17C-287 (2) 5/31/05
To Whom It May Concern,
Exi ting garage at 46 Lilly Street is not being turned into living space.
, JtlN - 1 2005
5/20/05
To Whom It May Concern:
The existing garage at 46 Lilly Street will be turned into living space. The
existing driveway will be removed and new drive will be paved after that.
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LOADING fpsf)
SPACING 2-0-0 CS11 DEFL In ([cc) WeR Lid PLATES amp
TCLL 35.0
Plales.Increase 1.16 TC 0.86 VwNLL) -0.6614.16 >456 240 M1120 1971144
TCOL 10-0 Lumber Increase 1.0 BC 0.B0 VaXTL) -0.93 S4-16 X3117 180
BCLL 0-0 Rep Suess Ihcr YES WH 090 Horz(TQ O-Oa 12 Na Na
BCDL 10.0 IL Code IRC2DWW12002 (me"
Weight 128 lb
LUMBER 4)•This buss has been designed for a live load of 20.0pef an the bottom chord in all
TOP CHORD 2 X 6 SIFF 16WF 1.5E'Except- TOPCHORD areas where a rectangle$-"tat by 1-0-0 wide vAll fit between to bottorm ckard and arry
�taCJX EFSPF24DOP ZOE,T22X6SPF 240OF 2.0E 2.19 = .3042r4n 3-18 ■ -28741416 -261sm7 oWer members.
BarcHa 2& 165OF 1.5E 5E 4-5 - -24631362 r�119 = -1849/340 6.19 = -1675M7 61 C491kqg dead load(5.0 pet)an mernbe*).5-6,8.0,r�l 7,8.17
WEBS 2 F Stud 6.7 = -112211129 7-8 - -11221I1129 8-20 - -1675M7 6)Bottom chord five 1=0(40.0 pof)snd additional bDtkm chord deed load(0-0 psi)9-20 = -1849440 9.10 = -24531352 10-11 - -261161347 appledonly go toorn.14-18
GRACING 11-21 CKOR; .28741415 12-21 = -30421399 1Z-13 = 0147 7)Pnovidlannechartical connedlan(by others)c(trues to bearing plate capable of
TOP CHORD BOT D withstanding 115 lb uplift at joint 2 and 118 lb uplift at Joint 12.
Structural wood sheathing directly appdad or 38.2 cc purlins. 2-16 - -23I12424 16.16 - 4711874 14-15 = -4711874 0)This trim Is designed In accordance vAth the 2003 Intemational Residential Code
BOT CHORD 12-14 = -23112424 sections RGM 11.1 and 8802.10.2 and referenced standard At#SLFTPI 1.
ftid oelling directly appled at 10-0-0 oc braciW WEBS 9)AJI Plates 20 Gouge Unless NobDd
WEBS 6-17 ==
35 a-17 = 3323/605 5-10 -=lose
I Row at rridpl 6-8 9-14 -.Wll 056 3-16 = -7741262 11-14 -7741286
7-17 = -311280
REACTIONS (lb/siza)
2 = 19321036 NOTES (9)
12 = 1932 -3-8 1)Unbalancied roof live loads have been considered fort he design.
Max Harz 2)Wind:ASCE.7-02;100rnph;lh-233 TCDL,4.2psF BCDL=5.0W,Category 11;Exp C;
2 = -329;1oad case 3) enclosed;164UWM gable end zone and 0C Exledor(2)-1-0-010 2-".Intedor(l)2-0-0 4-
Max LkMHt to 98.0,Exterbr(2)9-"to 15.".Interiar(l)15-64 to 23-0-0.Exledor(2)23-0-0 to
2 -1 164load case 7) 28-"zv^catitilff"f left and right exposed;LLwnber DOL-1.33 Vials gdp DOL-1.33.
12 a -116(loadcasa 0) This"s is designed for C-C for membom and forces,and[or IIAWFRS far reectiions
specified.
FORCES @b)-Maximum CompresslonAftx1mum Tension 3)As requested,plates have not been designed to provide for placement tolerawas or
TOP CHORD rough handling and erection corid1loms.It Is the responsibility of the fabricator to Increase
1.2 0147 plate sl2as 50 amount for these factom.
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DEPARTMENT OF BUILDI7\1C INSPECTIONS :
INSPECTOR 212 Main Street • Municipal Building '
Northampton, MA 01060 y '
,r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as Ills/leer construction sups:: ,,isor. The state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends to be,a one or two fame
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 r',egulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before baekfill),
sonotube holes (before your), a rough building itspection (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
F E Gii�) of �\Tcrtilal>lptall
A _ E 61 ay+krhmsrlla _
w d DEPARTMENT OP BUILDfJ�,'G INSPECrIoNs
j 212 Alain Strcct Dfunicipal Building
Northampton, Mass- 010GO
WOMCCR'S C0?APENSA770N MSURAhCF- AF=, AVj-j-
With a principal place of businessfresidence at: - --
`Z L�ViP L S j l ((4A/3 1-6nJt
do hereby terrify, under thc.pains and penalties of per7tuy, hai
( ) I am an employer providing the followine!worlccrs compensation covet ge for lily
elvployces worUng on ulis job:
i r
(Ia u-r-_nc Conr=- I) (Policy Nu_-Zbcr) (r:-pirtica Das)
O I am a sole proorietor, general contractor or horneov"Mer (ci:cie one) and have hired
the cooiractors listed below who leave the following workers caooerl_sadon pakles-.
ON=c of Con'-^ci0"1 (I[1RI,t1C^ COIT701S7}'lPGUCf 1�11C)
��L1IIlL<I) [r':J]FJ Q?
I -
(Name of Cou TZaor) (Lisw-aacz Comp_anyiPaUcy Nuunc_r) (LxDiI bon Date)
i
(Name of Contraclo,-) (Lass ranc; Company/PoUq- Munbu) (Expirdos Datc)
(Name of Contractor) Gasuran.(_- CompatryRolicy Numb-`r) ( xpp-adoa Datc)-
(am�r��di�ocal cScd,irnccca..:_"to a_,cud=informr3oa p=iz,n to.11 cater- ora) -
�4) I am a sole proprietor and have no one worldDg for me.
( } I am.a home owner performing all the work myself.
1 NOTE.pt=-Lc be aware u:`at-Jc hcmcoµmcrs.rho c=play p-sow to dm =- cr rgair work d-ma- is of
ant More than `4roe in�amch the bomoo w.�raido oC oo the VIOU c z971rtrn_r1 tbceo c.-c ox E--r,-.Uy ocrsd=,cd to be
cizplaycz une--the..a--kd'S O==P -_,.eo Act(GL1 S2-sa I(5))�=pplicaaw by a bca=m-c fw.:Gem_or permit rzy c%idence the
Icgsl rtaa,c orea==layw under the Wo.k4e,Compomation Aa-
t uadc aaad�a a oopy or thi+carte may bo foa--rd.d to tho Dcq-,..�d o r Loa-rri d A,.J--%IY OCG--r L.-,o-Jr-the
towage vc-if c=Iica and that&!h=to tc.-auc`covcrnsc u7odcr 1oc CIa 23 A of MGL 112 can Irk to tba iapoaiioa of Qimia l pcm&Wcs
cO-IzLing of a Gx orup to s 1}oo.00 mdtot"
�110®e:31 Of up to ooc year end avj]p=a1Ua in tSc form o(a Stop Wort Order and+ _
rtm 0(5100.00 ay apumA tnc
�` /j for =�u. ooty
4f/1 `�r Pcrmit Numixs
1 !� Lot
Si tun of LiomsccfPcrrnittcc e -- A �:
I.
SECTION 8-CONSTRUCTION SERVICES 71
8.1 Licensed Construction�Suf3ervisor: Not Applicable ❑
Name of License Holder: /,/n U lo 1---0 1l C (FLT C5 00 2'01 G
License Number
3'A- L--}QA VIL S. N��P U-y Pr 3 J a f o U
Address �((_ Expiratio Date
Signature Telephone
m �
PP
Not Applicable ❑
S:.RepisEerecl�C�o'fit'� mwravencrecr` '�°ont�a�ta
io3a�9
Company Name nn /� Registration um er -"---
/%UI✓3 fdATl�A 6 K2
UILO 5 `)/lo role
Address rI Expiration ate
`6 V I)j Z(, 5-1 i/b1 (4A 11 P l On,P l Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFI DAVIT=(N1.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...... ❑
?
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 an 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 pgrmit.
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
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SECTION 5-DESCRIPTION,-OP PROPOSED W.6RK(check-all apnlicabtel
New House F--J Addition Q Replacement Windows Alteration(s) 0 Roofing
Or Doors 0
Accessory Bldg. ® Demolition New Signs [0] Decks [M Siding[t]] Other(a
Brief Description of Proposed i o /
Work: �uILd �h x l0A✓2A(,d
Alteration of existing bedroom Yes_ No Adding new bedroom Yes No .
Attached Narrative Renovating unfinished basement Yes x No
Plans Attached Roll -Sheet
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,Ta-r OWNERAUTHORIZAT16N--T 6 BECOMPLETED.WHEN
�.t, .
OWNERS-AGENT.OR`CONTRAE'1`OkAi*k! S'FQI2`BUIi:DfNC�PERMIT
r (�
I, [ i", ( oar,Ii_ [_ as Owner of the subject
property
hereby aut orize U j v -
to act on If all m e o work authorized by this building permit application.
n` c 1 It � to
Signature of Owner Date
I,
'0A c: 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. 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 y y.SLa t I t
Frontage �7 S
Setbacks Front
leell
Side L: R:` L:, R1
Rear
Building Height
Bldg.Square Footage
Open Space Footage % ���i���;
(Lot area minus bldg&paved : � ! ( 'i�,. l Li1_1! Ell
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 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page; and/or Document#�
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW @ YES
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 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 NO
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 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
e +
City of Northampton
i, .Building Department
212 Main Street
Room 100 e i
f n ° r Northampton;AMA 01060
1 LGC p s ,
phone 413=57-1240 Fax 413-587-1272 any � �
APPLICATION TO CONSTRWCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SE'CT10N 1 -SITE'INFORMATION
1.1 Property Address: This seetibn to bw completed bit afft,
E�
�Z"one OverCay District
,Elm St.Distrrct •"- CB Distract "
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
JAM Fo AI L LILLy
Name(Print) i Current Mailing Address:
io 1 :3
Telephone
Signature
k-
2.2 Authorized Agent:
0m
Name(Print) o X32 1Av� f Current Mailing Address:
5'T4-159
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
® Gc"O.00
2. Electrical (b)"Estimated Total Cost of
Constriction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=0 +2+3+4+5 Check Number z Q
This SectidwFor Official'Use Only
Buildings Permit Number, Issued;
Signature:
Building Commissioner/Inspector of Buildings
File#BP-2005-1146
APPLICANT/CONTACT PERSON David Fortier
ADDRESS/PHONE 32 Laurel St NORTHAMPTON (413)586-8965
PROPERTY LOCATION 46 LILLY ST
MAP 17C PARCEL 287 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 25 X 28 DET GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 008026
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRIhIATION 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
z od
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.
46 LILLY ST BP-2005-1146
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-287 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2005-1146
Project# JS-2005-1548
Est. Cost: $30000.00
Fee: $105.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: David Fortier 008026
Lot Size(sg. ft.): 9844.56 Owner. FORRESTALL JAMES E&
Zoning.URB Applicant: David Fortier
AT. 46 LILLY ST
Applicant Address: Phone: Insurance:
32 Laurel St (_413) 586-8965
NORTHAMPTONMA01060 ISSUED ON.618105 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 25 X 28 DET GARAGE
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 6/8/05 0:00:00 $105.00
212 Main Street,Phone(413)587-1240,Fax:(413) 587-1272
Building Commissioner-Anthony Patillo