5A STILLWELL DR - BUILDING INSPECTION /J The Commonwealth of Massachusetts
.� Department of Public Safety
\Lassa,huselts Slate Building Code(780 CMIR)
Building Permit Application for any Building other than aOne-or"1'wo-Family Dwelling
("Phis Section For Official Use Onlv)
Building Permit Number: _ Dale Applied: Building Official:
SEC"1-IO 1: LOC N ATI ) (Please indicate Block N and Lot N for locations for which a street address is not available)
No.mid Street City /gown Zip Code Nance of Building;(it applicable)
SECTION 2:PROPOSED WORK
Edition of W Stale Code used If New Con.ctructiun,heck here 0 or chuck all that apply in the two rows below --
Exisling Building❑ Repair 0 Alteration ❑ 1 Addition❑ . Demolition 0 (Please fill out and submit Appendix 1)
Change of Use ❑ Change ofOcCapmrcy ❑ I Other ❑ Specify:____ .
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No 0-_----
Is an 6ule undcnt Structural En gineerin, Peer Ruviuw rec�}ed?/_ ` / Yes ❑ No ❑
Brief Description of Proposed l\ rrk:._ r49'I G,Gr G7�G� (4/I!
SECTION 3:COMPLETE THIS SUCTION IF EXISTING BUILDING UNDERGOING RENOVA"r1ON,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 781)CNIR.N) ❑
Existing Use Group(s): Proposed Use Gruup(s): -_
SECTION 4: BUILDING MIGHT AND AREA
Existing Proposed
No.of Flours/Stories(include basement levels)&Area Per Floor(sq. ft.)
Total :\rva(sq. ft)and Total-Hcight(ft.)
SECTION 5:USE GROUP(Check as a livable)
A: Assembly A-1 ❑ A 2❑ Nightclub ❑ ,\-1 ❑ A4 0 A-5❑ B: Business ❑ E: [educational ❑
F: Facto F-I ❑ F2❑ H: Ili h Hazard H-1 ❑ H-2❑ Fi-d ❑ 11-4❑ 11-i❑
I: Institutional 1-1 ❑ 1.2❑ 1.3❑ 14❑ \I: ;1lercantile❑ R: Residential R-1❑ R-'_❑ R-3❑ R-a❑
S: Storage S-1 ❑ S-2 0 U: Utility❑ Special Use 0 and please describe below:
5pccial Use
SECTION 6:CONSTRUCTION"TYPE(Check as applicable)
IA ❑ IB ❑ [IA ❑ LIB ❑ IIIA ❑ Hill ❑ I IV ❑ 1 VA ❑ VIt ❑
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:
PnbliC❑ Clre,k if outside Flood Lune 0 Indicate municipal ❑ A trench trill not be Li,rnsrd DispnS,d Site❑
n•quired 0 or Irendl Orsvet.if.%
Private❑ nr iudenlify L,nxc Of on site system ❑ permit is rnClosod❑ _
Railroad right-of-way: Hazards to Air Navigation: \1 , 1;;..i•.• . ;�., . •
Not Apritedble❑ .IS Slnirhur within airport approach ama? Is Theo rovio,% ri,m Plalyd.'
or Con,ent to Itudd cm I...... )cs0 or.No❑ I 'to,❑ ..\u ❑
SECTION 8:CON I FN"r OF CERI'IFICA'I F OF OCCUPANCY
Edition Ol Cade: - _ ._ L',e Gnnif'1,1 _ I\-II-„I COm,lru,llon: _ lit,upmut Lind per 1Lmr
Dov, the building,oOtain.m Sprinkler S% teru' Spe,of Stgndations-.
SECTION9: PROFFItl'YOWNlflt AUTII0l(IZATTON
une,uxl Address 1'rop, ray Uw ner /
Nance(Print) No.and Street city/—Town Zip
Property O%Vner Contact Information:
I itle Telephone No.(business) Telephone No. (cell) a-ma it address
If applicable, the property owner herebv,authorizes
..---- Name - --- Street Address ---- City/Town -- State — Zip
to art on the property owner's behalf, in all nm tiers relative to work authorized by this bu ild ing permit o ,,lication.
SECTION 10;CONSTRUCTION CONTROL(Please fill out Appendix 2)
If bit ilding is less than 35,0tXI cu.ft.of enclosed s pace and or not under Construction Control then check here O and skip Section 10,1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. c-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
AIJ10h« Cons
Contpan ne
K-0,40d s 9 f 4 2 7 6jdf, A 27 2 12Z
Mune of Person Responsible for Construction a License No. and Type if Applicable
17, L
Street Address ity/Town State Zip
--— 7-6 as 'ev yL49c-WI-42m --
'rele,hone No. business Telephone No, cell e-mail address
SECTION 11:Nl, q .r.Gtit (,mwl uat.v_ v,ul:.\.vt.'r.\II 1,,\vll M.G.L.c.152.1 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 a lication? Yes 0 No ❑
SECTION 12•CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and %laterials) Total Construction Cost(from Item h)=S_
Y I. Building S Building Permit Fee=Total Construction Cost x_(Insert here
-1v11 1 Electrical $ dppropriatc municipal factor) =S
;. Plumbing $
T. N lechanical (HVAC) S Note: .Mininnun fee=5 (contact municipality)
3. %Icchanical 01her S
Fnduse check payable to
I,. ro6d Cast $ (contact municipality)and write check nu'ntber here
SECTION 13:SIGNAI URE OF BUILDING I'ERNIIT APPLICANT
By entering IIIN' n,mtc below, I hereby attest under the painS and penalties of perjury that all of the in onuation contained in this
a ,,►,•Ircatitm is true dnd.IlL urme to the best of my knutt It' and understanding.
JG,�MQ,Q. �CQv1�ow�Q,O___... ��� --_�_✓�_S,
., Please print on sign nano I itic I t la phone No D,I
• II a I•,,R'0 S t,he zip
ti1fCCt .\tt R'ti5
Municipal Inspector to fill out this section upon application approval.• __.___ _____-_-___
1Na IN,
`"T �Pt Gi-w I cv- �(j
CITY OFS.UZNf, AkssACHUSETTS
Bl.'ItDLNG 0EP.U171tENT
120 W.tsj4LVOT0N 5TRM, )'*FLOOR
-11L (978) 745-9595
KMMERI Y MMOLL FAX(978) 740-984
MAYOR IkO-%W ST.PrPAAS
DOtECTOR OP PL atic pltopEitTy/gL:MpC.4G Co.%OifsslONEft
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 I I I.S
Debris, and the provisions of MOL a 40. S 54;
Building permit 4 is issued with the condlt
111, s I soa. ion that the debris resulting from
this work
I5 shall be disposed of in a properly licensed waste disposal facility as defined by hIGL c
The debris will be transported by:
,71VIO 5-C4 IfilGlc
(name of hauler)
The debris will be disposed of in
(name u---f�jly)
(address orracihry)
li
n anise ofpermrt�ppliunr
j Z � 'i✓b II
Jafe
CITY OF SALEM
11'g,
[PUBLIC PROPRERTY
t�
DEPARTMENT
„i'..MI I Y'/elY• 11
\I nt rr
I!:1pANn.\111 U,\j1;ICh1' s ),111•N, ,N,111.1/.111 V'I nJl'/I'.
%Vorkers' Cumpen,eatlon Insurance 11f)duviC Uuildert/Cuntracturs/Electriclenwplumbers
1 )llcun In a m•allo
fal Le 'hi
t4dint:l llnu,ti'v Is OrAMI/4 hire Ind,v maul): pi
a s�S
%ddres.v: 2-3 �
ci ly,.Slam Zir•_ �anr, r�� ��%d 9• .���2 ZSf3S
I'hunr ik_ 7��.
I •Ire i u an valWayer:'Cheek till approprlYte but;
I 1 .ail a cmpluyer with�_ a. 0 I n1n a general alnnaeiot and I l)M ofprilluce(ruyulrrd):
1,0vnipluyceh(full ind/ur part-liove).r have hired the.ruh-cunuacwrs 5. 0 New cunslrucuun
1 and a sole prnpricrm or pariner• listed on the anached sheut : 7. alkemodelinE
-hip and have no ulnpluyeesh These sub confrserors haw
%lurking tin nv inany capacity. Ivorktrio'comp, ,nsuronee. d 0 Demolition
I IYn wnrkurs'sump, insurance 7. 0 We are Y cn,ponlion and ill 9• ❑Budding addiltun
"einAl(f\'o worke olyTcen havo utereis d shale
mysyself. s'camp• 10.0 Electrica)repairs or additions
1.❑ I ; i horneuwnvr dufnyl all work riyhl ofettmption per&ML 11.0 Plumbing repairs ur additfone
r c. 152,41(4).and we hove no
in-urancu required.) r .mpluyees• (i\a workers' 12.0 Ruul'repuirs
'Ins.,pp1H'ue tlWl chCb tlw,,tl m comp, insuonuv required.) 12.0 0111er
'I lumu„rrwn w mum.Jw 1111 uw IM w,11.0 Iwhrw dWr,nY'isri,wahw'clMrpa{WI�A•li•r,,,rl'nne,lw.
by w4mif this s1TldaHl Inalea,iet it" If Join
'(,•'ttnwl,w-IAM stitch,A,s Ilea alter w1erA Y all,•ark sae IINw hip nulsies ruler,Rlpe T sY•'n ulJuiulW.hest Jluwint Ih,l nstlM a/1M eri.uhae s
1 nw rlRJsra irwfi{y'nY utuh.
/urn tom woployer/Aar It prvvlJ/nr IverRprs'turnppnrnr/on b rrurnnpe �Owtx�and their fVA'pt•toms,I.,I,ey'nhrmfauo
br/urnfurlu a /l+r ray/rap/uyrrs Bdulr/s thepu//sy ur1J/al.ule
IrourancuCumpany.Vmntr /�(� � ,
I'ulicy is or 391r•ins. L' .M:
)I� Eapirunon Date: Z . 2vj
lob Site liddreast ���111777JJJ �F S
Utavh n euyy,ur Ile workers'cumpumaflun pulley duelerullun page fthowinglrhefpolley number d usplrulua d�r) �D
I•adure to Mauro cuteruye as required under Scuiun?y/l ul'JIGL e. I y2 eau lead fa re iln
1 ti Wi t'i 51 JoOJM and/uruf 1116 yr nnpri-nnmcnt, 4„vcll ae civil(wllaillul in the 1'unn ut'a STOP WORK URGER snd a nine
ni up rn i?tq OQ a Jay Iyainer the vi'N•nar. Ile Wvl.tcd that a wipy urlhi%alafv,rietrl may be
pl'{u)rwu�J IUl the nUll oa�res a1s
lal:at,yan'nu ul';he UI.1 ;or ni•uf.inve:u{vRJ�u \:uliaallun.
l du herchy 1.rri/(•nodal r/re pninr lnJ polo//%pr u/yrr
�j� ry riles the life//nY//O a pNr1�p�YOYV0%l reel 1111d
.7�3 {'ORpCR
\L. �11gi. '
�'
�'I•' , 3Z Z585
I
1)//14iu/Ilse a,fly. l)o nor'v'rile in f/1 area• ItsAv smog/errJ by cuy of raee
ters Ir/�IriuL
( Ire ur 111nn: _
Ivvwing .luthnrily (tirclt nnv):
'— N°nnit/I.Itvnlue
I Ih,:ud dIIY.JtIi 1. Ihllldul� II{li.lrtlnaul I. Cil�.'f000C'Ivrk /, l•'IcvtricJlu+ r.vrur 3,
I
6. IlUirr I PGnnWng Inlyettar
,I (' •ill ,cl I'\nwc -_..
�� I'hn n{• 1•
Information and Instructions
v t rson In shot scrnce Uf another under.Illy cons l of hire,
vl,u;,I:hu,eus liCneral Laws:hapter I i2 ICqulres JII eugrlo)en to provrJa \vurkars wmpensat„n loth thClr Cnlp hire.
I'unumt w uus +uwld, an tampion++rs JetineJ as". eery P' ;
;,Pray or unpllcJ, oral rr \vnuen'" two or more
Partnership, assoetanoo.:orporanon ter other legal curry,or flu cr or the
to,•mplopar,s deIIUd 31"an individual. P tom vnI loytee. Howcvcr the
,t the fUreyUlllg engaged In a fwnt enterynse,and uxluJini the legal rcpresenutive,of a decease emp
ecmver or uuslde of.m indivldual. plumershlp,,uoelauoo or other legal resod s th employing ' D this
lling hu"M
to a rsons to do I110,because o f `huemploymcnt be deemed tuubaJ neetnpluyer
owner of a dwelling house having not mare than rhrn aparonenu and who resides Iheran.or the occupant of
,hvrllmg.,rou+of another who a thereto shut
Ilat because
or.m the grounds or building appurtenant
�IGL chapter 1 S2. 25C(6) 311
0 slaids that"@vary flele or local licensing ai+ety shad withhold the Issuance or
Ussee with the Insurance covoroge required:
renewal life Iteunss or permit fu operate a business or to coulruet bulldings Is the eolnmoew"Ifis or an
applicanl nlro hao not prndue+d acceptable evideaae of comp olitie,l subtfivisions shall
1JJitiu,ally, %IGL Owpler l S., 52SC(7)•rates'•Neither the conunonwt olds nor my of iU p
,;nor into any contruet for the partomlan ewnteJbo the convect s atil uthorityviJence ui cuntpliatic°with the inwranca
requir+menu of this chuptdt have been p'
�pyllcotuapplyto our situation and.if
adJrsesl )' phone nwubsr(s)along with then cem"ploy e(s)of
other
pla;e+r till out the workers' compensation aflldavit eaet,pl ly,by checking rho boxes thatmDloycae usher than the
nacrosary,supply sub-contractor(,)namo(s),
workers' ed Liability P imuronee. If,n LLC Or LLP does have
with
insurance: Limited Liability Companies(LLC)or Limited Liability Pa"nershipe(LL )
members or purtn+rs, are nut requiraJ to carry be submitted to the Department of Industrial
enlploy,a@,a policy is required. Be advised that this 410 boo t Ivey aliment of
licAdon fat the ponnit tx licanae is being requested. btainI&workers'
\CCidenu for contmtation of inswwcc cov.roie- Also be sun to stps and Jute the u shed. the atlrlevit should
he rcurmdd to ills city or town that the a n uestions regarding the law or it you are ray
nu have any 4 companies should enter their
InJustriul,li,"Iddnte. Should Y ens'it Ill@ number listed below, S+If•in,urdd
compensation policy,pleas@ call the Daplrsa"
salf•insarance tied"'@ number on the a ro riata lino.
(-try or row@ Officials a space
I printed the a liean4
PAase he ,ter that
the
f till outs cola anent the O llulot�nvesiiutiohe Dna h�a toncunt i+ct yutireiortfing •rt in apbotplicant
Of 1,eaffidavl Y
Ircrtioru in any given year, need only subnlll ono JBidavit indicating current
I'I;asu ba Jura to till in the permitilicelua nwnber which will be used a'a reference number. In adduwn,an ap
that must submit multiple permit"'calea app iu ravaged ro the
Policy inl'ormuiio f Iif Y ilwit allot has boot officially starnpuJ or markodtbyitile city orttowe Iruyriunp in (city or
town),"I% copy erstite ter licenses. A now atlldavit Inu't be filled out each
applicant J,proof that a valid JI'flduvit is us 111e l'or Y it P to any
e`Ir'I Irk{a G1hyn r owner
i to burn citizen
is o ttaini4tcJ t J Penn is NOTlrequired of mpletetthH alfidav Immereial venture
I h: I)I II:C,II IIIYet"y'JIWny have•Illy ywsuons,
UUUId IIM to oijak)'oa Ill JJV:IIke fur your :ooperifioll JIIJ ahuulJ you
please Ju lul .,esliatd to give us a call.
fhc U;P.unncnt ., Jdar+ss, wicPhune and fax number.
The COMMOnwealdl of Massachusetts
Department or Industrial Accident ,
Us dons
ome.orleYf! a
600 Washington Street
Boston, IIWA 02111
rel. p 611-727-4900 ext 406 or 1.877-MASSAFE
Fax M 617-727.7749
.aww.rnass.jovldis
I
American Properties Team, Inc.
F�
TO: 5A Stillwell Drive
FROM: Jennifer Pappas, Property Manager
RE: Deck Replacement
DATE: November 30, 2011
Please be advised that the Board of Trustees for Pickman Park has approved the replacement of
your deck at the above referenced unit. This approval is contingent upon it matching the existing
deck. The Board will not allow any design alterations.
We also require that permits be pulled in advance (regardless of what your contractor may tell
you), and then a copy of the final approved permit once completed must be sent to APT for the
unit file as well.
You will need to bring a copy of this letter to the Salem Building Department in order to receive
your permit.
Should you have any questions or require additional information, please feel free to call me
directly at (781)932-9229.
cc: Unit File
500 WEST CUMMINGS PARK-SUITE 6050- WOBURN -MA .01801.781-932-9229 -FAX 781-935-4289
Mar-23-se 02:23P P.03
:a
A
NOTE: 4 x 4 POST LAGGED TO 2 x 8 LEDGER
STAIR LENGTH A DECK FRAME TO
LOCATION TO SUPPORT STAIR RAIL I II
MATCH EXISTING I II A 2 z 8 END
JOISTS
-- - I 2x JOISTS 16'O.C. glp
STAIRS W/2 x:12 fI
STRINGERS.10'TREADS&7'
RISERS
4 x 4 SEE DETAIL 1
POST DECK_ FRAMING PLAN
NOTE:
PROVIDE 8 x 8 POSTS FOR
DECKS OVER V-0'ABOVE
GRADE
5/4x8
DECKING
INSTALLED
W/TIGHT
JOINTS
DECK HT.TO MATCH
EXISTING&PROVIDE PITCH
OF 1/S'PER FOOT AWAY SEE DETAIL 2
FROM BUILDING
� I
FRONT ELEVATION SIDE ELEVATION
GENERAL NOTES
THE CONTRACTOR IS CAUTIONED THAT THE BUILDING WILL BE OCCUPIED DURING CONSTRUCTION. THE
CONTRACTOR SHALL TAKE ALL REASONABLE MEASURES TO MINIMIZE DISRUPTION OF THE NORMAL USE OF
THE BUILDING AND INCONVENIENCE TO THE BUILDING OCCUPANTS.
THE CONTRACTOR SHALL FIELD VERIFY ALL DIMENSIONS AND QUANTITIES. NOTIFY THE OWNER OF ANY
DISCREPANCIES BETWEEN THE PLANS AND ACTUAL CONDITIONS.
EXTERIOR DECK REPLACEMENT "TYPEA[NOBUN & ASSOCIATES PICKMAN PARK CONDOMINIUM CONSULTING ENGINEERS SALEM,MASSACHUSE77SA-1
T5MOU-rH, NEW HAMPSHIRE ORWN:TOL CAL '• 1/4'=1'
CHKD:REMN DRTE:J