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8 1-2 SUMMIT AVE - BUILDING INSPECTION � . - , ��������- � � , ���- , ���� �w��� �.�m��.� � � ��� ` �� CITY OF SALEM . o�.�-� : � � � ,_: mwq orMa--�- N•��ib oY�Mb � v« Na � � � �I :• , / ��1l�on AIMf . YM��110 `� ���(1�� w�m��o: °uM.or+o ve�r�uc�� ra� ��-� ccra.wlwa,.,,�r.ppl�►) . ��salnp,. ca,,,,uot u.ok, sl�a Poa. � f PI.EAtE Al 01R L�.Y i C�,ETlLY TO AV�DlLA�i MI Mlp�p TO T11E N'18P@C'TiOR OF BIJILOIfr08: �. ���� �'�1► �PPM�� br a p�mk 10 build �000ndbq,b IfM toNpwirp • / o�. N.�. C��. 1-� s l� � � �� � ti . . Aadrw a Phon. _S % .�aw, �, ,'I /�y- (`�F, '14 a_ �1 ,� �an�rs w�n. �m+w a Phon. � � I�MofwNot N�nM - -- ----_ _.__ . t Pha» ( ) wlr w rr a.�o,,il b�d��1 M1�w a�,a1 r.erw�q,lor�aw w�r M�� 3 �� ���0�r01111 b Mw9 A�lwea� E1�w0 e01R ��N LlOnlr��_�Lkwr•�S !� `I 9—� �� �\ 1�� � `' r�"'�." t�.� 1�, ` � ta.. r � a ��rr� �rr o�rnoN oF w�o�c ro � o�o� Y c �ik.�� FY�� S �'ihe c� �cc.�c ���.5_,„,_�:: � '�``--- "=a"� �---_���. �G-- h�•������i�— ,� � , . MN� PB�MT T0: " � .,. ,� ^— �� � S - °_ , . � . . w . . \ � � J � � �� � � � � � . . � � � �� � � � . , � � � CITY OF SALEM� MASSACNU3ETT3 PUBLIC PROPERTY DEPARTMENT � • 120 WASMINGTON STRHHT, 3RD FL0011 SA�eM,MA O 1�70 , TE4 (978)745-9393 ExT. 3B0 FAx (�70) 74P�646 STANIEY J. USOVIG2, JR. MArae DISPOSAL OF DEBRIS AFFIDAVTT I In acco:dsnce witL the provision�of MGL c 40, S34,I aclmowledge that aa a condition of BuiWin�Pacmit M .all dabris raultin�trom the con�uction�viry govaaed by tbis Building Pamit aha8 be diapo�ed of in a pmparly licemed solid-wasoe di�poW 5cilitY.�t definad by MGL c lII.SiSOA. T�IO�illWlnbO�Ofi� �1�.\G �l �l$ I�ll S41 � �A�ISfeV) Lacatia�of Faciliry P � J'� � ��ature of Pamit Appli D e FULLY complde the followin�infocmation: (PLEASE PRINT CLEARL7� /l �f l _ �a�. ��ts � Ihche�, Name of Pamit Appffcant Fum Name.if any p � n` \ '{ K d /1 �+ k 1� w � � � V-t J c .1�[p/.Clty dt $t8t0 The above statute requira that debrii &om the demoliaoq reoovation, nhab a other alteration of building or structure be disposed in a properly-licensed solid-waste disposal faciliry a�defined by MGL cIII,S 1 SOA, and the building permiv or liceasd an to iadicate the locaQon of tfu faciliry. ' .�===��_ The Commonwealth ofMassachusetts ���� __ 7 Departmentof/ndustrialAccidents +� = Olflte s/hlYSStlgetlBnS �� 600 Wnshington Street, 7`"Floor '�f Bostan,Mass. 0111! �'Workers'Compensation Insurance Amdavit: Buiidin lumbin lectrical Cootractors anr--�sr¢Q.�r�r-+Yiax �i����?�W ¢. _ A�� i �ta-� .y,z. .RINTleviti �_s.�, �-a,.� /1\ j . 1 name: l ,1�A.F 1tS • '� IMGI�.� ti address: d tfi �Krh h. I T ly V r► ci[v .�a�.t ti state� � C zip� O�4���/q �a) �ya -�a i, wor�at�location(fulladdressl� Y � �C�qA fyu-� ��tM ❑ f am a homeowner performing all work myself. Project Type: ❑New Conswction ❑Remodel ❑ I am a�asol�p�ro rietor and have no one working in any capacity. ❑Building Addi[ion +Q�1 am an employer prov�dmg workers' compensation for my employees working on thisjob. comoam neme: � , s,�. � �. r L :�r �.����a��,.�,� ^� ..,� � a - � �'� �y r a� f �3� � � , �� .+ ,�,� addr_es� t �`�p "�r���'�n 4i� �m,s �t sx�i€�� `.,�,?:�,�c�,���. — - � � , n€ . �:. a €'^#�� ^ ir�'.� a��:4,`' :V2. a .w CIN' '!^ ': ic.�'c��+'�^ �':".n `,� t�,�"�; �p'°" �Ys��x. t 3'�3 nh011!�{` 4 N'+ � �`�` x 3... y pu� � ''� '�`����`� ��� �" i'� �*`":- � � 3 '��'i� in u n ... .. _.,�. . . . _. � . .. - . _ . . „ ..,. � am a sole proprieto generel contractor r 6omeowner(ci�cle oneJ and have hired the wnVactors lis[ed below who have the following workers' compensahon po ices: comnanv name: � � -- � . - - � � address• . � . . . ' . QIIY: DIIOIIC II � � . R.. ,I I i�uianc r , .