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24D-040 (3) 193 PROSPECT ST BP-2021-1493 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24D-040 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CON TRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADD BATH BUILDING PERMIT Permit# BP-2021-1493 Project# JS-2021-002478 Est.Cost: $86000.00 Fee: $559.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: KRIS THOMSON 084152 Lot Size(sci. ft.): 6882.48 Owner: HETTLER JOELI Zoning: URB(100)/ Applicant: KRIS THOMSON AT: 193 PROSPECT ST Applicant Address: Phone: Insurance: 362 KENNEDY RD (413) 549-1027_ W C' LEEDSMA01053 ISSUED ON:7/2/20210:00:00 TO PERFORM THE FOLLOWING WORK:RENO KITCH, ADD BATH, ENCLOSE PORCH 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. A 3257Certificate of Occupancy Signature i FeeType: Date Paid: Amount: Building 7/2/20210:00:00 $559.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner z Depatanent use only `i ( , T - Ih J City of Northampton Status of Permit: Ei' e ?:. Building Department Curb Cut/Driveway Permit r , _ 212 Main Street Sewer/Septic Availability Room 100 WaterMlell Availability f' Northampton, MA 01060 Two Sets of Structural Plans , .' ' iph_gne 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify • - i Ap LIB_ TIb_T CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: f 3 -Ira C -.- S-1- • Map "t 9 Lot (YIO Unit /I / 6 ) Zone Overlay District /vVl ( in i ./VIA• 010(,U Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: XC. y J o eA t' 0-c, H 4'- ---1-O t—,-"K k.ti, Si- N 0A'kt4.1 o.1-e-• i Name(Print) Current Mailing Address:1_ S-}1 ^ , M Telephone J Signature 2.2 Authorized Agent: Yr'i s 3 Ill n tms-O b 3 2- k _t(11ruia d Rd L e s Name nt) Current Mailing Address: J Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building .7UI 60 U • (a)Building Permit Fee . Electrical Q (b)Estimated Total Cost of (__._ V/0 0 0 Construction from (6) 3. Plumbing Q^/0 00 Building Permit Fee 4. Mechanical(HVAC) U �j 5. Fire Protection 6. Total=(1 +2+3+4+5) $' CI Q 0 U Check Number 401 CO This Section For Official Use Only id ri Building Permit Number: 6 ' X't7 v!) Date Issued: Signature: /17g 7/ ZQZ 1 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:'...._._____1 Ra._ . L: J R: Rear i 1 ,._ M1A - Building Height ._ _' 1 Bldg.Square Footage j �� =__ Open Space Footage __ % __ (Lot area minus bldg&paved _._.. 1 1 parking) :1: a f Spaces l l: (volume&Location) J A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW f, YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES IF YES: enter Book Page = and/or Document# B. Does the site contain a brook, body of water or wetlands? NO �j� DONT KNOW ® YES 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 Q NO !f ' 1 '1 IF YES, describe size, type and location: • D. Are there any proposed changes to or additions of signs intended for the property? YES © NO 9 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO if A. 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 n Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding[D] Other[d] Brief Work:Description ef(/vt D eOP 1 LI'l � r:),Atk . �C' �X I sk lil Q kT l��L r cot 0r0 ( J �YL Alteration of existing bedroom Yes u No Adding new bedroom Yes No fl - I�S L 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 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 —)C7C Al '4 + 16✓ , as Owner of the subject property hereby authorize �' ' S \ "G 5Cin to act on my behalf, in all matters r tive to work authorized by this building permit application. Signature of O r Date I, �r l 5 3 , 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 under the pains a%dpenalte f perjury. l Print Name ((( Signature of Owner/Agent Date 11 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: c , F. 6-Wj 67\-) Cj.CY L�S4 / 5 &- License Number 3(D`1.- .Q 4,A LaciS .14c,. O)0 3 z 3 Address Expiration Dgte 413•67c (t `47 Signature Telephone '9 Recdstered Home Improvement Contractor Not Applicable ❑ 1 � 1543 Company Name Registration Number Address //� / _) Expiratio Date Telephone 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 0 City of Northampton ��SH a7P� o �, /?C -*y ♦S sI Massachusetts c� =ram 411 �S a� ¢ , DEPARTMENT OF BUILDING INSPECTIONS D-. � 'r- 212 Main Street • Municipal Building v -T ry`mari 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. Type of Work: K.,f/' > --1- jZ Vim 3 (4 Est. Cost: 6 4 Address of Work: ) 9 3 31/h5 c T R'42 . Date of Permit Application: 1/ / 4/1 7� 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: / zY--t/ ( ) 7 � Date or Contract 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 Massachusetts ° DEPARTMENT OF BUILDING INSPECTIONS 3 r 212 Main Street •Municipal Building a" 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: 160 Pi/o5Rec_-t) s7(Please print hou 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: H ; 11Toco cr5pcDs (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 ! I 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. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 211M I am a sole proprietor or partnership and have no employees working for me in 8.�Remodeling .•y capacity.[No workers'comp.insurance required.] 3.0 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Elernolition 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 1 1.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.1=1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 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 roust 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 here 0-7; fy under t ins and penalties of perjury that the information provided above is true and correct Signature: Date: C.)/ tl q 2-- I X Phone#: `I'1 3 '6, G '_] 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#: I t 1_1, f \ i )_ • -_ r I x 1S - JV)a HOC. ` , I 5 ) (4S u \O\rhe Ci , 111 ci., v-C- v✓=0, 2.7 cli 1 It t 1 to i V 6 -----------±_j---• P...,—..5 0 • KC\ S e- i(cc-,r 'zi- 1 I , , ,.„4„ , io,) isro\ce.__ \00...w, k .._.=_-=,-,--------:__ _______ 1 i-, ) it cLirev '\,./c_. , u __..s- . `, r F® r 76Y'C- bE. ci1 ;�i L li' QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED TIIOMSON PROSPECT SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER ringer]@rkmiles.com 743640 Lineltem# Description Net Price Quantity Extended Price 4-1 $1,461.88 1 $1,461.88 Comment/Room: Product: 8300 Series,Double Sliding Door,NC I�� r � RO:60"x 80" ' TTT Overall Size:59.5"x 79.5" I S- `rIU TTT Unit Size: 59.5"x 79.5" OX,Performance Level:Standard, 7 Glass Options:Double Glazed,LowE,Argon,Tempered,DS I O )• �"' o°' 1"IG Thickness,Clear Opening:20.9375"x 75.5", 10.978Sq ft I ' Ratings:U-Factor=0.3, SHGC=0.26, VT=0.49 Vinyl Color: White Hardware: White, Screen: Patio Door Screen,Fiberglass, 59.5" Surround(Jambs/Receivers): Receiver,3/4",3 Sides, Ro-60 Lineltem# ' Description Net Price Quantity Extended Price 3-1 $705.35 $2.116.05 Comment/Room: Product: 8300 Series,Double Hung,NC RO:60"x 60" — { TTT Overall Size:59.5"x 59.5" 1F i TTT Unit Size:29.75"x 59.5" 4. Double HungfDouble Hung,Combo Fixed Type: Standard 11 Sash Split:Equal oui , ' �� - Mulls: 0 Degree,Vertical,Performance Level: Standard, cc Glass Options:Double Glazed,LowE,Argon,Annealed,SS f it" 3/4"IG Thickness,Clear Opening:24.375"x 24.335",4.119Sq ft Ratings:U-Factor=0.27, SHGC=0.25, VT=0.47 Vinyl Color: White 29.75"59 —•g 29.75" Locks: Standard,Single ! RO-60" Hardware: White, Screen: Full Screen,Extruded-Fiberglass, Grids: Flat GBG,Colonial,2W1H,Not Applicable,Surround (Jambs/Receivers): Receiver,3/4",3 Sides, I - -----__ II Last Update: 6/23/2021 2:28:08 PM Page 2 Of 3 Lca,L vNuaLc. UlLJi .v..a i.....v..,v.... . . ..*,. _ _. - CS Beam 33203.031 193 Prospect 6-28-21 , lanBeamEre 201&9.0.1 N Maw Database tss2 10:58am 1 of Member Dab Description: Member Type:Beam Application:Floor Top Lateral Bracng:Continuous Bottom Lateral Bracing: 0.00 Standard Load: Moisture Condition:Dry Buiking Code:IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live,U240 total Dead Load: 10 PLF Deck Connection:Nailed Member Weight: 14.4 PLF Filename:Beam2 Other Loads Type Tri. Other Dead (Desai lion) Side Begin End Width Start End Start End CategofY Replacement Uribrm(PSF) Top a 0.00" 14'0.00" 8'6.00" 40 10 Live bid+ :6',p s.Ti. s ", .)01+ r- ^.; >% 14 0 0 O O / J 14 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Requied Reaction Upijft 1 a 0.000" Wall SPF#31Stud2xor4x End-Grain(650psi) N/A 1.500" 3108# — 2 14'0.000" Wall SPF#3Stud 2x or 4x End-Grain(650psi) N/A 1.500" 3108# — Maodmum Load Case Reactions Uteri for apptyng part loads(or he bads)to caT)eg r nrtetb Live Dead 1 2405# 703# 2 2405# 703# Design spans 14'1.750" Product: 1-3/4x9-1/2 VERSA-LAM 2.0 3100 SP 3 ply PASSES DESIGN CHECKS Connect members wih 2 rows of 16d common naffs at 12.0"oc NOTE:Naffs must be appied from both sides Mininum 150"bearing required at bearing#1 Mninum 1.50"bearing requied at be+amg#2 Design assumes continuous lateral bracing along the top chord. Design assumes maximum unbraced length of 0.00'along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 10991.# 21774.# 50% 7 Total Load D+L Shear 2760# 9476# 29% 13.37 Total Load D+L TL Detec6m 0.5277" 0.7073" L/321 7 Total Load D+L LL Dialectal 0.4083" 0.4715" U415 7 Tdlal Load L Control:LL Deflection Das.Li 1. Snovi,=115%Fmof=125%Wind=160% Deagn assumes a repetitive member use increase in bending stress 4% Al product names are beden rted their respective acne a Doug Hotins rk Miles Inc. C,opyrii t(C)2018 by Simeon SbargTe Carpany he ALL R1GHJS RESERVED. "P e g s derned asMhen the member,tbajoat,beam or Bidet titan m the da nig meets appkable deagn aiena fa Loads,Loafing Ca Ls,and Spans[seed on l sheet.The dew must be ravened bya quailed desgrer or desg,professorial as regrued far approval.Ths des,amines product istafaton amordnq to the manufacturer's rer's speorratens CS Beam 2(1203.031 193 Prospect 6-28-21 I IanBearnEr a 2X8.9.0.1 Natha[uptrn Materials Database 1582 11:00am 1 of Member Data Description: Member Type:Beam Application:Floor Top Lateral Bracng:Continuous Bottom Lateral Bracing: 0.00 Standard Load: Moisture Condition:Dry Bucking Code:IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live,U240 total Dead Load: 10 PLF Deck Connection:Nailed Member Weight: 9.6 PLF Filename:14 ft beam.K Other Loads Type Tri>. Other Dead (DesaQtion) Side Begin End Width Start End Start End Cabegay ReplacemertUrifom(PSF) Tap 0 0.00" 14'0.00" 3 8.03" 40 10 Live ar $ 0Fr #. v".Sr.: ...... ' .:. t.,'13fTr'"..�'. XiiZ "ri`+} 3. ^a" 'hi".s. S.:: 'Y ..�.....�.. h.'i ___ -__� .._._, ._.,: r. 1\ / / 14 0 0 / 14 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Requied Reaction Uplift 1 0 0.000" Wall SPF#3rSt d 2x a 4x End-Grain(650psi) N/A 1.500" 1365# — 2 14'0.030" Wall SPF#3rSitd 2x a4x End-Grain(650psi) N/A 1.500" 1365# — Maxarnum Load Case Reactions Used faappt gpcitbads(orlirebeds)to comingran..,,, Live Dead 1 1037# 327# 2 1037# 327# Design spans 14'1.750" Product: 1-3/4x9-1/2 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common naffs at 12A"oc Miiinum 150"bearing requied at bearing#1 Mininum 1.50"bearing requied at bearing#2 Design assumes continuous lateral braciig along the top chord. Design assumes maximum unbraced length of 0.00'along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 4826.Y# 13958.1t 34°A° 7 Total Load D+L Shear 1212# 6317# 19% -0.06' Total Load D+L IL Defection 0.3475" 0.7073' U488 7 Total Load D+L LL Defection 02642" 0.4715" LA642 7 Total Load L Control:LL Dr fiection EO s Li 100%SnovF115%1a7o1=125%Wind=160% Al product names are badenels of then respective oeners Dcug Hcdgins rk Mles Inc. Coped(C)2018 by Sires n Sbcng:re Company he ALL RIGHTS RESERVED. "Passrg s detract as%her the rrerrcer,floor pet,teem or grdec shoes,on the dray ig meets applicable design area for Loads,Lowing Coml..,and Spars Rrded on the street The desx.i must be reveeed by a quailed designer or damn professional as mound for approval.The des ogres product rstalamn aomrtfrq to the manufacturer's$dedmhors t • --------- --- I,) ivi cd.b u 3 5 ----- --„..„... - ----_ _ Sta-i v-5 .4"c) , k dd 1 VE- q 9coed • . EY) C. 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