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18C-106 (3)
®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Floor Beam1F1302 Dry 11 span I No cantilevers 10/12 slope Wednesday, April 29, 2015 BC CALC®Design Report Build 3272 File Name: BC CALC Project Job Name: MIKE PARKER Description: Designs\FB02 Address: Specifier: City, State,Zip: , Designer: NATE OLIVERI Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure Completeness and accuracy of input must b d be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design c properties and analysis methods. 1I Installation of BOISE engineered wood • • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum =2" c=5-1/2" (800)232-0788 before installation.\n\nBC b minimum =3" d =24" CALC®,BC FRAMER®,AJST-, ALLJOISTO,BC RIM BOARD-,BCI®, Member has no side loads. BOISE GLUTAMTM'SIMPLE FRAMING Connectors are: 16d Sinker Nails SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 PDF created with pdfFactory trial version www.pdffactory.com ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam1F1302 Dry 11 span I No cantilevers 10/12 slope Wednesday,April 29, 2015 BC CALC®Design Report Build 3272 File Name: BC CALC Project Job Name: MIKE PARKER Description: Designs\FB02 Address: Specifier: City, State,Zip: , Designer: NATE OLIVERI Customer: Company: Code reports: ESR-1040 Misc: 2 1 10-00-00 Bo 61 Total of Horizontal Design Spans=10-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO 1,300/0 1,673/0 2,275/0 B1 1,300/0 1,673/0 2,275/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (lb/ft^2) L 00-00-00 10-00-00 20 10 13-00-00 2 Unf.Area(lb/ft-2) L 00-00-00 10-00-00 15 35 13-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 10,886 ft-Ibs 67.8% 115% 3 05-00-00 End Shear 3,601 Ibs 49.6% 115% 3 00-10-06 Total Load Defl. U306(0.392") 78.4% n/a 3 05-00-00 Live Load Defl. U497(0.241") 72.4% n/a 6 05-00-00 Max Defl. 0.392" 39.2% n/a 3 05-00-00 Span/Depth 12.6 n/a n/a 0 00-00-00 Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Minimum bearing length for BO is 1-11/16". Minimum bearing length for B1 is 1-11/16". Entered/Displayed Horizontal Span Length(s) =Clear Span + 1/2 min. end bearing+ 1/2 intermediate bearing Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 PDF created with pdfFactory trial version www.pdffactory.com ®Boise Cascade Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam1FB01 Dry 11 span I No cantilevers 10/12 slope Wednesday,April 29, 2015 BC CALC®Design Report Build 3272 File Name: BC CALC Project Job Name: MIKE PARKER Description: Designs\FB01 Address: Specifier: City, State, Zip: , Designer: NATE OLIVERI Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure r►I b d Completeness and accuracy of input must L be verified by anyone who would rely on a output as evidence of suitability for o T o particular application.Output here based c on building code-accepted design properties and analysis methods. Installation of BOISE engineered wood e o 0 o products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum =2" c=4-1/2" (800)232-0788 before instal Iation.\n\nBC b minimum =3" d =24" CALC®,BC FRAMER®,AJS, e minimum =3" ALLJOISTO,BC RIM BOARD BCIO, BOISE GLULAM-,SIMPLE FRAMING Nailing schedule applies to both sides of the member. SYSTEM®,VERSA-LAM®,VERSA-RIM Member has no side loads. PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are Connectors are: 16d Sinker Nails trademarks of Boise Cascade wood Products L.L.C. Page 2 of 2 PDF created with pdfFactory trial version www.pdffactory.com ®Boise Cascade Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam1FB01 Dry 11 span I No cantilevers 10/12 slope Wednesday, April 29, 2015 BC CALC®Design Report Build 3272 File Name: BC CALC Project Job Name: MIKE PARKER Description: Designs\FBO1 Address: Specifier: V City, State,Zip: , Designer: NATE OLIVERI Customer: Company: Code reports: ESR-1040 Misc: 2 t 10-00-00 B1 130 Total of Horizontal Design Spans=10-00-00 Reaction Summary(Down/Uplift) (Ibs Bearing Live Dead Snow Wind Roof Live BO 200/0 472/0 700/0 B1 200/0 472/0 700/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area(lb/ft^2) L 00-00-00 10-00-00 10 5 04-00-00 2 Unf. Area(lb/ft^2) L 00-00-00 10-00-00 15 35 04-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 2,931 ft-Ibs 12.2% 115% 2 05-00-00 End Shear 970 Ibs 8.9% 115% 2 00-10-06 Total Load Defl. U999(0.07") n/a n/a 2 05-00-00 Live Load Defl. U999(0.042") n/a n/a 5 05-00-00 Max Defl. 0.07" n/a n/a 2 05-00-00 Span/Depth 12.6 n/a n/a 0 00-00-00 Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1")Maximum total load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 1-1/2". Entered/Displayed Horizontal Span Length(s) =Clear Span+ 1/2 min. end bearing+ 1/2 intermediate bearing Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 PDF created with pdfFactory trial version www.pdffactory.com Mahaffy/Woodworth Job No. 01681-Revised March 7, 201 S Page 2 01 Submit drawings/plans for building permit(s) 0 Demo old porch off house El Excavate for half full basement with hatchway and half 4' fi•ost wall foundation with concrete rat floor Cut access hole through old foundation Frame addition per MA code and approved plans .emove siding from back wall of house ITT/FFrame walk-through passages from house rame kitchen opening to original house for 4' wide opening Demo old kitchen cabinets and countertops D' Install LVL beam from kitchen (], FF ame half-wall for separation L / Frame for half bath with laundry El ' Frame for pocket bathroom door D( Remove triple windows to be re-used in addition 0 Re-frame wall for doorway O Build custom bench seat with coat hooks Pour concrete side porch,frame roof and railings(PVC) EJ ,Install plumbing for kitchen sink relocation and half bath D/ Install insulation throughout Install electrical outlets, lights and rocker switches throughout per MA code and plans 0 Install four(`recessed lights with under-cabinet lighting to kitchen C2-Install Harvey windows and doors(9 windows, 1 door) Eki stall Pella full-glass,patio door with integrated blinds Strip back old roofing;tie-in new addition roof T Install asphalt roofing to new addition El' Install '/2'sheetrock throughout;tape, sand,prime and paint C7` Install(customer-supplied)kitchen cabinets EI . 'stall(eustomer-supplied)bath fixtures: vanity cabinet/sink,toilet,etc. U, Frame and tile recessed area over stove D/ Install sub-floor and new tile to floor and accent wall in bath and'kitchen backsplash Ef Install new prefinished hardwood floor throughout addition and new kitchen (/Contractor to supply hardwood($4.00 per s.f. allowance) DE Build custom built-in shelving/entertainment area Install window, door trim and baseboard(painted) ��� Remove and replace nine (9) doors with solid, six-panel doors with new hardware Install-vinyl sidinb '-Install guffers and downspouts D Spread 3"loam, spread grass seed Apply landscape stone mulch- 9 Trunk off heat and return Install cement platform for AC condenser ©¢•install 6 ft. vinyl fence (xNrith gate)to both sides of house O`fInstall black, chain-link fence to backyard 0i Install shutters to entire house 0, Install new patio and front walkway with drainage for downspouts and new concrete wsteps to front porch Frame 5' x 8' porch off breakfast nook 0 Remove debris Material and Labor: $125,750.00 5karpLine Proposal Construction and Kemodeling March 7, 2015 17 Cosgrove Street Job No. 01681- Revised East Longmeadow, MA 01028 (413) 246-1071 i Proposal Submitted To: NVork to be Performed at: Richard Mahaffy and Doug Woodworth SAME 59 Gleason Road Northampton,MA 01060 We hereby propose to furnish all materials,labor,and equipment for the completion of the foliowin;job(s): Horne Remodel and Addition 4 All inaterial is guaranteed to be as specified, and the above work to be performed in accordance u°ith drawings and specifications subinitted.. Any alteration or deviation fi•oin above specifications involving extra costs ivill be executed only,upon ian•itten order and will become an extra charge over and above the estimate. Contractor ao ees to perform the above work and complete it in a substantial tii�orkrnanlike ruanner for the agreed upon sun?with paynents to be as follows: -113 due upon acceptance of Proposal,U3 due upon completion of rough framing,- Batance dace upon completion ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. r Date " r Authorized Signature Note-This proposal may be withdrawn by us if not accepted within 30 days. Thank you for contacting ShaipLine Construction and Rentodelingl License No. 085411 _ __ __ - Registration No. 140697 t QuoteCenter#706034.2 ***Price valid through Friday, May 22, 2015**` Page 3 of 5 S Customer Truss Quote Truss Package #288075-1 Truss Layout �— 12" (Left Overhang) d £ 1 la Y N G N Er o � C) 4 cr o y a f tE :1— 12" (Right Overhang) ,�--- 14' "Structural design for on-center spacing as noted. — Web design of truss may change,profile of truss shown to illustrate basic concept of truss requested. — This is a preliminary drawing that can be used only for trusses fabricated for HD Components. — HD Components reserves the right to adjust materials and design at time of production. — The structural integrity will not be compromised. — Sealed drawings are available at time of delivery. — Chord sizes depicted are minimum required. — Heel height,cantilever,actual design criteria,etc.will be addressed by the manufacturer. QuoteCenter#706034.2 *** Price valid through Friday, May 22, 2015 *** Page 3 of 5 • QuoteCenter#706034.2 *** Price valid through Friday, May 22, 2015 *** Page 4 of 5 Customer Truss Quote Truss Package #288075-1 Standard Truss(webbing design may vary;overall height may vary;depicted for communication puposes only) 6' 4 15/16" 12 3 11 6 2" 8 11/1 4 PITCH 3 15/16" Heel Height 12" 12" Right Left Overhang Overhang 36' 6" Span(Length of Bottom Chord) ¢ P # um 6 4/12 Common (24" max o.c.)* 36' 6" 12" 12" 0" 0" STD" 501bs *Structural design for on-center spacing as noted. - Web design of truss may changgee,profile of truss shown to illustrate basic concept of truss requested. - This is a preliminary drawing that can be used only for trusses fabricated for HD Components. - HD Components reserves the right to adjust materials and design at time of production. - The structural integrity will not be compromised. - Sealed drawings are available at time of delivery. - Chord sizes depicted are minimum required. - Heel height,cantilever,actual design criteria,etc.will be addressed by the manufacturer. QuoteCenter#706034.2 *** Price valid through Friday, May 22, 2015*** Page 4 of 5 r QuoteCenter#706034.2 *** Price valid through Friday, May 22, 2015 *** Page 5 of 5 n Customer Truss Quote Truss Package #288075-1 Gable Truss (webbing design may vary;overall height may vary;depicted for communication puposes only) 6' 4 15/16" 12 201311 8 11/16" I 4 PITCH '/2/' 3 1 5/16" Heel Height 12" 12" Left Right Overhang 36' 6" 71 Overhang Span(Length of Bottom Chord) " rtl :Glf 1Et81t+RC t o - �'Sc fiu I � i � n rr 2 4/12 ! 6" 12 u 12 n 0 0 STD n 501bs Common Gable (vertical studs 16" o.c.)* 36� i 'Structural design for on-center spacing as noted. - Web design of truss may change,profile of truss shown to illustrate basic concept of truss requested. - This is a preliminary drawing that can be used only for trusses fabricated for HD Components. - HD Components reserves the right to adjust materials and design at time of production. - The structural integrity will not be compromised. - Sealed drawings are available at time of delivery. - Chord sizes depicted are minimum required. - Heel height,cantilever,actual design criteria,etc.will be addressed by the manufacturer. QuoteCenter#706034.2 *** Price valid through Friday, May 22, 2015 *** Page 5 of 5 �d i r y 1 l 1 { 4 I i � 1 I� t _1 1-f- - -- - �i } �/ r � , 3 r ' I a �— n v i k I i ' l 1 + ^ i t . I ' t! I i f 6i.STSs ., fl . CA f E frkAZ ' w.l J CIS ly Le a r 4 u �'on•�-PNaa�' c.�a Q,��d � '4o%kVjola�ru� �•3`"f i w t Xy , I � , City of Northampton 212 Main Street, Northampton, MA 01 060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 3 ��Gc3oy, The debris will be transported by: � The debris will be received by: k,--% iw.ia;KA,,r ciao, "5 Loer Building permit number: Name of Permit Applicant Date Signature of Permit Applicant City of Northampton _ Massachusetts s't } DEPARTMENT OF BUILDING INSPECTIONS ; x 212 Main Street • Municipal Building Northampton, MA 01060 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/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 l, 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 f Office of Investigations 600 Washington Street 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: 7 City/State/Zip: D 1 a F,�, Phone M f? J) G 177 Are you an employer? Check the appropriate box: Type of project (required): 1.Rr I am a employer with 4. [] 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. ❑Remodeling ship and have no employees These sub-contractors have g, [:] emolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. F ] We are:a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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 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. #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: .19 ✓` ,,t}"H Policy#or Self-ins. Lie. #: fa S'' ��.� O ;�A1 --0/� Expiration Date:�l� Job Site Address: zJ 1 �Jep��"'� City/State/Zip.&/�- , AA t'4040 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Siig_ ate/ �"t-- =T Date: Phone#: 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 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: 1� �{ Not Applicable £ Name of License Holder: M���aG' C"p� ( F��" tS-0F,6-K 1/ License Number Address -� Exp ation Date yr. yb-j o7/ Signature Telephone 9:.Re4istered Home Imarovement Contractor ' _._.__ . .._ ... . `- ... ..,..' ._. . ,_. . .,. A:... Not Applicable £ I g06,F 7 Company Name Registration Number S kowp L C,,:,,,i I- ham. - /I/1-I//,S�- Address,c Expir tion ate Telephoned Y 07� 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 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 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 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Er Replacement Windows Alteration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding(0] Other[O] Brief Degript ,god Work: G—.1!J a eOr t '_ yr 12416,122, t Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet _. .. _. >_.. ... 6a. !f:New house and or addition to existin housin corn` fete the following 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?_A40- _ f q J d. Proposed Square footage of new construction. `7�� 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 Ord' i. Is construction within 100 ft. of wetlands? Yes ✓ No. Is construction within 100 yr. floodplain Yes No r j. Depth of basement or cellar floor below finished grade In 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 I, 1)Oh E, l"'V as Owner of the subject property �J hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 7belief. C"61 as Owner/Authorized declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge I ctSigned un er the pains and penalties of perjury. aCIA P nt Name Signature of Owner Agent tate 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 Frontage Setbacks Front e Side L. ^ R:f L:92' R:K7 ! 1 Lao I Rear Building Height Bldg.Square Footage ! % Open Space Footage % r--- — (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 (2 DONT KNOW Q YES Q IF YES, date issued:' r IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES 0 IF YES: enter Book — Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: 4 C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. �� �� f „� jDe artment use only f r Ci ty of Northampton h fi k Status ofPermtt Building Department curb CutlDrive+�veyPerrnit' k '! ApR 2 9 20t5 212 Main Street SewerlSe tie AvaiCa i( �` Room 100 WaterGeitAvallaf;lllty Iectric,Plumbing&Gas Inspections orthampton, MA 01060 Two Sets of StK�ct�ral Pkans' Northampton,MAUI 3-587-1240 Fax 413-587-1272 Ptot/Site Plans 'r ' Othef SpeClfy t 4 3 -IT APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This sectiorx to be:completed by gffice 1.1 Property Address: �47 1141 v1 �A. MaP Lot Unit Zone Overlay District � _ - Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: P-10111 4/00d wvA S? ��ca ro•� o(. Name(Kint) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name Print) Current ailing Ad ess: r 0'7/ Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building,goo (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of )C 6 Construction from 6 3. Plumbing 4/000 Building Permit Fee 4. Mechanical(HVAC) / 5. Fire Protection Gi 000 , 6. Total=0 +2+3+4+5) Check Number This Section For Official'Use Onl Date Building Permit Number: Issued: Signature: ^ . Building Commissionedlnspectorof Buildings Date File# BP-2015-1034 �Y APPLICANT/CONTACT PERSON MICHAEL PARKER ADDRESS/PHONE 17 COSGROVE ST EAST LONGMEADOW01028(413)224-1155 Q PROPERTY LOCATION 59 GLEASON RD MAP 18C PARCEL 106 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out e� Fee Paid Typeof Construction: CONSTRUCT 36 X 13 FAMILY RM/BATH ADDITION&8 X 10 DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building-Plans Included: Owner/Statement or License 085411 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO"ATION PRESENTED: pproved 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 D y _575 Signature of Building 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. 59 GLEASON RD BP-2015-1034 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C- 106 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2015-1034 Project# JS-2015-001968 Est. Cost: $92000.00 Fee: $552.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MICHAEL PARKER 085411 Lot Size(sg. ft.): 7143.84 Owner: WOODWORTH DOUGLAS STEWART Zoning: URB(100)/ Applicant: MICHAEL PARKER AT. 59 GLEASON RD Applicant Address: Phone: Insurance: 17 COSGROVE ST (413) 224-1155 O PVC EAST LONGMEADOWMA01028 ISSUED ON.51112015 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 36 X 13 FAMILY RM/BATH ADDITION & 8 X 10 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 5/1/2015 0:00:00 $552.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner