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17 SALEM ST - BUILDING JACKET -j.4 The Commonwealth of Massachusetts Department of Public Safety / 1�Ku Massachusetts State Building Code(780 CMR) W Building Permit Application for any Building other than aOne-or Two Family Dwelling ��4YYY� (This Section ForOFficialUs Only) 'r ! Building Permit Number: I Date Applied. BuildingOfhaal:: SECTION I:LOCATION(Please Indicate.Block q and Lot H for Iocations for`wfilch a street address es notavaila lit e) No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as pgrt of this permit application? Yes ❑ No ❑ [son Independent Structural Engineering Peer Review require ?s.Foo v Yes ❑ No ❑ Brief Description of Proposed Work: MAX S Ckt& a00E,1121 ;A C1,S" �.„A1) SECTION 3i COMPLETE THIS SECTION IF EXISTING.BUILDING-UNDERGOING RENOVATION;ADDITION,OR CHANGE IN USE OR OCCUPANCY ` Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) O Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA. ' Existing Proposed No.of Floors/Stories(include basement levels)8r Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE.GROUP(Check as a licable)- A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: Hi Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1 ❑ I-2❑ I-3❑ [-4❑ hf: Mercantile❑ R: Residential R-113 R-2❑ - R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as a licable) IA ❑ IB ❑ IIA ❑ 11B ❑ (IIA ❑ IIIB ❑ 1 IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION (refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: obiA t-fi.Sn,ric Q MITIkSiOn RINIMV Pnrrss: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes ❑ or No❑ Yes O No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:__ Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION '. Name and Address of Propirty Owner /,14 1 L11 ''0'-I._ `1 ✓h✓ ht 1 d 1� d ) d(�G [if /y�SS UZL Name(Pc nt) No. and Street City/Town Zip Property Owner Contact Information: o , ;�'6/ _ Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. O SECTION 10:CONSTRUCTIN CONTROL(Please fill out Appendtk-2) If buildui As less than 35,000 cu.ff4 of enclosed"s ace and' or.not under Construction.Controt then efieck here L7and ski Section 10a - 10A Registered Professional Res onsible for Construction Control." 0&1 l'��i� _7/_ /a/a. 6 kc 7 r— Name( egistrant) Telephone No. e-mail address Registration Number . Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor.' - Company Name 97 / /Jr+_/ �} OM Name of Person Res nsible for C truction n License No. Type if Applicable Street ddresss T City/Town State Zip Telephone No. business Telephone No. cell e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M'.G.L.c.152.9 25C(6)), A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION.12:CONSTRUCTION COSTS AND PERMIT FEE' Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Building $ .SO Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ 4. Mechanical (HVAC) $ Note: Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost $ 5 O (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING:PERMIT APPLICANT. By entering m name b w, [hereby attest under the pains and penalties of perjury that all of the information contained in this application i t e and ac a to to the best of my knowled a and understanding. Gs_PlAete"2 ease printa Kn�an,e /1 ./ Title No. Date Street Address City/Town p Municipal Inspector to fill out this section upon application approval: Name Date i CITY-OFSAI . PUBLIC PROPERTY �3, o DEPARTMENT MAYM 130 WASWNGn1N S'7A" "MEK YASSAou:5tllS 01970 TEL 97e-74S-9595♦FAX 97e-740-93" APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION. DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: ST-J Building: ----- Properly Is located in a:Conservation Area Y/N__SL Historic District Y/N A( 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land _ Name: ItTi!�1-14,91 &ZWOV.4 I bt,4 Address: a I c/O Telephone: 2 3.0 COMPLETE THIS SECTION FOR WORK IN EXL%TLUG BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (sn Renovated construction or renovation of existing building New adef Description of Proposed Work: G P,er i ce i S-r061_t r-rto�,— rrs�:m� i s�t t_s A-0 n B iy,_x Mail Permit to: What is the current use of the Building? 3 Co rn Material of Building? If dwelling, how many units? Will the Building Conform to Law? Ld e S _ Asbestos? / Architect's Name ,\ CS k ,- 36 we A-" -lz 3/srz Address and Phone _ I Mechanic's Name � �" � n y V- Address and Phone sCj ll�O �hNA s T �e ✓ass � , ti 4 Construction Supervisors License# o y75 Ll HIC Registration# Estimated Cost of Project$ Oct 0 Permit Fee Calculation Permit Fee$ Estimated Cost X$71$1000 Residential - - --- - - ---- Estimated Cost X$111$1000 commercial- An Additional $5.00 is added as an Administrative charge. Make sure that all fields are property and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury Date N w us � o a s 1 x .• CrtY OP SALBm PUBLIC PROPERTY DEPARTMENT mivc. :S. 2nmosamx.. owmna+re '�f7stoL�41t�lntt f7►��►lW ConsMtedoG Debfb Of 981 1 AMdsvit ( "µirr!bt d dmef M ad waft 1s soOWWO wia dw pwAdow .(s t Mesh M c�sodattt.! ��Ab b../ dr ooeaWa�riot dells�.Wde� thY alai!ehll b.dL;oss�of It s poo b Nomod vms divmd&ofggr so 49&Ad by UM s �1t.s tlAA. t�.d�i.win b•sae�oead>� w..Mdbww Tba dells win be diVoo d otle: (mm of how* ,�A�llr✓/� ru w sS (aJdoee a/heil(M vsaatw of peravt�pOtitael dw •.da.rXt4 NOTES: PROVIDE 3 LAYER5 OF 5/8" • 20'-10" TYPE "X" GWB PER GYPSUM TOILET EXIST. V.I.F. A550G. FIREiRATING MANUAL 101 "GA FILE NO. FG 5110" M.O:I SHADED AREA DENOTES EXISTING CONSTRUCTION N PROVIDE LAYERS OF 5/8" TYPE "X" CPV4f3 ON BOTH SIDE OF 2x4 5TUD5 ® 16" O.G. STAGGERED ALONG OPENING TO BE BLOCKED UP u: u1 � d' N X w ON RETAIL 100 GLOSET 102 I3'-5" I'-q M.O. EXIST. V.I.F. F I R,5'I FLOOR PLAN PR01=05ED RENOVATION5 + .. A Al 12 BAL.EM STREET u u SALEM, MA V The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) 1!5 Building Permit Application for any Building other than a One or Two-Family Dwelling VVV��� �y - (This$echon For„Official Use'.Only). BuildngPermitNumber. D1teLApplied BuildmgOf'ftctal ' " SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a stmet addiess is not available). ` 17 / 5 I ry7v No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2 PROPOSED WORK " Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ 1 Alteration ❑ Addition❑ Demolition r ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as pgrt of this permit application? Yes ❑ No CI Is an Independent Structural Engineering Peer Re tew required? IPO J�� Yes ❑ No ❑ Work Brief Description of Proposed : rho- .�'�,C P64 PDpenf''t'l t CLsIvL, Ham) SECTION 3:COMPLETE THIS SECTION,IF.EXISTING BUILDING,UNDERGOING RENOVATION;ADDITION,OR CHANGE IN USE OR OCCUPANCY:.' Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION.4:BUILDING HEIGHT AND AREAS. ' Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq. ft.)and Total Height(ft.) SECTION 5:USE'GROUP(Check as ap licable)� A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional 1-1 ❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ HIB ❑ 1 IV ❑ VA ❑ VB ❑ SECTIONS:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: T Licensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be p Private❑ or indentify Zone: or on site system❑ required ❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: \a;\Historic Commission RCViCW PrLXTSS: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Prop rty Owner - /.vi r �i `-, ✓h✓ �Z° I.c� �` ��fj G cif ,W5 S Name(P ,t) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10 CONSTRUCTION CONTROL(Ple'as'e fill out Appendix 2)b If buildin less than 35,000 cn.ff.of enclosed%`ace'and' oxnot under Construeti6ii Control theircheck here.Man ski -Section 142 10:1 Register d Professional"Resp onsible for Conshuctioh Control" . .. •'' �" '"" ' 2-V- 7/0- Name( egistrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor - Y`av-c,. Company Name 7�� n Name of Person Resp nsible for C 6t ction License No. Type if Applicable /v �Ll, SLv,9r^-5 --- Street dddress City/Town State Zip Telephone No. business Telephone No. cell e-mail address . SECTION,11:WORKERS'COMPENSATIONINSURANCE-AFFIDAVIT M.G.L..c.-152§25C6 , A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE, Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Building $ Building Permit Fee=Total Construction Cost x (Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ 4. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost 1 $ CO 0 (contact municipality)and write check number here SECTION 13 SIGNATURE OF BUILDING'PERMIT APPLICANT By entering m name b w,I hereby attest under the pains and penalties of perjury that all of the information contained in this application i tr a and acute to the best of my knowled a and understanding. Please print a f s b are}; /� ,/ ( Title Te ne No.." Date Street Address jj AJ fC—Comity/rTown St t Municipal Inspector to fill out this section upon application approval: Name. Date y 4� 1 l CITY OF SiU.EM >. LS&A cfjusETTS BL:imI\,G DEPART\tEINT h 1 '0 W:\SNLYGTON STREET, 3�FtOOR TEL (978) 745-9595 lci�M E R I EY DRISCOLL F.LX(978) 740-9346 +L%YOR '1110sr,Ls ST.PIERRE Dt.2ECTOtt OF PUBLIC PROPERTY/BUIIDNG CO\LNII5SIONER Construction Debris Disposal affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 1 11.5 Debris, and the provisions of NIGL c 40, S 54; Building Permit # is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by NIGL c I11, S 150A. The debris will be trarisportcd by: (rant hauler) The debris will be disposed of in (name of Facility) (address of Faclllly)�— signature of permit applicant Ilatc -- i i CITY OF S:U.E1,I l�WSACHUSETTS j Buff-DING DEPARTNIEINT LN 3 ( ' +r• y 120%V.15HGTON STREET, Yes FLOOR T EL (978) 745-9595 F.ke(978) 740-9844 KIJtIIERLEY DRISCOII MAYORT1touAs ST.ptsalt8 DIRECTOR OF PUBLIC PROPERTY/9t:BDING COJLNISSIONER Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Anlillcant information Please Print Leeibiy Taint:tnusitass,Orptnizatiorvindividual): ` r Address: 60 b d +SNi r 7 City/State/Zip: Sn n v�l 2c, M= W k/Phone M: 2 z /1 b (7 Are you an employer?Check the appropriate bolt Type of project(required): I.0 1 am a employer with 4, 0 1 am a gencrul contractor and 1 6. ❑Now construction employees(fill and/or part-time).* have hircvl the subcontractors 2.0 lain a sale proprietor or partner. listed on the attached sheet t 7. ❑Remodeling ship and have no employees These subcontractors have 11. ❑Demolition working fur me in any capacity. workers'camp.Insurance. 9• I]Building addition [No workers'comp, insurance 5. 0 We are a corporation and in required.) officers have exercised their 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL I I.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,i]1(4),and we have no 12.0 Roof mpairs insurance required.)r employees.(No workers' comp,insurance requircd.j 13.0 Other •Any appbcam Jot Owlta box I I meat also till out the u<tioo below showing their wakee'rnmpsnmiun policy inru nallon. 'll,nneuwncn he oubmit this affidavit indictctins they an doing all work soil thee him ouuidecenttnetora must submit a new antdavil indicting such. !Cuntmutos that chak this box mat attached an addttiunol char thawing the nano of the sub+•entracton and their workers'comp,polio Inremmtion. fain an employer that b providing Ivorkers'c ompeafadon Guuranee jar a y emplayerx Below la du Polley and Jab s/fe lnjoretrarlan, In Y✓,lst '^C SS sumnreConipanyVmno; �srL Y •—LA'S' Policy a or Sclf inn. Lic. N:n 36 d 3 y _2 Expirnlian Datc• Job 34ts Address: S r• City/StatdZip: ,%ttach a copy of the workers'compensation policy declaratlan page(showing the policy number And expiration date). F`.tilurs to secure coverage as required under Section 25A at'MGL e. 152 can lead to the imposition of criminal penalties of a line up to 31,500.00 antVar one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a line orup to 5250.00 ay against file violator. Ile advised that a copy of this slalcmunt may be rurwarded to the Office of Investigatiotn ui' c OlA fur insurance coverages verification. /do liereby r dal t/re ulnr an Pena/flat ujper/ury that the lajormarlon provided abuve is true and correct „ i Date: 3- /0-- Z o 1 3 Mane,7• oylkial use wily. Ou oaf Ivrite in dt/ar arret, to be completed by city or to wat n/petal Cityor'ruwn: _ PermlU7.1censeA? t Itsuing,luiliurily(circle one): - -�— I. Iluurd of ilcaith 1. Building Department J.Citytfown Clerk 4. Cieetrical Inspector 5. plumbing lnspector 6.other Contact Person: .. _... __ Phone th DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/4/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If Me certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of Me policy, certain policies may require an endorsement Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: AX Circle Business Insurance Agency Inc Pam" E g78-777-5619 INC NO)978-777-4898 247 Newbury St. ADDRESS,paulahalas@circleinsurance.net Danvers, MA 01923 INSURERS) AFFORDING COVERAGE NAICS 1781639 INSURER A: Nautilus insurance INSURED Berg Building S Remodeling INSURER B: Granite State Insurance Daryl Berg INSURER C: 1006 Paradise Road Unit 1-H INSURER D Swampscott, MA 01907 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIB TYPE OF INSURANCE IN$R MtP POJCYNUMBER (MMIDDIYYYY) (MMIDD/1'YYY) LIMITS GENERAL LIABIUTY EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABIUTY PREMISES(Ea oaurtenca) $ SO I ODU CLAIMS-MADE I ..I OCCUR MED EXP(Anyoneperaon) $ Pj O O A NNO84884 03/3/11 /3/12 PERSONAL BADVINJURY s 300,000 GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 600,000 POLICY PRO- LOC $ AUTOMOBILE LIABUTV E aoi a dent $ ANYAUTO BODILY INJURY(Per person) $ ALLONMED SCHEDULED BODILYINJURY (Per acddent) S AUTOS AUTOS WI OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per acddent) UMBRELIA UPS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION $ $ WORI�ERS COMPENSATION WCSTATII- OTH- AND EMPLOYERS'UABIUTY R TORV LIMITS ER ANT PRCPRIETOmPAR1NER,FY.ECUDVE YIN NIA 9947169 3/4/11 3/4/12 E.L EACH ACCIDENT S 100,000 $ (Crul WMEMnN ExcwoEoy E,L DISEASE-EA EMPLOYEE $ 100,000 (Mandatory Inund 2ESCesaiee antler DESCRIPTION OF OPERATIONS bdovi E.L DISEASE-POLICY LIMIT $ SOU OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 10T AddNonal Remarks Sc edUe,d morespare is required) CERTIFICATE HOLDER CANCELLATION City of Boston SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE -, 1 Ashborn Place THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Boston MA ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 'r © 19M2010 ACORD CORPORATION.All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORO PROJECT MANUAL FOR 21 Salem Street Salem, MA New Steel Lintel Installation 13.May.2011 Revised 24.May.2011 prepared by: Structures North consulting Engineers, Inc. P.O. Box 8560 Salem, MA 01971-8560 (978) 745-6817 for: Rafael Belis 21 Salem Street Salem, MA 01970 Drawina Index: SKS-1 New Lintel End Detail SKS-2 New Lintel Section, Revised 24.May.2011 Outline Specifications 3 pages "OF , SYRUCTURAL y Wo.34420 John M Wathne, P.E. MA Reg. No. 34420 (1) 3/q'" m THRU—BOLT AT EACH END. A SKS— iL NEW LINTEL AT EXISTING OPENING ------ ----------- PER SKS-2 6 0 cI NEW POCKET CREATED ------------------ IN EXISTING BRICK U, WALL, FILL POCKET IN WALL W/ NON—SHRINK GROUT ` AT BEAM END, TYP. BUILD UP TO BASE 0 OF LINTELS FOR FULL CONTACT BEARING N , e u N In 1 DETAIL SKS-1 _w v DRAWING NOTES: n 1. DO NOT SCALE DRAWINGS. 2. MAXIMUM OPENING OF 9'0" n NOTIFY THE ENGINEER IF LARGER. cI cI 0 i i N V N LZ Q Structures North JOB NAME: 21 Salem Street, Salem, MA hl CONSULTING ENS IN FENS,INC. CHECKED BY: JMW DRAWN BY: SAD 60 Weshln9lnn St,Suits 401 Selem,MA019703517 SCALE: As Noted DATE: 05/13/11 T97&745.6917I F975.745.5057 SKS_1 wwxshucNmsnoM.mm New Lintel End Detail I EXISTING MASONRY BEARING WALL � NEW HSS 6x4x5/s OR 8x4xY4 a STEEL LINTELS (1)PEP BRICK WYTHE. PER EXISTING CONDITIONS, INSTALL (2) HSS LINTELS BELOW EXIST. CMU a AND (1) HSS LINTEL BELOW a EXIST. BRICK (3 TOTAL). C4 GROUT PACK FOR FULL CONTACT BEARING '; -- EXISTING OPENING 314"0 THRU—BOLTS 30 @ 30" O.C. (MAX), MID—DEPTH e A SECTION J DRAWING NOTES: N 1. DO NOT SCALE DRAWINGS. E - 2. MAXIMUM OPENING OF 9'0" NOTIFY THE ENGINEER IF LARGER. FI PI n O O N N J i1 Structures North JOB NAME: 21 Salem Street, Salem, MA N CONSULTING ENGINEERS,INC. DRAWN BY: SAD MCEED BY: JMW 60 Weshin9bn SI.,Suite 401 Selem,MA.019703517 SC=.- As Noted DATE: 05/13/11 Revised 05/24 11 T 976.746.6817 1 F 978.746 WIN New Lintel Section SKS-2 60 St, te 01 Structures North oo ®®® Salem,Washington us tts047 Salem, Massachusetts 01 970-35 9 7 J G !f•i'f- r.' P!is - P.O. Box 01971-8560 T 978.745.6B17 I F 978.745.6067 www.structures-north.com OUTLINE SPECIFICATIONS 21 Salem Street, Steel Lintel Installation Salem, MA A. General Requirements and Scope of Work 1. The following outline specification covers the installation of new steel lintel at an existing opening in the interior brick masonry bearing wall. Refer to sheets SKS-1 and SKS-2 for additional information. 2. The contractor shall be solely responsible for all means and methods of construction employed on this project including all temporary bracing, support and protection of the existing structure as required to maintain safe and stable conditions. Any sequences of work or methods indicated or implied in the documents are presented only as assumptions on which the design of the permanent installations are based and are to be considered as a suggested option for review by the contractor. Contractor shall be solely responsible for maintaining the safety and stability of the structure and all adjacent structures as well as occupied spaces above the work area during construction. 3. Shoring must continuously support all beams where column/post supports are to be removed and replaced or reinforced during the removal and replacement of the column/posts supports until new, permanent supports are in place and the concrete of new footings and grout below bearing plates have cured for at least 72 hours. 4. Field verify all existing conditions and dimensions and coordinate all dimensions. Notify the designer of any discrepancies that would affect the installation as described. 5. All work shall conform to the Commonwealth of Massachusetts State Building Code, 8th Edition. 6. File all necessary building and access permits and make notifications to governing authorities including the local Building Department as necessary. B. Temporary Shoring and Bracinq 1. Contractor shall be solely responsible for all means and methods of construction employed on this project, and for all temporary bracing, support, and protection of the existing structure. Provide and install shoring designed to support the temporary structural loads of the supported items. 21 Salem Street 13 May 2011 Salem,MA Structures North 2. Shoring shall be of any material, which is suitable for the application. Timber shoring shall be fully dried and all end grain shall be sealed to prevent absorption of water and associated swelling. Shoring shall be made stable, stiff, and snug fitting so as not to deflect under load. Pre load supported elements for snug fit only. Shoring shall deflect no more than the given span length divided by 600. 3. Bearing surfaces of shoring shall provide for proper transfer of loads to supporting and supported elements. 4. Adequate shoring and bracing shall precede structural alteration. 5. Screw-type shoring posts or line shoring shall be provided for existing work during the removal of existing bearing walls and structural members and the installation of new structural work. 6. Temporary shores shall be placed as close as practicable to the existing structural work being removed. 7. Headers shall be placed across top of shoring posts and shall be snug tight against underside of structure above. 8. Shoring shall bear on sleepers to prevent damage to the structure below. C. Masonry Work 1. Provide the following materials for structural work on historic masonry: a. Portland cement: type 1 white and/or gray cement satisfying ASTM C150 and complying with staining requirements of ASTM C 91 for not more than 0.03 percent water soluble alkali. b. Hydrated lime: ASTM C 207, type S. C. Fine aggregate / sand: sand for mortar and grout shall be ASTM C 144, washed, to match surrounding in color where visible. Sand for surface fill: clean, fine sand free of salts. d. Brick: re-used or new as needed, or ASTM C 216, grade SW, low absorption. Minimum strength shall be 8,000 psi, maximum water absorption shall be 8%. Provide new brick only as required if existing units cannot be salvaged, to match size and,shape of existing surrounding brick. Color shall be one shade darker than the existing brick in its present condition. e. Structural mortar for concealed masonry reconstruction and re-pointing not directly exposed to the exterior -ASTM C 270, type N but as modified as follows to obtain the required physical properties: 1 part cement, 1 part to 1.25 parts hydrated lime, 6 parts sand. 2. Create and fill openings in masonry as needed to perform structural work. 2 • 21 Salem Street 13 May 2011 Salem,MA Structures North D. Steel Fabrications 1. Structural steel work shall conform to "Specification for structural steel buildings' (AISC ASD 1989), or Load and Resistance Factor Design (LRFD), latest edition, "Code of Standard Practice for Steel Buildings and Bridges", and Structural Welding Code — Steel (AWS D1.1). 2. Structural steel shall be new steel conforming to the following: Plates: ASTM A36 Structural Tubes: ASTM A500 Grade B Anchor Bolts &Threaded Rod: ASTM A307 Stainless steel pinning rods: ASTM A276 Type 304, deformed or threaded Nuts and Washers: ASTM A563 Welding Electrodes: AWS E70-XX 3. Provide Protective Coating on all new interior steel: a. All steel shall be prepared per SSPC-SP3, power tool cleaned surfaces b. Prime coat with Tnemec Perimeprime Series 394 primer in 3-3'/2 mil thickness C. Top coat shall be Tnemec hi-build Epoxoline II N69 in 4-6 mil thickness 4. Shop and field welds shall be made by qualified welders and shall conform to the American Welding Society code for buildings, see specifications. All welds shall develop the full strength of materials being welded, unless otherwise noted. Field welding shall be avoided when possible. 5. Field cutting of structural steel or any field modifications to structural steel shall not be made without approval by engineer for each specific case. 6. Temporary erection of bracing and supports shall be provided to hold structural steel Such temporary bracing and supports shall not be removed framing securely in position. P rY 9 PP until permanent new structure is installed and grout and adhesives are fully cured. 7. Grout for beneath column bearing plate shall be proprietary non-shrink type or 4,000-psi dry-pack mortar mix. 8. Fabricate structural steel to proper field measurements before delivering to site. End of Outline Specifications 3