52 WARD ST - BUILDING INSPECTION (4) ,. ;► The Commonwealth of Massachusetts
V• I Department of Public Safety
.Ntazsachusetls State Building Code 1780 CMR)Seventh Edition
City of Salem
Building Permit Application for any Building other than a 1- o 2-Famil Dwellin
\. (This Section For Official Use Onlv) Ila
`KJl Building Permit Number. Date Applied: Building Inspector:
SECTION 1: LOCATION (Please indicate Block M and Lot N for locations for which a street address is not available)
S.Z (..raR� CAI!em 61Q?6
No. and Street City /Town Zip Code Name of Building(if applicable)
SECTION 2: PROPOSED WORK
If New Construction check here❑or check all that apply in the two rows below
Existing Building ej Repair❑ Alteration ❑ Addition ❑ Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify: & la fl C .d e �Q..Are building plans and/ur construction documents being supplied as part of this permit application? Yes ErNoO
Is an Independent Structural Engineering/P r Review required? ._.{�� Yes ❑ No ❑
Brief Description of Proposed Work:_ !f 7�C6-Ca r> s fCuzr,
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Evaluation is enclosed (See 780 CMR 3402.0) ❑ '
Existing Use Group(s): Proposed Use Group(s): r
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR34:
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.)
Total Area(sq. ft.)and Total Height(ft.)
E I
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2r Cl A-2nc❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ H: Hi Hazard H-1 ❑ H-2❑ H-3 ❑ HA O H-5❑
I: Institutional 1-1 ❑ 1-2 ❑ 1-3❑ I-4❑ 1 M: Mercantile❑ R: Residential R-113 R-2 ❑ R-3 ❑ R-4❑
S: Storage S-I ❑ S-2❑ 1 U: Utility Cl 1 Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA IB ❑ IIA ❑ 116 ❑ II►AO Hiss 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 indentifv Zone: or on site system ❑ required O or trench ur spccily:
permit is enclosed ❑
Railroad right-of-way: Hazards to Air.Navigation: \I:\ I li,fimi.'( ,mtmi-wn Rvgiv,. I'n
\ot Applicable ❑ 1, StrUdnlC tcilhut airport eppro,tch area.' 1. (heir review completed.+
or( „n.ent Io Budd enclosed ❑ Yes O ur.No❑ Yes❑ \o ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
building
ui Sprinkler
I(peofConstnidiun: Occupant Load per Floor
I)ocs the l+uddmhcont.un,tn SF,rinklvr Sv.(em.': Spvaal Stipulations:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Na91r\ hot rsso r,eeper l) n oc 1�s1 .22 C''T `9(^1QM G 7o
Name(Print) I eNu.and tilreel Cily/Town \ / Zip
Owner Contact Infer ation: MAN(�J _C 0
F wl�p� lt?eC _ Sa -737a t?-`Ea3- �( ?/ VDC-
Title JPX
- Telephone No• (business) Telephone No. (cell) e-mail address
If applicable, the propertt.owner herebv authorizes
Name Street Address Citv/Town State Zip
to act on the property owners behalf, in.ill matters relative to work Authorized by this buildin i permit a >plication.
SECTION 10:CONSTRUCTION CONTROL (Please fill out Appendix 2)
(If buildin•is less than 350 I cu.it.of enclosed s pace and/or not under Construction Control then check here O and skip Section I0.1)
10.1 Re istered Professional Responsible for Construction Control
Na (r�,str nt r Irpt�one Nu. e-mail address Registration Number
FP)2 ✓ham
LJ
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor r
Company 4�- S' 657
��M ( e
Na me of Per' sib Resptmle for Construction License No. and Type if Applicable
n�a
Street Address City/Town State Zip
Telephone No. (business) Telephone No.(cell) e-mail address
SECTION il:WORKERS'CoN ESATION INSURANCE AFFIDAVIT (M.G.L.c.152. 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 t ssuance of the building permit.
