5-7 WATER ST - BUILDING INSPECTION 11353 "
"T 13 - 1 �I - t 90% RECEIVED Cl< �251,
The Commonwealth
�'rof Massachusetts
IbA
Massachusetts State Buih It Co.e {,
(7 MR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
f!, Building Permit Number: Date Applied: Building Official:
SECTION 1: LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
No.and Street City/Town Zip Code Name of Building(if applicable)
lSECTION 2:PROPOSED WORK.
Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
^1 Existing Building❑ Repaf r\Iteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1)
l_ d 1 Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑
Is an Independent Structural Engineering Peer Review required? Yes ❑ No ❑
Brief Description of Proposed Work: X#Jau
1r zr.( l��d//AC F//9r<Csn.r,
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CNIR 34) ❑
Existing Use Group(s): I Proposed Use Group(s):
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.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ H: Hi h Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional I-1 ❑ 1-2[1 1-3❑ 1-4❑ M: Mercantile❑ R: Residential R-113 R-2❑ R-3❑ R4❑
S: Storage S-1 ❑ S-2 Cl U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as a plicable)
IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ RIB ❑ 1 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❑
required❑or trench or specify:
Private CI or indentify Zone: or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: :)I \ Ili lui i<t_muni si,n I: I mcus:
Not Applicable❑ Is Structure within airport approach area? Is their review completed? _
or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑
SECTION 8: CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): - Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
stwr MIS
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner '
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Title Telephone No. (business) Telephone No. (cell) a-mail address
If applicable, the property owner hereby authorizes
Name Street Address City/Town State Zip
to act on the property owner's behalf, in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out.Appendix 2)'
[f buildingis less than 35,000cu.ft.of enclosed-space and/or not under Construction Control then check here O and skip Section 10.1
10.1 Registered Professional Responsibleefforr Construction Control
37
Name( egistrant) Telephone No. e-mail address Registration Num/
Street Address City/Town State Zip Discipline Expire Lion 6ate
10:2 General Contractor - - -
P✓1 S2 S
Company Name
Nmne of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
Telephone No. business Telephone No. cell e-mail address
SECTION 11:FVORxe29'CON-IPENSA'I10N INSURANCE M l IDAVtf M.G.C,c.152.9 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 the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes❑ No ❑
SECTION 12:.CONSTRUCTION COSTS AND PERMIT FEE.- - ..
Item Estimated Costs:(Labor
Totaland Materials) o[al Construction Cost(from Item 6)_$
L. Building $ f Building Permit Fee=Total Construction Cost x_(Insert here
2. Electrical $ appropriate municipal factor)=S
3. Plumbing $
4. Mechanical (HVAC) $ Note: Minimum fee=$ (contact municipality)
5. Mechanical Other $ Enclose check payable to
�6.Total Cost $ Co() (contact municipality)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 true and accurate to the best of my knowledge and understanding.
Please pr nt and sign name 'rifle Telephone No. Date
Street Address City/Town GG State Zip
Municipal Inspector to fill out this section upon application approval:
AVtl bta
Name Date
1
CITY OF SALEI•I, NL-1SS.IC i SETTS
I BL'ILDNG DEPARTME.\T '
11 ter / 120 WAS141INGTON STREET, 3�FLOOR
TEL (978) 745-9595
Aux(978) 740-9846
)U.\IBFRi F_YDIUSCOLL
T
�.MAYOR HontAs ST.PtERRH
DIRECTOR OF PUBLIC PROPERTY/BUaDING CONMISSIONEIt
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Atonlicant Information Plcase Print Legibly
Name lflusituaOrgan/iratium'InJividual):
Address: e7 � )l
City/State/Zip: �(� /r/� Phone h: f77k?�-- 2ZL- ;2
r3.0
you an employer'!Check the appropriate box: Type of project(required):
1 am a employer with � 4. 0 I am a general contractor and I 6. ❑New construction
employees(full and/or pan-time).• have hired the sub-contactors
I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑Remodeling
ship and have no employees These sub-contractors have S. 0 Demolition
workers'comp. i working for me in any capacity. P ). 0 Building addition
INo workers'comp. insurance 5. 0 We are a corporation and its
required.]
officers have exercised their 10.0 Electrical repairs or additions
I am a homeowner doing all work right of exemption per MGL 1 1.0 Plumbing repairs or additions
myself.(No workers'comp. C. 152, §1(4),and we have no 12.0 Roof rupairs
insurance required.) t employees. (No workers'
comp. insurance required.) 13.❑ Other
-Any applicant that checks bun rt mail also roll out the sectiu i bnlow showing their workeri compensates,Puliey inbirmailon.
'I r..meuwrnre who wl,mit this amdrivit indicating'hey am doing all work and then hire uWside eontnertim mtui submit a new amdavit indicating Such.
C,mtmewrs that chuck ibis bar mmt anochat an addilimul Awl thawing the naive of the subaonincion and their warkrn'comp.pulley infutmalion.
/am un rurpluyer dial lr pruvldlnK tvorkrrs'cuntpenradun lnsuruueejor my employers. Ueluty is Ibe policy andJub xllr
iujurinurian. � �r�
Iruurance Company Name: /40//// /rf Jz.[_�_
Policy U or Sclf-iris. Lic.d: /C Expiration Date: <-
� c /
Job Site Address: C _�� )4-1 City/Stott:/Zip:. �
,lttach a copy of the woriters'compensation policy declaration pagir(showing the pulley number and expiration date).
Failure to sacurc coverage as required under Section 21A of NIGL e. 152 can lead to the imposition ofcriminal penalties of a
tine up to S1,500.00 and/or one-yea imprisonment,as well as civil penalties in the form of o STOP WORK ORDER and a line
of up to S230.00 a day against the violator. Be advised that a copy of this sratement may be furwardad to the Ofliee of
invctiigatiuns ut'Ilie MA for insurance cnvcmgc vcrilication. -
/do hereby certify under the pubis surd pe oaltler of perjury ohm tAe lnjurolutban provided ubuv is r ue surd corrrc•G
Si,•n t c' I):ne
I
Phone A: —
OJ/fciu!use roily. no nut write io 11sis area, to be completed by city ur town ofJ1 iuL
City nr Town: - -- _-- Permit/I.Icensep_-----.
Issuing Authority(circle one):
I. Board of 11calih 2. Building Department I.Cityrfown Clerk J. Electrical luspector 5. Plumbing Inspector I
6. Other
I �
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE
11/05/2014
os/zo14
PRODUCER (978) 745-6464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Rose Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
66 Loring Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 958
Salem MA 01970- INSURERS AFFORDING COVERAGE NAIC#
INSURED
INSURER A WESTERN WORLD INSURANCE C
Ryron Inc. dba Preserve Services INSURER B:Hartford
203 Washington Street #256 INSURER c Travelers
INSURER D-Great Ameri Can
Salem MA 01970- INSURERS
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY
REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR ADDT. POLICY EFFECTIVE POLICY EXPIRATION LTR INSRr TYPE OF INSURANCE POLICYNUMBER DATE(MMIDOTYYI DATE(MMIDDIWI LIMITS
A GENERAL LIABILITY NPP8236095 05/22/2014 05/22/2015 EACH OCCURRENCE S 1000000
X COMMERCIAL GENERAL LIABILITY DAMAGETORENTED
PREMISES occurrence S 100000
CLAIMS MADE ❑OCCUR / / / / MED EXP My one reon) $ 5000
PERSONAL&ADV INJURY 5 1000000
GENERALAGGREGATE S 2000000
GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO 6 2000000
X POLICY Mo LOC
C pUTOMO8ILE LIABILRV 46BC85787 06/05/2014 06/05/2015 COMBINED SINGLE LIMIT
ANYAWO (Ea accident) 5 1000000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per parson) $
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE
(Per amident) S
GARAGE LIABILITY
AUTOONLY-EAACCIDENT 6
ANY AUTO I I / I OTHERTHAN EA ACC $
AUTO ONLY, AGO $
D ECCE55UMSRB1A LIABILITY ZBS0040350 06/01/2014 06/01/2015 EACH OCCURRENCE $ 2000000
OCCUR CLAIMS MADE AGGREGATE $ 2000000
5
DEDUCTIBLE
RETENTION $ It
B WORKERS COMPENSATION AND 6S6OUB0523NG0914 05/20/2014 65/ 00/2015 X I ioR LIMIT-s OTH EMPLOYERS LIABILITYER
ANY PROPRIETORNPARTNER/EXECUTLVE E.L.EACH ACCIDENT $ 500000
OFFICERIMEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE $ 500000
If Yes,describe under
SPECIAL PROVISIONSbeb E.L DISEASE-POLICY LIMIT S 500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLEWEXCLUSIONS ADDED BY ENDORSEMENTMPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBEDPOLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
Property Management of Andover FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PO BOX 488 INSURER,ITS AGENTS OR REPRESENTATIVES.
Andover, MA AUTHORIZED REPRE :T
. .9 �
ACORD 25(2001108)INcnWi,mrwl rx 0 ACORD CORPORATION 1988
P.t N J
_ V/ee �Gorx�uaruue��/�o��uairic�udel�."
fu\- Office of Consumer Affairs,&Business Regulation
MEIMPROVEMENTcONTRACTOR Type: .
istration: 123553
iration: .302015 DBA
Preserve Painting
Sean O'Connor - - -
203 WASHINGTON ST.#256 ��.�..
SALEM,MA 01970 Undersecretary
i�p)r Massachusetts -Department of Public Safety
egulations and Standards
Board of Building R -
Construction Supers"isor
License: CS41POW
SEAM OCONNOR?
ST
SALEM MA 01970 `
V
IN Expiration
1y31/p015
Commissioner
401
te
Structures North �� ®®® 60 Washington St,Salem,MA'019770
.� w .structures-northxom
CONSULTING ENGINEERS, INC. T 978.745.6817 1 F 978.745.6067
Project Memorandum
To: Preserve Services
Attn:: Sean O'Connor Email: sean(7d,nreserveservices.com
From: Greg Nowak
Re: 7 Water Street,Salem,MA
Subject: Structural Conditions Survey,Rear Exterior Wall
Date: 22.August.2014 Pages: 2 (including cover)
Dear Sean
Upon your request we visited the residence located at the above referenced address, which is half of a two
and a half story 2-unit townhouse style building. The specific purpose of the visit was to observe the
condition of the rear exterior wall structure, which has suffered water damage due to water infiltration
following failure of the exterior envelope.
The damage requires substantial replacement of the rear wall structure (of both units), including the
following minimum sections:
• 10-feet of mudsill replacement(13-feet minus a door opening)
20-feet of second floor rim joist replacement
Mudsill and rim joist replacement should be done in a manner that maintains staggered splices, or
pairs of strap ties should be installed if butt joints cannot be avoided.
• Stud, header and window sill replacement and/or sistering as required
Please note that several of the windows will need to be replaced in order to properly replace the rotted
sheathing that has since been mostly removed.
As a preventative measure,Boracare boric acid solution should be considered. While all new mudsills
should be pressure-treated, the Boracare will provide rot resistance to non-pressure treated wood, which
would likely be used for the balance of the replacement wall framing. This treatment should be applied to
both existing framing to remain, as well as any new framing above the pressure treated sill. Application
should be through a dedicated pump sprayer, and diluted with warm water in a 1:1 ratio. Two applications
are recommended, one hour minimum between applications and using all solution within 24 hours of
mixing.
In addition to the damaged framing, new mudsill anchors will need to be installed. The existing anchoring
system consists of embedded strap-type anchors; however these do not appear to have been installed
correctly as they do not align with studs or wrap the mudsill, but rather were installed over the sheathing
with minimal nailing to the mudsill. As a remedial measure, ''/z" diameter threaded rods should be
installed at no more than 32"on-center and 6-12" away from any corners or door opening edges. Anchors
should be set with Hilti HY200 adhesive or equal, with a minimum embedment of 6" into the full width
of the foundation wall. Please note that if the stud wall sits on a narrow stem, the embedment will need to
be increased by the height of the stem. All manufacturer's instructions must be followed, including
Structures North UPPME
CONSULTING ENGINEERS, INC.
Project Memorandum 7 Water Street,Salem,MA
cleaning of the holes and rods (if rods are not supplied directly from the adhesive manufacturer). Anchors
should favor the interior slightly in order to maximize edge distance, up to 3"from the exterior edge, and
a minimum of 2'/z". Since the holes in the sill will need to be over-drilled relative to the lead hole of the
adhesive anchor, Simpson PB5/gSKT bearing plates should be used with double-washers between the nut
and bearing plate.
Unrelated to the water damage at the rear,we noticed severe honeycombing at the garage curbs located at
the front of the building. These short sections of poured concrete appear to have been placed after the
initial wall pour, and may have been done as a corrective measure to accommodate the garage door. In
order to prolong the life of these sections,the voids should be patched with a repair mortar such as Sika 123
Plus following application of Sika Armatec 110,which is a corrosion inhibitor and bonding agent. Caulking
should be considered at the base and edges to prevent water infiltration. These curbs should be monitored for
any changes in their conditions following the repairs, and may eventually need to be removed and replaced
with new sections that are adhesive-set into the adjacent stem walls and foundations below, which will likely
also require that the garage slab be cut back to properly anchor any new sections of concrete to the existing,
while still maintaining a separation between the garage slab and the walls. Any existing drawings would be
helpful to determine how best to proceed during the eventual replacement, and proper maintenance may avoid
replacement altogether.
Report Limitations
This report is a summary of readily visible observations conducted during a single site visit to the
property. No finishes were removed to expose hidden structure except where specifically noted, and no
calculations have been performed to determine if the overall building framing or foundations of the
structure comply with past or present building codes. This report is strictly limited to structural
considerations noted. Egress, guard rails, fire protection, and other building systems were not reviewed,
and they are beyond the scope of this report.
If you have any questions regarding this report please do not hesitate to contact us.
Thank you,
Greg Nowak
Page 2 of 2
. t L
203 WASHINGTON ST.#256
PRESERVE SALEM,MA 01970
SERVICES carpentry;painting roofing gutters PH carpentry;
'r SALES@PRESERVESERVICES.COM
Salem Maritime Homes
SWaters St Original Estimate Date:8/21/2014
—� Estimator.Sean O'Connor Salem MA,01970 Mobile:978395.7737
(978) 594-0644
hasant@comcast.net
SCOPE
Permit
Preserve Services will pull a building permit for the structural work based on the plan provided by Greg
Nowak, of Structures North. The cost of the permit is included in the below price.
Structural
We will fix the structural problems located on the rear of building 7 in the manner specified by the
structural engineer Greg Nowak, of Structures North. This will envolve replacing a lot of damaged
structural members,replacing the specified section of sill,treating the structural memebers with
Boracare boric acid solution, re-anchoring the entire sill. The cost of the plan provided by Structures
North is NOT INCLUDED in the below price. The work suggested on the front cement is NOT
INCLUDED.
Electrical Work(ELECTRICAL IS EXCLUDED IN PRICING)
We will hire a licensed electrician to remove all the electrical wiring on the rear wall that goes through
structural members that need to be replaced. Once the new members are installed the electrician will re-
install the electrical.
Insulation
Install new rolled fiberglass insulation.
Siding&Sheathing
Replace the 2"d story siding and sheathing stopping at the bottom of the soffit, does not include the
dormers, the replacement will be the same system as the bottom of the wall.
Interior Trim Work
In the process of replacing all the rot on the exterior Preserve Services will have to remove some
windows. When we remove the windows we will have to remove the interior molding to re-insulate.
Preserve Services will install new interior molding on affected windows.
PROCESS
1. The electrician will remove all the wiring which goes through rotten structural members.
2. Preserve Services will replace all rotten structural members, re-anchor the sill,treat the structural
memebers with Boracare boric acid solution. Preserve Services will have to remove some
windows to replace rot. The interior molding on the windows will be removed The molding
will remain off until the windows are inspected by a building inspector for insulation.
3. Structural inspection by the building department
4. Electrician will install new wiring.
5. Electrical inspection.
6. Install new insulation.
7. Insulation inspection.
8. Install sheathing and siding
9. Paint.
ITEMS NOT INCLUDED IN THE BELOW PRICE
1. Damage to interior walls. It is VERY LIKELY when we replace vertical structural members that
have interior drywall nailed to them that we will damage the interior walls. Patching and
painting of the walls is NOT INCLUDED.
2. If cabinetry is attached to rotten structural members. The cabinetry may have to be removed and
re-installed. The below price does NOT INCLUDE removal and re-attachment of the cabinetry.
3. Damage to interior walls from removing and re-installing windows. Damage may occur to the
walls adjacent to the affected windows. Repair and repainting the adjacent walls if damage
occurs is NOT INCLUDED.
4. Painting of new interior molding on the windows is NOT INCLUDED.
5. The cost of the plan provided by Structures North is NOT INCLUDED in the below price.
6. Should the building department require additional structural work or plans, the below price does
not include them.
7. (ELECTRICAL IS EXCLUDED)
PRICE $ 23,400 including Labor&Material (ELECTRICAL IS EXCLUDED)
Payment Terms: 33.33%deposit(day of start); 33.33%progress; 33.33% end of job Mc/Visa%Amex
Sean O'Connor Customer Signature
ADDITIONAL TO ABOVE ESTIMATE:
BID i s Disconnect and reconnect the electrial. Pemriting and inspections are included
Price$2750 Including Labor and Material
BID 2: Structural Engineering
Price$ 400 Including Labor and Material
BID 3: Interior Building 5-7. Replace 60%of the drywall on the rear walls; Patch 4 holes in the ceiling
from the electricain(I on each floor in each unit); Prime and paint the rear walls on the first and 2°d
story 2 full coats including the molding. Touch up the patch on the ceiling and the side walls if they are
disturbed. The ceiling will appear touched up and so will the side walls if they are disturbed, because we
are not painting the entire ceiling or side walls. The demo,plastering, and painting will be dusty and
messy. We will use plastic to control the space. However, the unit's occupants should understand it
will be an active construction site. (The drywall replacement is$1250 of the below price. It may very
well be less.)
Price$2975 Including Labor and Material