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38B-181 (2) BP-2022-0189 17 FORT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-181-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0189 PERMISSIONIS HEREBY GRANTED TO: Project# structural modifications Contractor: License: Est. Cost: Const.Class: Exp.Date: Use Group: Owner: MACGILLIVRAY, SCOTIA Lot Size (sq.ft.) Zoning: URB Applicant: SCOTIA MACGILLI VR AY, Applicant Address Phone: Insurance: 890 3 8TH A SPC 19 SANTA CRUZ,CA 95062 ISSUED ON:03/01/2022 TO PERFORM THE FOLLOWING WORK: STRUCTURAL MODIFICATIONS 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. (� Signature: +� y 51) • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner • "n"i— & N The Commonwealth of Massachusetts s c� o - - Board of Building Regulations and Standards FOR r MUNICIPALITY t „ oo -.-- Massachusetts State Building Code, 780 CMR !1.`,-...i i .,. c,i USE' 1 ' "'' w wilding?rermit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling I i This Section For Official Use Only Building P rmit Numbe :8A" 22."'/W ate Applied: _i_2G2 �v a o55 / 3 Z Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 PropertyAddress: 1.2 Assessors Map& Parcel Numbers 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: L 5Co a .(.litho i AlaaA�®�fll '1 11)1A55 011,46 Name(Print) l City,State,ZIP l cid- sf Q31 Sys-9 7„Z sa►w+2006@ pad..0rh No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Pr os d Work!: ' A� /A0i yL (� /z' L' fl P u / ' U p/g/-- 1444Ja1s f SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ -3 pdM v 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost' (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fee : Check No.MI Check Amount: "J Cash Amount: 6.Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due: 16 City of Northampton • Massachusetts I '� _ ''; to ~ DEPARTMENT OF BUILDING INSPECTIONS r `• 212 Main Street • Municipal Building pry Northampton, MA 01060 fsy� Oti1 PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW 1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES, FENCES, GROUND MOUNTED SOLAR, ETC. I. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work. (Digital and hard copy) 3. Site plan with location of proposed structure(s) and set backs. 4. Construction Debris Affidavit filled out and signed by applicant. 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (new/ replacement windows). 8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable). 9. Note any Conservation and/or special permit requirements (if applicable). 10. Driveway Permit (if applicable). 11. Proof of Water and Sewer entry fees paid (if applicable). 12. Trench Permit - public land by DPW/ private land by Building Dept. 13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit application before issuance of permit. 14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improve ent Contractor(HIC) HIC �mpany/ l ro HI str 44 t Nam /2 HIC Registration Number Expiration Date No.and Street Email addre s _ n �� 035 Lap�'Y' City/Town, State,ZIP Telep one SECTION 6:WORKE ' COMPENSATION INSURANC AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation urance 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 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 .J t L4Phl ALIED to act on my behalf,in all matters relative to work authorized by this building permit application. Sc a Mothi)1 i;rq k ,2/2 ?/ z Print Owner's Name(Electronic Signatt�) Da e SECTION 7b:OWNER1 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. Scgrifbt !Vk 6/11iv /024/au Print Owner's or Authorized Agent's Na a(Electronic Signature) Date I 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,idps 2. When substani ' 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" f. k CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE • City of Northampton T?.7' 'r4- 1 sir �� �'� ter t Massachusetts r lb .s Y DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building `. ;' Northampton, MA 01060 �`sgy,,. , .,tti 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 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: f / Cl'1F� .- - (4-(--,V 6'14A6 Location of Facility: C FAit/16 Mil " tAl iti5 ,//0/d j The debris will be transported by: / / /� wt 1lA4 L. Name of Hauler: i L4 Lib, A w,, Signature of Applicant: �� /` Date: ?), l The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 . ... ,.,,' Boston. MA 02114-2017 ,. www.mass.govidia Workers'Compensation Insurance Affidavit: BuildervcontractorstElee'tricianiPlumber It)HE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Prim Legibls i i Name 1 Busintss.'Orga in-ration I ndividuall:_. inea_&L//TWO (r Address. - Li- ft f . City/State/Zip. )\.) ( • . vi 5/ PI lone #: (414 /116))74/1 S 3/ - 395- f/ 1,re yili*VEY cantilever?Cheek the appropriate hos: l'.,,pe of project(required): I 0 1 am a emplover with employees(fail andkar part-tint).• , 7. 0 New construction 1 aet a auk proprietor or portrosiship and have no employees working for me m 8.. CI Remodelin*. erry capacity.!No workers'comp.insurance roquired.] 9. El Demolition A21ain a hounsivoun doing all work myself[No workers cone_insurance required]' 10 0 Building,addition 4.0 I am a homeowner and will be hiring vontractors to conduct all work tin my plopert . I will ensure that all einstracton either ha se%A...tiers'armaperesabon insuranee or an:aole 1 I..c3 Electrical repairs or additions proprietor,.with no employees 12.0 Plumbin repays or additions ...,n I am a general aura:actor and 1 have hired the sub-contractors listed on the loathed sheet s Mese sub-contractors have etriployees and hose workers'comp.nnurance.: 130 Roof repair 14.0 Other sv,are a oarporation and its(Aiken have esonvised their right of exempla,' a per MCiL a. .1.Z...$11 41..and..ee have no employees.[No waiters'cornp.insurance required.' •,,ktr.apt:twain that checks bin 41 morn also till out the section below Ebowing their workers'conmematton policy information_ r I tOincosyriers who SLIbital this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indienting such. :Contractors that cheek that box mast attached an additional sheet showing the name of die sub-contractors and slat,whether in nut those entities have en'ploy ecs it:be suts-cuntractors hix.s...employL.Ch,they mist pro,.Kle their w.e.t.eri`,....‹,mp pol:,-..number 1(I HI an employer that is providing ok.orAers'compensation insurance for my employees. Below is the polity and job site information. insurance Company Name: — Policy 4 or Self-ins.Lie.4: 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 tender MCIL r. 152, §25A is a criminal violation punishable by a fine up to S1,500,00 andor one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$25000 a day against the violator.A copy of this statement may be forw ardcd to the Office of Investigation,of the DR for insurance coverage verification. I da hereby r Jr under the' rains an pe I -es of perjury that the infOrmation provided above JI.S true and correct. Signature: 1-lai, .r;/42 7/„...,74.2N Official use only. Do not write in Mi.,. area. tif be completed by city or WNW official City Of Town: Permit/License 4 Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone*: City of Northampton Massachusetts ! z, 1 tom. . , 1 DEPARTMENT OF BUILDING INSPECTIONS S ,ft - ,`- 212 Main Street • Municipal Building Jy `. Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT G I, C 4' . frlcu' �j� I(Up�t ; (insert full legal name), born � /zñ2rt month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this 9day of T , 20_,, %*1 % '1ai (Signature) j f U K I L r MEMBER REPORT PASSED Level, EXT. BEAM 3 piece(s)1 3/4"x 9 1/2"2.0E Microllam®LVL Overall Lencj-h: 12' ` 0 0 12 ill All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual 0 Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(lbs) 3087 @ 2" 7809(3.50") Passed(400/0) -- 1.0 D+ 1.0 L(All Spans) Member Type:Drop Beam Building Use:Residential Shear(lbs) 2530 @ 1'1" 9476 Passed(27%) 1.00 1.0 D+ 1.0 L(All Spans) Building Code:IBC 2015 Moment(Ft-lbs) 8754 @ 6' 17662 Passed(50%) 1.00 1.0 D+1.0 L(All Spans) Design Methodology:ASD Live Load DeFl.(in) 0.223 @ 6' 0.292 Passed(L/628) -- 1.0 D+ 1.0 L(All Spans) Total Load DeFl.(in) 0.306 @ 6' 0.583 Passed(L/457) — 1.0 D+1.0 L(All Spans) • Deflection criteria:LL(L/480)and TL(L/240). •Mowed moment does not reflect the adjustment for the beam stability factor. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead Floor Live Total Accessories 1-Stud wall-SPF 3.50" 3.50" 1.50" 837 2250 3087 None 2-Stud wall-SPF 3.50" 3.50" 1.50" 837 2250 3087 None Lateral Bracing Bradng intervals Comments Top Edge(Lu) 12'o/c Bottom Edge(Lu) 12'o/c •Maximum allowable bracing intervals based on applied load. Dead Floor Live Vertical Loads Location(side) Tributary Width (0.90) (1.00) Comments 0-Self Weight(PLF) 0 to 12' N/A 14.5 -- 1-Uniform(PSF) 0 to 12'(Top) 12'6" 10.0 30.0 BEDROOM LOAD 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 Squash 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 ICC-ES under evaluation reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library. The product application,input design loads,dimensions and support information have been provided by ForteWEB Software Operator ForteWEB Software Operator Job Notes 2/10/2022 1:50:24 PM UTC Peter Van Buren JULIAN ALBO COWLS BUILDING SUPPLY 17 FORT ST. A ForteWEB v3.2, Engine: V8.2.0.17, Data: V8.1.0.16 (413)549-0001 NORTHAMPTON,MA 01060 pete@cowls.com Weyerhaeuser File Name: FORT ST. oonr, 1 / 1 f if K ' MEMBER REPORT PASSED Level, EXT. BEAM 2 piece(s)1 3/4"x 9 1/2" 2.0E Microllam®LVL Overall Lenghh: 12' r — v , ,•. 0 9 ` 'I E All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual 0 Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 3058©2" 5206(3.50') Passed(59%) -- 1.0 D+1.0 L(All Spans) Member Type:Drop Beam Shear(lbs) 2506 @ 1'1" 6318 Passed(40% Building Use:Residential) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC 2015 Moment(Ft-lbs) 8672 @ 6' 11775 Passed(74%) 1.00 1.0 D+ 1.0 L(All Spans) Design Methodology:ASD Live Load Dell.(in) 0.335 @ 6' 0.389 Passed(L/418) -- 1.0 D+ 1.0 L(All Spans) Total Load Dell.(in) 0.455 @ 6' 0.583 Passed(L/308) -- 1.0 D+ 1.0 L(All Spans) •Deflection criteria:LL(L/360)and TL(L/240). •Allowed moment does not reflect the adjustment for the beam stability factor. Bearing Length Loads to Supports(lbs) Supports Total Available Required Dead Floor Live Total Accessories 1-Stud wall-SPF 3.50" 3.50" 2.06" 808 2250 3058 None 2-Stud wall-SPF 3.50" 3.50" 2.06" 808 2250 3058 None Lateral Bracing Bradng Intervals Comments Top Edge(Lu) 12'o/c Bottom Edge(Lu) 12'o/c •Maximum allowable bracing intervals based on applied load. Dead Floor Live Vertical Loads Location(Side) Tributary Width (0.90) (L00) Comments 0-Self Weight(PLF) 0 to 12' N/A 9.7 -- 1-Uniform(PSF) 0 to 12'(Top) 12'6" 10.0 30.0 BEDROOM LOAD 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 Squash 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 ICC-ES under evaluation reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library. The product application,input design loads,dimensions and support information have been provided by ForteWEB Software Operator ForteWEB Software Operator Job Notes 2/10/2022 1:51:07 PM UTC Peter Van Buren JULIAN ALBO COWLS BUILDING SUPPLY 17 FORT ST. FOrteWEB v3.2, Engine: V8.2.0.17, Data:V8.1.0.16 (413)549-0001 NORTHAMPTON,MA 01060 pete@cowls.com Weyerhaeuser File Name: FORT ST. Dmnm 1 / 1 11111 - 1 . Jarlate ;(/rt; /7 w,esi'L ILA Ole. (i) / vc / ki /r LVL a;Q1 �l fax /wk (AA) lIT fG L )a/STS ,�wa y'cc q-// /'f fi efr 1404 iligdULE rx lrp 4 r, r^rnr sow, i I 1 , t-T =--t- ,I /N(r ttAT?c) (7 ,416,r fr ►^,0/0 ' � wN J q tI4w Qua -/11a5a?Cl