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mBeamEngine 4.13.4.1
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Control: TL Deflection
DOLs: Live=1001/. Snow=1151/. Roof=125% Wind=1601/
Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives
All product namesare trademarks of their respective owners Doug Hodgins
rk Miles Inc.
Copyright(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. 21 West St.
Passing isdefined as when the member,floorjoist,beam or girde(shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The
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Member Data
Description:CalcB5 Member Type: Beam Application: Roof
Comments: Top Lateral Bracing: Continuous Slope: 0.00 / 12
Bottom Lateral Bracing: Continuous
Standard Load: Moisture Condition: Dry Building Code: IBC/IRC
Live Load: 0 PLF Deflection Criteria: L/360 live, L/240 total
Dead Load: 0 PLF Deck Connection: Nailed Member Weight: 11.7 PLF
Filename: C:\KMW\JOBS\
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PLF) Top 0' 0.00" 9' 3.50" 1 155 Live
Replacement Uniform(PLF) Top 0' 0.00" 9' 3.50" 248 0 Snow
Replacement Uniform(PLF) Top 9' 3.50" 12' 3.50" 0 115 Live
Replacement Uniform(PLF) Top 9' 3.50" 12' 3.50" 142 0 Snow
Replacement Uniform(PLF) Top 12' 3.50" 13' 3.50" 0 54 Live
Replacement Uniform(PLF) Top 12' 3.50" 13' 3.50" 142 0 Snow
Replacement Uniform(PLF) Top 12' 3.50" 15' 6.25" -53 -13 Live
Replacement Uniform(PLF) Top 12' 3.50" 15' 6.25" 0 1 Live
Replacement Uniform(PLF) Top 12' 3.50" 15' 6.25" 6 1 Live
Replacement Uniform(PLF) Top 12' 3.50" 15' 6.25" 0 13 Live
Replacement Uniform(PLF) Top 12' 3.50" 15' 6.25" 27 7 Live
Replacement Uniform(PLF) Top 13' 3.50" 15' 6.25" 124 46 Snow
Point(LBS) Top 9' 3.50" 1 256 Live
Point(LBS) Top 9' 3.50" 357 0 Snow
Point(LBS) Top 12' 2.00" 0 174 Live
Point(LBS) Top 15' 1.63" 0 1 Live
Point(LBS) Top 15' 1.63" 6 2 Snow
Point(LBS) Top 15' 1.63" 124 46 Snow
15 6 4
Q Oi
i
15 6 4
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall SPF Plate(425psi) N/A 2.142" 3186#
2 15' 6.250" Wall S P F Plate(425psi) N/A 1.987" 2955# -32#
Maximum Load Case Reactions
Used for applying point loads(or line loads)to carrying members
Live Snow Dead
1 15# 1866# 1320#
2 -136# 1668# 1287#
Design spans
14' 11.000"
Product: 1-3/4x11-7/8 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS
Design assumes continuous lateral bracing along the top chord.
Design assumes continuous lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 122344 244664 50% 7.68' Total Load D+S
Negative Moment 624 212754 0% 13.64' Total Load D+L
Shear 27764 9081.# 30% 0.23' Total Load D+S
TL Deflection 0.4950" 0.7458" U361 7.68' Total Load D+S
LL Deflection 0.2830" 0.4972" U632 7.68' Total Load S
All product names are trademarks of their respective owners Doug Hodgins
rk Miles Inc.
Copynght(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. 21 West St.
Passing is defined as when the member,floor joist,beam or girder,shown on this drawing meets applicable design cntena for Loads,Loading Conditions,and Spans listed on this sheet.The
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mBeam Engine 4.13.4.1 1:25 m
Aaterials Database 1530 P
3 of
Control: TL Deflection
DOLs: Live=100% Snow=115% Roof=125% Wind=160%
Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives
All product names are trademarks of their respective owners Doug Hodgl ns
rk Miles Inc.
Copyright(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. 21 Weft St.
Passing is defined as when the member,floor joist,beam or girder shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The
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nlBeanlEngine 4.13.4.1 1:25pm
Aaterials Database 1530
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Member Data
Description:CalcB4 Member Type: Beam Application: Roof
Comments: Top Lateral Bracing: Continuous Slope: 0.00 / 12
Bottom Lateral Bracing: Continuous
Standard Load: Moisture Condition: Dry Building Code: IBC/IRC
Live Load: 0 PLF Deflection Criteria: L/360 live, L/240 total
Dead Load: 0 PLF Deck Connection: Nailed Member Weight: 11.7 PLF
Filename: C:\KMW\JOBS\
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PLF) Top 0' 0.00" 3' 2.75" -53 -13 Live
Replacement Uniform(PLF) Top 0' 0.00" 3' 2.75" 0 1 Live
Replacement Uniform(PLF) Top 0' 0.00" 3' 2.75" 6 1 Live
Replacement Uniform(PLF) Top 0' 0.00" 3' 2.75" 0 13 Live
Replacement Uniform(PLF) Top 0' 0.00" 3' 2.75" 27 7 Live
Replacement Uniform(PLF) Top 0' 0.00" 2' 2.75" 124 46 Snow
Replacement Uniform(PLF) Top 2' 2.75" 3' 2.75" 0 54 Live
Replacement Uniform(PLF) Top 2' 2.75" 3' 2.75" 142 0 Snow
Replacement Uniform(PLF) Top 3' 2.75" 6' 2.75" 0 115 Live
Replacement Uniform(PLF) Top 3' 2.75" 6' 2.75" 142 0 Snow
Replacement Uniform(PLF) Top 6' 2.75" 15' 6.25" 1 155 Live
Replacement Uniform(PLF) Top 6' 2.75" 15' 6.25" 248 0 Snow
Point(LBS) Top 0' 4.63" 0 1 Live
Point(LBS) Top 0' 4.63" 6 2 Snow
Point(LBS) Top 0' 4.63" 124 46 Snow
Point(LBS) Top 3' 4.25" 0 174 Live
Point(LBS) Top 6' 2.75" 1 256 Live
Point(LBS) Top 6' 2.75" 357 0 Snow
x
15 6 4
15 6 4
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall S P F P I ate(425ps i) N/A 1.987" 2955# -32#
2 15' 6.250" Wall SPF Plate(425psi) N/A 2.142" 3186# --
Maximum Load Case Reactions
Used for applying point loads(or line loads)to carrying members
Live Snow Dead
1 -136# 1668# 1287#
2 15# 1866# 1320#
Design spans
14'11.000°
Product: 1-3/4x11-7/8 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS
Design assumes continuous lateral bracing along the top chord.
Design assumes continuous lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 122344 244664 50% 7.84' Total Load D+S
Negative Moment 62.# 212754 0% 1.88' Total Load D+L
Shear 27764 9081.# 30% 14.56' Total Load D+S
TL Deflection 0.4950" 0.7458" U361 7.84' Total Load D+S
LL Deflection 0.2830" 0.4972" U632 7.84' Total Load S
All product names are trademarks of their respective owners Doug Hodgi ns
rk Miles Inc.
Copyright(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. 21 West St.
Passing is defined as when the member,floor joist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The
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inBeamEngine 4.13.4.1
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Auterials Database I5,30
1 of,
Member Data
Description:CalcB1 Member Type: Beam Application: Roof
Comments: Top Lateral Bracing: Continuous Slope: 0.00 / 12
Bottom Lateral Bracing: Continuous
Standard Load: Moisture Condition: Dry Building Code: IBC/IRC
Live Load: 0 PLF Deflection Criteria: L/360 live, L/240 total
Dead Load: 0 PLF Deck Connection: Nailed Member Weight: 5.9 PLF
Filename: C:\KMW\JOBS\
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PLF) Top 0' 0.00" 2' 2.75" 124 63 Snow
Replacement Uniform(PLF) Top 2' 2.75" 10' 1.001, 0 69 Live
Replacement Uniform(PLF) Top 2' 2.75" 10' 1.00" 140 0 Snow
Replacement Uniform(PLF) Top 10' 1.00" 12' 5.50" 124 63 Snow
Point(LBS) Top 0' 4.63" 0 209 Live
Point(LBS) Top 0' 4.63" 302 0 Snow
Point(LBS) Top 12' 0.88" 0 211 Live
Point(LBS) Top 12' 0.88" 306 0 Snow
12 5 8
/
iQ i
12 5 8
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall S P F P ate(425psi) N/A 2.318" 1724#
2 12' 5.500" Wall S P F P I ate(425ps i) N/A 2.323" 1728#
Maximum Load Case Reactions
Used forapplying point loads(or line loads)to carrying members
Live Snow Dead
1 2# 1089# 634#
2 2# 1092# 636#
Design spans
11' 8.250"
Product: 1-3/4x11-7/8 VERSA-LAM 2.0 3100 SP 1 ply PASSES DESIGN CHECKS
Design assumes continuous lateral bracing along the top chord.
Design assumes continuous lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 36244 122334 29% 6.23' Total Load D+S
Shear 10224 4541.# 22% 0.4' Total Load D+S
TL Deflection 0.1821" 0.5844" U770 6.23' Total Load D+S
LL Deflection 0.1184" 0.3896" U999+ 6.23' Total Load S
Control: TL Deflection
DOLS: Live=100% Snow=1150/. Roof=1251/ Wind=160°%
All product names are tmdemaWsof their respective owners Doug Hodgins
rk Miles Inc.
Copyright(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. 21 West St.
Passing is defined as when the member,floor joist,beam or girdet shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The ecinn mind ho m�,inwe.l hraniialifieA rleeinnnrnr Aecinn nmfeceinnal ac rnnniroA fnrannmal Thie rlecinn aenimee nmrlimr inelallatinn...--fn fho —ifi—finnc IA/....a Ll-4:.IA AA..
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niBeanlEltgine 4.13.4.1
naterialsDatabase 1530 1:25pm
2 of:
Control: TL Deflection
DOLS: Live=1001/ Snow=1151/ Roof=125% Wind=160%
Design assumes a repetitive member use increase in bending stress: 4%
Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives
Point loads over bearings are NOT included in the Design calculations,but ARE included in the Reaction table
All product namesare trademarksof their respective owners Doug Hodgins
rk Miles Inc.
Copyright(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. 21 West St.
Passing isdefined as when the member,floor foist,beam orgira%shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The
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inBeannEngine 4.13.4.1 1:25pm
AaterialsDatabase 1530
1 of
Member Data
Description:CalcG3 Member Type: Girder Application: Roof
Comments: Top Lateral Bracing: Continuous Slope: 0.00 / 12
Bottom Lateral Bracing: Continuous
Standard Load: Moisture Condition: Dry Building Code: IBC/IRC
Live Load: 0 PLF Deflection Criteria: L/360 live, L/240 total
Dead Load: 0 PLF Deck Connection: Nailed Member Weight: 10.7 PLF
Filename: C:\KMW\JOBS\
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform(PLF) Top 0' 0.00" 12' 0.00" -53 -13 Live
Replacement Uniform(PLF) Top 0' 0.00" 12' 0.00" 0 13 Live
Replacement Uniform(PLF) Top 0' 0.00" 12' 0.00" 27 7 Live
Replacement Uniform(PLF) Top 0' 0.00" 12' 0.00" 27 7 Live
Point(LBS) Top 0' 2.63" 0 3 Live
Point(LBS) Top 0' 2.63" 0 54 Live
Point(LBS) Top 0' 2.63" 1 94 Live
Point(LBS) Top 0' 2.63" 142 0 Snow
Point(LBS) Top 0' 2.63" 248 0 Snow
Point(LBS) Top 6' 0.00" 2 344 Live
Point(LBS) Top 6' 0.00" 715 0 Snow
Point(LBS) Top 11' 9.38" 0 3 Live
Point(LBS) Top 11' 9.38" 0 54 Live
Point(LBS) Top 11' 9.38" 1 94 Live
Point(LBS) Top 11' 9.38" 142 0 Snow
Point(LBS) Top 11' 9.38" 248 0 Snow
8 r
W
12 0 0
O
12 0 0
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall S P F Plate(425psi) N/A 1.500" 1332# -171#
2 12' 0,000" Wall SPF Plate(425psi) N/A 1.500" 1332# -171#
Maximum Load Case Reactions
Used for applying point loads(or line loads)to carrying members
Live Snow Dead
1 311# 747# 538#
2 311# 747# 538#
Design spans
11' 6.750°
Product: 1-3/4x7-1/4 VERSA-LAM 2.0 3100 SP 3 ply PASSES DESIGN CHECKS
NOTE:Pass-thru framing is required at point toads over bearings.
Design assumes continuous lateral bracing along the top chord.
Design assumes continuous lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 38434 150284 25% 6' Total Load D+0.75(L+S)
Negative Moment 933.# 130684 7% 6' Total Load D+L
Shear 842.# 83174 10% 11.2' Total Load D+0.75(L+S)
TL Deflection 0.2406" 0.5781" L/576 6' Total Load D+0.75(L+S)
LL Deflection 0 1380" 0.3854" L/999+ 6' Total Load 0.75(L+S)
All product names are trademarks of their respective owners Doug Hodgi ns
rk Miles Inc.
Copyright(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. 21 West St.
Passing is defined as when the member,floorpist,beam or girder,shown on this drawing meets applicable design cn ten a for Loads,Loading Conditions,and Spans listed on this sheet.The
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SMITH OUTDOOR KITCHEN (WITH ROOF) 10.23.15 O toner?3, 2015
Description _. cast
Underground Obstructions
Project Total d $84,30914
Me,ads wa ate your bLj$)eSs and look forward try working w t you,
Approved By,. Data: _ .. ,.� ..� - Data:
Contractor «�.. � f Cu to?l"ie'.
SMITH OUTDOOR KITCHEN (WITH ROOF) 10.23.15 October 23, ^401
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Keiter Builders,Inc,License ti; 102457
SMITH OUTDOOR KITCHEN (WITH ROOF) 10.23.15 October 23, 2015
Scott Keiter i"
Keiter Builders, Inc,
35 Main Street
Florence, MA 01062
Office 413.586.8600 %w T IE it
Fax 413,280,0124
scottkeiler@gmaikom BUI L D E FR S. J
www.KeiterBuilders.com
License#: 102457
Project Customer
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- _44 K;TCHEN'WITH RO' 10,23 1, Howard Danna Smith
441 Kennedy Road 441 Kennedy Road
Leeds. MA 01053 Leeds, MA 01053
OUTD00H KITCHEN fWl-f H FIOCF:) - RF VISFD 10-23-15
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City of Northampton 212 Main Street, Northampton, MA 01060
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:
The debris will be transported by: L..l�t7'� /5-c c ' lxer5
The debris will be received by: V
Building permit number:
Name of Permit Applicant
/aril
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
v Office of Investigations
w
a 1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name (Business/Organization/Individual):
r
Address: 3 I'"l�(il h CS 7
City/State/Zip: POW-44"_ 0106a-. Phone #: / 6 K_6 C6
Are yo n employer? Check thappropriate box: Type of project(required):
1. 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. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.+
required.] 5. ❑ We are a corporation and its 101-1 Electrical repairs or additions
3.❑ I 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.❑ R of repairs
insurance required.] t c. 152, §1(4), and we have no 00
employees. [No workers' 13. Other dAP
comp. insurance required.] A:�6 f � -j6
*Any applicant that checks box#I 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. #: q ja-1— ql c)6 G S Expiration Date:
Job Site Address: V J 0 J le Of City/State/Zip: O(O,3
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 under the pains penalties of perjury that the information provided above is true and correct.
Signature: _ k4'41� J Date: LZ�h
Phone#: SI& &W
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License #
Issuing Authority (circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES 7
8.1 Licensed Construction Superv-iis�or: �( � 'o r Not Applicable/y❑
Name of License Holder: 5C C)4 e— Ae' _ �— L y 101`t-Sfz�
License Number
Address Expiratiofi Date
n re Telephone
9,Registered Home Improvement Contractor: Not Applicable ❑
,L - &, Veer, lit C I---s 16>
Company Name Registration Number
S f�'A � L1.l cI b �-
AdTres Expiration Date
/'(/�/1 d IC)6 d— Telephone Sd 6 0 d
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 en'oage 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 an 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 ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks Siding[O] Other
Work: ri, ptipn� ProposedL w rav
Work: [/l�" �[it
Alteration of existing bedroom Yes ryo Adding new bedroom Yes L/�No .
Attached Narrative Renovating unfinished basement Yes VNo
Plans Attached Roll -Sheet
6a. If New house and or addition to existing housing, complete 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?
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
I,
&'2�(•c�Y �M`,1� /l. as Owner of the subject
property
hereby authorize b�•C� �l��l` /► 'S
to act on my behalf, in all matters relative to work authorized by this building permit application.
� �.46.j a l J--
Signature of Owner U Dat
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.
ar
Print Na
40 �✓X31 In lv av� c �-
S n ure of f ge Date
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
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 r been issued for/on the site?
NO 0 DON'T KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Regist eeds?
NO 0 DON'T KNOW YES 0
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO VON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO
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
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, grading,excavatio S 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.
r•- ,�... Department use only
[OEPT ECD! City of Northampton Status of Permit;
C � Building Department Curb Cut/Driveway Permit
CT 2 7 2015 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
BUlLMNGINSPEC IONS Northampton, MA 01060 Two Sets of Structural Plans
HAMPTON kIA01G60 413-587-1240 Fax 413-587-1272 Plot/Site Plans''
Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: '0( This section to be completed by office
qHI k 2n n eJ I 11�ct Map Lot Unit
Zone Overlay District
`►• I • ` O�� Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
}how rd. S wc, �yl 1�CQ,v►n p f RA (-wc(S, 1, 4A
Name'(Prriintt))' Current Mailing Address:
Telephone
Sig ature
2.2 Authorized Agent,
IC.c,+t 3 S l�cci n ��' ��y . ;k4
Name(P>r* Current Mailing Address:
,tcN�,r 1&4 t'( !n.c- V/3 SR::;, &6, C-0
na re Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building ¢ I �� l (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
v Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total= 0 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2016-0586
1 0,�`
APPLICANT/CONTACT PERSON KEITER BUILDERS
ADDRESS/PHONE 35 MAIN ST FLORENCE01062(413)586-8600()
PROPERTY LOCATION 441 KENNEDY RD
MAP 10 PARCEL 023 001 ZONE RR(100)/WSP(100)/WP(13)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLS5ED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT ROOF ATTACHED TO POOL HOUSE FOR OUTDOOR KITCHEN
New Construction �tv
Non Structural interior renovations /
Addition to Existing n�l/
AccessoKy Structure I V
Building Plans Included:
Owner/Statement or License 102457
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
1�<// 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
mol• ion elay
Sighe o Buil ing Officia ate
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.
441 KENNEDY RD BP-2016-0586
GIs#: COMMONWEALTH OF MASSACHUSETTS
MU.-Block: 10-023 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-2016-0586
Project# JS-2016-000978
Est.Cost: $84309.00
Fee: $548.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sq_ft.): 375443.64 Owner: SMITH HOWARD
Zoning: RR(100)/WSP(100)/WP(13) Applicant: KEITER BUILDERS
AT. 441 KENNEDY RD
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 O WC
FLORENCEMA01062 ISSUED ON.111212015 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT ROOF ATTACHED TO POOL
HOUSE FOR OUTDOOR KITCHEN - as built foundation drawing required
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:
FeeTvpe: Date Paid: Amount:
Building 11/2/2015 0:00:00 $548.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner