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36-213 et -A > La ,6 CK up 0 Z 0 Li z V) V) sr EXI�>TTNCr GASEMCWr M IFC WA NJ CA F-41 H ct V ve: Z A 0 4- .. ............. m 'Z OD 1 46 ro) K__ Ui Lu 1 7�C4 Q:� w ui LU Fo 1 3 LO 8 -ell Ln IrZo Q pe 0 La La LU Luw. ,X > CO 1 < 4x La T w ti <) co SX < w _ THU 0850 AN LN0 Q EE'S & SPEC. FAX 1,10. 8102034521 .. zA0 trop r'J hFk--29-a2 33-a0 PI.1 ��63ar;7 P.Q73 I Preparcd bf.JS Diu:4129!02 ©a rnCho'21 Ch4fcm W 1Ox 19 A3A Wide Flange Steel Lat■r■)Euppart al: Ld 4 2 ft max Cgpdf(Qns Actual VZO IS 4 x 10.1/4 In., Mln 6aprInO Length RI-0.81n, R9=0,8In. 0L OoA 0.10 in 6tt obaw Gambor 0. in Gfi11 Roam 5pon 1a.o« Roactlon 1 44650 Rwotion 1 LL �m 34�o Boom Wt per It 10.09 Raastlon 2 4465# Raacton 2 LL 3~7w 8"m W*Qht 342# M"mum V 44550 I f Max Mom ant 20048:R Matt V(Raducod) WA TL Max W L 1240 TL Actual Doi L 1$17 LL Max Del L 1380 LL Actual DO L 1673 Bd ufio H Saetton(In) $hoaf(IW) TL DO(1n) Lt Duff Actual 16.50 2.50 0.42 0.32 cdtivai �54 0.31 0.90 O,t3G Statue I OK OK Ratio 12'14 485. Fb FV E i x mil) y"mas 8aa4 Veluo Fy 35000 38000 29.0 Baao Ad usted 23180 14400 290 �yd/uarrr�nis YP Factor,Lc O.aa 0.40 I 6e■rnGhok has autpma ooa y added 1114 txum"I-w6ght into the caloulatlone. Lf Uniform TL7 470 -A Un7orm 1-1-' 380 I I i Unlrnrm Load A G R1 a 4466 R2 4455 SPAN-18 FT Utftm and partial uniform loads are ibu par finial fL lY2(2,t ALL CALCULATIONS BA$ED ON INFORMATION BUPPLIED BY JOSH LMC AND SHOULD BL CHECKE=D BY AND USED UNDER THE SUPERVISION OF A QUALIFIED DESIGN PROFE6§10N,'I. BETTER HEADER CAN NOT BE RESPO4518LE FOR ANY IMPROPFR USE OF CR APPLICATION OF THIS REOOMENDATION- C1, ' US—d2-1�1 09 :51 RECEIVED FROM= 6102934521 Y U J2 THU 08:49 AM LMC BOARDS & SPEC, FAX NO, 6102934521 o2AU tmp Pr .e j HPR-2_y-0� 133:30 PM ++ 3067 Y.O Prepared by.JS Uat6:"102 Baamuhe I2.2 1ChOK4 W 19i 30 A361Nk16 Flanp6 Steel lateral Support at: La 6.1 ft Max. rc4 ,9 Aetual 9IZO to 6.314 x 10-18 in., Mtn BtannO length R1■0.8 in. 112.0.0 in. DL Deb 0.13 in Supawtad Camber U D In r.9t9 Beam Span 1616 ft Rmdzn 1 14505* ReacWn 1 U 104 4 Beam M per R 30-00 RaacCon 2 14305 rY Reaction 2 LL 104 M Beam Wei,2ht 458 tM M"rnum V 1430511 Max Moment 5453e# Mrn(V(Reduced) WA TL Max 0611 1-1740 TL Auual Dell L!386 LL Max Def 1-1380 LL Actual Dan L/644 AtWbule[ seceon(in") Shear(in) TL DO(In) LL Dell Actual 32.40 3.11 0.410 O.s4 critical 27.54 0.96 0.76 0.61 Status OK OK OK OK RWo a5% 32% 01% 60% F6 Fv E r x mU !C9(x4>f Btlw Yolue F}+ 38000 36000 29.0 Bane Ad uetrrd 297t30 14400 29.0 ,9Q(uarments YP F6Utor,Lc 0.56 0.44 Badm0hok hale outornaticelly a0ded the Deem wd-waloht into t6s calculfoona. i Law Uniform% 1840 -A Uniform LL 1395 i 1+' _ I Wig WtTEa ti �ti Uniform Load A t_ 4 R1■14305 R2-14305 SPAN■16.26 FT Unform and paite?unrorm w4ck art[be Der lineal it L1!>N@ ALL CALCULATIONS BASED ON INFORMATION SUPPLIED BY JOSH LMC AND SHO LD BE CHECKED BY AND USED UNDER THE SUPEROWN OF A QUAOFIt aD DESIGN PROFEOSIONAL BETTER HEADER CAN NOT BE RESPONSIBLE FOR ANY IMPROPER USE OF OR APPLICATION OF THIS RECONIENDATION. l � 95-92-@2 09 : 51 RECEIVED FROM: 6199_934521 P • FJ'_' 4--�tiMf PTO �C a - 6 �ssaxchttsctta z m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 " WORKER'S COMPENSATION INSURANCE A.TrAVIT V,I ✓', (li censeeJpermi tt ce) with a principal place of business/residence at: sc�d F1 Flc3<e"Ce, 141A (phone#) j 5 ao00 (&tie city/stair/ap) do hereby certify, under the pains and penalties of perjury, that: O I am an employer providing the following worker's compensation coverage for my employees worlring on this job: Tv,a,L/Q I e-5 qsoo (Insu_ranee Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired l the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Cornpaiiy/Policf Nu:mbcr) (Expiration Date) r (Name of Contractor) (Insurance Comprn y[Po(icr Number) (Expiration Date) (Name of Contractor) (Insuraac-- Comli.sny/Policy Number) (Lxpimtioa Date) (Name of Contractor) (Insurance Comi111y/PoLiicy Number) (Expiration Date) (att-11 additioml sll—t ifnecczzary to inetudc iaforrnitioa pertaining to all aoat�sdora) (r am a sole proprietor and have no one"working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aw-j r that�sa,ddle hocncowncrz who craploy pc iwj=to do caintcat c,cz.rcC u: oo cr repair work on a dwcrling of not more then thrco unite in wfvch the homoo-ncr rcaida or on the gr�-u a,�zprurt naat thccto a,�not gc�y oomickrcd to x ca,Tloycrs under the work&a ccaTcasatjoa Act(GL152,=1(5)),application by a hoc<owncr for a Hearse cc permit niay evidence the IcS21 st2nra of an exuployer under tho Work vet Corupemation AcL I understand tb.at a copy of this Kutrmcnt mity bo forAwdod to tho Dcpnrtznon of Indrutrial Aca&rlr Offioo of for tha eoverage vctificatioo and that failure to secure coverage undcr scdioa 25A of h1GL 152 can lead to the imposition of cr=in-'l penalties cotuisting of a fine o£up to S1,500.00 and/or ssspraomnart of up to one year and civil penalties in tx focm of a Stop Work Orde:and a Elio of:s 100.00 a dry ignnst mc. For dcpsr�use taly Permit Number I,at 4 " ' _ SignabIm f Licc:nse&permittee TEE7e SECTION 8'-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : .)�C ��`t`^ �� ��k 0:3 9 2;�0 License Nrymber j'1,3eCe ,CC d Address Expirati n Date -f,_ _ S� � `OooQ Signature Telephone * `'t:«pzw;�n ..re mss:-ear. - .ate*.urrtaa�, P., 'i. ,ro e°'��' "€�wa i`'^s.;;SL 'T a 3 �,Registere'd Home fmproveme`ntContractor��„ �, �, ��s, . ,, 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 will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ f1g1HoriieOwner 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 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 buildiny,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 (Worker=.' 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 5-'DESCRIPTIONi0117 PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] n Decks [ ] Siding[ ] O her [ ] 1_ t .-vx z Brief Description of Proposed Work: Alteration of existing bedroom Yes o Adding new bedroom Yes No— Attached Narrative❑ Renovating unfinished basement es No Plans Attached Roll o- Sheet E ' sa."If'.New°house;and�or.,atltlitioa n`ao/`ezis"tang housing, complete thib followink: a. Use of building : One Family y Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? No S Q°'Sc•�z v� 1 d. Proposed Square footage of new construction. 900 Dimensions e. Number of stories? f. Method of heating? Fc,YZcccd 14r-,t wA` CoC Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masciiheck Energy Compliance form attached? h. Type of construction a-z>c -e R c-+^% v d e l i. Is construction within 100 ft. of wetlands? Yes o.Is construction within 100 yr. floodplain Yes j. Depth of basement or cellar floor below finished grade S � k. Will building conform to the Building and Zoning regulations? _ ( Yes No . I. Septic Tank_V11"City Sewer Private well City water Supply SECTION 7a -OWNER AUTHORIZATION'-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize �'� ` �`� � rte _ to act or rny_behaIf, in all matter-s�relatiwe-trwcrk authorized by this building permit application. Signature of Owner Date 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. Print Name Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES 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 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: `` �' x v 11 Tr[7) of Northampton S atus P t 1I� ing Department CurkCut/D `ae L f A Y 2 1 2002 2 Main Street Skewer vm /setiRoom 100 Wr7�Well Ai y —,_,,,,_,,._Aorth mpton, MA 01060 TwoSetsof�Str c rl a s . ii piisi���4� 3 58 1240 Fax 413-587-1 272 Plot%Site Pla s� � t L. -,M._ _._ -. Others ec ti APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by—office 1.1 Property Address: C Map 1 �y r Zone! Overlay District 0106 Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: (� Tj e14 Name(Print) "` ., Current-Mailing Address: Telephone Signatur2 2.2 AL6orized Agent: �j�� �hc� � ��'r��c:Q e �dc.� <Fln�er�c e Rc� ��b►'+'ec.e wI� Name(Print) Current Mailing Address: Signature Telephone SECTION.3 -'ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Fee 2. Electrical 0U o (b) Estimated Total Cost of Construction from 6 C) 0 , 3. Plumbing --? OGU C' G Building Permit Fee 4. Mechanical (HVAC) 0 �� ? 5. Fire Protection O > 6. Total = (1 + 2 + 3 + 4 + 5) UOO Check Number O This Section For Official Use Only Building Permit Number:b _ 2-00 Z/ova Date issued: Signature: Building Commissioner/Inspector of Buildings Date BP-2002-1020 GIs#: COMMONWEALTH OF MASSACHUSETTS :2-1 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: ALTERATION BUILDING PERMIT Permit# BP-2002-1020 Project# JS-2002-1633 Est. Cost: $47000.00 Fee: $235.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN BROIDE 039880 Lot Size(sg ft): 213008.40 Owner: DACHOS MARY-ELLEN G Zoning_SR Applicant: STEPHEN B R O I D E AT. 33 BIRCH LANE Applicant Address: Phone: Insurance: 820 FLORENCE RD (413) 585-8000 FLORENCEMA01062 ISSUED ON:5123102 0:00:00 TO PERFORM THE FOLLOWING WORK.-BASEMENT RENOVATION OF APPROX 900 SQUARE FT OF EXISTING 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 si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5/22/02 0:00:00 707 $235.00 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 33 BIRCH LANE BP-2002.1020 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-213 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: ALTERATION BUILDING PERMIT Permit# BP-2002-1020 Project# JS-2002.1633 Est. Cost: $47000.00 Fee: $235.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN BROIDE 039880 Lot Size(sq. ft.): 213008.40 Owner: DACHOS MARY-ELLEN G Zoning: S1Z Apohcun t: S T E P I-i E N B R O i D E AT. 33 BIRCH LANE Applicant Address: Phone: Insurance: 820 FLORENCE RD (413) 585-8000 FLORENCEMA01062 ISSUED ON.5123102 0:00:00 TO PERFORM THE FOLLOWING WORK:BASEMENT RENOVATION OF APPROX 900 SQUARE FT OF EXISTING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: ` Service: Meter: �1 Footings: Rough: Rough ., ;+- ' House# Foundation: Driveway Final: Final:V` L�n Final:e/91� '! 'vT� Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 0 K a-Fr-,0C;_ Final: Smoke: Final: 61C R-/5 -0-Q -41� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sip-nature. Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5/22/02 0:00:00 707 $235.00 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo