23A-083 (5) BP-2023-1126
15 MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-083-001 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1126 PERMISSION IS HEREBY GRANTED TO:
Project# LANDING 2023 Contractor: License:
Est. Cost: 8500 ROBERT GOULD 90940
Const.Class: Exp.Date: 02/19/2025
Use Group: Owner: FATHALLAH MIRIAM&KATHLEEN HULTON
Lot Size (sq.ft.)
Zoning: GB Applicant: ROBERT GOULD
Applicant Address Phone: Insurance:
62 LYMAN ST 413-531-1391 SOLE PROPRIETOR
GRANBY, MA 01033
ISSUED ON: 08/30/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL SLIDING DOOR AND NEW LANDING WITH STAIRS
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:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
2—o14,
File #BP-2023-1126
APPLICANT/CONTACT PERSON:ROBERT GOULD
62 LYMAN ST GRANBY, MA 01033 413-531-1391
PROPERTY LOCATION 15 MAIN ST
MAP:LOT 23A-083-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $65.00
Type of Construction: INSTALL SLIDING DOOR AND NEW LANDING WITH STAIRS
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INSORMATION PRESENTED:
x 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
1 CDT
fly 3
ature 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.
CA\
The Commonwealth of Mas .chus. �g/
W
Board of Building Relations a S4' �. + FOR
Massachusetts State Building Code, ':;9T• G Sr LITY
Building Permit Application To Construct, Repair, Reno '.'•,�'t Revi d Mar 2011
One-or Two-Family Dwelling °ti�,,,
This Section For Official Use Only °70 2pao ,,
Building Permit Number: 6P e,k3 " 1( Date Applied: J
,A , ,. eri <' J3o/a3
Building Official(Print Name) Signature Dat�
SECTION 1:SITE INFORMATION
1.1 P perry Address: 1.2 Assessors Map& Parcel Numbers
I.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: (MAIL 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:
` Miriam ca+halIa(' ciocenc.e, M R 01062_
Name(Print) City.State.ZIP
(5 Neon S'4 ' 5t,g6IS6390 M;r;c+m-'ai-Iailcila rnaoI,un..
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 0
Demolition 0 Accessory Bldg_0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': ;, T GZ , orb i 10��.-t
1 /a'r )t 9 t t,. L , -,rq.11'S v.rw- 1 r -
I SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ c L '-- I. Building Permit Fee: S Indicate how fee is determined:
J !U 0 Standard City/Town Application Fee
2. Electrical $ 0 Total Project Cost`(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (11VAC) $ List:
5. Mechanical (Fire $ Total All F
Suppression)
G L Check No.l Check Amount: Cash Amst.); i
ount:
6.Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due:
l SECTION 5: CONSTRUCTION SERVICES I
5 Construction Supervisor License
J(CSL)(....1..y_.0
/�d 0'3 UU n r�,
`t' ��/Ido t License Number ExpirationiozDates
Name ot CSL Holder
Ic)— 41 .4— t List CSL Type(see below)
Type Description
No. d St
AA.n�t
A�/� U Unrestricted(Buildings up to 35,000 cu.ft.)
1, /� R Restricted I&2 Family Dwelling
City/Town,Stat ,ZIP M Masonr
y
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 'stered Home Improvement Contractor(HIC) t1 / 6 ,,,01
Odiale
ny Name or HICRegistrant Name HIC RRegistration Number Expiration Date
H IC
No.and Street -(2/'7)'�f t',1/..c. f[ice.,
Emaj address
Cityffown,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.1„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
1.as Owner of the subject property,hereby authorize(Zbez t" C �-7,tpjj &
to act on my behalf,in all matters relative to work authorized by this building permit application.
kI..t,r iam iihc142k g/I t' 2-3Owner's Kane(Electronic Sigoa rre) 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.
k_ esh (-r,;,.C ca-- 63-/k,- :ems
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
Information on the Construction Supervisor License can be found at
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. ll.) 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
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
1 �
REAR YARD
-A
SIDE YARD AI ) t-
/
SIDE YARD
V /0
"q4
FRONT SETBACK
FRONTAGE
City of Northampton
<tS �rir _
Massachusetts t
f�,± r! DEPARTMENT OF BUILDING INSPECTIONS -_,,, 9 _
ii 212 Main Street • Municipal Building i_
Northampton, MA 01060 fs?1,/ .4,,,\"'
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:
`ram
Location of Facility: C b,),4_,:-_t'-,1 I� E C (1.()
The debris will be transported by:
(---- ) _
,, A
Name of Hauler: K- ,`\j C �-� _,t
/ -_
Signature of Applicant: Date:
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The Commonwealth of Massachusetts
Department of Industrial Accidents
;_ 1� c 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): `2kA & 61-061-e12—
Address: G...2- (_Gqi\AGv.--‘
City/State/Zip: C �/ • Phone #: y/. S 3/ 13
Are you an employer?Check the appr priate box: Type of project(required):
LID I am a employer with employees(full and/or part-time).* 7. ❑New construction
2.6..am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
;.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. El Demolition
10❑Building addition
-1.❑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 11.❑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. 13.1=I 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 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:
Policy#or Self-ins.Lic.#: Expiration Date:Job Site Address: .1‹ lLtit,-,_ $ �j 1 City/State/Zip: n.G.,.c.._` V\&
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 hereby cert. ains and penalties of peiju►•y that the information provided above is true and correct.id
Si ature: Date:U - 6 --J
Phone#:W Y / W/
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#:
8/29/23,3:20 PM 1000001852.jpg
CS Beam 2021 SA.x 15 Main 8-25-23
k u B'amEniic 2018.9.0 I
\Lderu6 Database 1587 Florence 2:57pm
1 of I
Member Data
Description: Member Type:Beam Application:Floor
Top Lateral Bracing:Continuous
Bottom Lateral Bracing: 0.00
Standard Load: Moisture Condition:Dry Building Code:IBC/IRC
Live Load: 40 PLF Deflection Criteria: L/360 ive,L/240 total
Dead Load 10 PLF Deck Connection:Naffed Member Weight: 9.6 PLF
Filename: 14ft girder
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PSF) Top 0' 0.00" 6' 0.00" 6' 0.00" 30 10 Live
Additional Uniform(PSF) Top 0' 0.00" 6' 0.00" 6' 0.00" 20 10 Live
Additional Uniform(PLF) Top 0' 0.00" 6' 0-00" 0 80 Live
Additional Uniform(PSF) Top 0' 0.00" 6' 0.00" 13' 0.00" 30 15 Snow
T T
,— /
600
O m
/ /
600
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall SPF#3/Stud 2x or 4x End-Gran(650psi) N/A 1.500" 2834# -
2 6' 0 000' Wall SPF#3/Stud 2x or 4x End-Gran(650psi) N/A 1.500" 2834#
Maximum Load Case Reactions
JsW'of 4 .'.,. .,I.e.ls ror ore bags-Ib caring,miters
Live Snow Dead
922# 1198# 1243#
2 922# 1198# 1243#
Design spans
6'1 750"
Product: 1-314x9-1/2 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS
NOTE:Comection schedule for member requires special design consideration consult a professional engineer.
Minimuu 1.50"bearing required at bearing#1
Minimum 1.50"bearing required at bearing#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 Allowade Capacity Location Loading
Positive Moment 4354.'# 16051.'# 27% 3' Total Load D+0-75(L+S)
Shear 2104.# 7265.# 28% 5.46' Total Load D+0.75(L+S)
TL Deflection 0.0592" 0.3073" U999+ 3' Total Load D+0.75(L+S)
LL Deflection 0.0332" 0.2049" U999+ 3' Total Load 0.75(L+S)
Cattol.Shun
DOLs.Live=100'ro Sixxv115%Roaf=125%Wntd=160°f
Al product nacres are txacinnahs d hat respacwe owtsrs
CkippiOt P ai8 by Sawn"+SorgTre Dummy tre.ALL WGHTS RESERVED.
'Twine la diked at Wien the imn*u,btrP1,51 beam or soder shown m eves drawrg neee applicable design awn far Loads,Lnadhe Cohorts.and Spare Wed art ma duel The
dettrnrW a eedired eveaaid4ntrer a deem prdssstxtal as!enured for approval Thor design assumes product rntalabon a:cooing to the Rae4tiuds apadlCardlt.
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