125 DERBY STREET - BUILDING JACKET ' 125 DER BY 'STREET s
J
L
GAB Business Services, InCCc``.
M
NV,
Date
Building Commissioner/Inspector of Buildings
'gs"'JN' PSA
Board of Health/Board of Selectmen
GIM NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Claim has been made involving loss,damage or destruction of the property captioned below,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section
6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B
is appropriate, please direct it to the attention of the writer and include a reference to the cap-
tioned insured, location, policy number,date of loss, and GAB file number.
Insured:
Property Address: cL rr_
1GAGM 1Y\
Policy-No. 'V,ZN3
Loss of 19 S�{
GAB File No. 1L�Vq
ignaturel
Title:
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
Signaturb,k%g date
Form 645(2/78)
GAB Business Services, Inc.
Sao \�Stiv,o-la�
Mk
Date
Building Commissioner/Inspector of Buildings
*"S x^ M.N d\47D
Board of Health/Board of Selectmen
CM NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139 SECTION 3B
Claim has been made involving loss,damage or destruction of the property captioned below,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section
6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B
is appropriate, please direct it to the attention of the writer and include a reference to the cap-
tioned insured, location, policy number,date of loss, and GAB file number.
Insured: co) 3lt
Property Address:
Policy No. tD h3 3 s',l(Ll4oati
Loss of 19 94
GAB File No. 1-'-A
(Signature)
Title:
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
Signatur date
Foran 645(2/78)
3
dnd
-FL*I*S1ft1ST19EfiLEG-AND APPROVED 8Y T44E
jhS,PZCTDB PIWA TD.A.PEWT BFJNG GRANTED
,{(� ✓� , CITY OF SALEM
No.L/)rl/53 Date
// O
Is Property Located in Location of � ) /
the Historic District? Yes_No_ Building _1 d 5_ 2
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: K,_ki4P, 1^a6-ref3
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 AM y Q r t4 G
f Sib') `/5 50 /'�
Address & Phone 1� S /��r�T/ STUB,
Architect's Name /1 c H /+/ D
Address & Phone 3 M 14 d 1 S a/V ALL (57Y) 3?3 -e/o73
Mechanics Name r o v L/¢it/D A7 /I SS 0/ 9 3 y
Address & Phone
What Is the purpose of building?
Material of building? If a dwelling,for how many families?
Nil building conform to law? Asbestos?
Estimated cost 8'S�'60 City license# N "- State Li k 73Goo
Bane Iaproverae
Lic. / r �={— F
ignatur f Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO: (67
No.
APPLICATION FOR
PERMIT TO
/ /
LOCATION
PERMIT GRANTED
313f�s= 2.0
A ROV�D
INSPECTOR OF BUILDINGS
y the Commonwealth of Massachusetts I t nt
y Bo:trd of Building Regulations and Standards MI Nil I 1
• bd Massachusetts State Building Code, 780 UNIR, 7"' edition
K.rnr,/ huuuu r
Building Pcrmit Application To Construct_ Repair.air, 12enucate Or Demolish a / _rn `'
One- or Tuu-F'umilr DnrNing
This Section For Official Use Only
Building Permit N ntber: Date Applied: _ — -- - -
Signature:
d g Cunumssunter I spcvior of Buddmgs D:uc —
b SECTION I: SITE INFORMATION _.
L1 Prt�erlr .\dd ess; 1.2 :\ssessurs :11ap & Parcel Numbers
MA
\� I.la Is this an accepted street'.'yes— no_ Map Number P:ua•I Number
�\ 1.3 Zoning Information: LA Property Dimensions:
Zoning District Proposed Use Lot Area Isy fit Frontage Ui)
1.5 Building Setbacks Ift)
Front Yard Side Yards Rear Yard
t Required Provided Required Provided Requited Pnrvidcd
1.6 Water Supply: (M.G.L C. 10. 9.14) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone'! Municipal❑ On site disposal system ❑
Public❑ Private❑ Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
92 1 wne 'of Recur �y
� f ��A/S0 - z s�• s�tr
Name I Print) Address ror Service:
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK=(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ 1 Accessory Bldg. ❑ Number of Units /n^ Other ❑ Specify:
BriefD�escription of Proposed Work':
—Ly-"/� 'S'I•��A 1' _ A"/,4/t NLGJ '2 F�
SECTION d: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (Labor and Materials)
1. Building $ I. Building Permit Fee: $_ Indicate how Ice is determined:
❑ Standard City/Town Application Fee
2. Electrical S ❑'rotal Project Cost')(Item 6) x multiplier x '
1. Plumbing $ 2. Other Fees: $ rjj/7 /o 6
4. Mechanical (HVAC) $ List: Q �C CJ — —_
S. Mechanical (Fire Total All Fees:.Suppression)
/ �` O . Check No. Check .Amount: ('ash .Amount:
0 Total Project Cast: S (, / /7 SiO ❑ Paid in Full 0 Outscmdine B:lanve Due:---- , --
SECTION 5: CONSTRUCTION SERVICES
5.I Licensed Construction Supervisor(CSL)
License Number livpu'atunt Dale
Name of C'SI.: ItulJer List C'SL'I'spe(see beltm 1
WJres, TexDcscn tUan+
} C Umestnrted o(i t0 ii.(XX)Cu Ft.i
C R Restneled I&_' Famth D%%ellmc _
S(gnumre ,%L, %lasonrs lhrly
RC Kes(Jennal Kaoline C'os ermg
reiephooc \ $ Remdennal \Vindm% .tad
SF RCIIJenu,d Rohl Fuel Itunune \ >>h.utee Iu d.Jl.0 ...
D Res(dennal Denn,lnnot
e 5.2 Registered Home Improve/ment C ntractor(IIIC•)
47
HIC Company NTme or HIC Rc;�tslrant Name P Registration Numher
/Cr �rA i-GT �l L-/ r!L• ��-2t /_/S-- Q
ti -� /C..r� Y f �'i�I9c. F.xptratiun Dote i
Signature Telepttone {
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 prat ide
9 this affidavit will result in the denial of the Issuance of the building permit.
Y I
Signed Affidavit Attached'? Yes ..........Ge No........... ❑ '
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner of the subject property hereby
authorize it)act un my behalf, in all matters
relative to work authorized by this building permit application.
9
Signature of Owner Date.
SECTION 77b: OWNER' OR AUTHORIZED AGENT DECLARATION
L. s2.Gs rs. ~ /h , as Owner or Authorized Agent hereby declare
that the statements and information o the foregoing application are true and accurate, to the best of my knowledge and
behalf.
{ Print Nam'
d Sign�atere of Owner or Guth zed Agent Date I
i (Signed under the pains and penalties of perjury)
NOTES:
1. An Owner who obtains a building permit to do his/her own work.or an owner who hires an umegtstered contrWlor
(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 and '..
Construction Supervisor Licensing (CSL)can be found in 780 CMR Regulations I IO.R6 and I IO.R5, respeclieely. I
_' When substantial work is planned,provide the information below:.
Total flours area(Sq. Ft.) (including garage, finished basement/atttcs, decks or porch(
Gross living area iSq. Ft.) Habitable room count r
Number of fireplaces Number of bedrooms
Number of bathrooms '" Number of halt/baths _
'1'ype of heating system Number of Jacks/ porches
'type of Cooling system Gnch,aed Open _
d
i. 'Total Project Square Footage- maybe substituted for —rtitai Project Cost— -
. EITV-OFgLEn --
PUBLIC PROPERTY
DEPARTMENT
IOMIFJ "DRISCOLL
MAYOR 120 WASMNGWW h,nLwT•SALEM MASUO/IShl-M 01970
TM--979-74S-9S9S 4 FAX 978-740.9846
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION.
DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: i Z 5- f)e r h S4. Cor do`Tr"4- Building:
Property Address: as 1��* h� S k
Property is located in a;Conservation Area Y/N Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: IZS 7J-� /h S d-
Address: 12 S IJ'{h S d— S� �_ ^, f--7
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING. BUILDINGS ONLY
Addition Existing
Renovation 01-- Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of I goo Area per floor (so Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
a0l�p /���✓.�� 7 C/T
Mail Permit to:
What is the current use of the BuildingT s r Z
Material of Building? If dwelling, how many units?
Will the Building Conform to Law? LL4= 5 Asbestos? U J
;ff r�Iti e n-
-.�nitBiCCS Name ��a h.� � � � � 9 6- D A 'fir c.
Address and Phone 20o Cssek94-
Mechanic's Name QGAl �— t LiEy,rz4c5z,
Address and Phone Zc' e —� k /��rb�z ti<<� 7-,/ e 39
Construction Supervisors License# G 9 241 a 6 HIC Registration#
Estimated Cost of Project$ , Permit Fee Calculation
Permit Fee$ 3 Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 Commercial
An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury
Date IZ /d/OG
i
w N
O
a
1 � v a
F °1
C7 v
N ? ar G
_.- 4 u N •N G 4
07/02/2013 10:21 FAX f�j001/001
PEDA•
CONSULTING ENGINEERS Nov.24,2006
Katie Hutchison
125 Derby Street Condominium
125 Derby Street
Salem, MA 01970
Re: 125 Derby Street Condominium
Site Mooting—Nov. 21,2006
Dear Katie Hutchison:
In accordance with your request,Mr.Paul F.Donahue,P. L.of this oifiee,met with the Contractor on Nov.
21,2006 to review the proposed renovation project.Also attending this meeting was Katie I iutchison.
The site visit included an evaluation of the work proposed in the basement area and also an inspection of the
first floor unit directly above the proposed work.
The following scope of work was reviewed and approved:
I. The abandoned sheet metal duct above the fuel oil tank will be removed.
2. The Contractor will install a double 2x8 beam continuous along the exterior wall.The beam will be
located approximately 1'-0"off the foundation wall and tight to each floor joist.
A. The beam shall be supported by a series of 3'/2" dia. Sch.40 steel posts on 2'x2'x 1'-0"thick
concrete footings.The steel posts shall have steel cap saddle plates and'/2"thick steel base
plates.
B. The spacing of the posts shall be determined by the existing fire)oil tanks and existing natural
gas meters. Spacing shall be approximately 81-0"on center.
C. The beam shall cantilever at the existing gas meter to"pick-up"a floor joist above the gas meter..
D. The contractor shall shim any space between the beam and floor joist. It is necessary that every
joist be fully supported.
3. At the location of the first floor transfer load-bearing wall,the Contractor shall install a now 4x4
beam directly beneath failed floor sub-floor.The beam shall connect to the now double 2x8 beam by
a top mount hanger and a new Lally column,and to the opposite and to the existing beam with a top
mount hanger.
4. At the fire-place foundation,the floor structure has failed and dropped.The Contractor shall install
wood blocking beneath the failed header to he supported by three new adjustable steel posts on top of
new 2'x2'xl'-0"thick concrete footings.
A. The Contractor shall tighten the posts sufficient to place an upward force or"lifting'ofthe failed
header.
5. At an existing brick pier location,near the interior access stair to the first floor,the Contractor shall
install three new Lally columns on a concrete footing that"wraps"the existing masonry brick pier.
On the side of the fire place foundation,opposite to the proposed work,it was recommended by Paul
Donahue that a now wood beam be installed beneath the failed floor deck.The Contractor shall submit a
price for this work to Katie Hutchison.
If there arc any questions concerning the above, t to call.
t
. C.
Paul
200 ESSEX STREET ...._.'. .. NVMTMAN MA 02382
781.335.1880 a r fax
+LA"SIM*ST-BEfN.{-� APPROVED BY T44E
LNSp�= 3..,OR ,PM0R TPA PERMIT.B,EW G GRANTED
CITY OF SALEM
No. ?�7—06 : Date 3 =3(c)
Is Property Located In Location of
the Historic District? Yea-Z No_ Building
Is Property Located In
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Ro f Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:
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:
I/ NiL� r/1 C79 )
Owner's Name
Address & Phone I 4 (`f) sr) V/ -c'"
Architect's Name )9
Address & Phone
Mechanics Name a
Address & Phone 11 f
What Is the purpose of building? ^ P(/� j
C
Material of building? NOo[,t If a dwelling,for how many families?
Will building conform to law? Je ( _Asbestos?
� NA
Estimated cost 1 _City License# State License #
�( Rome Improvement x
Lic. i Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO/ BE DON/E/ / / / I J
r.imc�, o,` err,a 1) �G�b ,I' LA � / 00-lma�, 1 K)
MAIL PERMIT TO: 1 lad 1�13Y 5ty--t-M
No.
APPLICATION FOR
PERMIT TO
�nu 11 ;/-fit
LOCATIONy
PERMIT GRANTED
AP Fp
�I �-V-
INSPECTO OF BUILDINGS
� wn
M