inc. ForteWEB v2.1,Engine:V7.3.2.309,Data: V7-2.0.2
(413)527-2693
4 fleurytumbercompanyCalcharter.net File Name: Madison Stuctural Ridge
Page 1 /1
_. — .............. _..