24A-024 (10) 89 RIDGEWOOD TERR BP-2009-0096
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24A-024 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:
BUILDING PERMIT
Permit# B P-2009-0096
Project# JS-2009-000125
Est. Cost: $65000.00
Fee: $390.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Jeffrey Bott 053157
Lot Size(;:-. ft.)_ 5009.40 Owner: VOSS PAUL B&SUSAN E
Zoning: URB Applicant: Jeiirey bOtt
AT: 89 RIDGEWOOD TERR
Applicant Address: Phone: Insurance:
32 Pine Street (413) 584-6251 Workers
Compensation
FLORENCEMA01062 ISSUED ON:8/6/2008 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT MUDROOM ADDITION, NEW
FRONT PORCH/STORAGE REPLACEMENT WINDOWS, KITCH CABINETS,INTERIOR
ALTERATIONS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET BuildingInspector Inspector of Plumbing Inspector of Wiring P.P.W. p
Underground: Service: Meter:
Footings:
Rough: Rough: . _ House# Foundation: ` LC 3- 5'- 0
'---d4rti../
Driveway Final:
Final:i'24 4'13 14 Final.
/✓ //J /j?,s 4 p Rough Frame:
Gas: • Fire Department Fireplace/Chimney:
Rough: Oil: Insulation V7,c ' _l o ,0 $ '--62
Final:ja-/7_OEigeSmoke: Final: o'C )211 10 y Lotit{•
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
-------- del, ..L7,soir
Certi
ficate of Occupancy - /14/("-j Signature:
FeeType: Date Paid: Amount:
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
* File#BP-2009-0096
APPLICANT/CONTACT PERSON Jeffrey Bott
ADDRESS/PHONE 32 Pine Street FLORENCE (413)584-6251
PROPERTY LOCATION 89 RIDGEWOOD TERR
MAP 24A PARCEL 024 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ``�� ik.34961 Fee Paid
Typeof Construction: CONSTRUCT MUDROOM ADDITION,NEW FRONT PORCH/STORAGE
REPLACEMENT WINDOWS,KITCH CABINETS,INTERIOR ALTERATIONS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 053157
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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
7/:7x_____
7"
6,1219
Signature of 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.
•
i Department use only
City of Northampton Status of Permit:
Building Department 212 Main Street
Room 100
Curb Cut/Driveway Permit
Sewer/Septic Availability
Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,AL:TE �EPAIL;R)*N O 'DEMOLISH A ONE OR TWO FAMILY DWELLING
__ _ _
SECTION 1 -SITE INFORMATION I
1.1 Property Address: 2 5 2008 i This section to be completed by office
$9 F(c)..3ewcoo\ Tev-' ( M.ap Lot 024/023 Unit
� I DEPT OF E' LGii G f HCTIONS Overlay District
tih 5t District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: 1
E uSij At,'t ?kW 1 Uj 55 89 F1C) ewood\ —revr
Name( tint) Current Mailing Ad s: 5 g yL ,t 4�
t I/� Telephone l O
Sig ture
2.2 Authorized Agent:
•jam- ,r-c,� oit 32 p w -e, sr FL.Otz Cnet 014
Name(Pent) Current Mailing Address:
\ st O l a 6-7- S84 CaS I
Signatur Telephone
SECTION 3- IMATED CONSTRUCTION COSTS 1
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building ( (à)
Building;Permit Fee
2- Electrical (��� (b) Estimated Total Cost of
Construction from (6)
3. Plumbing OOP Building Permit Fee
•
4. Mechanical(HVAC) �`l.�
5. Fire Protection `�1:40 q
6. Total=(1 +2+3+4+5) (os er0 0Check Number 5 U /
This Section For Official Use Only
Date
Building Permit Number Issued:
Signature:
Building Commissioner/Inspector or budamgs Date
•
Section 4. ZONING I All information Must Be Completed. Permit Can Be Denied Due To Incomplete Information t
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
__1 soDa C .--:"------,
_ ._._ r_R- ..___
Lot Size
Frontage 15 _ 'Th .7.S.! . -45
Setbacks Front _ ` p i ' Z
Side 1ip►' R:'ZI .1 LaCrR:, IS ` !Tf Is' ..
Rear PO '0+31 12
V '
Building Height ;ZL i I -
Bldg.Square Footage 0i ii_u % fao'T- f$
Open Space Footage ��q� j�
(Lot area minus bldg&paved L3Lw • Og.1 13i 'g73 O
oarldng)
#of Parking Spaces
Zk �I Z s .a
Fill: 3 __._ _
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DONT KNOW 0 YES 0
IF YES, date issued::
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DONT KNOW 0 YES 0
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0
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 0 NO
I
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0
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 wrnrrwrr plan
that will disturb over 1 acre? YES 0 NO e
IF YES,then a Northampton Storm MT& -anagemenfPeimitfrom the DPW is required.
• SECTION 5-DESCRIPTION OF PROPOSED WORK(check all aoolicable)
New House ❑ Addition y 1 Replacement Windows rAlteration(s) I Roofing •
Or Doors .10
Accessory Bldg. ❑ Demolition 0 New Signs [DJ Decks [ Siding[pj Other[DJ I
Brief Work:Description of Proposed moot r ro*w A�t�►1 t-(0 i^ pit...,_,,,y1 A t.i.-,came s • ow►¢ ,n,e,0 �•• I" 0 WO
cr v / i j„ kei(61 evt A
Alteration cf existing bedroom Yes A No Adding new bedroom Yes X No
Attached Narrative Renovating unfinished basement Yes _No N eir/
Plans Attached Roll -Sheet /fir"""
sa. If NOW house and be addition:to existing flousina,complete thefolfowino:
, I 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. flocdplain 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-TaBE COMPLEttD WHEN
OWNERS-AGENT OR CONTRACTOR--AP PLIES FOR BUILDING PERMIT
I, Su.Skkn PA1/4)k Vt, 55 , as Owner of the subject
property ` ` V
hereby authorize `'4r"�''l
to act,n my behalf, in all matters r atite to work authorized by this building permit application.
. . I V / 1 2 •O
Si. ature of Owner Date
I. ) N''.L "B bl't , as Owner/Authorized
Agent hereby declare that th statements 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.
Print Name ��
! scra(efr
Zi °Ba.e
SECTION 8 -CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: I Not Applicable 0
�- �� ti--� � C. S O 53 t 5"�
Name of License Helder: '`�
_ Y License Number
32 Ping.St q 6 2�5
address flo' ce,MA 010621g� Expiration Date 1
Signature � r C Telephone
D Sa46
I.Reaist ed Home ImarovemerrtG-o�{n�tractor „m :-,_ ..w .._..,..__,.__ -.. . _M_... . _ . Not Applicable 0
ZA,rG 15 O k\ .1n.tritir"id,ECi i t:t5 `D(Z Z/
:omoanv N Registration Number
Bott
'V Pine St�@n/ (71 751 2bio
ddress •
Florence,MA 0 -1 l,f Expiration Date
Telephone S l CI 1
ECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,,§25C(S)) I
Corkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
the denial of the issuance of the building permit.•
gned Affidavit Attached Yes 74., No 0
The current exemption for"home ers"was extended to include Owner-occupied Dwellings of one(1) • two(2)families
54t
and to allow such homeowner to enga, an individual for hire who does not possess a license, •rovided ,at the owner acts
as supervisor.CMR 780, Sixth Edition ection 10335.1.
Definition of Homeowner:Person(s)who o • •arcel of land on which he/she resides or inter•- to reside,on which there
is,or is intended to be,a one or two family dwelling, •ttached or detached structures accesso o such use and/or farm
structures. A person who constructs more than one ho e in a two-year period shall n. .e considered a homeowner.
Such"homeowner"shall submit to the Building Official,on • .rm acceptable to-the :• ding Official,that he/she shall be
responsible for all such work performed under the building o .•t
As acting Construction Supervisor your presence on the job site wi l •e req '• d 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'Compen - ion) •.•d Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts :eneral Laws • • otated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes respo. •ility for compliance with the •to Building Code,City of
Northampton Ordinances,State and Local Zoning Laws •..d State of Massachusetts General La • Annotated.
Homeowner Signature
The Commonwealth of Massachusetts
.- Department of Industrial Accidents
.1 £----:e Office of Investigations
600 Washington Street
,.= Boston, M4 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers
Applicant Information PIease Print Lesibly
N q r ne(Business/Organization/Individual): 3 A t it ?s r�8-j n
Address:
City/State/Zip: Phone#:
Are you an employer?Check the appropriate box: Type of project(required): I
1.g I am a employer with 2 4. 0 I am a general.contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. iii3 Remodeling .
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' 9 ❑Bulletin addition
[No workers' comp.insurance comp.insurance.t
required.] 5. 0 We are a corporation and its 10.❑Electrical rep s or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing rep. ' s or additions
! o workers'
myselfcomp. right of exemption per MGL
y � 152, §I(4),and we have no 12.0 Roof repairs
insurance required.] t c. 13.0 Other
employees.[No workers'
comp.insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'con4,cnsatiori policy information.
r 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 4 55oc. evn 0.07 us I4$„ranc..'_ Co , _
Policy#or Self-ins.Lic.#: W C G sC )CO 4(2 O 1 ZDO 8 Expiration Date: (O 47-5 17...001
Job Site Address: p 1 c) u„op(), Lev— . . City/State/Zip: 13D4(4,611 011,4v\.. ?IAAttach a copy of the workers'comnsation policy declaration page(showing the policy number and expiration date) 'L
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S 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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DL4 for insurance coverage verification.
I do hereby certify under the pains and enalties of perjury that the information provided above is true and correct
Signature: 3 V Date: 7 It3(� ol�'
Phone#: )� s&`1 GZ _ 1
t
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 CIerk 4.Electrical Inspector 5.Plumbing Inspe for
6.Other
i Contact Person: Phone T:
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends 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."
The building department for the City of Northampton wants person(s) who seek to use
the home owner exemption, to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state building codes and
regulations. The inspection process requires that the building department be called to
inspect work at various stages, which include foundation/footings (before backfill).
sonotube holes (before pour). a rough building inspection (before work is
concealed). insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
of a to the permits and inspections as
inspections. Failure the individual trades secure p
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
32 Pine St 8-7-08
N, rii Plorance G�. (1 0 Z A 9:25am
loft
KeyBeamae 4.503h (,C) )D i /t r��
kmBeamEngirte 4.503p /C,l' W
Materials Database 814
Member Data
Description: Member Type: Beam Application: Floor
Lateral Bracing: Continuous Top
Standard Load: Moisture Condition: Dry Building Code: IBC/IRC
Dead Load: 10 PLF Deflection Criteria: U360 live, U240 total 1.000"max. LL
Live Load: 40 PLF Deck Connection: Nailed Member Weight: 17.5 PLF
Filename: 11 4 beam
Other Loads
Type Trib. Dead Other
(Description) Begin End Width Start End Start End Category
Replacement Uniform(PSF) 0' 0.00" 13' 4.00" 12' 1.00" 10 30 Live
Additional Uniform(PSF) 0' 0.00" 4' 0.00" 12' 1.00" 17 35 Snow
I
I
T
/ /
13 4 0
0 O
/
13 4 0 /
Bearings and Reactions
Location Type Input Length Min Required Gravity Reaction Gravity Uplift
1 0' 0.000" Wall N/A 1.500" 4572# --
2 13' 5.750" Wall N/A 1 500" 3502# --
Maximum Load Case Reactions
Used for applying point loads(or line bads)to carrying nenbers
Dead Live Snow
1 1643# 2443# 1462#
2 1059# 2443# 260#
Design spans
13' 5.750"
Product:1 314x11 7/8 Versa-Lam SP 2.0-3100 3 ply
Component Member Design has Passed Design Checks.**
Minimum 1.50"bearing required at bearing#1
Minimum 1.50"bearing required at bearing#2
Design assumes continuous lateral bracing along the top chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 12226.'# 33189.'# 36% 6.74' Total load D+L
Shear 3387.# 11845.# 28% 0.01' Total load D+L
TL Deflection 0.2753" 0.6740" U587 6.74' Total load D+L
LL Deflection 0.1838" 0.4493" U880 6.74' Total load L
Control: LL Deflection
DOLs: Live=100% Snow=115% Roof=125% Wind=133%
Design assumes a repetitive member use increase in bending stress: 4
Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives
Al product names are trademarks nl their respective owners
Kejiil1 a r Copynghl(C)1989-2005 by Keynmk Enterprises.LLC ALL RIGHTS RESERVED
1-.\I1.Ri'IttSl:5.t.1 r