96 SWAMPSCOTT RD - BUILDING INSPECTION (16) 1+L�tf�SiNHSfi�E fiL.ES iND APPROVED BY T44E
.=P,ECJDA ,PWfl TPA MI PERT $,EWG GRANTED
CITY OF SALEM
ti rr Date
2 I` .o
s s`s
Is Property Located in ✓ Location of
the Historic District? Yes_No— Building omc' Z5\32 �7
jzV
Is Property Located in
the Conservation Area? Yes_NO
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other: WET116 I2;- 20�-
PLEASE FILL OUT LEGIBLY &COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name �� �� ^ TT I 14-
Address & Phone 5 l� (761 ) bvl 70 :5 O
Architect's Name
Address & Phone `fT1� , � Il 631 703
Mechanics Name L i \A 4
Address & Phone 311 4T R D, lETol� ham? r97t ` `k 3 o I
What Is the purpose of building? ff mwe I-T
Material of building? Cz;2-�Tt- If a dwelling, for how many families? ZJ
Will building conform to law? YtF-�' Asbestos? ' I�I
Estimated costt-w i 000 City License # A N State License # l'� d�O L�
line Improvement V
°' III
IA, Ignature o ppli ant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
Nil [l '-C[TIDNS DTP
�uTul�-
CJJ'{�
MAIL PERMIT TO. 08 3,022
No.
APPLICATION FOR
PERMIT TO
juiu� t��/yl�Sif✓6 CJ.iCG
LOCATION
T ,.
PERMIT GRANTED
APPROVED
CTOR OF BUI RGS
t
r CONSTRUCTION CONTROL AFFIDAVIT
Project Number. Date:
Project Title: 16 5wdlt���-T7 V'0fvp1 ("�-C"
Project Location: '�(e '5Wt��czrT V-DtQ I 5AL.4q0, }
Name of Building: 96 ''WPrW%?5iCr-?TT {--C/Irr)
Scope of Project: E4RE!5;9 C42?'r-lM2 I 'f('W- ��Cy `�,"j�Gti
IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUIDING CODE, I
W IL.I�►AJ1 P�- - `EU-E}A,15�, . MASS. REGISTRATION 140.3 38to BEING A REGISTERED
PROFESSIONALAFM-MEar.HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY
SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND
SPECIFICATIONS CONCERNING: _
Civil Architectural Structural Mechanical
Electrical Fire Protection Other(specify)
FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH
PLANS, COMPUTATIONS, AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE
MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND
ALL APPLICABLE LAWS FOR THE PROPOSED PROJECT.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES
AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO
DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS
APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING
AS SPECIFIED IN SECTION 116.2.2.
1. Review of shop drawings, samples and other submittals of the contractor as required by the construction
contract documents as submitted for building permit, and approval for conformance to the design concept.
2. Review and approval of the quality control procedures for all code required control materials.
3. Special architectural or engineering professional inspection of critical construction components requiring
controlled materials or construction specked in the accepted engineering practice standards listed in
Appendix I.
PURSUANT TO SECTION 116.4, 1 SHALL SUBMIT PERIODICALLY RESS REPORT
TOGETHER WITH PERTINENT COMMENTS TO THE BUILDING IN P COMPLETION
OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS T Fr OMPLETION
AND READINESS OF THE PROJECT FOR OCCUPANCY. 3 3
ti
MA S. 4~
SUBSCRIBED AND SWORN TO BEFORE ME THIS X
2004
My commission Expires:
Notary Public
STRUCTURAL ENGINEER'S CONSTRUCTION PHASE AFFADAVIT
PROJECT NUMBER:
PROJECT TITLE: 96 Swampscott Road
PROJECT LOCATION: 96 Swampscott Road,Swampscott,MA
NAME OF BUILDING: 96 Swampscott Road
SCOPE OF PROJECT: Unit Fire Separation Partition
In accordance with Section 116.0 of the Massachusetts State Building Code Sixth Edition,
I, Edward Moll Mass.Registration No.33718 being a registered professional engineer hereby certify that I,or a
duly registered staff person,have prepared or directly supervised the preparation of all design plans,computations
and specifications concerning:
_ENTIRE PROJECT ARCHITECTURAL _X_STRUCTURAL
MECHANICAL —FIRE PROTECTION ELECTRICAL
_OTHER(specify)
for the above named project,and to the best of my knowledge,such plans,computations and specifications meet the
provisions of the Massachusetts State Building Code applicable to the mechanical,electrical and fire protection
systems design,acceptable engineering practices and laws applicable to the engineering design for the proposed
project.
I farther certify that 1,or my authorized staff,shall perform the necessary engineering professional services and be
present at the construction site on a periodic basis to determine that,generally,the work is proceeding in accordance
with the engineering documents approved for the building permit and shall be responsible for the following as
specified in Section 116.2:
1. Review of engineering shop drawings,samples and other submittals of the contractor as required by the
engineering construction contract documents submitted for the building permit,including critical
construction components requiring controlled materials specified in the accepted engineering practice
standards.
Pursuant to Section 116.2,my authorized staff shall submit periodically,a progress report together with pertinent
comments to the building official. Upon completion of the work,a final report shall be submitted as to the
satisfactory completion and readiness of the engineering portion a project for occupancy(excepting any items
not endangering such occupancy and listing pertinent deviationklge approved building^it documents).
Signature 0/
P1EN1NCd _ Name
Date
1 Ito. C7UF.AL
l .`
Engineer's Registration Number
SEAL
03/09/2006 18:51 17016311576 WAYUHAS ARCH PAGE 03
CONSTRUCTION CONTROL AFFIDAVIT
Project Number. 6 5 1ql.NC Date:
Project Title alb SW�► -Cam[`(' R�$�17� �--1-G-
Project Location: 9 to t(MNT= FCO i 5P+L43Q-- -w`-'F
Name of WId[Ing: 96 t>WPTv^Q�CZ?_f`t f4PrD
Scope of Project: wv� &t t
IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUIDING CODE, I
nn SUIIIVokA . MASS.REGISTRATION NO. all BEING A REGISTERED
PROFESSIONAL ENGINEER HEREBY CERTIFY THAT 1 HAVE PREPARED OR DIRECTLY
SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND
SPECIFICATIONS CONCERNING:
Civil Architectural Structural Mechanical
Electrical Y, Fire Protection Other(specify)
FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEDGE, SUCH
PLANS, COMPUTATIONS,AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE
MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND
ALL APPLICABLE LAWS FOR THE PROPOSED PROJECT.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES
AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO
DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS
APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING
AS SPECIFIED IN SECTION 116.2.2.
1. Review of stop drawings,samples and other submittals of the contractor as required by the construction
contract documents as submitted for building permit and approval for conformance to the design concept.
2. Review and approval of the quality control procedures for all code required control materials.
3. Special architectural or engineering professional Inspection of critical construction components requiring
controlled materials or construction specified in the accepted engineering practice standards listed In
Appendix 1.
PURSUANT TO SECTION 116.4, 1 SHALL SUBMIT PERIODICALLY, A PROGRESS REPORT
TOGETHER WITH PERTINENT COMMENTS TO THE BUILDING INSPECTOR. UPON COMPLETION
OF THE WORK I SHALL SUBMIT A FINAL REPORT AS TO HE �1T CT R COMPLETION
AND READINESS OF THE PROJECT FOR OCCUPANCY.
44
SIA ' ,
SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF 2004
?E- 15� My commission Expires:
Notary Public H OF
St h n
o I' n
I
1
,�s fNSAL���
Commonwealth of Massachusetts
County of Middlesex
On this 1Oth day of March 2006, before me, the undersigned notary public,
personally appeared Stephen J. Sullivan , proved to me through satisfactory evidence
of identification, which were Personal Knowledge , to be the person whose name is
signed on the preceding or attached document, and who swore or affirmed to me that the
contents of the document are truthful and accurate to the best of his/her knowledge and
belief.
Befor me,
tofusJot"Public .
Not"Fvam f �
COMONWeMMd Wswonueaa
►y Cemmnion EWM Feb 1.2013
My Commission expires
Description of Attached Document
Title or Type of Document(s): Construction Control Affidavit—Electrical
96 Swampscott Road, Salem, MA --
Document Date: N/A Number of Pages: one (1)
Signer(s) Other Than Named Above: N/A
N/A
N/A
5/8" FR GWB
8" METAL TRACKS
FASTENED TO COLUMN
(E) 8X8 STEEL TUBE COLUMN
8" METAL STUDS, SPACED APART
AS RECOMMENDED BY MFGR.
TO RECIEVE CONTROL JOINT
TYPICAL FULL HEIGHT VERTICAL
CONTROL JOINT AT EACH (E) COLUMN.
USG ZINC CONTROL JOINT NO. 093,
FP SAFING AS BACKING AND
FIRE RATED SEALER AS NOTED
IN DETAIL 1, SH. A-2.
1 -a PLAN : CONTROL JOINT DETAIL
A-2 FIRE SEPARATION PARTITION
SCALE: 1 12"= 1'-0"
96 SWAMPSCOTT ROAD, SALEM, MA
CORRECT READING DETAIL, SHEET A-2 03.09.06