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3 WHITE ST - BUILDING INSPECTION 6 21 O c_K 13(,p V I The Commonwealth of Massach Board of Building Reg laattii� CITY OF �"E' SALEM L Massachusetts State Bu Revised Mar 2011 Building Permit Application To Constru a o NeQrWolish a One-or Two Fame This Section For Official Use Only I Building Permit Number: Date App e/d: . Building Official(Print Name) - Signature ate SECTION 1: SITE INFORMATION 1.1 Pro�erty ddresg: 1.2 Assessors Map&Parcel Numbers T L l a Is this an accepted street?yes_y no Map Number Parcel Number 13 Zoning Information: ` IA Property Dimensions: '5in'k o- .64,47,t/ Zoning District Proposcil Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Publics Private❑ Zone: _ Outside Flood Zone? Municipal et'hr site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP" 2.1 f Rec rd ��2 �711d Name(Print— City,State,ZIP ' No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORIO(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work2: b f SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ 2 p ©d p_ 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ n06 ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ s, 0402. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 3 D Qd0 ❑Paid in Full ❑ Outstanding Balance Due: 41'z' � SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 2 �.5� M,a' / ✓���J / Y� A,&� E License Number Expirationu /Dsate Name of CSL Holder /��� � List CSL Type(see below) N�S�tr/r{jpns I No.and Street Type Description e� �'� U Unrestricted(Buddin s u to 35,000 cu.ft. City/I own,State,ZIP�� R Restricted 1&2 FamilyDwelling M Masonry RC Roofing Covering WS Window and Siding M D SF Solid Fuel Burning Appliances I Insulation Tole one Email address D Demolition 5.2 Registered Home Improvement Contractor(IIIC) lNamfjg-,o/ �w� C Registration Number rzpirE anon Date HIC Comparry Name or H-�istrmmt Name y/� y 7 No.and Str tom$ (j /// �d 4� "a" 0- r"tl Email address �'rrfh y, .Q City/Town,State ZIP Telephone (/PZZOI'I SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M G.L,c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the IssuanceILIthe building permit Signed Affidavit Attached? Yes .......... V No...........❑ 1,40101ib SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my eh If,in all matters relative to work authorized by this building permit application. Print Owner ame @c onic Signature) Dafe SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in applicati n e and accurate to the best of my knowledge and understanding. 9r-1.s Print Owner's df A on Agents NanueTElectrimic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A Other important information on the HIC Program can be found at www.mass.poy/oca Information on the Construction Supervisor License can be found at www.mass.gov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) 2 tf DU (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) 7 Ll to Habitable room count cJ Number of fireplaces D Number of bedrooms Z Number of bathrooms 2— Number of half/baths I Type of heating system F 14 U) Number of decks/porches Type of cooling system -�C A — D/ztry i Q Enclosed Open ✓ 3. "Total Project Square Footage'maybe substituted for"Total Project Cost" zSSFA IiU .$ w t :Massachusetts -Department of.Public Safety DRIVER LICENS 0, Board of Building Regulations and Standards rm , a � " t`257 Construction.Supervisor - °r*fi�-sse�o mxu°sm � s,�r�,t License CS-050153 i - cats ;.�+-•a,SS�i.SZ�'06iO4 "14'F tl dx Doer' is MICHAEL D BEArT f. tr09 2Q5 05a0 54 s ,3 sex MF , �r'f99i PO BOX 2T7 DANVERSMA fflg ' '� s5H�ELY CT r7� 43 a � •:', ""*(`"-.'-`�'S "� y�l' ,. P.:- . uD - Expiraton 5109I2018 ai�1i 0Commissioner g^"f ��'" _, sobasto-m,aswar ismov, ..ram, ',� � ;;: • , . .. ,.: £,�. Fj�"ICHAEL M.D.BEAN CONSTRUCTIONMEIMPROVEMENTCONTRACTOR ;�i1i.t 7109 Michael Bean-Nick Bean �plraUon New Homes-Second levels-Additions Roofing-Siding-Windows etc. BEAN P.0.13ox 277 _ I� � �,: Danvers ma 01923 Mtchael,Bean phone-978-777-6698 x ,s«j HEALEY ..' ' + L fx-978-777-5395 Uadete RSM 0tg23 mdbeanconstruction@verizon.net DANV , V i s ' ,www.mdbeanconstruction.com MOSEA•1 OP 10:KAG Paeaan'IY'0 A�RO' CERTIFICATE OF LIABILITY INSURANCE NZ120is TNM CERTIFICATE M ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIORi8 UPON THE CERTIFICATE HOLDER THIS CERTU7CATE DOER NOT AFFIIWATNELY OR NEOA7NELV AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOW THIS CERTIFICATE OF INSURANCE DOER NOT CON8717U1E A CONTRACT BE7INEEN TNfi 186UIN0 n1wRER18A AUTHORIZED REPRE9ENTATNE OR PRODUCER AND TNfi CERTIFICATE MOLDER RIPORTANi: N W eeLt101Me hddx b an ADDITIONAL INSURED,tlro poBcylba)moat a andae•d. N gt1BT100A710N M WAIVED.rights to t0 tlr temm MW OOMitlom of tlr po9ry,eanain p011Nea may roqulro m andOlsalnwL A abbineld an lhb arSReeb tl0aa not confer rightshb tlt• CarBReab hakerin IkM o/sueh � : Kara Gorton Jahn J D0H•ImunrNa ABB�anry �•83e6 ..878.777-9801 s6 Conetltuden Lam 8b 2NI�y.kr^""ndoYlsinauranes eam �P Doyle07623 boa uoa ww aeuMaA:Safety lmurenMe 3 alpa60 M D Ban Construction — Beuwu:ACE Orou Nth"Sean mueae_ P OSox 277 a' eleolBno____ Demon.MA 81923 oauMee: CERTIFICATE NUMBER: PEVIZ NUNfiER COVERAGES 6ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE TO W4 4 THIS TIS613 TO CERTIFY THAT THE POLICIES U INSURANCE LISTED VVITN RESPECT TO WHICH THM INDICATED. NpTWITHSTANONO ANY RWUEIEMENT.7t]iM OR CONDITION OF ANY CONTRACT OR OTHER AFFORDED DOCUMENT CERTIFICATE CERTIFICATE BE ISffiI®OR MAY OERTABI.THE INSURANCE AFFORR DED BY THE POLICIES DESCRIBED FFliE1N IsSUBJECT TO ALL THE TERMS. EXCLU610NSANDOONDIRONSOF SUCH POUC".UWTS SMOWNMAY HAVE BEEN REDUCED BY PAM CLAWS. roe1S w tyro OIgBUaANCa EACH a 1,000 A 1�OaMeAl.uAmnr Ism 03113M14 OW31IN116 --C-a-,.nnwLaENlF•Lwsu^ �aPy oro 1 10 ' 1C0°� vineoxALarmvnNlr t f POIaRAIAWPEMR ! S.m. 00 J� f PACaUCTa-CglMPACa i cExLwmREGATELaaTAPP1a9PER f A r ero BN5316 1W18I3MaI 1N1B1f s aoonrowmtP.c..ml r 100 eOOIY INAIRY(PNraeePrNl i 1. N1f0 X SCHEMA"H Own a I f r 360 r HWUMAUM ONOwrasVAiO ( r uro Laa OECnM I - Ewi1000U NCE a AGGREGATE Qeaaimb CLAWSAAOE I i A o7w NaesAe0OSP ump rr 100 maaTLeYUf Lalam YIN I �B3=8486B145.1.14 OWW2414 09100IMB EL IACRACCOW i ma PROPMETCRPARMEAa]ZCmNE❑ NIA E.LoMEASE•EA i 1 �ISSM C VOEOT r yulNrwd� l.401lFAS!•P000YUYT i OiiC1aPTON 010reaAnoM:LoeATnwIVMECW IANNACCND iNAWtlenN AwMM1r tM�MIA PNan�pwNrpWrq CERTIFICATE HOLDER D n NMULD ANY DP THE ABOVE DFSORMBO PO1ICIES.M CANCELLED BEFORE THE Ap%AAT*N DATE THEREOF. NOTICE YELL 86 DELIVERED I"ACCORDANCE VAIN THE POLICY PROWMNL - AynNIWLD AHIBAaYfARYe Seen P Doyle - --.— 01968d010 ACORD CORPORATKK AN rl0hb monad ACORD 25(2010M6) .... - The ACORD name end 1090 aro m2IM ad math* ACORD Triple 1-3/4" x 14" VERSA-LAMO 2.0 3100 SP Floor Bearri1F1301 Dry 11 span I No cantilevers 10/12 slope Monday, March 30, 2015 BC CALCO Design Report Build 3272 File Name: BC CALC Project Job Name: Description: Designs\FB01 Address: Specifier. City, State, Zip: , Designer. Customer: Company: Code reports: ESR-1040 Misc: 4 t) IS-00-00 SO Bi Total Horizontal Product Length= 16-00-00 Reaction Summary(Down Uplift) (ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 6,160/0 1,930/0 81, 3-1/2" 6,160/0 1,930/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Rd. Start End 100% 90% 11160A 160% 125% 'i�__0000 1 Standard Load Unf.Area(1b/ftA2) L 00-00-00 16-00-00 40 10 2 Urrf.Area (IbtV2) L 00-OD-00 16-00-00 30 10 11-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 30,534 fit-lbs 70.1% 100% 1 08-00-00 End Shear 6,615 lbs 47.4% 100% 1 01-05-08 Total Load Dell. U337(0.553") 71.2% n/a 1 08-00-00 Live Load Defl. U443(0.421 81.3% n/a 2 08-OD-00 Max Dell. 0.553" 55.3% n/a 1 08-00-00 Span/Depth 13.3 n/a We 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x V4 Value Support Member Material BO Post 3-1/2"x 3-1/2" 8.090 lbs n/a 88.1% Unspecified Bi Post 3-1/2'x 3-1/2" 8,090 lbs We 88.1% Unspecified Cautions Member is not fully supported at post BO. A connector is required at this bearing. Member is not fully supported at post B1. A connector is required at this bearing. Notes Design meats Code minimum (L/240)Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(11")Ma)dmum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer. Simpson Strong-Tie, Inc. Page 1 of 2 ®�•• Triple 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Beam1F1301 Dry 1 span No cantilevers 1 0/12 slope Monday, March 30, 2015 BC CALL®Design Report Build 3272 File Name: BC CALC Project Job Name: Description: DesignsXFB01 Address: Specifier. City, State,Zip: , Designer. Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure y+{ b d Completeness and accuracy of input must i be verified by anyone who would rely on e output as evidence of suitability for • • • particular application.Output here based T a on building code-accepted design properties and analysis methods. • t• • Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum= 1-1/2%= 11" (800)232-0788 before installation.WnBC b minimum=6" d=24" CALCO,BC FRAMERS,AJSTM, e minimum= 1" ALLJOIST®,BC RIM BOARD-,SCIO, BOISE GLULAMTM,SIMPLE FRAMING Install Screws with screw heads in the loaded ply. SYSTEM®,VERSA-LAM®,VERSA-RIM Member has no side loads. FLUBS,VERSA-RIMS, Connectors are: SDW22500 VERSA-STRANDS,VERSA-STUB are trademarks of Boise Cascade Wood Products L.L.C. 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