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17A-240 (12) BP 2022-1159 60LAKE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-240-001 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-2022-1159 PERMISSION IS HEREBY GRANTE'I TO: Project# ALTERATION Contractor: License: Est.Cost: 34500 JASON GRAVER 103229 Const.Class: Exp.Date:06/27/2023 Use Group: Owner: R SHIELD DAVID R&NEDRA Lot Size (sq.ft.) Zoning: URB Applicant: ELEMENTAL CARPENTRY & CONST'UCTION INC Applicant Address Phone: Insurance: 118 HAWLEY ST (413)320-6427 UB4J619853 NORTHAMPTON, MA 01060 ISSUED ON:09/23/2022 TO PERFORM THE FOLLOWING WORK: INTERIOR ALTERATIONS 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I 1l o Fees Paid: $227.50 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner � c Ei The Commonwealth of Massach setts �/ ,� .* + Board of Building Regulations and .tan. : FIiR i, Massachusetts State Building Cod,, 7800 / I/SE ITY Building Permit Application To Construct,Repat , ' -no e:0,4 II- . Bevis-d Mar 2011 One-or Two-Family Dwelling THgM,o�Ne misp IV. �C�`O This Section For Official Use Only f'oen Ns BuildiervisJ g Permit Number:451 22—161 Date Aplied: AZ 9-2z-26zz Building Official(Print Name) Signature Oate 1 SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers (00 Lake SI-. 17 A d qo - 001 1.la Is this an accepted street?yes $ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: (A PIS, Qes:'ded-it( /2I 790 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:1 Public X Private 0 Zone: _ Outside Flood Zone? MunicipallOn site disposal sys:em 0 Check if ye0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record Odra 3 00t�id SA;eld rite mGe, i AA plod. Name(Print) City,State,ZIP 6 0 LA14 SJ-. 003) 610R - c1so 61 SAle(d a th.o . crr+ No. and Street Telephone Email Add/ss SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s)X Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units / Other 0 Specify: Brief Description of Proposed Work': i,1S44// bum /o L Oit,6 ohe /0W11 toM Air l(0.1 free • ,$sIr/f -new 'iiit4( /odr AA) 4✓.4leatr. -- SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 30, 00 • 1. Building Permit Fee: $ Indicate how fee is determined: O Standard City/Town Application Fee 2.Electrical $ 3o01) O Total Project Costa(Item 6)x multiplier x 3. Plumbing $ /COP 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees: $ '7,3 0 Check No.1-J7 p5 heck Amount: 6. Total Project Cost: $ 31/i ADO *Paid in Full CIOutstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /43dvti L a-1 a3 .1;541A 6rSeer License Number Ex irati n Date Name of CSL Holder List CSL Type(see below) u /Is H wler s-4-• No. and Street l Type Description Aldr1 a / 0 lO hU Unrestricted(Buildings up to 35,000 Cu.ft.) / b p R Restricted 1&2 Family Dwelling City/Town,State, M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances L/ij- 37/6- 6 ifd a/iienl,(c rpedr/ Q I Insulation Telephone Email address _1^141 D Demolition 5.2 Registered Home Improvement Contractor(HIC) /77fB,Q yipyE/eAen4( ' &r My CortAroCrlUn I IIC Registration Number EDate HIC Company Name or liIIC Registrant Name I I( Hsw►tt, sl, e/ep)Pn fa/tAr�D enfr�yJ No. d Street En'ail address J irFhbApUr t AV 0/06n N(3• 4s. iital 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 j1SII'► er- to act on my behalf,in all matters relative to work authorized by this building permit application. DA14d SA ieid Print Owner's Name(Electronic Signature) Date 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. I �JIn nfw `1/dr�' Print Owner's or Authorized Agent's Name(Electronic Signature) Date 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 ww'w.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" =-"' The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02114-2017 11 orkers' t:'ompensation Insurance Ardasit:Builderxff:`oaten►etorsiEfeetririuns Pluntherr. TO BE FILED WITH THE PERMITTING AL!THORITV. Atsplieant Information t, L_ / Pleaase Print L tlbh Name i.tltss.ints. rDrsr;<'.inrr rtKat toL3t�iclitei):___._.-._....C:L� Alit �. byrepitet (06-S /`r'r.L,bi 44-,It• __ Address:, ilk....._ Pa idey ......if'' ... , . City/State/Zip ....... kffil +-ei+:,,._.. ....o,.,,A2,,_ Phone #: ,.� LI/3. 3p1v. ...�tlf a-) Aft)"an rmtrttrr er?Cheek the appropriate trattt Type of eject(rx ui d): 1 1.0 I am a ortpksyer trrtin a- ertt uyees(tilt arroyos part-Heiser.• 7. CI New construction 2.0 I am a sole proprietor or rortnership and have no employees working tot stir in 8. l]Q d emodeting any en tsseity.(No workers'swap, insurance niquiretd..1 9j i Ant 4 hiMMMWwne`r& iin vont myself.[No workers'camp.atasurtsr;a:tds{urrkid,l Demolition 4.0 I,in,a hueneownen and will br biting wstu s ru:turs to sv.indoct all work on nit 0I tttltlin(i',addition more that all contractors either lave workers'convertssdirat irrt.turarie or ate Berle 1 I i 0 Electrical repairs r additiunS proprietor%tiwith no amtsle9'ee*a. 12 a Plumbing.repairs acklicions 50 i am a s i'sutr>.i contractor and I have hired the stab,,tctnur actor,listed on the attached%hon. IDThese sirlsr:urrtrat:ture lime employees Gnat base*twiner'ortrrp.inxurante.: Root tc pairs C F d} t+, We are r2 14_ Offset' corporation and di.uf4tt al hove euireciu ed then right of exemption pet hiCit.a I ?,§ti4it,and we haoe no corn darters,[No tworkers' .,nap..insurance minimal •Airy applic,la t that duck.%box rrl neat also fill utit the anctioat below attuning their tvirke'ss`entnpateatiou prrlm:;y uderernation. s}f,srramwtser, who rebind flak affidavit indicating they ate hiring all work and thorn hire outside voittter:tors lot t submit a new ut`ii darit inr<dica in such. Contactors that ebu:k text.tier insist atiaLlie4i an additional shiv!t xIbtm,Mg du:name of the xutt'uarnttstitcxx and rises whether to not those faultier hrsve employee if the sol*t'trutrsetoris have employees.they maxi pet..eke Thor worker,'crimp.pokey ourttb r. I am on employer that is prut'irliruti workers rs`compensation insurance for my employees: Below is the policy aid lob%lie infortrtotion. Insurance Company Name:____.. lAUe l -S. Policy#or Self-ins. Lie.#: UB - L1 JIQ 19 tS3 ,9) lot .__ Expiration Date: _.__._. 4/a.? _____ Job Site Address: 1,0 LQkt Sl-, City'TStt}te rLip J11 lMA AA 0o44. Attach a copy of the workers'compensation policy declaration page(thawing the policy number and et ra ion date). Failure to secure coverage as required under MGL c. 152,¢2SA is a criminal violation punIsbabk by a line up to. I,5()t),(g) and'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.O0 a day against the violator A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage vet-ilication. I do hereby cert{fy under the tins and penalties of perjury that the inJirrmaiion provided above i.ti true and correct. Signature: D . 9/if a1 Phone#: f'13. ?av. `/Di? t Official use only. Do not write in this area,to he cvtnpietted by city or*now o,//Te//al. u City or Tows: PermittLkeense It 1 Issuing Authority(circk one): t 1. Board of Health 2.Building Departttretnt 3.CiiyrrI'own Clerk 4.Electrical Inspector 5. Plumbing In pector t O.Other I Contact Person: Phcsnt 4: `"::was"..w'.'."""..."'.."y "•+.M'e""2"�C.'nTM"'=' ^.�:'e':.=T,"_;x^.t".'w+ -.+Am,.nn,.rv...a» City of Northampton Massachusetts y�. f��. eit t A w, ' dItt4.144j DEPARTMENT OF BUILDING INSPECTIONS ;`' 212 Main Street • Municipal Building yLa llorthampton, MA 01060 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: Location of Facility: J4//f ' CC C��n r The debris will be transported by: Name of Hauler: rkAm4/ Conske.tb�n Signature of Applicant: Date: V/S79R- , 1.1 '4..''1 3 I t IN t'Id MEMBER REPORT PASSED Level,french door 2 piece(s) 1 3/4"x 7 1/4"2.0E Microllam®LVL Overall Length:6 7" + + 0 0 ltlh r ..Re ..5;s i.R ....! ..„ r. . ,.f a Y.R. i. ✓.. . 6 1" 4 1❑ El All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual 4 Location Allowed Result LDF Load Combination(Pattern) Syste :Wall Member Reaction(Ibs) 2460© 1 1/2" 7613(3.00") Passed(32%) -- 1.0 D+ 1.0 L(All Spans) Mem.=r Type.Header Build .Use:Residential Shear(Ibs) 1822 0 10 1/4" 4821 Passed(38%) 1.00 1.0 D+ 1.0 L(All Spans) Buildin.Code:IBC 2015 Moment(Ft-Ibs) 3747 @ 3'3 1/2" 7115 Passed(53%) 1.00 1.0 D+ 1.0 L(All Spans) Design Methodology:ASD Live Load Defl.(in) 0.089 0 3'3 1/2" 0.211 Passed(L/853) -- 1.0 D+ 1.0 L(All Spans) Total Load Defl.(in) 0.139©3'3 1/2" 0.313 Passed(L/548) -- 1.0 D+ 1.0 L(All Spans) •Deflection criteria:LL(L/360)and TL(5/16"). •Allowed moment does not reflect the adjustment for the beam stability factor. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead Floor Live Factored Accessories 1-Trimmer-SPF 300" 3.00' 1 50" 880 1580 2460 None I 2-Trimmer-SPF 3.00" 3.00" 150" , 1580 2460 None Lateral Bracing Bracing Intervals Comments 701:tag,(Lu) 6 i'c/c Bottom Edge(Lu) 6'7"o/c •Maximum allowable bracing intervals based on applied load. Dead Floor Live Verticat Loads Location Tributary Width (0.90) (1.00) Comments 0-Self Weight(PLF) 0 to 6'7" N/A 7.4 -- 1-Uniform(PSF) 0 to 6'7' 6 15.0 40.0 1/2 floor load to center beam 2-Uniform(PSF) 0 to 6'7' 6' 15.0 40.0 1/2 floor load to outer addition beam 3-Uniform(PLF) 0 to 6'7" N/A 80.0 - 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 disclaim 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 rec d,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.Prod cts manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC-ES under evaluation repo 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 vwaw.weyerhae user.cam/wood products/document-library. The product application,input design loads,dimensions and support information have been provided by ForteWEB Software Operator ForteWEB Software Operator lob Notes 8/30/2022 7:45:10 PM UTC Peter Van Buren ELEMENTAL CONSTRUCTION COWLS BUILDING SUPPLY SHIELD RES. ForteWEB v3.4, Engine:V8.2.2.122,Data:V8.1.2.2 (413)549.0001 60 LAKE ST. File Name:kitCh beam pete@cowls.con FLORENCE,MA01062 \t'cy.il;.;c.u,r Dane 1 /7 F , c./ I t,VV t.'..Li MEMBER REPORT PASSED Level,Copy of Copy of Floor: Flush Beam 3 piece(s) 1 3/4"x 14"2.0E Microllam®LVL Overall Length: 15 15.1/2" + + 0 0 .4'4 i*'',a' 4 a ` .iti. 4�t q Sr Ci j 5', 6, '-„h`6}-4'' F .'x'''''' ci g 1 o � i, I a a 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 LOF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 5808 @ 15'4 1/2" 7809(3.50") Passed(74%) -- 1.0 D+ 1.0 L(All Spans) Mum r Type:Flush Beam Buildi g Use:Residential Shear(Ibs) 4721 @ 1'5" 13965 Passed(34%) 1.00 1.0 D+ 1.0 L(All Spans) Buildi g Code:IBC 2015 Moment(Ft-Ibs) 21670 @ 7'9" 36387 Passed(60%) 1.00 1.0 D+ 1.0 L(All Spans) Desi Methodology:ASD Live Load Defl.(in) 0.265 @ 7'9" 0.381 Passed(L/690) -- 1.0 D+ 1.0 L(All Spans) Total Load Defl.(in) 0.412 @ 7'9" 0.762 Passed(L/444) -- 1.0 D+ 1.0 L(All Spans) •Deflection criteria:LL(L/480)and TL(L/240). •Allowed moment does not reflect the adjustment for the beam stability factor. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead Floor Live Factored Accessories 1-Pocket-concrete 3.00" 3.00" 1.50" 2057 3720 5777 None 2-Stud wall-SPF 3.50" 3.50" 2.60" 2068 3740 5808 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. Lateral Bracing Bracing Intervals Comments Top Edge(Lu) 14'11"o/c Bottom Edge(Lu) 15'7'o/c •Maximum allowable bracing intervals based on applied load. Dead Floor Lire Vertical Loads Location(side) Tributary Width (0:90) (1.00) comments 0-Self Weight(PLF) 0 to 15'6 1/2" N/A 21.5 -- 1-Uniform(PSF) 0 to 15 6 1/2"(Front) 6' 15.0 40.0 FLOOR LOAD 2-Uniform(PSF) 0 to 15 6 1/2"(Back) 6' 15.0 40.0 FLOOR LOAD 3-Uniform(PLF) 0 to 15 6 1/2"(Top) N/A 64.0 - 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.can/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 8/30/ 022 7:45:10 PM UTC Peter Van Buren ELEMENTAL CONSTRUCTION COWLS BUILDING SUPPLY SHIELD RES. A, ForteWEB v3.4, Engine: V8.2 2.122,Data:V8.1.2.2 (413)549-0001 60 LAKE ST. pete@cowls.com FLORENCE,MA 01062 jury-,1h.cnser le Name: kitch beam Danec /7