�'S �.-s�4#���;��� z..,;'��'.�.��'*'`"��,,,����'�ix � 's=�- ��° � � .. ���' . s:»�=.. �- . . . � ��*"°� ,. :; . - xM�rW.i x d,.5-�::' .'t.�,d",$�#ed,,�a . T�i��'� ��, i+��.-�!��f'�" , ':.+4`M'r'x,.",<rtN1�y@ fo111p8pV 118111!' � � 91�11Pes9: .. , � ; �'+r: t� ?. m•,E's& , <n�."r� r.*�. �� t1sy,�oa ¢u+ ..'.,�*e��+°:iP Y+r' xre.W � . „�, v � [I�" ���' a ,,3 h � � � �� w 0. .! � ,.k° � "€'�9'k 1�19Uf81KYt0. .uJt..:rfk+�,t E t� .� `Ad�6��oSwEmoat.�aa�uaaeami•ai��;��• � ..w�-3ae..r �+sF��a�'�a�'�3t�- ���.. � Failure ro secure covereee a�required uoder Sectloo 25A o(MCL 152 cau lead ro the impositioo of crimioal penaltin af a tWe up to 51,500.00 and/or one years'imprisanmenl as well ae civil peoallies in�he form of a STOP WORK ORDER aod a fioe of SI00.00 a day egainst mt. f understand 16at a copy of Ihie slahmenl ney be forwarded m the Office of Inves[iqatians of Ihe DIA for covereqe verification. !da hereby certiJy inder�he pains and pendlies ojperjury!ha(!he injormation provided above is hue and correcG � �-13�0 � Signature Date • T Print name Phone N oRcial use only do not write in this area to 6e completed by city or town oRciel city ar�own: permil/license p ❑Bullding Deparlment ❑Liceosing Boerd ❑check if immediah respanse is required ❑Seleclmeo9 OlTice ❑Health Deparlmenl contact person: p6one q; �Ot6er ircvisul sepi.vx�ll -- �:_�� . ; � �_� ; �� �.�� �� . gpppp pP gUILDING REGULATIONS'� ' , � u��; CONSTRUCTION SUPERVISOR � i i ( r` }' �.s� ds i Numbe�,� 045626 �u . � " �� " G Bl t�?Z(1947 j('' . #�. 'tHa^�'"� . �7��p- �uz7/2008 7r.no: 7225.0 j. �� � k � �iG �o � � . ����_— � �Cb{ARLE3 T HI �.= � �'. � ` . g 112 SUMMIT A��.. � � . .. � SALEM,`MA 01970 " ' �Commbnioner ....� ` _ 33' 7" � � EXIST. ROOF (NOT TO BE ALTERED) 4 X 4 D.F. , ' P.T. RAIL , , �i EQUAL EQUAL EQUAL �i � - 3'-b" I` 6X6D.F � � I p, P.T. COLUMN J ' ` . J I � � Q .__.___.._ . .....__..._ . ....._.._ . ..__.__... . _ .........__ ........._._.... . . ........__.._ . . ........... _._...._._.. Prtoa. 1t � 2 X4 RAIL o 1/2 EXT. FINISHED � PROP. PLYWOOD PANEL- 1�2 EXT. I f° DECK TYP. PPANE�� I i 1 X 6 D.F.,P.T X . � I BOARD(SECURE W , � �� 'I� . % W/ SCREWS) i 2 X12 D.F., 2-2 X 1 2 D.F. i p.T. LEDGER P.T. FASCIA �� Z x s �.F,PT�orsr @ i6^ (SECURE TO _.. _ .__ _ ______.. ____....... __..__ _.._. ___...__ BEAM ( SECURE � BLDG. W/ 2-1/2"X _ _._ ._ TO COL. W/ 1/2" X . ; 6" LAG SCREWS 8" LAG SCREW, PROP. 1 OF 4) � . �'-4' @ 16" O.C.) DECK ' ' _ _______-------- , , �, � EXISt ADDITION- �' ' ' -t - TO BE REMOVED � � ' , I `:' �`- \ a '3 (nP.� SIMPSON _\� __ ._. _ _ . _._.. _. _..._.. ___....... _........ _ ......._ � _ ........._... HU28 HANGER �� � I SECTION A-A PRoa. `� � STAIRS -BEYOND 11(pICAL DECK, DECK � '� . : � .. :: ;...., ; 5 R. @ 7.5" CO(_UMN AND �- - - - -' .. - 4 T. @ 10" PANEL CONST. ,,. � :... I RG. � , ..., EG. N.S. _..__ -- � . :................... .......................; I..........:...........................................................L..........................!\...................E t______�,: FILL GAP W/ �� �, �i�• NOTE: ALL FASTENERS•• EXIST. \�� MORTARED � CONC. TO BE HOT-DIPPED ELEVATION AND SECTION CONC, 8 X 8 X 16 IS MPSON ��QT GALVANIZED. `H� FOR PROP. 3 STY. PORCHES FOOT. CMU; 2'-S" DEER AT ABU66 COL. /+`� �� 81 OCEAN AV„SALEM,MA REAR ELEVATION BASE-TYP. �� �� SCALE: AS NOT�D 2/15/05 3/16"=1' ($ srnucrwu� N AK 5TRUCT. ENG. � "° �'� p�ABODY MA. 9r Q.� r , , QI ��� � . - . .. . �