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32C-290 (2) ©mss 111111111:11:11-1111-2 ill.' AIME 1111111Witilll JACOB SMITH ENGINEERING & DESIGN October 22, 2013 To: Greg Goff Re: 140 Williams Street Northampton, MA 01062 Greg: On October 21, 2013, I met you at the above address to observe ongoing structural alterations. I have previously visited this property to review the existing structural conditions. I have composed a letter dated January 3rd, 2013 that had described my previous observations and made some recommended structural upgrades and repairs. At the time of my initial observation, I had concerns regarding the condition of the existing roof framing of the original structure, the existing second floor framing, the existing main floor framing, and the supporting pipe columns and foundation elements located in the basement of the original structure. I had specified new main floor structural beams columns and foundation elements to better support the main floor of the original structure. I had observed the new foundation elements and new pipe columns, prior to the basement slab pour and was satisfied with the work performed. Each existing second floor 2x6 joist of the original structure has a new additional 2x8 ply. The existing 2x6 roof rafters have had additional 2x6 plies added to each rafter. The existing roof collar ties located in the original structure have been removed and replaced with an internal load bearing wall. Two existing interior walls located on the main floor of the original structure have been removed. A 9'-6" stretch of wall has been removed beneath the rear existing original structure's gable end wall and replaced with (3-ply) 2x8 dropped beam,this is acceptable. The second removed interior wall is located adjacent to the existing kitchen and is a non-load bearing interior partition wall. This wall removal should not adversely affect the existing structure. On October 22, 2013 I met the general contractor on site to review the remaining structural work at this residence. This includes providing proper footings and columns as outlined in my January 3rd letter located beneath the main carrying beam of the rear addition main floor. Also required is the reinstalling a previously removed 2x4 stud beneath a new bath room header located beneath the second floor stairs. Please do not hesitate to contact me with any questions A 444 Sincerely, JACC' F Jacob i h Engineering and Design c,. �- NO 4-4 ; By �' Jacob F. Smith, P.E. A`r t''. VI 4. 8 COATES AVENUE; SOUTH EERFIELD, MA 01373 jacob@jacobsmithengineering.com VOicE 413-397-3441 FAX 413-665-1142 i 4111111k, ; E r i E E i 4 i s s t S 1 1 E 4 { I 4 i d } 1 1 1 1 f a fi f i i �s i l i t 1-- _,, 1 , 1 I , il 1 , I Al Ilk . i a , 11 11 '1 $ , t< II ul' ,Il et' il tt, It 1 ii 1ii Or 10.4 ate i 0 .../) ' . .....i." H (.) ...t.... 11 'C.' 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K, illIrn.dInalita1, 7 .4'4r47 I I I / '''''' '''''''''''''' 44.4.44.444444., .. . 4 1 / f 4.44,,) 5 1 1 i 1/4,4. / $4. s 6 ; ! 1 t 1 4010k, ,-- t iv .7 -- , L 4- Oe__60 Nvu.4.0L.i Ad ti ski 1�gh-�s Ls..v(.AZ_ 10or s u cK--kr 0 o Q cu v\a 1oov k)0,1/4..0 Ct 4V\ Se (L) k0 o t,J e C..ovA t crc Acs_\CL d CA liv.. ljcA - coo►MS J j2.._e.. \ov (1- --k-- & o iv4,2 ;COY WU L kS 5 f\s2_,,—) City of Northampton t? ,- Massachusetts {Ss I-. s'' DEPARTMENT OF BUILDING INSPECTIONS Jr M ) y t' { 212 Main Street • Municipal Building yJ1 �' °b"` -'. Northampton, MA 01060sb1� ' INSPECTOR 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/footinqs (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, 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 The Commonwealth of Massachusetts , Department of Industrial Accidents =,.:; Office of Investigations A 600 Washington Street ® I:p Boston, MA 02111 =�* www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Le, ckc 1 t-ko ff\I Address: Z L., H r sic City/State/Zip: atVI r,yv\ im4 d, 00 7_ Phone #: t//3 2-5G - 36c/ Are you an employer? Check the appropriate box: Type of project(required): Lig I am a empl x with 4. L] I am a general contractor and I employee (ful d/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. k Remodeling ship and have no employees These sub-contractors have 8. (�Demolition working for me in any capacity. employees and have workers' g y p t3' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. [] We area corporation and its 10.1C] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.1121 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13. Other 1 17-004 comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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: gctiv\t V).(Q,,,,k- A-a, t Policy#or Self-ins. Lic. #: e 2_67_000 3J 19 Expiration Date: spll`f Job Site Address: I ` U �s I�i Ct ri S S41'e City/State/Zip:br-thrntvlioln 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 certi nder the ins and penalties offppe�jury that the information provided above is true and correct. Signature: / / Date: O I (^ 13 Phone#: L{/3 - Co 7 5" 55'10 or 413 -- Li 7a - 8/ S 9 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#: SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) JJ Roofing El Or Doors 1� Accessory Bld• ❑ Demolition ew Signs [D] Decks [Q Siding[D] Other[D) il/f / i s / 4. / _ Pi/ f, �' �i�rj .a .V --%% jj f07d;" j��1,-Frr ' nom% -1i/ n s , 7ri Brief Description of 'rop• d Work: �?� a-44-ac, s �i.A .I /�� „o,e % /ezk_ _ ') ,' €AJ Alteration of existing bedroom Yes � No Adding new bedroom Yes �A /� Attached Narrative Renovating unfinished basement Yes A No Plans Attached Roll -Sheet Sa If New "and 6i addition to existinoliousinq; complete the folloWinq 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. floodplain 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-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT C-7'rCJ O N,/ C--to , as Owner of the subject property 11 �I hereby authorize jj lvi /'/ TIVe o vi ci IM e to act on my behalfia_all matters relative to work authorized by t is building permit application. Signature f O Date I, ;� ` IBS SL}IN w+CAC— -w U I 1 el'ota� /�j /rQL '''N ° __, as Owner/Authorized Agent hereby declare that the statements and information on the f regoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 1/01 c,t,c. c-s ` .AL. !CV— -- N�.r Prin , Signature o Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable £ Name of License Holder: Chid 0AUrite l /o3 7/O / License Number Untiler�c17 G,rv-e Aka' x44 0/00a 7/a As- Address y \ Expiration Date Cif3) jyr- re Yi Sign lepho e 9-Registered Homeamprovement`Contractor .a Not Applicable £ � c -i 1 t c.k..3k i.Al� 1 .7 .3 3(57 Company Name Registration Number 19 S-1 ex 1 tylr t Sy-1(0.1)A ►o f Address Expirati n ate �`.'QSA--\j,�,, (''AA O O8,S Telephone 917, -(0`I� Sy� 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 will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes.\,(.. £ No £ 11. . :Home'Ovn er:Exempt>lon 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 108.3.5.1. 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 and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature. ,. Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 17i-a' I S rfi,-c 4 ? -_-, l Frontage L V ..1 I _ If_..._._.-_._____ Setbacks Front L___I 1 1 l 1 Side L:'l R:= L:Ei R:LI Rear t.__.____i = l Building Height I`O'f = I 4 Bldg.Square Footage JT- r-------1 % r I 1 - Open Space Footage % (Lot area minus bldg&paved _____!, _ = t,_ 1 i parking) i i #of Parking Spaces Fill: w i_. .... _..,_,....._,.._...�.....j (volume&Location) I !, I. A. Has a Sp ial Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW Q YES 0 IF YES, date issued: i IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW Q YES Q IF YES: enter Book 1 ___.._�___..t Page _� and/or Document#1� _: B. Does the site contain a brook, body of water or wetlands? NO 125 DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: -- C. Do any signs exist on the property? YES 0 NO e IF YES, describe size, type and location: f D. Are there any proposed changes to or additions of signs intended for the property? YES O NO G7 IF YES, describe size, type and location: i E. Will the construction activity disturb(clearing, grading,exc vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. • /,t/ ,P, wa`v- m s4 peparfineht use only D i 1� ity of Northampton Status,oi<Permtt "�� ' 3 s ' �'{ ��` x ..� �9��x'x$.' `+:+ �Mlµs xAt�I k� � Yrx� Awe � >� c�. A�j"� x'� : �. (�� ullding Department Gt�rb Cut/Drl�ceuvak Perrrltf t x dr g e m exy uxF d4'"Y { { w. 212 Main Street S uto,S0114Avh a lltyt ` i ,� , OCT 16 2013 °� Room 100 Water/ l�e�i.Avatlal tL's�1r h '' ' u' '� '; �� No hampton, MA 01060 Tiwa Se#s'c��StrttotuFal Plans'r �� 3z �i �7' -� Electric. Pium n c I v fi-* k€ p ` g o L 4S r:� r pt1Q11 "�587-1240 Fax 413-587-1272 PIof/Slte Pans { �= ti fi r J'{ >f, a , "„ ��E i. �. .� L 4 x irf 1 l 3 Other specifyy �!.' { oleo 4 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be complefed by office 1.1 Property Address: r ( Map Loft Unit / `!(J (A)i {hams S4reA71 L tJ014 t1�, aft fy'�+�A Zone +f Overlay District -r -�EIm St District . CB Dlstnet SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ���5nr� Clog; * �e c� C—I�I� oLk* ILO Vita tovos c+ (l elf 141"1 o�^ o KA Name(Print) Current Mailing Address: b 1(360 L//3- 6s:2- 1693 Telephone S!nature ,-- ' 2.2 • . orized Agent: l. -c,s { , wi - --. — k c U TO � .�C7? As s- 610n� Na r- Tint) . Current Mailing Address: yr 370 43`r 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 Building Permit Fee 4. Mechanical(HVAC) ,. 5. Fire Protection e9d- 6. Total=(1 +2+3+4+5) 51 • CO�.� Check Number 7 L../ This Section For Official Use Only . • Date . Building Permit Number. . Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0468 APPLICANT/CONTACT PERSON CHAD O'ROURKE ADDRESS/PHONE 6 UNIVERSITY DR AMHERST (413)348-4741 PROPERTY LOCATION 140 WILLIAMS ST MAP 32C PARCEL 290 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out r�� ,q v/�S`�l} /1 Fee Paid / Typeof Construction: METAL ROOF,SKYLIGHTS,REMODEL BATHROOMS,WINDOWS,DOORS,REMOVE 2 WALLS,INSULATE,SHEETROCK&ADD 2ND FLR STAIRS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 103710 3 sets of lans/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 D y /1 7—/5 Sig • e of B: lding 0 icial 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. 140 WILLIAMS ST BP-2014-0468 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-290 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2014-0468 Project# JS-2014-000804 Est. Cost: $57000.00 Fee: $392.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHAD O'ROURKE 103710 Lot Size(sq. ft.): 2918.52 Owner: GOLDBLATT DANA&GREGORY GOFF Zoning:URC(100)/ Applicant: CHAD O'ROURKE AT: 140 WILLIAMS ST Applicant Address: Phone: Insurance: 6 UNIVERSITY DR (413) 348-4741 WC AM H E RSTMA01002 ISSUED ON:10/22/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:METAL ROOF,SKYLIGHTS,REMODEL BATHROOMS,WINDOWS,DOORS,REMOVE 2 WALLS,INSULATE,SHEETROCK & ADD 2ND FLR 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: 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 10/22/2013 0:00:00 $392.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner