Loading...
36-040 (5) 1067 BURTS PIT RD BP-2021-1522 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36-040 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: STORM DAMAGE BUILDING PERMIT Permit# BP-2021-1522 Project# JS-2021-002539 Est.Cost: $38000.00 Fee: $247.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RONALD KEITH 085204 Lot Size(sq. ft.): 12501.72 Owner: EKLUND ALLEN C Zoning: Applicant: RONALD KEITH AT: 1067 BURTS PIT RD Applicant Address: Phone: Insurance: 5 BIRCH MEADOW DR (413) 584-5589 HADLEYMA01035 ISSUED ON:6/24/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:REBUILD REC ROOM WHERE TREE FELL ON HOUSE 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. , • r . >2 . T°'t • Certificate of Occupancy signatur+! ! • FeeType: Date Paid: Amount: Building 6/24/2021 0:00:00 $247.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner . c--- The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR On! Massachusetts State Building Code, 780 CMR MUNICIPALITY - ,Lty USE -- Buil/Mt Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011 f N C One-or Two-Family Dwelling This Section For Official Use Only - l ttilt}in •lam: f e-Zb2(-/S-ZZ Date Applied: Building _;_ Val Official Print Name) Signature JU -� ( gnte SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers /0(Kr $065 PT+- Read 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ___P-k1e cf-- A Pi U renca. , VAPt 0 t oto ( Name(Print) City,State,ZIP 1°(il c:soi.t5 Pilr Rid 'ts•565 . 057-3 No. and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief D scription of Proposed Work': Q ;NA YF'c- )(CD CYYN C.6 s _ -Yew SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ElStandard City/Town Application Fee 5.a ❑Total Project Costa (Item 6)x multiplier&, x 3 3. Plumbing • $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees: $ 2 147?D to Check No.1$D 9,Check Amount:2y7 -Cash Amount: 6. Total Project Cost: $3s,000 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ,�_ _\ rn • �5�y Z-l0 123 p W` 1•61 Ice(41 License Number Expiration Date Name of CSL Holder List CSL Type(see below) ( lNrdrl -tAcloz&nt 0 d7 r No. and Street Type Description -El t FY(C1 j t 6(c a) Unrestricted(Buildings up to 35,000 cu.ft.) Restricted 1&2 Family Dwelling City/Town, Stat ,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances tkA5 S5 CLe( tA4b •3.NV; I Insulation Telephone Email address �) D Demolition 5.2 Registered Home Improvement Contractor(HIC) v-cnod k-eC4-*1 1i'1,�1 5[►i[? � ' 'v�—� ` l HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street C s t O f� .t ` Email addresiJ City/Town, State,ZIP Telephone SECTION 6: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 0 No .0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize C O i4 h to on my beha ,in all tters relative to work authorized by this building permit application. r er's Name( ec o is Signature) ate SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Rukc d wf 7Z Z( Print wner's or Authorized Agent's Name(Electronic Signature) Late NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton aH;MP sNS sic Massachusetts �� •x_ '<< • DEPARTMENT OF BUILDING INSPECTIONS r '; 212 Main Street • Municipal Building a ,,Cam �`t Northampton, MA 01060 r'S fr CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number I3I9-2024--/_s 2Z is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: VOA R_QC 4 krn t 2 3L1/4 tpS141.0-CLOOt.-e-cS) The debris will be transported by: Name of Hauler: c-VS< l(-eCiArN Goa 5tvuc't%0/1 Signature of Applicant: Date: tetTIVA The Commonwealth of Massachusetts ► w`—I!l. Department of Industrial Accidents : m1= a 1 Congress Street,Suite 100 e Boston,MA 02114-2017 gy www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): (..p<heck .l-e`kV() ee,re)tkiLr-4 Address: TJ USG&') aPQ3 Wi -Dr. City/State/Zip: .,0 6it9 5 Phone#: (�J ,5 1( • tj59 Are you an employer?Check the appropriate box: Type of project(required): I.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2121 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I 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: 60 We are a corporation and its officers have exercised their right of exemption per MGL c 14.❑Other 152,§I(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 arc 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. 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. 1 do hereby certify and r the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: LA—al Phone#: 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#: DATE(MWDD/YYYY) ACORE) CERTIFICATE OF LIABILITY INSURANCE 06/22/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Denise Sawicki NAME: Amherst Insurance Agency Inc PHONE (413)253-5555 FAX (413)256-8354 (A/C,No,Eat): (A/C,No): 20 Gatehouse Rd. EMAIL dsawicki@nathanagencies.com ADDRESS: P.O.Box 48 INSURER(S)AFFORDING COVERAGE NAIC# Amherst MA 01002 _ INSURERA: Preferred Mutual 15024 INSURED INSURER B: Ronald Keith DBA Ronald Keith Construction INSURER C: 5 Birchmeadow Dr INSURER D: INSURER E: Hadley MA 01035 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2162203579 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A BOP0100738143 06/02/2021 06/02/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY PRO 2000,000 JECT LOC PRODUCTS-COMP/OP AGG $ , OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t1 '611-;11Q111 Wi ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ?Wien ShiplistDATE 06/19/21 PAGE 1 p REQ.QUOTE DATE / / ORDER# f J2100280 ORDER DATE 1 06/19/21 QUOTE# B2100226 vT� DELIVERY DATE i / / CUSTOMER ACCT# 355548572 �b DATE OF INVOICE / / CUSTOMER PO# 1 qt3M`� ORDERED BY I INVOICE# AA:�`� TERMS j YANOWEIL60 R MANUFACTURING.71 G.INC. TON. 08111�45]I 97 CT SUPERINTENDENT SALES REP MARIO GIGUERE SNFAC U . TN:(860)6660000•Flu(860)6873296 JOBSITE PHONE# SALES AREA — JOB NAME: LOT# SUBDIV: s oL MODEL: TAG: JOB CATEGORY: D T DELIVERY INSTRUCTIONS: a _ s RNALD KEITH P 1067 BURTS PIT RD SPECIAL INSTRUCTIONS: o FLORENCE, MA BY DATE BUILDING DEPARTMENT OVERHANG INFO HEEL HEIGHT I REQ.LAYOUTS REQ.ENGINEERING QUOTE / / END CUT RETURN NONE NONE LAYOUT / / GABLE STUDS i 0 IN.OC CUTTING / / ROOF TRUSSES LOADING TCU TCDL. LL-B BCCOL 4 STRESS INCR INFORMATION ROOF TRUSS SPACING:24.0 IN. O.C. (TYP.) PROFILE QTY PITCH TYPE BASE 0/A LUMBER OVERHANG CANTILEVER STUB PLY TOP BOT ID SPAN SPAN TOP I BOT LEFT I RIGHT LEFT RIGHT LEFT I RIGHT FINK 4 4.08 i 0.0CE T1 26-00-00 26-00 00 2 X 4,2 X 4 ITEMS QTY ITEM TYPE SIZE LENGTH PART NUMBER NOTES FT-IN-16 1 ENGINEERING SETUP FEE THE ABOVE LISTED ITEMS HAVE BEEN RECEIVED IN GOOD CONDITION.(EXCEPTIONS NOTED) RECEIVED BY: DATE: THANK YOU FOR YOUR BUSINESS. 6 -- Ic1 � ,....„ ,____/ ('�14 ----- Truss Truss Type - Ply i ii KEIT CtTyy H-RON-2-NHAMPTONM T1 FINK 4 1 1Job Reference(optional) Truss Manufacturing,Inc.,Newington,CT 06111,Mario Giguere 8.500 s Apr 2 2021 WE*Industries,Inc. Mon Jun 1415:53:55 202 gePa ID:m?ZYmntpBYdFks?wD_eiVJyPCt_-g4GFLcdaPU2Vn214L7CVZzMT VSGOg85FL��Kkg 6-10-11 I 13-0-0 i 19-1-5 _1___ 26-0-0 6-10-11 8-1-5 6-1-5 6-10-11 Scale=1:42.8 tied= C 4.08 lil 1.Borl Q 1.5x4 8 D A E 3 B1 q 141 �* H G F d 4z6= 3x5= 33o5_ = 4x6= 8-11-2 I 174-14 I 28-0.0 1 8-11-2 8-1-12 8-112 LOADING(psf) SPACING- 2-0-0 CSI. DEFL. in (loc) I/deft Ud PLATES GRIP TOLL(roof) 35.0 Plate Grip DOL 1.15 TC 0.74 Vert(LL) -0.23 F-H >999 360 MT20 197/144 Snow(Ps/Pg)41.6/60.0 Lumber DOL 1.15 BC 0.59 Vert(CT) -0.39 A-H >793 240 TCDL 10.0 Rep Stress Incr YES WB 0.28 Horz(CT) 0.10 E n/a n/a BCLL 0.0 Code IRC2015JTPI2014 Matrix-S BCDL 10.0 Weight:81 lb FT=0% LUMBER- BRACING- TOP CHORD 2x4 SPF 2100F 1.8E TOP CHORD Structural wood sheathing directly applied or 2-8-3 oc purlins. BOT CHORD 2x4 SPF 2100F 1.8E BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2x4 SPF No.2 MiTek recommends that Stabilizers and required cross bracing be installed during truss erection,in accordance with Stabilizer I I Installation_guide. 1 REACTIONS. (lb/size) A=1583/0-3-8 (min.0-2-0),E=1583/0-3-8 (min.0-2-0) Max Horz A=-74(LC 17) Max UpliftA=-196(LC 8),E=-196(LC 9) FORCES. (Ib)-Max.Comp./Max.Ten.-All forces 250(Ib)or less except when shown. TOP CHORD A-B=-3777/479,B-C=-3275/401,C-D=-3275/401,D-E=-3777/479 BOT CHORD A-H=-455/3495,G-H=-201/2314,F-G=-201/2314,E-F=-401/3495 WEBS B-H=-894/248,C-H=-131/1146,C-F=-131/1146,D-F=-894/249 NOTES- 1)Unbalanced roof live loads have been considered for this design. 2)Wind:ASCE 7-10;Vult=130mph Vasd=103mph;TCDL=5.0psf;BCDL=5.0psf;h=25ft;Cat.II;Exp B;Enclosed;MWFRS(envelope) gable end zone;cantilever left and right exposed;end vertical left and right exposed;Lumber DOL=1.33 plate grip DOL=1.33 3)TCLL ASCE 7-10;Pr=35.0 psf(roof live load:Lumber DOL=1.15 Plate DOL=1.15);Pg=60.0 psf(ground snow);Ps=41.6 psf(roof snow Lumber DOL=1.15 Plate DOL=1.15);Category II;Exp B;Fully Exp.;Ct=1.10 4)Roof design snow load has been reduced to account for slope. 5)Unbalanced snow loads have been considered for this design. 6)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 7)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)except(jt=lb)A=196, E=196. 8)This truss is designed in accordance with the 2015 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1. 9)Attic room checked for U360 deflection.