Loading...
18 WARD ST - BUILDING INSPECTION glabMI NT4E fIL411114AD APPROVED BY 77iE J UPFC=POM W kPE81117 BEING GRANTkD NO. CITY OF SALEM V� \ ow lJS Vftd zonr,o oamot is P10121011Y Located MlebNc Owid 7� Ye_No ioeatioa o ft f s.�,as� /$ It P10PINIV Located in do Conservation AIM? Y«s_No Permit to: BUILDING PERMIT APPLICATION FOR: (Circle whichever apply) Roof, Remof, Instal Siding, Conatruot Deck, Shred, Pool, RepaiNRepW», Olher. PLEASE FILL OUR LEGIBLY A COMPLETELY TO AVOID DELAYS IN PROCEMM TO THE INSPECTOR OF BUILDINGS: ' The urtdrJ►si{Fted hereby applin for a permit to build accor&ip,to the,follwa tp Owner's Name 0"A11 Address & Phone �P Crry'' R(j x 9T� 011) 9 9a Aftkwes Name �hl( V o CACA- Address a Phone Mechanics Name Address d Phone c t w m p.po..a eurarq, MrMW at tw q7 W o m ci M.dwwwq,to how=.m mma««4 l __ vre bumm oontmm to mw? C E,trn.t«a coat aty Licarm« am « sow rmsv.am.at Lie. 0 Somme O swm UJNDER THE PENALTY OF PWWRY DESCRIPTION OF WORK TO BE DONE ' io tl� ue�k w a "-1 4 ,. 4 w.- MAIL PERMIT TO: i No. 1 APPLICATION FOR PERIM TO LOCATION PE 'MIT GRANTED lu VfD INSPECT OF NJILDINGS r �- £.� 6 g4Uf air ✓!S�§Q%IRIIOF BUiLCHftGREGULA71ONS.' LC,ORS�T.Rt<JC71 SUPER41Slt-s �. Numb�a�0�.�',� 084600 �- r z , • BirtlWe¢ 0632-a'��M 978 �r �. 4 .���•�. OBf2;(/2W6 �*' Tt no., 84800-�. ga gk - - F QI NIEL �145 WESSON/AV�''�` QUINCY NIA 02165-" - x'`jj ;Admm�strator ,,, The Commonwealth ofMassaehuseas Department of Industrial Accidents office dievestl sum.�I 600 Washington Street, /h Floor Boston,Mass. 02111 Workers'Co m ensatiou Iasuraace Affidavit: Buildip lumbiu lectrical Contractors name, address: city state: i hone# work site location(full address): ❑ 1 am a homeowner performing all work myself. Project Type: ❑New Construction[]Remodel ❑ 1 am a sole proprietor and have no one working in any capacity. ❑Building Addition ❑ 1 am an employer providing workers'compensati✓on for my employees workin on this job e her 1 Pq"" m*�"•'S3�',iy'E�� s�� „y'fT,� '���-�.,t.+�p'rr ac;' $may ' " '•;r. -;4�, 4 , r^{�rv.5 ", r sy y ,p`T ""**n,+ f 'cc' '�'., ^.. !VltP'i'1'•, „ '�°"0.y,+ e'l address: 0.t city: 14,4-1 I Is insuranee_tro. pniisvA " - °' �� ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: comnanvnamr. Preiserwt+ltr/1 GCL'f1p.n4/'Y J7Ant0l lwp4b I(.):. address: in ran r v an !���,. :�. , + �� a `ff J FF2�� �RtNpitNlr, 't✓Af�P�rJI' ` x a co n „xuv., mpany namr F' address:. IJ7� fJG�Q.IJ� .1. 1 `,A,/�-1 1 h t., ,y h', .t Y.ai ti y l Y'•qq {j �57 1 .Y li'f.q, Yy '' i x.:f�c�tal�la t -•-;. 4 i r4 d n'f"`.� rO/7� '+r�"s'+. � y�e�" 'H�1 Noe�a�'� UCtl�O M k r 4. iv MM p •y7 < r 4 r s Bi 'n Failure to secure coverage ss required under Section 25A of MCL 152 can lead to the Imposition of criminal pennies of a floe up to S1,500.00 and/or one yean'Imprisonment m well as civil penalties In the form of a STOP WORK ORDER and a floe of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone# official use only do not write in this area to be completed by city or town omcial city or town: permit'license a ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑selectmen's Office ❑Health Department contact person: phone#; ❑Other Irn'isM SeP� '-�Mnl r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the`law", an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the aMdavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents OIfle0 d Investigation 600 Washington Street,71°Floor Boston,Ma. 021I t fax#: (617)727-7749 phone#:•(617) 727-4900 ext. 406 JOB , ujcA <),Si - TUPIS N M SHEETNO. OF CONSULTING ENGINEERS, INC. CALCULATED BY— l✓�N DATE P.O. BOX 6560, SALEM. MA 018]1 PH 978 . 745.6817 FAX 978 . 745.6067 CHECKED BY_ DATE WWW . STRUCTURES - NORTH . COM SCALE T S r M L&O 5 j 5/x6 h :FA CL-�> pqsnmo'Aj v i I � van.•.. at-ep ' sips z INratu9PcTbN E L.L?.� C�5, 4 ANTS i POST ABOVE EXIST. FLUSH— JOISTS TO BE RE—SUPPORTED i' K- W/ FULL DEPTH SIMPSON FACE—MOUNT HANGERS PSON V10 SKS-28 �,ist FLOOR CAP PLATE DIMENSIONS ARE MINIMUM DIMENSIONS. FIELD ADJUST AS REQUIRED TO PROVIDE FULL WIDTH BEARING AND MEET THE REQUIREMENTS OF SKS-2B EXI . TIMBER BEAM 6 z$A^ (MIN.) WELDED fie^ CAP PLATE (1) OF (2) Ys^ DIAGONAL (LAG SCREWS LG. WELDED STIFFENERS, FIELD DETERMINE EXACT DIMENSIONS 336^0 NOM. (4^ O.D.) STANDARD COAT ALL STEEL BELOW Ya STEEL PIPE COL. OR HSS(TS)4x4x SLAB & I.-0^ ABOVE STEEL COLUMN COATED WITH (2) SLAB WITH EPDXY, COATS OF RUST—INHIBITIVE PRIMER SEE SPECIFICATIONS I VERIFY FOOTING & BEARING CONDITIONS BELOW BRICK WALL & NOTIFY ENGINEER I PRIOR TO PROCEEDING 1 W30 TYR PLATE BASE PLATE PLAN SECTION THRU NEW PIPE COLUMN T RT KS- I OPT � JOB NAME: 18 Ward Street DRAWN BY: GMN CHECKED BY: CONSULTING ENGINEERS, INC. SCALE: AS NOTED PO BOX 8560160WASHINGTON ST. SALEM, MA 01971 DATE: 03/17/05 PH 978 . 745 . 6817 FAX 978 . 745 . 6067 WWW. STRUCTURES — N ORTH . COM JOB NO: 04-259 SKS-2A $slnu1NA t<s•�{A ^� ec¢t�oea. sor�aane . . c oo(i pl NAIS 51 Al ttw-t C't n1g8p ib 'Gai6 d0.DB'R6D,� I 1 �I I Stg�R'mq To �\ST. Fj�tow 51� �� -,OOP v9z-)f- 'IZeFETt- — SeetS. 1 T �a,Miwen c�� I�,�`� ; tin / ,^\ Gf✓ (N) s'ti L I v IBM L\/L t xt 5 4k �Y w( O6w f xlo N %coo .1Vhct4 gwe5s _ �J Asti- � Fkt� e\V%C* 6- scMP x R I t saw 515aF8 `+ L+=Nt�t41 c. .Flop t�NDaa �� ix\o O�cMtNl� -- ���''� al rt�W '�RAr\\N61_ A-•aA,-W> sk'rj• ' gE � PVfM-� -_- - i POST ABOVE EXIST. FLUSH-FRAMED JOISTS TO BE RE-SUPPORTED i W/ FULL DEPTH SIMPSON FACE-MOUNT HANGERS SIMPSON HGA10 SKS-2B A,1st FLOOR 4� CAP PLATE DIMENSIONS ARE MINIMUM DIMENSIONS. FIELD ADJUST AS REQUIRED TO PRONDE FULL WIDTH BEARING AND MEET THE REQUIREMENTS OF SKS-2B EXI TIMBER BEAM 6-x8"x3'4- (MIN.) WELDED CAP PLATE I (1) OF (2) Y2' DIAGONAL I I (2) %-0 CREWS LG. WELDED SRFFENERS, FIELDLAG DETERMINE EXACT DIMENSIONS I I 334"0 NOM. (4" O.D.) STANDARD COAT ALL STEEL BELOW STEEL PIPE COL. OR HSS(TS)4x4x% STEEL COLUMN COATED WITH (2) SLAB & 1'-0" ABOVE SLAB WITH EPDXY, COATS OF RUST-INHIBITIVE PRIMER SEE SPECIFICATIONS Ki VERIFY FOOTING & BEARING CONDITIONS BELOW BRICK WALL & NOTIFY ENGINEER i PRIOR TO PROCEEDING y' L P T BASE BASEE PLATE O O®O BASE PLATE PLAN SECTION THRU NEW PIPE COLUMN KS WY.• - 1 -0" T U (TB 3 10 T JOB NAME: 18 Ward Street DRAWN BY. GMN CHECKED BY: CONSULTING ENGINEERS, INC. : AS NOTED SCALE PO BOX 8560/60WASHINGTON Sr. SALEM. MA 01971 DATE: 03/17/05 PH 978. 745 . 6817 FAX 978. 745 . 6067 W WW. S T R U C TU RE S - N 0 R T H . C 0 M JOB NO: 04-259 SKS-2A 18 Ward Street Column Schedule Column Mark --> C1 C2 C5 Simpson connector at top EPC64 PC66 PC66 Special Notes - Ma be spliced or continuous over C2 - Roof- 2nd Floor 4x6 5Yex5Yo PSL 4x6 Simpson connector at bottom 2 L30s 2 L50s 2 L50s Simpson connector at to 2 LS30s Block solid 2 LS30s 2nd Floor- 1st Floor 4x6 5'/<x5'/a PSL 46 Simpson connector at bottom 2 L30s Block solid HGA10 1st Floor- Basement Sill Pipe Column Pi a Column NOTES: -Column C2 must bear PSL-PSL at 2nd floor wall plate, cut out wall plates as req'd to accommodate, do not over-cut wall plates -Refer to outline specifications for further requirements -Columns shall be continuous from floor-to-floor and floor-to-roof -Columns of lower levels must align with and be centered about columns above -All beams shall recieve full bearing on columns. For columns noted "Beam splice,"center beam splice about width of column -Columns must be centered about existing first floor main beam :karoG;zs. 4.C. woo-01NA'C5 SIB A'' CA'`1-L C',� wS9'�U Tb Fi E dP_p6•(z.8p•$ � 7 I I �2 - 1t�tch'r�eS 13�w ��'�xt�st.. — — �•-.�— _ � I — — — —. _.., __ 5l5 c1�R�ic\ST. tjeLaW �I l ' - •a.aoE� verb. 'lZr-f�iz m ou\w-6 J! 3'`x p -- SP�S• � i S� { FLO IWO y,rgt.� th�cL� L,JL I Y � L\I L -- FXt`K- 5•c`Wi — N,P P.c*O APTC.H gwesS �I w 1-x1a �yy'\' I _R l+ L g Slx 7 y�ay.W r-7 9f 4�-FrsL TD �� � �•�C A tCWe-Mr3l> CoLVM I I ---- SKs 1 VoL�cLcX�S I." -rbtg C I G'I'II1�^p JOB 1 r/ (pc(4 3T STPU GU HO Y � SHEET NO SV ZF� OF CONSULTING ENGINEERS, INC. CALCULATED BY MN DATE �� I P.O. BOX 8560, SALEM. MA 01971 PH 9,6 . 745.6817 FAX 978 . 745.6067 CHECKED BY DATE WWW . STRUCTURES - NORTH COM SCALE ICI TS 1�mocha- M4lN ' i � I Y 5/V / I I ; ZZSTI FFPs�S 1 f pRe�4 io Rzr-QLW 1� DE�c77tW 1ST v � I Z�Z6z Tv S1CS 2�, ELG>V P�nGhD D PRODUCT 207 18 Ward Street Column Schedule Column Mark --> C1 C2 C5 Simpson connector at top EPC64 PC66 PC66 Special Notes - May be spliced or continuous over C2 - Roof- 2nd Floor 4x6 5'/4x5Y4 PSL 4x6 Simpson connector at bottom 2 L30s 2 L50s 2 L50s Simpson connector at top 2 LS30s Block solid 2 LS30s 2nd Floor- 1 st Floor 46 5'/4x5'/4 PSL 46 Simpson connector at bottom 2 L30s Block solid HGA10 1st Floor- Basement Sill Pipe Column Pie Column NOTES: -Column C2 must bear PSL-PSL at 2nd floor wall plate, cut out wall plates as req'd to accommodate, do not over-cut wall plates -Refer to outline specifications for further requirements -Columns shall be continuous from floor-to-floor and floor-to-roof -Columns of lower levels must align with and be centered about columns above -All beams shall recieve full bearing on columns. For columns noted "Beam splice,"center beam splice about width of column -Columns must be centered about existing first floor main beam . 0018 WARD STREET 791-05 GIs#: 8644� COMMONWEALTH OF MASSACHUSETTS MaP x ..x 34 ' e . -Block: CITY OF SALEM Lot rr _ nn Category:. ::". REPAIR/REPLACE Pernt# 791-05 BUILDING PERMIT Protect# '- JS-2005-000949-F„v34;; Est Cost''` $251000 00 s E!{ns Fee Charged:"," $255.00 Balance Due: " $.00"�,' 3 R PERMISSION IS HEREBY GRANTED TO: Const. Class:`, Ati'Tt Contractor: License: Expires: Use Group: �' - a ::,.„ ;PRESERVATION CARPENTRY CONSTRUCTIO SUPERVISOR-084600 Cot Size(sq ft)' 2898.918 r ,, omn g R3 s�Wwner: CROWLEY EDWARD Units Gamed: Applicant. PRESERVATION CARPENTRY Units Lost: " ,� _ _ AT. 0018 WARD STREET y 1 Dlg Safe#: ISSUED ON. 29-Mar-2005 AMENDED ON. EXPIRES ON: 29-Sep-2005 TO PERFORM THE FOLLOWING WORK: 791-05 LOFT SPACE TO BE CREATED APARTMENT GUTTED TJS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing? Building Underground: Underground: Underground: Excavation: Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Healtb Insulation: Meter: Oil: Final: House# Smoke: Water: Alarm: Assessor Treasury: Sewer: Sprinklers: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2005-001172 29-Mar-05 330 $255.00 GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.