Is a signed Affidavit submitted with this application? Yes o
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs: (Labor pa^
Item $
and Materials) Total Construction Cost(from Item 6) _
1. Building $ L 6- O Building Permit Fee=Total Construction Cost x_(Insert here
2. Electrical $ appropriate municipal factor)_$
3. Plumbing
$ Note:Minimum fee=$ (contact municipality)
4. Mechanical (HVAC)
5. Mechanical (Other) I $ Enclose check payable to
6. Total Cost 1 $ 8(a O 6 (contact munici alit )and write check number here
SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this -
application is�tru/e and accurate to the best of my knowledgeand understanding. cam,
!M of h (c/� � Q C2JL �' APf�P/l � !/9d'�-
I'leas• trio d �i n nn name Title Telephone No. Uate
a ' ,�� C+ T,4(Q. � 14 alg7n
'tree( :Wdrees Citvi Tot%n State Zip
Municipal Inspector to fill out this section upon application approval:
Name bete
IJy
CITY OF SALEM
.� PUBLIC PROPRERTY
DEPARTMENT
T
120vr.,;inxc;0N5rx[[r .5sirat,
rrt: 978.�4 -9;95 . t:%s:e7sa+0-984e
Construction Debris Disposal Affidavit
(required for all demolition mid renovation work)
In accordance will, the sixth edition of the State Building Code, 780 CMR section 1 l 1.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit tt _ is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
111. S 150A.
The debris will be transported by:
(name of hauler)
The debris will be disposed of in
SA�er� 2 m 5' R > \G It o rJ
(name of faci ity)
(address o1'tacillty) -
signature of pe tint applicant
date
CITY OF S.U.&M. %LkSSAC1i SEM
SUMDLNG DummIENT
120 W.+SHiNGToN STREET, Y°FLoOR
Imo. (978) 743-9595
FAX(978) 740-96"
K1%g5EP.LEY DRJSCOLL TMOSW ST.PMA"
MAYoll D iRECr oit of PI eLIC PROPERTY/tlt:MDMG COSMDSSION EA
Workers' Compensation Insurance Allidavit: Builders/Contractors/ElectriciansiPlumbers
Annllcant Information �I Please Print Leeiblr
Vatrls'tous,r OrgaotratiomIndivrdual).' a-1A l (,iJ (P2
Address: a '1 oSIP2 C t
City/Statrizip. 5'4 le", O 7 /a
,\re y a employer!Check the appropriate boa: Type or project(requlrecO•
am a employe with 4. 0 1 am a general eontractOr and 1
mployees(full and/or part-time).• have hired the asbcontmcma 6. QNew construction
2) am a sole proprietor to partner
listed on the attached sheet : 7. ❑Remodeling
ship and have no employees Thtas sub-contractors have & 0 Demolition
workingfor me in an capacity. worker'comp.inwrsaoa
Y fn ry• 9. 0 BuiWins addition
rcq worker'comp insurance S. ❑o are a eveportiea and it 10.0 Electrical repair or additions
rcquiral.j ot7lcas have exercised their
J.0 1 am a homeowner loins all work right of exemption per MOL I I.0 Plumbing repair or additions
myself[Na workers'comp. c. 152.f 1(4).and we have no 12.0 Roorrepairs
insurance required.j► employees, Wo wodurs' 13.0 other S t P Ppto ICA een
comp insurance required.j
-Any apptcacl that dmraa ban Of MOO alwr 111111614 hla MUM twfsw r.. as their was
coo foestdsa policy infwmenoa
'I who submit this amdrve indication a indiion they w doing an work ace than like wside cownwase mar AM(#x now.md n it;.dishing rod►
T.mtrermwrrs hhw chr h this box mar anarhoe as additwwl Jrer Jawing to nano st to aetawna ode ace bob who 'noting.policy itda w diO .
/adr tee rmp/oyar that/s ppavidlnr workers'compensarba/asrrremm fan any easployms Below is she pellay ead jal r/ar
in�orararbra
insurance Company Name: a"elal T Lw,?Q"C
policy t or Self•iru. Lie. M:_ 11 i-/_ Expiration Date:—.,z O
Job Site Address: S _-� W Q 2 : '5-4
Ci /StataJ2i •P/h ® (
ry q7o
p
.\mach a copy of fl s worker'compensation po�rydecartloa (skewingwa the pWltf number and taplt'atloto dab}
Failure to secure coveralls as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of■
fine up to S 1.500.00 and/or one-yew imprisonment,as well as civil penalties in the form of s STOP WORK ORDEA and a floe
of up to S250.00 a Jay against the violarw. Ile advi+al chats copy ur this statement may be forwarded to the Of7lct of
Inveauga6uns of the DIA for insurance coverage verilicatiom
/de hereby s art under the pdiws un penalties o�perfaq char the infioraratloa provided above i t true dad s arpeea
"�tdtllrr. � �// Dale:
Pliant�• l ? �—�a 3 '—1 ��
( D/Jlrial we only. Do nor write in this area,te be earap/rtd by dry op town alJlridL
City or fawn: YcrmitA.lccnrt M
Issuing.\uthurdy (circle une):
I. Ituard u(Ilrullh 2. fluilding Department J. Ciiytrown Clerk a. Electrical Inspector 5. Plumbing Inspector
6. Other
luntact Person:
SAW CUT w
EXISTING J—IPJE"F��11-�
PINTED STEEL
CONCRETE z c
TO FORM Q =
PLUMB G m
SUBSTRATE y
PAINTED STEEL FOR 2x a+
PIPE RAIL BLOCKING cn
C �
O
1_p V-D„ z
p
ti d
SECURE TO GONG. } N
TOP AND BOTTOM
C
3/4"BALLUSTERS
@4.5"DID - V77
2X6 PT
m 11 PT PLATE 5/4 TREX DECKING ANCHOR RAIL
ON 2X6 PT @ 16"OC SUPPORT
SHIM TO LEVEL INTO
1X TREX RISER CONCRETE
PT 2X12
(1 OF 4) 'sE
LINE OF EXISTING CONCRETE
CRIPLE STUD PT 0
MID-SPAN
SUPPORT
� m �
X
>
W o
`m
BLOCK OFF OPEN SIDE O W
WITH 1X4 TREX U«
12"%12"CONCRETE 0 d
FOOTING
4� �N
ANCHORS AT EACH =-o
PT 2X12 PROPOSED SECTION/ELEVATION d 3
sGAt :la=1'a' U)m
ANCHOR RAIL BASE INTO
NEW FOOTING-GROUT NOTES:
SOLID(TVP.) 1. NOSING NOT INDICATED.PROVIDE 12"NOSING AT EACH TREAD.
2. RISER AND TREAD/LANDING FINISH COLORS FOR COMPOSITE WOOD
SHALL BE TWO DIFFERENT COLORS. ARCHITECT WILL SELECT. s
W �
EXISTING PORCH DECK Q
SECURE RAIL END TO EXISTING y
WOOD POST UO
� m
- FACE WITH
I TREX SAWCUT BACK EXISTING O s
ON 2X PT TREAD
BLOCKING
RETURN END OF RAIL O
❑ TO POST I' m
+ y
C .q
C
FACE RISER AND SIDE WALL WITH
x
----------------- __ 1X TREX ON 2X BLOCKING
POSTTHROUGH
LANDING INTO EXISTIN
CONCRETE
P
b `
LINE 06
EXISTING
G
RISERBELOW-
m
SECURE RAIL TO RETAINING PLATFORM 'QT
WALL-WALL IS UNEVEN- EXTENDS OVER W o
PROVIDE ALL REQUIRED SPACERS. -
ETC U d
Olj
-
0
roN
xa a
m3
a
PROPOSED PLAN c')0
N
RAILING AT ELEVATED
PLATFORM W
GROUT ENDS INTO
K6"EMBED
TE C R
O SUPPORT OF
EXISTING RETAINING d
WALL `
-PAINTED STEEL
HAILING r+
O "
h
C =
O
WESTERN RAIL r RETURN TO WALL
+ �
SCALEalO"=1'-e" y
NOTE-EXISTING RETAINING WALLS L `+
ARE NOT PLUMB OR STRAIGHT- 11110,1 f
PROVIDE ALL NECESSARY FIELD
MEASUREMENTS TO ALLOW PROPER
FABRICATION OF RAILING SYSTEM
lx12 STRINGER
Color:Saddle
1x B TRIM,cut to fit
Color:Saddle
1x RISER COVER
1 x RISER COVER 5/4 DECKING-
5/4 DECKING GAP ORIGINS STYLE
3
-5/4"DECKING Color: Winchester Grey
f>
1x SKIRT SECURED P
3 TO STRINGER AND 8 '
IX PT BLOCKING I' PT SHOE
{{ Color:Wine ester Grey
ti
a
1a
l z 12 SYNTHETIC SKIRT W o
K
1 X 4 SYNTHETIC V y
VERTICALS -- `p d
PT PLATES rom
-----
2-a
m�
DETAIL AT SKIRT TREAD/RISER DETAIL
SCALE:I-=1'-0" SCALE:V-1'-0'
Side Elevation
SCALE:IIP=V-0'
r. 4
SAW CUT
EXISTING PAINTED STEEL w
CONCRETE PIPE RAIL Z
TO FORM
PLUMB a j
SUBSTRATE
PAINTED STEEL FOR 2x
BLOCKING
PIPE RAIL
O
h
LJ-0 O
SECURE TO CONG y �
TOP AND BOTTOM + `�
— fir C �
3/4"BALLUSTERS
@ 4.5"OC 5„
2XB PT
1p PT PLATE �5/4 TREX DECKING ANCHOR RAIL
ON 2X6 PT @ 16"OC SUPPORT
SHIM TO LEVEL INTO
1X TREX RISER CONCRETE
v-w
PT 2X12
(1 OF 4)
c €
LINE OF EXISTING CONCRETE
CRIPLE STUD PT o
MID-SPAN 2
SUPPORT
o � S
d N
R0
W.
BLOCK OFF OPEN SIDE K
WITH 1X4 TREX
O«
d
12"X CONCRETE no d
FOOTING ANCHORS AT EACH =o
PT 2X12 PROPOSED SECTION / ELEVATION 4E,3
SCALE:IIY=1'W N N
ANCHOR RAIL BASE INTO
NEW FOOTING�GROUT NOTES:
SOLID(TVP.) 1. NOSING NOT INDICATED.PROVIDE 1/2"NOSING AT EACH TREAD.
2. RISER AND TREAD/LANDING FINISH COLORS FOR COMPOSITE WOOD
SHALL BE TWO DIFFERENT COLORS. ARCHITECT WILL SELECT. d
EXISTING PORCH DECK
p1 m
SECURE RAIL END TO EXISTING
WOOD POSTFACE Uj
m
XITH
1XTR SAWCUT BACK EXISTING x
ON 2X PT TREAD
BLOCKING
C z
RETURN END OF RAIL
❑ TO POST 1.7 m
+ m
L
C m
FACE RISER AND SIDE WALL WITH
x �
.__.. ____________________ __ _, iX TREX ON 2X BLOCKING
POSTTHROUGH
LANDING INTO EXISTING
CONCRETE
LINE OF Do
EXISTING
RISER
BELOW-
SECURE RAIL TO RETAINING PLATFORM
WALL-WALL IS UNEVEN- EXTENDS OVER - tX Q
PROVIDE ALL REQUIRED SPACERS.
ETC U 0
O
UW
o N
a..
1n
2a
E
PROPOSED PLAN
N
SCALE:1P=1'-0-
RAILING AT ELEVATED
PLATFORM
GROUT ENDS INTO
0
EXISTINGEMBED I c
MIN.B"EMBED INTO
O
SUPPORT On y
OUND MATERIAL EXISTING RETAINING i c'
WALL � N
PAINTED STEEL
RAILING C
O
C z
O
WESTERN RAIL r RETURN TO WALL
+
SCALE'.IW=1'0" y
NOTE-EXISTING RETAINING WALLS JI.
ARE NOT PLUMB OR STRAIGHT- M
PROVIDE ALL NECESSARY FIELD W
MEASUREMENTS TO ALLOW PROPER
FABRICATION OF RAILING SYSTEM
102 STRINGER
Color:Saddle
1x B TRIM,cut to fit
Color:Saddle
Ix RISER COVER
1x RISER COVER 514 DECKING-
5/4 DECKING GAP ORIGINS STYLE
3 5/4"DECKING Color: Winchester Grey
Ix SKIRT SECURED e
TO STRINGER AND
3 PT SHOE
1 X PT BLOCKING {{ Color:Winct ester Grey
a
1 x 12 SYNTHETIC SKIRT W o
0 K
1 X 4 SYNTHETIC U y
VERTICALS
PT PLATE i
2 O w
'o
d3
u1 0 a
DETAIL AT SKIRT TREAD/RISER DETAIL
SCALE:V=1'-0" SCALE 1-=V-0"
Side Elevation
SCALE: