36-036 (2) .
Roo 7,01.14
By: Teresa Wong Neyhart P.E. , TNT ConsuRftig on: 07-30-2012 : 9:44:37 PM
Project: 1206 Cabana Location: Roof Rafter-Northarnptan MA
Summary:
1.5!Nx3.5|Nx5.0 FT(57+0.3)(d),24OC/#2 Spruce-Pine.-Fir Dry Use
Section Adequate By: 4.0% Controlling Factar: Section Modu!us 1 Depth Requred 3.43 In
Interor Span Deflections
Dead Load: DLD'|ntehm= 0.09 IN
Live Load: LLD-interior= 0.27 |N=L/281
Tota|Loac: TLD-|nte/inr= O.30 |S=U21a
Eave Deflections (Positive Da8ectiona used trdooign):
Dead Load: DLD-Eave= D OO IN
Live Load: LLD'Ea,e= 0.00 /N-2Li12388
Total Load: TLD'Ea"e= 0.00 |N=2U8854a2D
Rafter End Loads and Reactions: LOADS: RXN8:
Upper Live Load: 99 P' 198 LB
Upper Dead Load: 32 PLF 63 LEI
Upper Total Load: 131 PLF 282 LB
Lower Uve Load: 111 PLF 222 LB
Lower Dead Load: 35 PLF 71 LB
Lower Total Load: 147 PLF 293 LB
UpuerEquiv. TributarvVV|dth: UTVVox= 3,16 FT
Lower Equiv. Tributary Width: LTvveq= 3.55 FT
Rafter Data:
inua,i:rSps:: L= 5.67 FT
BuveSpan: L'Eave= 0.83 FT
Rafter Spacing: Spacinq= 24.0 IN 0.0.
Rafter Pitch: RP= 6.0 : 12
sheathing Roof top ofjosts-Top of rafters fully braced.
Live Load Deflect. Criteria: U 240
Total Load Deflect. Criteria: �.�. L/ 130
Rafter Loads:
Roo Live Load 35,0 PSF
Roof Dead Load: DL= 10,0 PSF
Roof Duration Factor: . Cd= 1.00
Slope Adjusted G And Loads: , �/w�
Interior Span: ^ L-ad= 6.34 FT
EaveSpan: 037 FT
Ra�erUveLoad: wL,adi~ 56 PLF
Rafter Dead Loud: - wD-adj= 18 PLF
Rafter Total Load: ''�� -' ` / -- *l�a�= 74 PLF
Properties For: #2 Spruce-Pine-Fir
Bending Stress: � 7 /���/ / �� Fb= 875 PSI
Shear Stress: ' . / ~ Fv= 135 PSI
Modulus of ,.'�/ L` L`�*c�`c� �� = i,��uc �_^ E= 1400080 PSI
Adjusted Modulus of ' E-Min= 51000D PS,
Stress Perpendicular to Grain: _ Fo'penp= 425 PSi
Adjusted Properties
Fb' Fb'= 1509 PSI
Adjustment Factors: Cd=1.OVCF=1.5OCr=115
Fv Fv= 135 PSI
Adjustment Factors: Cd=1.0O
Design
Controlling Moment: M= 371 FT-LB
3.17R from left support uf span 2 (Center Span)
Critical moment created by combining all dead oads and ve ioads on spari(s) 2
Controlling Shear: V= 216 LB
Ata distance d from right support nfapan2(CantarGpan)
Critical shear created by combining all dead loads and live loads on span(s) 2, 3
Comparisons With Required Sections:
Sectiori Modulus (Moment): Sreq= 2.95 N3
S= 3.06 N3
Area (Shear): Areq= 2.40 N2
A= 5.25 25 N2 �
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k4omentof|nerUa(Da8oction): f�q= 4.58 N4 -�� `� '..i:- ti
( |= 535 N4
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TNT Consulting
Teresa Fong Neyhart P.E.
16 Kosior Drive
Hadley. MA. 01035
July 30, 2012
Office of the Building Comn
1 Municipal Building
212 Main St
Northampton, MA 01060
Attn: Mr. Louis Hasbrouck
Building Con
Re: iinnteto\vn Structures 12\16 Cabana
Dear Mr. Hasbrouck:
We have reanalyzed the 2x.4 rafter designed l;°_, Andrev, D. Leone. P.E. for Country Lane
Gazebos in accordance to the Massachusetts State Bulletin Code- 8 1-11 Ed. The 2x4 rafters
spaced at 24" o.c. are adequate for the 12x16 Cabana installed by Hometown Structures.
There are no additional loads iniposeci on the rafiers and the ridge beam due to attachment of
the cabana to the house assuming no drifting or sliding snow from the existing roof.
If y01.1 have any questions, please do not hesitate to contact us.
Sincerely;
Teresa Wong Neyh rt, P.E.
Structural Engineer
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STRUCTURAL NOTES Leone Engineering
642 Coctpath Road fr294
- - Lansdale. R1 19446
GENERAL STRUCTURAL NOTES: TIMBER NOTES- hone: 267.64R2758
1. All work shall comply with the 2009 International Residential Code 1. Wood materials and construction shall be in accordance with the latest AFPA specifications.
2 The contractor is responsible for the safety of the job site and structure including 2. Wood used shall have the following properties:
the design, erection and maintence of all shoring, bracing and safety barriers. a. Allowable bending stress = 1100 psi minimum.
b. Allowable horizontal shear stress = 150 psi minimum_
FOUNDATION NOTES: c. Allowable compressive stress (parallel to grain) = 750 psi minimum.
d. Allowable compressive stress (perpendicular to groin) _= 300 psi minimum.
Soil supporting foundations shall hove a bearing capacity = 2500 psf (minimum). e. Modulus of Elasticity, 4 _ 1,200 psi minimum.
2. Foundations shall be built on acceptable material at elevations indicated. f. Moisture content = 15% max.
:3. Qualified personnel shall approve all bearing material prior to construction on it. Engineered timber materials shall have the following properties:
4. Topsoil, soft soil, trash, wood, and other unacceptable material shall be removed. a. Allowable bending stress = 2800 psi minimum
5. After removing unsuitable material, the rerncln.ng material shall be proof - rolled and D. ,Allowable horizontal shear stress = 290 psi minimum
compacted. 0 Allowable compressive stress parallel to grain) 2800 psi minimum.
,,
6. No footing shall be placed in water. on frozen ground or n fill. d. Allowable compressive stress (perpe to grain) = 650 psi minimum.
7. Foundation wells shall not be bockfilled until walls have cured and are _ Professional Seal
properly braced by floor framing. e. Modulus of Elast city, 2,000,CCD psi minimum.
8, Acceptable fill material can be soil, 2A Modified stone, 5owable fill, or concrete. All 4. Wood trusses shall be designed, fabricated, and erected according to AFPA. TPI,
fill material shall be approved by the structural engineer prior to its use and other applicable specifications.
9. Soil or stone Ell shall be placed in 8" loose lifts and compacted to a density equal to 5. The truss supplier shall provide shop dr w ings sealed by a professional engineer, for the
or greater than 95% of the maximum dry density as determined by the Modified approval of the architect prior to the installation.
Proctor Test, in accordance with ASTM standards- 5. The contractor must provide adequate temporary and permanent bracing for the trusses.
10. Sub floor material shall be 2A Modified or o ther approved stone, compacted until no Gracing members shall not be smaller than 2x4.
further consolidation is observed (a, least three passes). An approved vapor barrier Heavy construction loads shall not be applied to the wood rafters and joists_
shell be used as indicated on the drawings.
11. Grading during construction shall be maintained to direct water away from the 8 All connectors and fasteners in pressure treated wood shall be compatible with the
building location. Steps shall be token to prevent the accumulation of water_ chemicals and with each other. G185 galvanized coating, stainless steel, or plastic
12. Sinkholes shall be handled as directed by the structural engineer. composite connectors and fasteners are recommended.
STRUCTURAL STEEL NOTES: 9. All connectors and fasteners shall be installed in accordance with the manufacturer's
specifications.
1. Materials used shall be in accordance with the following specifications:
e_ Structural steel. shapes_ (except wide- flange) and plate: ASTM A36
b. Steel wide flange shapes: ASTM 4572 or A992. Grade 50. STRUCTURAL LOADS:
c. Steel pipes: ASTM 453, Grade B. 1. LIVE LOADS:
d. High strength bolts: 45:4 A325.
A. Roof Live /Snow Load:
I. Basic ground snow [sad 30 psf
e. Unfinished bolts ASTM A307. 2. Flat roof snow load, P` 3 3 - 30 psf
f. Welded electrodes: ASTM 4233, Class 470 3_ Snow exposure factor, Ce - 1.0
2. Steel shell be fabricated and erected according to the latest 4IS specifications. 4. Snow load importance factor, I = 1.0
3. All structure steel connections shall be made using high -strength bolts or welds 5. Drifting end siding calculated per specific conditions
of equal ex greater strength. B. Floor Lii,e Load:
4. Bolted connections shall be bearing- type connections unless noted otherwise.
1. Residential, except sleeping areas = 40 psf - Otlnr<y Lane Gazebos
9 YP 2 Sleeping areas = 30 psf
3_ At = 20 psf 191 Jahn Dtila
C. Wind Load: New Holland. PA 17357
1. 3- Second Gust Wind Speed = 90 mph i Phone:'i'.3S 192511
2. Wind Importance Factor, I = 1.0
3. Exposure Category - B Fan: 31'331.9249
4. Design wind load, P = 20 =_t for main wand -force resisting system
5 Net uplift on root = 5 PS
D. Seismic Locd:
L Seismic Importance Factor, le = 1.0 ( 12 x 16` Cabana
2. Seismic Use Group 1 :
3. Short period spectral acceleration, 5s = 0 %g ( Street
4. second period spa tu_ol. acceleration, 51 = 9 %g City, State, lipcode
5. Site class = 0, Site coefficient, Fa - 1.56, Site coefficient, Fv = 2.4
6. Siesmic Design Category = B Township County
7. Basic Seismic - force- resisting System: Light -frame hearing wails.
8. Response Modification Factor, R = 2
9_ System Overstrength Factor, Oo = 2.5 loan: aoito lk:doirmrr
10. Defection Amplification Factor, Cd = 2 )rasing Tay Flak Pali
11 . Analysis procedure = Equivalent lateral force
DE45 11)AD5; s9: Ma
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A. Roof dead load - 15 psf C11,0kede�; 01_,t'N
B. Elevated floor dead load = 20 psf
July 12, 2012
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Andrew D.Leone, P.E.
Leone Engineering
642 Coy, path Road =294
Lansdale. PA 19446
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Andrew D.Leone, P.E.
Leone Engineering
642 Cowpath Road .
1 ,insdale. PA 1944l,
horn!: 267 6-10 275!
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Andrew D.Leone, P. E.
Leone Engineering
(42 Cov,•path Road •!•294
La.:dle. PA 1946
Phone: 20.60 275X
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Andrew D.Leone, P,E.
Leone Engineering
642 Cmpath Road ?
Lansdale. P4 19446
Phone 267 640
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Andrew D. Leone. P.E.
Leone Engineering
642 Cow path Road ?291
Lansdale- PA 19946
Phone: 267646 2756
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Sheet 6o18
Andrew D.Leone, P.E.
Leone Engineering
642 Cowpath 12(,ad ='2
Linisclale. P A 1944b
Phone: 267 640 275S
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Sheet 5 of 8
Andrew D.Leone, P.E.
STRUCTURAL NOTES Leone Engineering
f42 Cottpath Road 16294
IT Luisdale.PA 19446
{ GENERAL STRUCTURAL NOTES: TIMBER NOTES: Phone: 262.640.2%W
1. All work shall comply with the 2009 International Residentici Cade 1. Wood materials and construction shall be in accordance with the latest AFPA specifications.
2. The contractor is responsible for the safety of the job site and structure including 2. Wood used shall hove the following properties:
the design, erection and maintence of all shoring, bracing and safety barriers. a. Allowable bending stress = 1100 psi minimum.
a. Allowable horizontal shear stress ve 150 psi minimum.
FOUNDATION NOTES : c. Allowable compressive stress (parallel to grain) = 750 psi minimum.
1 Soil sal a rit = 2500 sf minimum d. Allowable compressive ,stress (perpendicular to groin) = 300 psi minimum.
supporting foundations shall have a bearin 9 c p c, > p` t )- e. Modulus of Elasticity, n =- 1,200,000 psi minimum.
e
2. Foundations shall be but on acceptable material at ie+atons indicated. f. Moisture content = 15% max.
3. Qualified personnel shall approve all bearing rr teriei prior to construction on it. 3, Engineered timber materials shalt have the following properties:
C Topsoil, soft soil, trash, wood, and other unacceptable material shall be removed. a_ Allowable bending stress = 2800 psi minimum
After removing unsuitable material, the remaining meter of shalt be proof - roiled end b. Allowable horizontal shear stress = 290 psi minimum
compacted. 0. Allowable compressive stress parallel to grain) = 2800 psi rin in ,mum.
6. No footing shall be ploced in water, on frozen ground •. 7 on lib. d. Allowable compressive stress g) m.
er endicuiar to rain = 650 si minimu
.. Foundation wells shall not be bockfilled until walls hove cured rnd are properly braced by floor framing. e Modulus of Elasticity Elasticity E = 2,000,000 psi minimum - p Pmtcssiona;SaAI
8. Acceptable fill material can be soil, 2A Modified stone, flcrwaele fill, or concrete. Au 4. Wood trusses shall be designed, fabricated, and erected according to AFPA, TPI,
fill material shall be approved by the structural engineer prior to its ose and other applicable specifications. 6
9. Soil or stone 611 shall be placed in 8' loose - is and com acted to a density equal to The truss supplier shall provide shop drawings sealed by a professional engineer, for the
or greater than 95% of the maximum dry density as determined by the Mod fled approval of the architect prior to the installot on,
Proctor Test, in accordance with ASTM standards_ 5 The contractor must provide adequate temporary and permanent bracing for the trusses.
10. Sub -floor material shall be 2A Modified or other approv d stone, compacted nil no Bracing members shall not be smatter than 2x4_
further consolidation is observed (at Least three passes ) An approved vapor barrier Nec y construction loods shall net be applied to the wood rafters and joists.
shall be used as indicated on the drawings
11. Grading g during construction shall be maintained to direct water away from the 5 All connectors and fasteners in pressure treated wood shall be comoct'bie with the
building location. Steps shall be token to prevent the accumulation of water chemicals and with each other. G185 galvanized coating stainless steel, or plastic
2_ Sinkholes shall be handled as directed by the structural engineer. composite connectors and fasteners are recommended.
g. AP connectors and fasteners shall be installed in accordance with the monufacturer's 1
STRUCTURAL . STEEL NOTES: specifications
1. Materials LJsed shall be in accordance with the following specaicutions:
a. Structural steel shapes (except wide - flange) end plate: ASTM A36
Steel wide flange shapes: ASTM A572 or A992. Grade 5L STRUCTURAL - CADS:
c. Steel pipes: ASTM A53, Grade B. ENE LOADS:
A Root live /Snow Load:
d. High strength bolts: ASTM 6325. I. Basic ground snow load, Pg = 30 psf
e Unfinished bolts: ASTM A307. 2 Flat roof snow load, Pf = 30 psf
f. Welded electrodes: ASTM A233, Class 570 3. Snow exposure factor, Ce = 1.0
2. Steel shall be fabricated and erected according c. e the latest AISC specifications. 4. Snow load importance factor, I = 1.0
3. Ail structural steel connections shall be madam using high- strength bolts or welds 5 Drifting and sliding calculated per specific conditions 1
of equal or greater strength_ 9. Floor Live Load: C C 1,
4. Bolted connections shall he bearing - type connections anikess noted otherwise. 1. Res dentiol, except sleeping areas = 40 psf ounrty Lane Gazebos
2 Sleeping areas = 30 psf n
3 Attic/storage = 20 psf 191 Dtile
C. Wind Load: Now flatland, PA 1755"
1. 3- Second Gust Wind Speed = 90 mph
2. Wind Importance Factor, 1 = 1.0 1 hone. �17 .3. 1.9250
J
3. Exposure Category = B Fax: 717.351.9248
4. Design wind load, P = 0 ' for main wind -force resisting system
L _
5. Net uplift on roof = 5 PSF
D. Seismic Load:
1. Seismic importance Factor, le ,= 1.0 1 12 i x 16' Cabana
2 Seismic Use Group 1
3. Short period spectral acceleration, Ss = 30 %g Street
4. 1- second period spectural acceleration, 51 = 9%g City, State, Zip code
5. Site class = 0, Site coefficient, Fa = 1.56, Site coefficient, Fv = 2.4
6, Siesmic Design Category = 0 Township County
7. Basic Seismic- force- resisting System: Light -frame bearing walls.
8. Response Modification Factor, 5 = 2
9. System Overstrength Factor, Oo = 2.5 Kw, DDeftIonneti
10. Deflection Amplification Factor, Cd = Drawing T Ho,ifPlat
11. Analysis procedure = Equivalent lateral o, force
II. DEAD LOADS: fin snit) MAD __
A. Roof dead food = 15 psf etnekec4y- Al„ ft
B. Elevated floor dead load = 20 psf
July 12, 2012
s =I 1
Sheet 8 of 8
Andrew D.Leone, P.E.
Leone Engineering
642 Ca‘kpoth Road B294
I..ansdale. PA 194-R,
Phone: 267.640.275
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Phone: "17 351,9250
— -- — .----BP-r-i-- ______ -- Fax/r 351.9215
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12' x 16' Cabana
Street
City. Stale. Lipcade‘
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Ph.; DeBan De,e1orplo
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A sk Front Elevation Che.c1,1B) AL, PIE !
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Sheet 3 of 8
i 15' -7 ! /2°
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d \ � - 2x4 RAFTERS AT 24 O.C. MAX. - TYPICAL _ \
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Mass-itchnisetts - Department of Po Hit ciAletii,
• 7`-it 1.; ;
,,r st,i
Construction Supervisr Licierise •
License: CS 98186
ANDREW KURTZ n2,5
295 BROMLEY RD
HUNTINGTON, MA 01050
Expiration: 8/3'2013
Ti 201 32
•
• _ _
tie:4e -67,9i—t6oe,yid /
Office of Consumer Affairs and iuslness Regulation
1 0 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 159772
Type: Ltd Liability Corporation .
Expiration: 5/27/2012 Tr# 296849
HOMETOWN STRUCTURES
ANDREW KURTZ
627 SOUTHAMPTON RD —
WESTFIELD, MA 01085
Update Address and return card. Mark reason for change.
Address Renewal Employment L Lost Card
DPS-CA1 Ca 50M-04
•
`'` The Commonwealth of Massachusetts •
Department of Industrial Accidents
— Office of Investigations
t 5
t F j 600 Washington Street
ir,' Boston, MA 02111
www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers
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 4. 1 1 I am a general contractor and I
employees (full and /or part - time).* have hired the sub - contractors 6. New construction
2. I am a sole proprietor or partner- listed on the attached sheet. 7. 1 1 Remodeling
ship and have no employees These sub contractors have 8. C Demolition
working for me in any capacity. employees and have workers' 9. - Building addition
[No workers' comp. insurance comp. insurance.t
re ired.] 5. [1 We are a corporation and its 10.1 j Electrical repairs or additions
3. am a homeowner doing all work officers have exercised their 11. [ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.1 1 Roof repairs
insurance required.] t c. 152, § 1(4), and we have no
employees. [No workers' 13.n Other
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: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certif wler thepgiv.si nalties of pedury that the information provided above is true and correct.
Signature � 1�, % 2. �. / Date:
Phone #: 6 4 4 � ,� -
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):
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
"' Massac
k . lr Y`,
" , DEPARTMENT OF BUILDING INSPECTIONS ,
a 212 Main Street • Municipal Building � f
Northampton, MA 01060 frj ,,--, ',,
INS PECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
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 any 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 inspections. Failure of the individual trades to secure
the permits and inspections as required can DELAY the project until such time as the proper permits
and inspections are made
I, , - j
&t., z) �% j n �; — 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 r - /:1--
Address of work location --," z- c =_ir %. i /<`'
7 -7/.-: / .2"3,44-1-- -- - / 27 C / p 6 L ____- - .
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Address . Expiration 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 wit result
in the denial of the issuance of the buildin permit.
Signed Affidavit Attached Yes l� No ❑
11. Home Owner Exemption
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 1083.5.1.
Definition of Homeowner: Person (s) who own 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 homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required 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' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State Local Zoning Laws andState_f Massachusetts General Laws Annotated.
Homeowner Signature l sa (
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House n Addition { Replacement Windows Alteration(s) I I Roofing
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [0 Siding [CI] Other [D]
Brief Description of Proposed
Work: /.2 X /G , 1 w.r ; z ; 1 3 , 1 c e- ?IS -• Gr/ v_ ° i e / sr.,Nc " ,..zC (
Alteration of existing bedroom Yes k No Adding new bedroom Yes X No
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 X Two Family Other
b. Number of rooms in each family unit: .5 Number of Bathrooms _4
c. is there a garage attached? C S
d. Proposed Square footage of new construction. / 9e— Dimensions /_ X/4
e. Number of stories? i
f. Method of heating? Nil Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction 4 rib l'k'• 1
i. Is construction within 100 ft. of wetlands? Yes k No. Is construction within 100 yr. floodplain Yes V No
j. Depth of basement or cellar floor below finished grade Ali) ^vim
k. Will building conform to the Building and Zoning regulations? )( Yes No .
I. Septic Tank City Sewer , i, Private well City water Supply X
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I , n r>cz - =',) i '. ' % t- moil' , as Owner of the subject
property
hereby authorize s ? -'lr 7 -ST: ' , 7z:i...'
to act o my behalf, 'in all matters relative to work authorized by this building permit application. • ` Signature of Owner ° Date
I, , 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 and penalties of perjury.
emu.:, -41- i) $ 4 2 43i'
Print Name.f
:;
Signature of Owner /Agent -`" " Date
Section 4. ZONING A Information Must Be Comp(eted. Permit Can Be Denied Due To Incomplete ~ .
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size /��--� � -- - - - - - � �----- --'- ---�
������
Frontage -- � ----�---------- --^ ---------
Setbacks �o .---� — —`
_-
Side �`___J TL—_�-- L: R: ' ____ ____
Rear ____` ---- ----
Building Height - ----- -
Bldg. Square Footage - - --- �� --- ----- ---.
Open Space Footage _ % _
g &navv � � ----
parking)
r-- �-- �-�
#of Parking Spaces - '-- --
Fill: '-'-'----- -----/---- ' - - -�---- ------- �---------
(volume m Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
0 0
NO \~/ DON'T KNOYY ��! YES \`�
IF YES date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ( ) DON'T KNOW YES
___--__
IF YES: enter Book Page and/or Document ft
-
D. Does the site contain a brook, body of water or wettands? NO AIPA DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained y Obtained /-~� Date �----�--
\~� \.�/ , ' ______________�
��
C. Do any signs exist on the property? YES \� NO �]y
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 ®
F --- ------- ---------------------------------
IF YES, describe size, type and location:
-��
E. Wil! the constructiori activity disturb (clearing, grading, excavation, m filling) over 1 acre orisb part ofa common plan
that will disturb over 1acre? YES [ > NO (��
�� ��
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
,
t C. Department use only
Ci of Northampton Status of Permit:
jUL 1' 2012 Bu ding Department Curb Cut/Driveway. Permit
41 212 Main Street Sewer/Septic Availability
�,o� Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413 587 - 1240 Fax 413 587 - 1272 Piot/Site Piens
Other Specify
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
A rlr/ ',7��= 77-'/2 Map Lot Unit
k-='/F.4 r f e i „ Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Name print) Current Mailing Address:
i c 4 - > ,j z, at - c ozcr
- Telephone
Signature
2.2 Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - 'ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building > (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing N Building Permit Fee
4. Mechanical (HVAC) •
5. Fire Protection
� 51 Y X
6. Total = (1 + 2 + 3 + 4 + 5) �i Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2013 -0051
APPLICANT /CONTACT PERSON BERUBE CYNTHIA L & EDWARD A
ADDRESS/PHONE FLORENCE (413) 584 -0209 O
PROPERTY LOCATION 5 WINCHESTER TER
MAP 36 PARCEL 036 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid �/eo
Tvpeof Construction: CONSTRUCT 12 X 16 CABANA ON EXISTING DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO TION 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
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.
5 WINCHESTER TER BP- 2013 -0051
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36 - 036 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Deck BUILDING PERMIT
Permit # BP- 2013 -0051
Project # JS- 2013- 000074
Est. Cost: $28000.00
Fee: $168.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 11020.68 Owner: BERUBE CYNTHIA L & EDWARD A
Zoning: Applicant: BERUBE CYNTHIA L & EDWARD A
AT: 5 WINCHESTER TER
Applicant Address: Phone: Insurance:
(413) 584 -0209 ()
FLORENCEMA01062 ISSUED ON: 7/31/2012 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 12 X 16 CABANA ON EXISTING
DECK
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.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 7/31/2012 0:00:00 $168.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner